推拿手法生物力学研究方法的基本方向
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摘要
推拿手法临床优势突出,属于传统非药物疗法之一,对其开展有效的科学研究具有重要的理论和实践意义。推拿的本质是以力为特征,通过生物力学的角度来研究推拿手法已被广泛应用。并且随着科学技术的发展,推拿手法生物力学的研究也愈发详细和多样,不断为临床治疗提供宝贵的基础研究数据和理论指导。文章回顾近30多年的相关研究,梳理总结手法生物力学的主要研究方法,从直接测量和间接测量的方面进行探讨,以期为推拿手法生物力学的进一步研究提供基本的发展方向。
The clinical advantage of the massage manipulation is outstanding and it belongs to one of the traditional non-drug therapies. It is important for theoretical and practical significance to carry out effective scientific research of massage manipulation. The essence of massage is characterized by force, and the study of massage manipulation from the perspective of biomechanics has been widely used. Moreover, with the development of science and technology, the research on the biomechanics of massage manipulation has become more detailed and diverse, it provides valuable basic research data and theoretical guidance for clinical treatment. This article reviews the relevant researches of nearly 30 years, combs and summarizes the main research methods of biomechanics of manipulation, and discusses the aspects of direct measurement and indirect measurement, in order to provide a basic development direction for further research on the biomechanics of massage manipulation.
The clinical advantage of the massage manipulation is outstanding and it belongs to one of the traditional non-drug therapies. It is important for theoretical and practical significance to carry out effective scientific research of massage manipulation. The essence of massage is characterized by force, and the study of massage manipulation from the perspective of biomechanics has been widely used. Moreover, with the development of science and technology, the research on the biomechanics of massage manipulation has become more detailed and diverse, it provides valuable basic research data and theoretical guidance for clinical treatment. This article reviews the relevant researches of nearly 30 years, combs and summarizes the main research methods of biomechanics of manipulation, and discusses the aspects of direct measurement and indirect measurement, in order to provide a basic development direction for further research on the biomechanics of massage manipulation.
