四种不同方式旋转颈椎所致咔哒声响量化的采集与比较  

Collection and comparison of the times of cracking sounds during four different ways of cervical rotatory manipulations

作　　者：王傅[1,2] 陈丽珍 李义凯[1] 何毅娴[4] 卢起[2] 周北云[2] 罗平[2] 李涛[2] 

机构地区：[1]南方医科大学中医药学院中医骨伤教研室,广东省广州市510515 [2]广东体育职业技术学院体育保健教研室,广东省广州市510663 [3]广州市番禺区新沙医院第二门诊部,广东省广州市511473 [4]龙岩市第一医院康复医学科,福建省龙岩市364000

出　　处：《中国组织工程研究与临床康复》2010年第43期8149-8153,共5页Journal of Clinical Rehabilitative Tissue Engineering Research

基　　金：国家自然科学基金项目(30772841);课题名称:颈椎旋转手法对脊柱运动节段结构的影响及其亚生理区的研究~~

摘　　要：背景:临床上常用以及教科书介绍较多的颈部旋转手法中,端提旋转手法、冯氏定点旋转手法、孙氏旋转手法和龙氏正骨手法比较有代表性。这4种手法旋转颈椎时都可能会产生咔哒声响,但它们的声响有无差别呢?目的:观察不同方式旋转颈椎引发的咔哒声响次数,并进行比较分析。方法:选择96名健康在校大学生,随机分为4组,分别对受试者颈椎实施端提旋转手法、定点旋转手法、孙氏旋转手法和单纯旋转手法。每名受试者均先向左侧旋转,再向右侧旋转。运用自行设计的声响采集系统对手法所致的咔哒声响进行采集,并对声响数量进行统计学分析。结果与结论:在向左侧旋转中,定点旋转手法和孙氏旋转手法产生的咔哒声响次数较少,且单次发声的比例较高,端提旋转手法和单纯旋转手法产生的咔哒声响次数较多,且多次发声的比例较高。向右旋转4组间声响总次数差异和声响次数构成比差异均无显著性意义。说明在颈椎旋转手法时,采用一定的轴向牵引力量能减少咔哒声响次数,增加单次声响比例,在正骨复位中能提高复位的准确性和针对性。BACKGROUND： There are many cervical rotatory manipulations, such as lift and rotation manipulation, Feng＇s manipulation, Sun＇s rotation manipulation and Long＇s rotation manipulation. Those four manipulation can produce cracking sounds when rotating the cervical vertebra. Is there difference among the cracking sounds caused by the four different cervical rotatory manipulations？ OBJECTIVE： To observe and compare the difference of times of cracking sounds caused by four different kinds of cervical rotatory manipulations. METHODS： A total of 96 healthy college students were randomly divided into four groups, which respectively underwent lift and rotation manipulation, local and rotation manipulation, Sun＇s rotation manipulation and pure rotation manipulation. Each student was rotated to the left side first and then to the right side. A set of equipment designed for acoustic signal acquisition was applied to collect the cracking sounds, followed by statistical analysis of the data collected. RESULTS AND CONCLUSION： When rotated to the left, the times of cracking sounds caused by local and rotation manipulation and Sun＇s rotation were less than the other two manipulations, and the proportion of one time of sound was greater. When rotated to the right, the times of cracking sounds caused by the four different kinds of cervical rotatory manipulations were similar. When rotating the cervical vertebrae, the times of cracking sounds were reduced by exerting axial stretching force, and the proportion of one time of sound was greater. We can improve the accuracy and pertinency of bonesetting in this way.

关 键 词：颈椎 旋转手法 咔哒声响 对比研究 植入物与临床应用 

分 类 号：R318[医药卫生—生物医学工程]