推拿㨰法生物力学参数研究进展  

Research progress in biomechanical parameter of Tuina rolling manipulation

作　　者：李凡依 郅晓宇 李跃彤 任凤蛟 付士芳 王艳国 Li Fanyi;Zhi Xiaoyu;Li Yuetong;Ren Fengjiao;Fu Shifang;Wang Yanguo(Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;Department of Manipulation,the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300250,China)

机构地区：[1]天津中医药大学,天津301617 [2]天津中医药大学第二附属医院推拿科,天津300250

出　　处：《国际中医中药杂志》2025年第1期132-136,共5页International Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81574091);天津市津门医学英才项目(TJSJMYXYC-D2-019)。

摘　　要：㨰法是推拿疗法中操作技巧性较强的摆动类手法,从三维运动、作用力轨迹、动力学参数、作用力量效关系及作用机制等多个角度,对㨰法操作的生物力学参数和效应机制研究进行整理,发现㨰法操作时在体表垂直、横向、纵向方向上均有用力,且前㨰与回㨰的运动轨迹大体对称,前㨰力大约为回㨰力的3倍,肱桡肌、胸大肌、肱三头肌及三角肌为㨰法操作的主要发力肌肉。㨰法可对血流动力学、炎症反应等产生影响,可改善组织器官生理功能。但目前对于㨰法具体力度大小、频率及量效关系具体参数组合的研究尚缺乏客观、统一的规范和标准,仍需进一步完善。Rolling manipulation is one of the swing techniques with strong operational skills in massage therapy.This article summarized the biomechanical parameters and mechanism of the massage operation from multiple perspectives,including three-dimensional motion,force trajectory,dynamic parameters,force effect relationship,and mechanism.It is found that the massage operation could exert force in the vertical and horizontal directions of the body surface,and the movement trajectories of the front and back were generally symmetrical.The anterior force was approximately three times the retraction force,and the brachioradialis,pectoralis major,triceps,and deltoids were the main muscles that could exert force during manual manipulation.The method can have effects on hemodynamics,cellular anti-inflammatory effects,and improve the physiological function of tissues and organs.However,there is currently a lack of objective and unified norms and standards for the specific strength,frequency,and specific parameter combinations of massage methods,so the further improvement is still needed.

关 键 词：推拿疗法 㨰法 生物力学参数 作用机制 综述 

分 类 号：R244.1[医药卫生—针灸推拿学]