引文
[1]王国才,毕永升,张素芳,等.推拿手法动态曲线的测定与应用.山东中医学院学报,1982,6(1):72-76
[2]Wood J,Adams A H.Forces used in selected chiropracticadjustments of the low back:A preliminary study.The ResearchForum,Palmer College of Chiropractic,1984:16-23
[3]刘鲜京,王国才.中医推拿力学信息计算机处理系统.实用电脑技术,1987,1(1):23-28
[4]沈国权.推拿手法测定仪数据处理研究.上海:上海中医学院,1988
[5]许世雄,谢志勇,李信安,等.摆动类推拿作用力时域分析.医用生物力学,1997,12(1):25-29
[6]房敏,严隽陶,沈国权,等.颈部推拿拔伸手法的在体研究.颈腰痛杂志,2000,21(3):200-203
[7]李义凯,邱桂春,徐海涛,等.颈腰椎旋转手法拇指最大推扳力比较及量效关系的研究.颈腰痛杂志,2004,25(6):379-381
[8]朱立国,冯敏山,毕芳杉,等.颈椎旋转(提)手法的在体力学测量.中国康复医学杂志,2007,22(8):673-676
[9]秦杰,赵鹏,刘家勇,等.在体手法测量系统对?法的生物力学分析.中医正骨,2004,16(12):4-5
[10]王立恒,孙树椿,陈朝晖,等.手法治疗颈椎病的在体力学测量.中国中医骨伤科杂志,2009,17(3):22-24
[11]Hessel B W,Herzog W,Conway P J W,et al.Experimentalmeasurement of the force exerted during spinal manipulationusing the Thompson technique.J Manipulative Physiol Ther,1990,13(8):448-453
[12]Marcotte J,Normand M C,Black P.Measurement of the pressureapplied during motion palpation and reliability for cervical spinerotation.J Manipulative Physiol Ther,2005,28(8):591-600
[13]章莹,汪青春,张显裕.手法治疗腰椎间盘突出的生物力学研究.中国骨伤,1992,5(2):7-8
[14]侯筱魁.斜扳时腰椎后部结构的动力观察和生物力学分析.中华骨科杂志,1993,13(1):5-7
[15]侯筱魁,董凡,赵文成.斜扳时完整腰椎三维立体运动的研究.中国骨伤,1996,9(4):5-7
[16]毕胜,李义凯,王福根,等.模拟腰部推拿手法的生物力学比较研究.军医进修学院学报,2001,22(3):208-210
[17]房敏,沈国权,严隽陶,等.颈椎主要结构生物力学特性实验研究.颈腰痛杂志,2002,23(2):89-92
[18]李宁明,邬黎平,翁凤泉,等.颈椎不同体位下拔伸旋转手法对椎间盘髓核内压力的影响.广州中医药大学学报,2009,26(5):433-436
[19]王国才,毕永升,张素芳.一指禅、?法、内功、点穴等推拿流派手法典型动态曲线图及初步分析.山东中医学院学报,1982,6(3):66-72
[20]曾庆云.?法动作原理的运动生物力学研究.济南:山东中医药大学,2003
[21]王晓.按摩手法中肌电信号采集与分析.长春:长春理工大学,2013
[22]周信文,许世雄,谢志勇,等.中医推拿手法测力分析仪FZ-I型的研制及法合力作用点轨迹分析.医用生物力学,1996,11(3):179-185
[23]Triano J J,Rogers C M,Combs S,et al.Quantitative feedbackversus standard training for cervical and thoracic manipulation.J Manipulative Physiol Ther,2003,26(3):131-138
[24]吕杰,曹金凤,方磊,等.中医推拿?法生物力学研究——手法运动学实测及分析.生物力学工程学进展,2010,31(3):142-148
[25]吕杰,曹金凤,房敏,等.中医推拿一指禅手法垂直作用力均匀性的量化研究.医用生物力学,2012,27(4):456-459
[26]方磊,严隽陶.一指禅推法技术要领的运动学分析.上海中医药大学学报,2013,27(2):58-60
[27]冼思彤,于天源,刘卉,等.掌振法运动轨迹的生物力学分析.中国康复医学杂志,2016,31(10):1084-1087
[28]Ryu J,Son J,Ahn S,et al.Biomechanical analysis of the circularfriction hand massage.Technol Health Care,2015,23(2):S529-S534
