[1]张琰朕,刘洋,李锐,等.疏筋整复手法治疗寰枢关节紊乱症的运动学量化研究[J].中国中医骨伤科杂志,2024,32(04):24-28.[doi:10.20085/j.cnki.issn1005-0205.240405]
　ZHANG Yanzhen,LIU Yang,LI Rui,et al.Quantitative Kinesiology Study of Atlantoaxial Joint Disorders Treated by Sinew Dredging and Reduction Manipulation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(04):24-28.[doi:10.20085/j.cnki.issn1005-0205.240405]
点击复制

疏筋整复手法治疗寰枢关节紊乱症的运动学量化研究()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年04期
页码:
24-28
栏目:
临床研究
出版日期:
2024-04-01

文章信息/Info

Title:
Quantitative Kinesiology Study of Atlantoaxial Joint Disorders Treated by Sinew Dredging and Reduction Manipulation
文章编号:
1005-0205(2024)04-0024-05
作者:
张琰朕1; 刘洋2; 李锐1; 杨灿1; 胡滟琦1; 张兆杰1△
1中国中医科学院望京医院(北京,100102)
2北京中医药大学东方医院
Author(s):
ZHANG Yanzhen1; LIU Yang2; LI Rui1; YANG Can1; HU Yanqi1; ZHANG Zhaojie1△
1Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China; 2Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China.
关键词:
疏筋整复手法;  寰枢关节紊乱症;  运动捕捉系统;  运动学参数;  量效关系
Keywords:
sinew dredging and reduction manipulatio;  atlantoaxial joint disorder;  motion capture system;  kinematic parameter;  quantity-effect relationship
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.240405
文献标志码:
A
摘要:
目的:量化疏筋整复手法治疗寰枢关节紊乱症运动学参数,初步探究手法与疾病治疗的量效关系,规范操作要领,丰富手法内涵并推广应用。方法:2022年10月至2023年5月就诊的寰枢关节紊乱症患者18例,其中男10例,女8例; 年龄为24～27岁,平均为(25.50±1.10)岁。选取一位有着丰富临床经验且手法操作娴熟的脊柱科主任医师对患者进行操作,通过运动捕捉系统量化疏筋整复手法的被动旋转角度、旋扳角度及运动学曲线。结果:旋扳整复操作时被动旋转角度为72.21°±5.06°,患侧和对侧的被动旋转角度相比差异无统计学意义(P>0.05),患侧的旋扳角度为7.34°±1.90°,对侧为5.61°±1.76°,两侧相比差异有统计学意义(P<0.001)。结论:疏筋整复手法在治疗寰枢关节紊乱症时应把握到达旋转稳定状态时的被动旋转角度和旋扳角度,同时注重对齿状突偏歪侧进行旋扳。
Abstract:
Objective:To quantify the kinematic parameters of atlantoaxial joint disorders treated by sinew dredging and reduction manipulation,initially investigate the quantitative-effective relationship between manipulation and disease treatment,standardize the operating principles,enrich the connotation of manipulation,and popularize the application of manipulation.Methods:18 patients with atlantoaxial joint disorders,including 10 males and 8 females,aged 2427(25.50±1.10)years old,were selected to be operated by a chief spine physician with rich clinical experience and skillful manipulation,and the passive and rotational angles and kinematic curves of sinew dredging and reduction manipulation were quantified by the motion capture system from October 2022 to May 2023.The passive angle,rotation angle and kinematic curve of the spine manipulation were quantified by a motion capture system.Results:The passive rotation angle during reduction manipulation was 72.21°±5.06°,and there was no statistically significant difference between the passive rotation angle of the affected side and the contralateral side(P>0.05),and the rotary trigger angle of the affected side was 7.34°±1.90°,and the contralateral side was 5.61°±1.76°,with a statistically significant difference between the two sides compared to the other side(P<0.001).Conclusion:In the clinical operation,the passive rotation angle and the rotation trigger angle should be grasped when reaching the rotationally stable state,and the rotation trigger should be emphasized on the side of the dentate process that is skewed.

参考文献/References:

[1] 马明,周卫.寰枢段因素致颈性眩晕的研究进展[J].中国骨伤,2004(5):63-65.
[2] 马明,张世民.青年颈椎病的研究进展[J].中国骨伤,2014,27(9):792-795.
[3] 张兆杰,周卫,李星,等.疏筋整复手法治疗寰枢关节错缝所致颈性眩晕疗效观察[J].北京中医药,2014,33(10):752-754.
[4] 李锐,张兆杰,张世民,等.疏筋整复手法治疗寰枢关节错缝所致颈性眩晕65例临床观察[J].中医杂志,2022,63(5):450-454.
[5] 孙素鹏,师宁宁,王亚军,等.寰枢关节的解剖与功能[J].按摩与康复医学,2021,12(6):46-49.
[6] JOHANSSON G.Visual perception of biological motion and a model for its analysis[J].Perception & Psychophysics,1973,14(2):201-211
[7] 李豪杰,林守勋,张勇东.基于视频的人体运动捕捉综述[J].计算机辅助设计与图形学学报,2006(11):1645-1651.
[8] 相瑞排,石广田,李帅.机械式运动捕捉系统应用中的若干问题研究[J].兰州交通大学学报,2013,32(4):44-47.
[9] 谭菁华,薛静波,谢勇,等.光学三维运动捕捉系统用于生物力学测试的精准度分析[J].中国组织工程研究,2022,26(12):1822-1827.
[10] 向泽锐,支锦亦,徐伯初,等.运动捕捉技术及其应用研究综述[J].计算机应用研究,2013,30(8):2241-2245.
[11] 黄法森,张清,王海洋,等.运动捕捉技术在推拿手法生物力学研究中的应用[J].中医正骨,2017,29(11):41-43.
[12] 朱立国,李金学.脊柱骨伤科学[M].北京:人民卫生出版社,2015:5770-5782.
[13] 李建国,高春雨,高景华,等.基于运动捕捉系统构建摇拔戳手法治疗踝关节扭伤动画仿真模型的研究[J].中国数字医学,2021,16(8):93-97.
[14] 周卫,蒋位庄,章永东,等.环枢关节错缝与上颈段解剖的关系[J].中国骨伤,1996(1):5-6.
[15] 周红海,苏少亭,秦明芳,等.颈椎定点旋转手法运动学及相关个体影响因素研究[J].中国中医骨伤科杂志,2018,26(12):24-29.

备注/Memo

备注/Memo:
△通信作者 E-mail:zhangzhaojie2010@163.com
更新日期/Last Update: 2024-04-15