中医屈指推法的生物力学建模及分析  

Biomechanical model preparation and analysis of pushing manipulation with one-finger meditation(thumb flexion)

作　　者：吕杰[1] 曹金凤[1] 方磊[2] 方舟[1] 章丹颂[1] 马龙龙[1] 许世雄[1] 房敏[2] 

机构地区：[1]复旦大学力学与工程科学系,上海市200433 [2]上海中医药大学附属岳阳中西医结合医院,上海市200437

出　　处：《中国组织工程研究与临床康复》2011年第17期3183-3186,共4页Journal of Clinical Rehabilitative Tissue Engineering Research

基　　金：国家重点基础研究发展计划(973)项目子课题(2007CB512700);上海市重点学科建设项目(B112)~~

摘　　要：背景:推拿医学发展趋势是逐步摆脱单纯经验化的模式,走向客观化、精确化、量化和个体化,使推拿医师能控制手法的力量、时间、方向、频率等各项指标。目的:建立中医一指禅推法(屈指)的生物力学模型,探索在体情况下无0法无创检测的关节作用力的计算方法。方法:采用摄像技术,采集一指禅推法(屈指)的运动学数据,同时利用FZ-I型中医推拿手法测力分析仪采集作用力数据,依此建立手法的生物力学模型并计算各主要关节的作用力。结果与结论:建立了4杆件、5结点的中医一指禅推法(屈指)生物力学模型,计算得到了拇指指间关节、拇指掌指关节、腕关节和肘关节的作用力,分析了各关节在手法运动中的作用,与操作医师的实际感受一致。提示由中医一指禅推法(屈指)的生物力学模型可计算推拿过程中各关节的作用力,可为手法教学和研究提供一定的帮助。BACKGROUND：The development trend of Chinese massage is to get rid of the experience-oriented mode and gradually gets objective,accurate,quantitative and individual.Therefore,the quantitative research of massage is emergently needed.OBJECTIVE：To build a biomechanical model of pushing manipulation with one-finger meditation（thumb flexion） and put forward a method to calculate the force of joints which can hardly be measured noninvasively in vivo.METHODS：Cameras and Chinese massage force analyzer（FZ-I） were used to collect kinematic data and force data,and then a biomechanical model was established to calculate the force of joints according to these data.RESULTS AND CONCLUSION：A biomechanical model of pushing manipulation with one-finger meditation（thumb flexion） with 4 bars and 5 nodes was established,the force of thumb joint,thumb metacarpophalangeal joint,wrist joint and elbow joint was calculated and the function of the joints in manipulation was analyzed.The results were consistent with manipulator s feeling.The force of joints in pushing manipulation with one-finger meditation（thumb flexion） can be calculated through the biomechanical model.The method may be useful for massage teaching and researching.

关 键 词：一指禅推法 生物力学 模型 中医 推拿 数字化医学 

分 类 号：R318[医药卫生—生物医学工程]