[29]郭鑫,于天源,刘卉,等.颈椎拔伸法的操作特征及其运动学与动力学参数分析.上海中医药杂志,2015,49(10):11-13
[30]冯敏山,朱立国,魏戌,等.颈椎旋提手法操作轨迹的动态捕捉研究.中国康复医学杂志,2011,26(2):176-177
[31]邓真,牛文鑫,王辉昊,等.生物力学在中医骨伤手法治疗颈椎病中的应用.医用生物力学,2015,30(6):569-573
[32]耿楠,于天源,刘卉,等.颈椎定位旋转扳法操作特征的运动生物力学参数分析.长春中医药大学学报,2015,31(3):607-610
[33]张军,刘强,孙树椿,等.基于退变腰椎间盘模型的旋转手法对椎体角度位移的影响.中国中医骨伤科杂志,2016,24(5):1-4
[34]高春雨.坐位腰椎旋转手法治疗退行性腰椎滑脱症的临床及在体运动力学研究.北京:中国中医科学院,2013
[35]贾文端,于天源,刘卉,等.后伸背法操作特征的运动学和动力学参数分析.中华中医药杂志,2016,31(8):3246-3249
[36]王玮,王冬梅,李飞跃,等.伤科手法治疗腰椎间盘突出症的运动学研究.中国生物医学工程学报,2016,35(5):541-547
[37]Schultz A B,Belytschko T B,Andriacchi T P,et al.Analog studies offorces in human spine:Mechanical properties and motion segmentbehavior.J Biomech,1973,6(4):373-383
[38]Liu Y K,Ray G,Hirsch C.The resistance of the lumber spine todirect shear.Orthop Clin North Am,1975,6(1):33-49
[39]叶淦湖,张美超,李义凯.模拟推拿时腰椎小关节有限元模型的生物力学分析.广州中医药大学学报,2003,20(3):195-197
[40]徐海涛,徐达传,张美超,等.坐位旋转手法时L4-5变形和位移的研究.中国临床解剖学杂志,2008,26(3):321-324
[41]毕胜,张德文,张明,等.模拟腰部推拿手法三维有限元模型分析.军医进修学院学报,2002,23(1):67-69
[42]张晓刚,董建华,杨学峰,等.三维有限元腰椎阶段模型上模拟拔伸按压手法的生物力学分析.中国组织工程研究与临床康复,2010,14(22):4000-4004
[43]郭伟,李艺,韩磊,等.腰段脊柱多体动力学模型模拟脊柱关节手法力学分析研究.中华中医药杂志,2016,31(11):4707-4710
[2]Wood J,Adams A H.Forces used in selected chiropracticadjustments of the low back:A preliminary study.The ResearchForum,Palmer College of Chiropractic,1984:16-23
[3]刘鲜京,王国才.中医推拿力学信息计算机处理系统.实用电脑技术,1987,1(1):23-28
[4]沈国权.推拿手法测定仪数据处理研究.上海:上海中医学院,1988
[5]许世雄,谢志勇,李信安,等.摆动类推拿作用力时域分析.医用生物力学,1997,12(1):25-29
[6]房敏,严隽陶,沈国权,等.颈部推拿拔伸手法的在体研究.颈腰痛杂志,2000,21(3):200-203
[7]李义凯,邱桂春,徐海涛,等.颈腰椎旋转手法拇指最大推扳力比较及量效关系的研究.颈腰痛杂志,2004,25(6):379-381
[8]朱立国,冯敏山,毕芳杉,等.颈椎旋转(提)手法的在体力学测量.中国康复医学杂志,2007,22(8):673-676
[9]秦杰,赵鹏,刘家勇,等.在体手法测量系统对?法的生物力学分析.中医正骨,2004,16(12):4-5
[10]王立恒,孙树椿,陈朝晖,等.手法治疗颈椎病的在体力学测量.中国中医骨伤科杂志,2009,17(3):22-24
[11]Hessel B W,Herzog W,Conway P J W,et al.Experimentalmeasurement of the force exerted during spinal manipulationusing the Thompson technique.J Manipulative Physiol Ther,1990,13(8):448-453
[12]Marcotte J,Normand M C,Black P.Measurement of the pressureapplied during motion palpation and reliability for cervical spinerotation.J Manipulative Physiol Ther,2005,28(8):591-600
[13]章莹,汪青春,张显裕.手法治疗腰椎间盘突出的生物力学研究.中国骨伤,1992,5(2):7-8
