摘要
目的:探讨患者个体特征对坐位腰椎旋转手法操作运动力学参数的影响。方法:2016年1月至2016年12月就诊的退行性腰椎滑脱患者30例,男18例,女12例;年龄45~61(52.33±2.34)岁;病程2~72(29.13±3.23)个月。应用运动捕捉技术,测量同一手法操作者向30例患者施者行坐位腰椎旋转手法的运动力学参数,包括旋扳时间、最大速度、最大加速度。对比术者左右手参数不同,分析不同个体特征对坐位腰椎旋转手法操作运动力学参数影响。结果:坐位腰椎旋转手法运动力学参数包括旋扳时间、最大速度、最大加速度,左右手施行的坐位腰椎旋转手法的力学参数差异无统计学意义(P>0.05)。经多元线性回归分析,患者的年龄对操作者的旋扳时间相关具有显著性(P<0.01);患者的身高对操作者的最大速度与最大加速度有显著的相关性(P<0.01)。结论:左右手施行的坐位腰椎旋转手法有相近的力学参数,因此左右手的手法操作在临床应用上并无较大区别。经过研究发现,在坐位腰椎旋转手法操作过程中,受试者的年龄、身高等均是重要的影响因素。
Objective:To explore the influence of individual characteristics of patients on the kinematics parameters of sitting lumbar spine manipulation. Methods:From January 2016 to December 2016,30 patients with degenerative lumbar spondylolisthesis were treatede,including 18 males and 12 females,aged from 45 to 61 (52.33±2.34) years old,with a course of 2 to 72 (29.13±3.23) months. Motion capture technique was used to measure the kinematics parameters of the same manipulator in sitting lumbar spine manipulation for 30 patients,including rotation time,maximum speed and maximum acceleration. The parameters of the left and right hands of the operator were different. The effects of individual characteristics on the kinematics parameters of sitting lumbar spine manipulation were analyzed. Results:The kinematic and mechanical parameters of manipulation were as follows:spin time,maximum speed,maximum acceleration,the manipulation done by right or left hand showed the similar parameters(P>0.05). According to multivariate linear regression,there was a significant correlation between the age of the patient and the rotation time of the operator(P<0.01);the height of patient had a significant correlation with the maximum speed and maximum acceleration of the operator(P<0.01). Conclusion:There is no difference between the manipulation of left and right hand in clinical application. Age and height are important influencing factors of sitting lumbar rotation manipulation.
作者
高春雨
王宝剑
冯敏山
朱立国
高景华
陈忻
银河
魏戌
李健
GAO Chun-yu;WANG Bao-jian;FENG Min-shan;ZHU Li-guo;GAO Jing-hua;CHEN Xin;YIN He;WEI Xu;LI Jian(The Second Department of Spinal Surgery,Wangjing Hospital of Chinese Academy of Chinese Medical Sciences,Beijing Municipal Key Laboratory of Traditional Chinese Medicine Bone-setting Technology,Beijing 100102,China)
出处
《中国骨伤》
CAS
CSCD
2019年第9期802-806,共5页
China Journal of Orthopaedics and Traumatology
基金
国家自然科学基金面上项目(编号:81473694)
中国中医科学院优势创新团队项目(编号:YS1314)~~
关键词
脊椎滑脱
腰椎
正骨手法
运动力学参数
Spondylolysis
Lumbar vertebrae
Bone setting manipulation
Kinematics parameters
