疏筋整复手法治疗寰枢关节紊乱症的运动学量化研究  

Quantitative Kinesiology Study of Atlantoaxial Joint Disorders Treated by Sinew Dredging and Reduction Manipulation

作　　者：张琰朕 刘洋 李锐 杨灿 胡滟琦 张兆杰[1] ZHANG Yanzhen;LIU Yang;LI Rui;YANG Can;HU Yanqi;ZHANG Zhaojie(Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China;Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China)

机构地区：[1]中国中医科学院望京医院,北京100102 [2]北京中医药大学东方医院

出　　处：《中国中医骨伤科杂志》2024年第4期24-28,共5页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:量化疏筋整复手法治疗寰枢关节紊乱症运动学参数,初步探究手法与疾病治疗的量效关系,规范操作要领,丰富手法内涵并推广应用。方法:2022年10月至2023年5月就诊的寰枢关节紊乱症患者18例,其中男10例,女8例;年龄为24~27岁,平均为(25.50±1.10)岁。选取一位有着丰富临床经验且手法操作娴熟的脊柱科主任医师对患者进行操作,通过运动捕捉系统量化疏筋整复手法的被动旋转角度、旋扳角度及运动学曲线。结果:旋扳整复操作时被动旋转角度为72.21°±5.06°,患侧和对侧的被动旋转角度相比差异无统计学意义(P>0.05),患侧的旋扳角度为7.34°±1.90°,对侧为5.61°±1.76°,两侧相比差异有统计学意义(P<0.001)。结论:疏筋整复手法在治疗寰枢关节紊乱症时应把握到达旋转稳定状态时的被动旋转角度和旋扳角度,同时注重对齿状突偏歪侧进行旋扳。Objective:To quantify the kinematic parameters of atlantoaxial joint disorders treated by sinew dredging and reduction manipulation,initially investigate the quantitative-effective relationship between manipulation and disease treatment,standardize the operating principles,enrich the connotation of manipulation,and popularize the application of manipulation.Methods:18 patients with atlantoaxial joint disorders,including 10 males and 8 females,aged 2427(25.50±1.10)years old,were selected to be operated by a chief spine physician with rich clinical experience and skillful manipulation,and the passive and rotational angles and kinematic curves of sinew dredging and reduction manipulation were quantified by the motion capture system from October 2022 to May 2023.The passive angle,rotation angle and kinematic curve of the spine manipulation were quantified by a motion capture system.Results:The passive rotation angle during reduction manipulation was 72.21°±5.06°,and there was no statistically significant difference between the passive rotation angle of the affected side and the contralateral side(P>0.05),and the rotary trigger angle of the affected side was 7.34°±1.90°,and the contralateral side was 5.61°±1.76°,with a statistically significant difference between the two sides compared to the other side(P<0.001).Conclusion:In the clinical operation,the passive rotation angle and the rotation trigger angle should be grasped when reaching the rotationally stable state,and the rotation trigger should be emphasized on the side of the dentate process that is skewed.

关 键 词：疏筋整复手法 寰枢关节紊乱症 运动捕捉系统 运动学参数 量效关系 

分 类 号：R681.5[医药卫生—骨科学]