基于运动捕捉技术比较2种颈椎手法治疗后颈椎活动范围的差异  

Comparison of motion range of cervical spine after two cervical manipulations based on motion capture technique

作　　者：林东鑫 黄学成 秦庆广 杨洋[1] 邓羽平 谭晋川 王勉[1] 苏炜炜 黄涛[1] 黄文华[1,4,5] Lin Dongxin;Huang Xuecheng;Qin Qingguang;Yang Yang;Deng Yuping;Tan Jinchuan;Wang Mian;Su Weiwei;Huang Tao;Huang Wenhua(Guangdong Engineering Research Center for Translation of Medical 3D Printing Application,Guangdong Provincial Key Laboratory of Medical Biomechanics,National Key Discipline of Human Anatomy,School of Basic Medical Sciences,Southern Medical University,Guangzhou 510515,Guangdong Province,China;Shenzhen Hospital of Guangzhou University of Chinese Medicine(Futian),Shenzhen 518000,Guangdong Province,China;School of Chinese Medicine,Southern Medical University,Guangzhou 510515,Guangdong Province,China;Guangdong Medical Innovation Platform for Translation of 3D Printing Application,The Third Affiliated Hospital of Southern Medical University,Guangzhou 510630,Guangdong Province,China;Department of Orthopedics,Affiliated Hospital of Guangdong Medical University,Zhanjiang 524001,Guangdong Province,China)

机构地区：[1]南方医科大学基础医学院人体解剖学国家重点学科,广东省医学生物力学重点实验室,广东省医学3D打印应用转化工程技术研究中心,广东省广州市510515 [2]广州中医药大学深圳医院(福田),广东省深圳市518000 [3]南方医科大学中医药学院,广东省广州市510515 [4]南方医科大学第三附属医院,广东省医学3D打印应用转化创新平台,广东省广州市510630 [5]广东医科大学附属医院骨科,广东省湛江市524001

出　　处：《中国组织工程研究》2021年第21期3281-3285,共5页Chinese Journal of Tissue Engineering Research

基　　金：广东省基础与应用基础研究基金项目(2020A1515010998),项目负责人:黄学成;广东省科技计划项目(2016B090917001),项目负责人:黄文华;深圳市医疗卫生“三名工程”高层次医学团队(SZSM201612019),项目负责人:黄文华;佛山市深入推进创新驱动助力工程项目(2019012),项目负责人:黄文华。

摘　　要：背景:颈椎旋转手法治疗神经根型颈椎病疗效肯定,但手法使用不当易造成不良后果。通过对比临床上较为常用且均有一套标准操作流程的斜扳与旋提手法,为临床提供手法安全性指导。目的:利用运动捕捉技术测量颈椎斜扳和旋提手法治疗后颈椎活动范围的差异,探索2种手法的运动特征及安全性。方法:选取20名健康受试者(男、女各10人),随机分为2组,各10人(男5人,女5人)。分别对2组受试者行颈椎斜扳和旋提手法。测量两组受试者颈椎主动运动、被动运动以及亚生理区活动度。试验经广州医科大学附属顺德医院伦理委员会批准。结果与结论:斜板组与旋提组主动运动活动度和被动运动活动度比较差异无显著性意义(P>0.05)。斜扳组亚生理区活动度大于旋提组,且斜扳组左侧亚生理区活动度大于右侧(P<0.05),但不同性别的亚生理区活动度接近(P>0.05);而旋提组左右两侧及男女之间亚生理区活动度接近(P>0.05)。提示颈椎旋提手法亚生理区活动度较斜扳手法小,更稳定均衡。BACKGROUND:Cervical rotation manipulation has a positive effect on the treatment of cervical spondylotic radiculopathy,but improper use of manipulation can easily cause adverse consequences.By comparing the inclined pull manipulation and rotation-traction manipulation that are commonly used in clinical practice and have a set of standard operating procedures,it provides clinical safety guidance for the manipulation.OBJECTIVE:To measure the difference in range of motion of cervical spine in the inclined pull manipulation and rotation-traction manipulation by motion capture technology,and to investigate the movement characte ristics and the safety of two kinds of manipulations.METHODS:Totally 20 healthy subjects(10 males and 10 females)were selected and randomly divided into two groups.The 10 subjects(5 males and 5 females)in each group were subjected to inclined pull manipulation(group 1)and rotation-traction manipulation(group 2),respectively,to measure the active and passive movements of cervical spine and the range of motion of the subphysiological areas.This study was approved by the Medical Ethics Committee of Shunde Hospital Affiliated to Guangzhou Medical U niversity.RESULTS AND CONCLUSION:The active and passive ranges of motion of the group of inclined pull method and the group of rotation-traction manipulation were not significantly different(P>0.05).The range of motion in the subphysiological region of the group of inclined pull method was larger than that in the group of rotation-traction manipulation;the range of motion in the left subphysiological region was larger than that in the right region in the group of inclined pull method(P<0.05).However,the range of motion in the subphysiological region was similar between both sexes(P>0.05).The range of motion in the subphysiological region was similar between the left and right sides between both sexes in the group of rotation-tra ction manipulation(P>0.05).It is concluded that the subphysiological area of cervical rotation-traction manipulation is smaller

关 键 词：运动捕捉 斜扳法 旋提手法 主动运动 被动运动 亚生理区 旋转手法 神经根型颈椎病 扳动幅度 

分 类 号：R443[医药卫生—诊断学] R322[医药卫生—临床医学]