颈部端提手法对颈型颈椎病患者颈椎长度及角度影响的运动学参数分析

目的客观化描述颈部端提手法对颈椎长度及角度的影响,为端提手法操作的量化提供数据支撑。方法选择30例年龄在18~36周岁的男性颈型颈椎病患者,由同一位高年资推拿医师实施颈部端提手法操作,采用红外光点高速运动捕捉测试系统采集端提手法操作过程中,受试者颈椎长度及角度的变化情况。结果端提瞬间,受试者颈椎被提伸长度均值为10.39 mm;端提瞬间,受试者颈椎屈伸角度均值为5.81°,侧屈角度均值为2.92°,旋转角度均值为13.03°。结论受试者颈椎被端提瞬间的角度变化是一个包括屈伸、侧屈、旋转的复合过程;颈部端提手法是以解决颈椎矢状位、冠状位活动受限为主的整复类手法。

Analysis on kinematic parameters of length and angle of cervical spine in patients of neck type cervical spondylosis treated with lifting manipulation in neck

  Objective:To objectively describe the influence of lifting manipulation in neck on the length and angle of cervical spine,and provide data support for the quantitative features of lifting manipulation. Methods30 cases of male patients aged 18-36 years old with cervical spondylosis of neck type were selected. The lifting manipulation in neck was implemented by the same senior massage physician. The changes of length and angle of cervical spine in subjects during the lifting manipulation process were collected by high speed motion capture test system for infrared light spot.  Results:At the lifting moment,the mean stretched length of cervical spine in subjects was 10.39 mm,and the average angle of flexion and extension was 5.81°. The average angle of lateral flexion was 2.92°and the average angle of rotation was 13.03°.  Conclusion:The angles change of cervical spine in subjects at the lifting moment are a complex process including flexion and extension,lateral flexion and rotation. The lifting manipulation in neck is a kind of manipulative reduction to mainly solve the movement limitation of sagittal and coronal planes in cervical spine.