摘要
目的:研究坐位腰椎旋转手法操作的在体力学参数并进行初步分析验证,对该操作手法出现的影响因素进行探讨,从而增加手法操作的临床意义。方法:采用在体力学测量仪,对同一手法操作者对30例退行性腰椎滑脱症患者[男18例,女12例;年龄45~61岁,平均(52.33±2.34)岁]施行坐位腰椎旋转手法的操作过程进行动态记录,以测量其在体力学参数(预加载力、最大作用力、旋扳力、拇指最大推扳力),探讨并分析不同患者所具备的个体特征对坐位腰椎旋转手法操作带来的影响。结果:1)坐位腰椎旋转手法在体力学参数平均值如下:预加载力(36.65±2.06)N,最大作用力(77.03±2.15)N,旋扳力(63.11±1.47)N,拇指最大推扳力(85.16±3.82)N.2)左右手施行的坐位腰椎旋转手法有着相近的力学参数,左右手的手法操作在临床应用上并无较大区别。3)经多元线性回归分析,受试者的身高、体质量、体质量指数与操作者的预加载力有显著的相关性(R>0.5,P<0.05);受试者的身高、年龄对操作者的旋扳力与最大作用力有显著的相关性(R>0.5,P<0.05)。结论:在坐位腰椎旋转手法操作过程中,受试者的年龄、体质量、身高等均是重要的影响因素。
Objective：In this observational trial,the biomechanical parameters of seated lumbar rotation manipulation are recorded,analyzed and verified preliminarily.At the same time,the influence factors of the manipulation are discussed in depth,in order to enhance the clinical significance of this manipulation.Methods：30 patients with degenerative lumbar spondylolisthesis[18 males and 12 females,from 45 to 61 years old,average（52.33 ± 2.34）years old]were recruited.They had been operated the seated lumbar rotation manipulation by the same manipulator.During the manipulation,the biomechanical parameters of the 30 patients were dynamically traced by the body mechanics measurement instrument,including the magnitude of the preload force,the peak force,the rotary thrust force and the thumb thrust force,to explore and analyze the influence of individual physical characteristics on the manipulation.Results：1）The average of biomechanical parameters of the seated lumbar rotation manipulation were as follows：the preload force was（36.65 ±2.06）N,the peak force was（77.03±2.35）N,the rotary thrust force was（63.11±1.47）N,the thumb thrust force was（85.16±3.82）N.2）The manipulation done by right or left hand show the similar parameters.Therefore,there is no difference between the manipulation of left and right hand in clinical application.3）According to multivariate linear regression analysis,the preload force has prominent correlation（R〉0.5,P〈0.05）with height,weight and BMI;the peak force and the rotary thrust force have prominent correlation（R〉0.5,P〈0.05）with height and age.Conclusion：Age,height,weight and BMI are important influencing factors of seated lumbar rotation manipulation.
作者
高春雨
冯敏山
朱立国
高景华
银河
魏戌
陈忻
展嘉文
李健
GAO Chunyu;FENG Minshan;ZHULiguo;GAO Jinghua;YIN He;WEI Xu;CHEN Xin;ZHAN Jiawen;LI Jian(Department of the Second Spinal Orthopedics,Wangjing Hospital of the Chinese Academy of Traditional Chinese Medicine,Beijing 100102,China;Beijing Key Laboratory of Traditional Chinese Orthopedics and Traumatology,Beijing 100102,China;Institute of Automation,Beijing Institute of Technology,Beijing 100081,China)
出处
《中国中医骨伤科杂志》
CAS
2018年第8期21-25,共5页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
中国中医科学院优势创新团队项目(YS1314)
国家自然科学基金面上项目(81473694)
关键词
退行性腰椎滑脱症
坐位腰椎旋转手法
生物力学
影响因素
degenerative lumbar spondylolisthesis
seated lumbar rotation manipulation
biomechanics
influence factors
