颈椎运动学评价指标研究进展  

Research Progress on Evaluation Indexes of Cervical Spine Kinematics

作　　者：顾江鹏 王飞 冯伟[1] 杜俊杰 GU Jiangpeng;WANG Fei;FENG Wei;DU Junjie(TCM Manipulative Orthopedics Therapy,Air Force Medical Center,Air Force Medical University,Beijing 100142,China;Fifth Clinical Medical College,Anhui Medical University,Hefei 230032,China;Department of Orthopedics,Air Force Medical Center,Air Force Medical University,Beijing 100142,China)

机构地区：[1]空军军医大学空军特色医学中心中西医结合正骨科,北京100142 [2]安徽医科大学第五临床医学院 [3]空军军医大学空军特色医学中心骨科

出　　处：《中国中医骨伤科杂志》2024年第1期91-96,共6页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：全军后勤科研重点项目(BKJ20J004);空军特色医学中心科技助推项目(2022ZTYB32)。

摘　　要：颈椎运动学用来描述颈椎在空间中位置随时间的变化,利用运动学原理研究人体颈椎在正常的生理载荷和病理状态下运动的形态和大小。随着人们对颈椎运动学的研究加深,发现运动指标在颈椎疾病的诊断和疗效评估中有着重要作用。本文对颈椎运动范围、椎间运动质量参数、运动曲线、运动平滑度和速度的测量方法、临床应用进展进行综述,发现颈椎运动范围、运动曲线、速度和平滑度适用于各类颈椎疾患的辅助诊断和疗效评估,颈椎椎间运动质量参数对于提示颈椎退变、辅助设计椎间盘假体等具有很好的作用。各运动指标之间存在一定的联系,椎间运动质量参数的变化影响运动范围,运动范围变化影响运动曲线整体的变化。Cervical kinematics is used to describe the change of the position of the cervical spine in space with time.The kinematics principle is used to study the shape and size of the human cervical spine under normal physiological load and pathological state.With the deepening of research on cervical spine kinematics,it has been found that motion indicators play an important role in the diagnosis and efficacy evaluation of cervical spine diseases.This article reviews the measurement methods and clinical application progress of cervical spine motion range,intervertebral motion quality parameters,motion curve,motion smoothness and velocity.It is found that the range of motion,motion curve,velocity and smoothness of cervical spine are suitable for the auxiliary diagnosis and efficacy evaluation of various cervical spine diseases.The quality parameters of cervical intervertebral motion have a good effect on suggesting cervical degeneration and assisting in the design of intervertebral disc prosthesis.There is a certain relationship between the motion indexes.The change of the intervertebral motion quality parameters affects the motion range,and the change of the motion range affects the overall change of the motion curve.

关 键 词：颈椎 运动学 运动范围 瞬时旋转轴 平滑度 运动速度 运动曲线 

分 类 号：R681.5[医药卫生—骨科学]