中医推拿[扌衮]的上肢相关肌群表面肌电特征分析  

Analysis on Surface Electromyography Characterization of Upper Limb-Related Muscle Groups in Rolling Manipulation in Traditional Chinese Tuina

作　　者：陈金田 周鑫 单一鸣[1] 朱清广[1,3] 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;Tuina Department,Shuguang Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,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]上海中医药大学附属曙光医院推拿科,上海201203 [3]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》2025年第1期134-139,147,共7页Journal of Medical Biomechanics

基　　金：国家自然科学基金项目(82205304,81874512,8247152794);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);中华中医药学会“青年人才托举工程项目”(CACM-2023-QNRC2-B19)。

摘　　要：目的研究推拿医生[扌衮]法操作的上肢发力肌肉表面肌电信号特征。方法采集初学者和熟练者[扌衮]法操作时表面肌电信号,进行比较分析,总结规律和异同。结果熟练组尺侧腕伸肌iEMG比值显著高于初学组(P<0.05),而初学组三角肌中束iEMG比值显著高于熟练组(P<0.05)。其他肌群iEMG比值差异无统计学意义(P>0.05)。熟练组主要使用尺侧腕伸肌、肱三头肌外侧头、胸大肌和尺侧腕屈肌,而初学组主要使用肱三头肌外侧头、胸大肌和桡侧腕屈肌。结论熟练组和初学组[扌衮]法肌电信号有共同特征,且熟练组通过募集更多的尺侧腕伸肌来增加尺偏角度,从而增加掌屈运动角度和手背侧接触面积,熟练组三角肌中束及后束肌肉的使用强度较低,“沉肩”要领掌握得更好。Objective To study the characterization of surface electromyographic signals of upper limb force-generating muscles operated by rolling manipulation of Tuina doctors.Methods Surface electromyographic signals during rolling manipulation were collected from beginners and proficient operators for comparative analysis,and the patterns,similarities,and differences were summarized.Results The iEMG ratio of the ulnar lateral wrist extensor muscle in the proficient group was significantly higher than that in the beginner group(P<0.05),while that of the middle deltoid fascicle in the beginner group was significantly higher than that in the proficient group(P<0.05).There was no statistical difference in the iEMG ratios of other muscle groups(P>0.05).The proficient group mainly used the ulnar wrist extensors,lateral head of triceps brachii,pectoralis major,and ulnar wrist flexors,while the beginner group mainly used the lateral head of triceps brachii,pectoralis major,and radial wrist flexors.Conclusions The proficient group and the beginner group shared common features in the electromyographic signals of the rolling manipulation.The proficient group increased the angle of ulnar deviation by recruiting more ulnar wrist extensors to increase the angle of palmar flexion and the dorsal contact area of the hand,and the proficient group used the middle and posterior deltoid fasciculus muscles less intensively and mastered the‘sinking shoulder’principle better.

关 键 词：中医推拿 [扌衮]法 表面肌电 肌群 

分 类 号：R318.01[医药卫生—生物医学工程]