力学测量在评估颈痛及手法治疗领域的应用  

Application of mechanical measurement in assessment of neck pain and manual therapy

作　　者：王宽[1] 邓真[1] 王辉昊[1] 牛文鑫[2] 詹红生[1] 

机构地区：[1]上海中医药大学附属曙光医院石氏伤科医学中心上海市中医药研究院骨伤科研究所,上海201203 [2]同济大学医学院,上海200092

出　　处：《中国骨伤》2016年第7期668-672,共5页China Journal of Orthopaedics and Traumatology

基　　金："中医骨伤科学"国家重点学科(编号:100508);国家自然基金资助项目(编号:81473702;81503596);上海领军人才项目(编号:041);上海市科委项目(编号:14401970402;15401934100);上海高校"中医脊柱病损研究"创新团队建设项目(编号:2009-26)~~

摘　　要：手法是治疗颈痛的有效方法之一,在短期缓解颈痛症状上有一定优势。近年来,运用不同类型的力学传感器及影像学设备配合计算机软件,研究人员发现了颈痛患者与正常人在颈椎活动方面的区别,分析了手法作用于颈椎的运动学、力量大小及相关结构应力应变等力学参数。对于这些生物力学问题的研究揭示了颈痛所导致的活动功能异常,反映了颈椎调整手法的安全性,并解释了患者颈椎的异常应力以及手法的调整作用。相对而言,这些研究与临床的结合度较低,而对组织内部应力应变的分析也较为有限,针对以上问题进行深入研究对认识颈痛、规范化手法治疗将有重要意义。Manual therapy is one of the effective methods in treating neck pain. It has certain advantages in the short term to ease the symptoms of neck pain. In recent years,using different mechanical sensors and imaging equipment with computer software,the researchers found the difference of cervical activity between health adult and patients with neck pain. They also analyzed the kinematics,magnitude of force,stress and strain of the related structure and other mechanical parameters during cervical manipulation. These biomechanical researches revealed the functional anomaly caused by neck pain,reflect the safety of cervical manipulation,explain the abnormal stress of neck pain and the adjusting role of manipulation. Relatively speaking,these studies are too basic,and their analysis also are limited for the stress and strain about internal tissue. Study to aim directly at above problems will have important significance in understanding neck pain and standardizing manipulation therapy.

关 键 词：颈痛 手法 骨科 力学 

分 类 号：R274.915.5[医药卫生—中西医结合]