两种颈部旋转手法“咔嗒”声的比较研究  

A COMPARATIVE STUDY ON THE CRACKINGS DURING TWO ROTATORY MANIPULATIONS OF THE NECK

作　　者：李义凯[1] 赵卫东[1] 钟世镇[1] 

机构地区：[1]第一军医大学临床解剖学和医用生物力学研究所

出　　处：《中医正骨》1998年第6期9-10,共2页The Journal of Traditional Chinese Orthopedics and Traumatology

基　　金：军队医药卫生科研基金

摘　　要：为提高颈部旋转手法的准确性，应用定向式微型麦克风记录两组患者在施颈部旋转手法作用时发出的“咔嗒”声。结果表明，颈部旋转手法主要作用在旋转侧，只有少部分是作用在旋转的对侧。定点旋转复位法作用范围小，作用点相对集中；端提旋转复位法作用的节段较多，作用点相对分散。说明旋转手法主要作用在旋转侧，并非旋转的对侧；端提旋转复位法作用范围较广，对上颈段病变的疗效较好；而定点旋转复位法作用范围较为局限，适用于下颈段病变；旋转时“咔嗒”声的出现，预示着关节运动达到了极限。In order to improve the accuracy of the rotatory manipulations of the neck, the crackings during two of the manipulations were recorded by a microphone positioned at two sides of the neck and compared in patients of two groups. The results showed that neck rotatory manipulations act mainly on the rotatory side small joints but on the opposite to the rotatory side only in a few cases. Fixed point lifting supporting rotation (FLSR) has a small action range and centralized action points, while lifting supporting rotation (LSR) has many action segments and discentralized action points. It was concluded that the rotatory manipulations act mainly on the rotatory side, not on the opposite, and that LSR has a wider action range and a better therapeutic effect on cervical upper segment lesions, while FLSR has a limited action range and is suitable for cervicallower segment lesions. The appearance of the crackings during rotation predicts the limit of joint motion.

关 键 词：颈椎病 治疗 推拿 旋转复位手法 

分 类 号：R274.915.5[医药卫生—中西医结合]