中医推拿㨰法的上肢关节运动角度特征分析  

Analysis of Characterization of Upper Limb Joint Movement Angle in Rolling Manipulation in Traditional Chinese Tuina

作　　者：陈金田 周鑫 单一鸣[1] 朱清广[1,2] 孙武权[1] CHEN Jintian;ZHOU Xin;SHAN Yiming;ZHU Qingguang;SUN Wuquan(Tuina Department,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Institute of Tuina,Shanghai Institute of Traditional Chinese Medicine,Shanghai 200437,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院推拿科,上海200437 [2]上海市中医药研究院推拿研究所,上海200437

出　　处：《医用生物力学》2024年第3期463-468,共6页Journal of Medical Biomechanics

基　　金：国家自然科学基金项目(81874512,82205304);上海市“科技创新行动计划”启明星培育扬帆专项(22YF1449900);国家中医药管理局高水平中医药重点学科-推拿学(zyyzdxk-2023061)。

摘　　要：目的 研究推拿医生㨰法操作中肩、肘、腕关节的运动学及关节协调性变化。方法 应用Vicon三维运动捕捉系统采集10名初学组和10名熟练组推拿医生㨰法操作的运动学数据,比较两组在推拿㨰法操作中肩、肘、腕关节的运动模式差异。结果 初学组与熟练组㨰法操作时,肘关节活动角度无显著差异(P>0.05),其主要差异为腕关节屈伸和肩关节内收外展角度不同,熟练组较初学组㨰法操作时肩关节内收外展活动角度显著更小(P<0.05),熟练组腕关节掌屈最大角度显著大于初学组(P<0.05)。结论 㨰法的运动学特征主要为腕关节屈伸,肘关节和肩关节旋转,㨰法操作主要是前臂旋转与腕关节屈伸的复合运动,熟练组的“沉肩”操作要领掌握更好。Objective To study changes in the kinematics and joint coordination of the shoulder,elbow,and wrist joints during rolling manipulation performed by Tuina doctors.Methods The kinematic data of 10 beginners and 10 proficient Tuina doctors performing rolling manipulation were collected using a Vicon three-dimensional(3D)motion capture system,and the differences in movement patterns of the shoulder,elbow,and wrist joints between the two groups during Tuina rolling manipulation were compared.Results There was no difference in the elbow joint activity angle between the beginner group and proficient group during rolling manipulation(P>0.05),and the main differences were in the angles of wrist flexion/extension and shoulder adduction/abduction.The proficient group had a smaller shoulder adduction/abduction angle(P<0.05),and the maximum angle of palmar flexion of the wrist joint in the proficient group was significantly greater than that of the beginner group(P<0.05).Conclusions The main kinematic characteristics of rolling manipulation are flexion/extension of the wrist and rotation of the elbow and shoulders.Rolling manipulation is mainly the composite movement of forearm rotation and wrist flexion/extension.The essential‘sinking shoulder’operation was better mastered by the proficient group.

关 键 词：中医推拿 㨰法 运动学 关节角度 

分 类 号：R318.01[医药卫生—生物医学工程]