基于“法从手出”分析提拉旋转斜扳手法的数字化特征  

Digital characteristics of Pulling and Rotating Oblique Pulling Manipulation based on “manipulation from hand”

作　　者：范志勇[1] 黄淑云[1] 李黎[2] 王金玲[2] 吴山[1] 赖淑华[1] 郭汝松[1] 田强[1] 

机构地区：[1]广东省中医院推拿科,广东省广州市510120 [2]广州中医药大学第二临床医学院,广东省广州市510405

出　　处：《中国组织工程研究》2017年第27期4354-4359,共6页Chinese Journal of Tissue Engineering Research

基　　金：广东省自然科学基金项目(2014A030313406);广东省科技厅(2014A020212275);2014广东省中医药局(20141089);2015年度建设中医药强省专项广东省首批省名医师承项目(粤中医函【2015】20号);广东省中医药科学院研究专项(YN2014PJR201)~~

摘　　要：背景:腰椎斜扳法的研究多集中在临床研究和手法作用下腰椎功能单位生物力学改变的基础研究,缺乏对手法本身力学特征的研究。目的:用数字化的方式表达提拉旋转斜扳法的手法特征,为林氏正骨手法的传承、教学、推广、基础研究提供量化依据。方法:应用多点薄膜压力测试系统,检测并记录术者进行手法操作过程中的力-时间曲线,同时可显示分析相应的力学参数(平均预加载力、谷值、最大冲击力),再通过测试系统配套软件测出扳动时间、扳动速度、冲量等其他参数指标的具体数值。结果与结论:①平均预加载力(145.86±34.80)N,持续时间为(1.43±0.46)s,谷值平均值(72.24±13.87)N,最大冲击力(446.21±143.98)N,扳动时间(0.55±0.15)s,扳动速度(914.52±259.18)N/s,冲量(256.21±82.30)N·s;②其中冲积力的上升速度的斜率均值为93.96±6.94,下降速度的斜率均值为-82.70±26.10;③试验从数字化的角度初步分析了林氏正骨手法"法从手出"的手法力作用特点,为林氏手法的操作提供了客观的评价指标。BACKGROUND： The researches of Pulling and Rotating Oblique Pulling Manipulation focus on clinical research and biomechanical changes of lumbar functional units, and the mechanical characteristics of manipulation are little reported.OBJECTIVE： To study the characteristics of the Pulling and Rotating Oblique Pulling Manipulation by digital method, so as to provide quantitative basis for inheritance, teaching and learning, promotion, and basic research of the manipulation.METHODS： The force-time curve and the force of the manipulators were tested and recorded with the multi-point membrane pressure measurement system. The kinetic parameters （the average load force, the average minimum force and the maximum impact force） were shown. The values of = the flip time, flip speed and impulse were measured by the test analysis system.RESULTS AND CONCLUSION： （1） The average load force was （145.86±34.80） N, duration was （1.43±0.46） s, the average minimum force was （72.24±13.87） N, the maximum impact force was （446.21±143.98） N, the flip time was （0.55±0.15） s, flip speed was （914.52±259.18） N/s, and the impulse was （256.21±82.30） N-s. （2） The rising slope of the impulse was （93.96±6.94）, and the falling slope was （-82.70±26.10）. （3） To conclude, the characteristics of ＂manipulation from hand＂ are analyzed in views of digitization, which provides an objective evaluation index for Lin＇s manipulation.

关 键 词：骨科植入物 脊柱植入物 腰椎 平均预加载力 谷值 最大冲击力 扳法 冲量 数字化 腰椎提拉旋转斜扳法 法从手出 广东省自然科学基金 

分 类 号：R318[医药卫生—生物医学工程]