伤科手法治疗腰椎间盘突出症的运动学研究

doi:10.3969/j.issn.0258-8021.2016.05.005

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Abstract To explore kinematic mechanism of Chinese traumatology manipulation for the treatment of lumbar disc herniation (LDH), two classic motions of Wei′s manipulation, “foot hanging and knee bending”(FHKB) and “waist pulling-over”(WPO), were selected as study subjects. Based on 3D motion capture system, kinematic data of 5 trials of 10 healthy men while receiving manipulation was collected. A local coordinate system was defined and 3D kinematic models were established using Visual3D. The means of the 3D angles of the hip, knee, and ankle joints were calculated and were decomposed to represent flexion/extension, abduction/adduction, and internal/external rotation of the joints. Statistical analysis was conducted and the bilateral difference was compared. At the right hip joint, the range of motion (ROM) of the flexion was 137.33°, the abduction reached 30.86°. This was consistent with the maximum passive ROM of hip joint which was related with the position of knee joint, suggesting the kinematic mechanism of manipulation was promoting the passive joint angle to the maximum extent. Differences of some joint motion were observed between the right and left side according to idiomatic side (P<0.05). The research was expected valuable in establishing new analysis method and quantitative evaluation of Chinese manipulation.

Key words： Wei′s manipulation lumbar disc herniation motion capture joint motion

Received: 25 January 2016

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R318

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http://cjbme.csbme.org/EN/10.3969/j.issn.0258-8021.2016.05.005 OR http://cjbme.csbme.org/EN/Y2016/V35/I5/541

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