[14]侯筱魁.斜扳时腰椎后部结构的动力观察和生物力学分析.中华骨科杂志,1993,13(1):5-7
[15]侯筱魁,董凡,赵文成.斜扳时完整腰椎三维立体运动的研究.中国骨伤,1996,9(4):5-7
[16]毕胜,李义凯,王福根,等.模拟腰部推拿手法的生物力学比较研究.军医进修学院学报,2001,22(3):208-210
[17]房敏,沈国权,严隽陶,等.颈椎主要结构生物力学特性实验研究.颈腰痛杂志,2002,23(2):89-92
[18]李宁明,邬黎平,翁凤泉,等.颈椎不同体位下拔伸旋转手法对椎间盘髓核内压力的影响.广州中医药大学学报,2009,26(5):433-436
[19]王国才,毕永升,张素芳.一指禅、?法、内功、点穴等推拿流派手法典型动态曲线图及初步分析.山东中医学院学报,1982,6(3):66-72
[20]曾庆云.?法动作原理的运动生物力学研究.济南:山东中医药大学,2003
[21]王晓.按摩手法中肌电信号采集与分析.长春:长春理工大学,2013
[22]周信文,许世雄,谢志勇,等.中医推拿手法测力分析仪FZ-I型的研制及法合力作用点轨迹分析.医用生物力学,1996,11(3):179-185
[23]Triano J J,Rogers C M,Combs S,et al.Quantitative feedbackversus standard training for cervical and thoracic manipulation.J Manipulative Physiol Ther,2003,26(3):131-138
[24]吕杰,曹金凤,方磊,等.中医推拿?法生物力学研究——手法运动学实测及分析.生物力学工程学进展,2010,31(3):142-148
[25]吕杰,曹金凤,房敏,等.中医推拿一指禅手法垂直作用力均匀性的量化研究.医用生物力学,2012,27(4):456-459
[26]方磊,严隽陶.一指禅推法技术要领的运动学分析.上海中医药大学学报,2013,27(2):58-60
[27]冼思彤,于天源,刘卉,等.掌振法运动轨迹的生物力学分析.中国康复医学杂志,2016,31(10):1084-1087
[28]Ryu J,Son J,Ahn S,et al.Biomechanical analysis of the circularfriction hand massage.Technol Health Care,2015,23(2):S529-S534
[29]郭鑫,于天源,刘卉,等.颈椎拔伸法的操作特征及其运动学与动力学参数分析.上海中医药杂志,2015,49(10):11-13
[30]冯敏山,朱立国,魏戌,等.颈椎旋提手法操作轨迹的动态捕捉研究.中国康复医学杂志,2011,26(2):176-177
[31]邓真,牛文鑫,王辉昊,等.生物力学在中医骨伤手法治疗颈椎病中的应用.医用生物力学,2015,30(6):569-573
[32]耿楠,于天源,刘卉,等.颈椎定位旋转扳法操作特征的运动生物力学参数分析.长春中医药大学学报,2015,31(3):607-610
[33]张军,刘强,孙树椿,等.基于退变腰椎间盘模型的旋转手法对椎体角度位移的影响.中国中医骨伤科杂志,2016,24(5):1-4
[34]高春雨.坐位腰椎旋转手法治疗退行性腰椎滑脱症的临床及在体运动力学研究.北京:中国中医科学院,2013
[35]贾文端,于天源,刘卉,等.后伸背法操作特征的运动学和动力学参数分析.中华中医药杂志,2016,31(8):3246-3249
[36]王玮,王冬梅,李飞跃,等.伤科手法治疗腰椎间盘突出症的运动学研究.中国生物医学工程学报,2016,35(5):541-547
[37]Schultz A B,Belytschko T B,Andriacchi T P,et al.Analog studies offorces in human spine:Mechanical properties and motion segmentbehavior.J Biomech,1973,6(4):373-383
[38]Liu Y K,Ray G,Hirsch C.The resistance of the lumber spine todirect shear.Orthop Clin North Am,1975,6(1):33-49
[39]叶淦湖,张美超,李义凯.模拟推拿时腰椎小关节有限元模型的生物力学分析.广州中医药大学学报,2003,20(3):195-197
[40]徐海涛,徐达传,张美超,等.坐位旋转手法时L4-5变形和位移的研究.中国临床解剖学杂志,2008,26(3):321-324
[41]毕胜,张德文,张明,等.模拟腰部推拿手法三维有限元模型分析.军医进修学院学报,2002,23(1):67-69
[42]张晓刚,董建华,杨学峰,等.三维有限元腰椎阶段模型上模拟拔伸按压手法的生物力学分析.中国组织工程研究与临床康复,2010,14(22):4000-4004
[43]郭伟,李艺,韩磊,等.腰段脊柱多体动力学模型模拟脊柱关节手法力学分析研究.中华中医药杂志,2016,31(11):4707-4710