推拿治疗颈椎病经筋机制生物力学研究  

Biomechanics effect of Tuina manipulation treating cervical spondylosis in Jingjin mechanism

作　　者：朱清广[1] 房敏[1] 沈国权[1] 姜淑云[1] 程英武[2] 周楠[1] 

机构地区：[1]上海中医药大学附属岳阳中西医结合医院推拿科,上海200437 [2]上海市中医药研究院推拿研究所,上海200437

出　　处：《中华中医药杂志》2011年第8期1833-1835,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点基础研究发展计划项目(973计划)(No.2007CB512701);国家杰出青年科学基金(No.81025022);国家自然基金项目(No.30472247)~~

摘　　要：目的:揭示推拿治疗颈椎病患者经筋作用生物力学机制。方法:2008年8月至2009年12月,采用简单随机方法,根据DAS 2.1.1版软件生成随机数字表,将65例颈椎病患者随机分为治疗组(微调手法组:包括理筋手法和颈椎关节调整手法)与对照组(牵引组),治疗组30例,男10例,女20例;年龄30-65岁,平均(42.31±13.23)岁;平均病程(12.40±6.23)月;平均体质量(61.21±10.23)kg。牵引组30例,男11例,女19例;年龄30-65岁,平均(45.54±14.35)岁;平均病程(13.25±6.06)月;平均体质量(62.31±10.45)kg。应用BiodexⅢsystem等速测试系统测试颈部肌群力学性能,治疗前和疗程结束后各测试1次。结果:两组治疗前峰力矩(PT)、平均功率(AP)、屈肌峰力矩/伸肌峰力矩比值(F/E)比较没有统计学差异,治疗后PT、AP、F/E比较,治疗组优于对照组(P<0.05);治疗组治疗前后PT、AP、F/E比较有统计学差异(P<0.05)。结论:推拿手法可以改善颈椎病患者颈部肌群收缩力量、做功效率,改善颈部肌群屈肌群和伸肌群的协调能力,从而有利于恢复颈椎病患者颈部经筋的生物力学性能。Objective：To reveal biomechanics effect of Tuina manipulation treating cervical spondylosis in Jingjin mechanism.Methods：From August 2008 to December 2009,65 patients with cervical spondylosis were divided into treatment and control group randomly uniform.Among 32 patients in treatment group,10 patients were male and 20 patients were female,ranging in age from 30 to 65 years,with an average of（42.31±13.23） years;average disease course of（12.40±6.23） months;Average weight of（61.21±10.23）kg.In control group,there were 33 patients,including 11 males and 19 males,ranging in age from 30 to 65 years,with an average of（45.54±14.35） years;average disease course of（13.25±6.06） months;Average weight of（62.31±10.45）kg.It tested mechanical properties of neck muscles by applying Biodex Ⅲ Isokinetic Testing System.Results：There were no significant differencein Peak torque（PT）,average power（AP）,peak torque of flexor / extensor peak torque ratio（F/E） compared from two groups before treatment,Treantment group was better improved than control group in PT,AP,F/E after treatment（P0.05）,there was significant difference（P0.05） compared with PT,AP,F/E in treatment group after treatment.Conclusion：Tuina manipulation may improve contraction forces and work efficiency of neck muscle,improve coordination ability of flexors and extensors muscles,increase firing rate of neck muscle,and then improve biomechanical properties of Jingjin for the patients with cervical spodylosis.

关 键 词：推拿 颈椎病 经筋 机制 生物力学 

分 类 号：R244.1[医药卫生—针灸推拿学] R681.55[医药卫生—中医临床基础]