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旋转手法

旋转手法的相关文献在1992年到2022年内共计91篇,主要集中在外科学、中国医学、基础医学 等领域,其中期刊论文86篇、会议论文4篇、专利文献984001篇;相关期刊57种,包括江西中医药、内蒙古中医药、中国骨伤等; 相关会议4种,包括中华中医药学会推拿分会第十四次推拿学术交流会、第二届著名中医药学家学术传承高层论坛、全国第二届中医骨伤科中青年学术论坛等;旋转手法的相关文献由189位作者贡献,包括李义凯、徐海涛、王国林等。

旋转手法—发文量

期刊论文>

论文:86 占比:0.01%

会议论文>

论文:4 占比:0.00%

专利文献>

论文:984001 占比:99.99%

总计:984091篇

旋转手法—发文趋势图

旋转手法

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  • 李义凯
  • 徐海涛
  • 王国林
  • 朱立国
  • 邱桂春
  • 黄学成
  • 于杰
  • 姚猛
  • 孙崇毅
  • 张清
  • 期刊论文
  • 会议论文
  • 专利文献

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    • 景海龙; 王喜祥
    • 摘要: 目的 探讨中医正骨推拿结合旋转手法治疗神经根型颈椎病(CSR)患者的临床效果。方法 选取2019年10月至2020年10月于宝鸡市中医医院就诊的280例CSR患者作为研究对象,按照随机数字表法将其分为A组和B组,各140例。A组行中医正骨推拿治疗,B组在A组基础上行旋转手法治疗。比较两组的临床效果。结果 A组的治疗总有效率为79.29%,显著低于B组的89.29%,差异具有统计学意义(P<0.05)。治疗后,两组的临床表现、工作和生活、体征评分及田中靖久颈椎病症状量表(YT20)总分均高于治疗前,且B组高于A组,差异具有统计学意义(P<0.05)。治疗后,两组的疼痛评级指数(PRI)、视觉疼痛评分(VAS)及目前疼痛状态(PPI)评分低于治疗前,且B组低于A组,差异具有统计学意义(P<0.05)。治疗后,两组的健康状况调查简表(SF-36)各维度评分高于治疗前,且B组高于A组,差异具有统计学意义(P<0.05)。治疗后,两组的肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)水平低于治疗前,且B组低于A组,差异具有统计学意义(P<0.05)。结论 中医正骨推拿结合旋转手法治疗CSR患者具有协同作用,可改善颈椎功能,缓解疼痛,提高生活质量,值得临床推广。
    • 林东鑫; 黄文华; 黄学成; 秦庆广; 杨洋; 邓羽平; 谭晋川; 王勉; 苏炜炜; 黄涛
    • 摘要: 背景:颈椎旋转手法治疗神经根型颈椎病疗效肯定,但手法使用不当易造成不良后果.通过对比临床上较为常用且均有一套标准操作流程的斜扳与旋提手法,为临床提供手法安全性指导.目的:利用运动捕捉技术测量颈椎斜扳和旋提手法治疗后颈椎活动范围的差异,探索2种手法的运动特征及安全性.方法:选取20名健康受试者(男、女各10人),随机分为2组,各10人(男5人,女5人).分别对2组受试者行颈椎斜扳和旋提手法.测量两组受试者颈椎主动运动、被动运动以及亚生理区活动度.试验经广州医科大学附属顺德医院伦理委员会批准.结果与结论:斜板组与旋提组主动运动活动度和被动运动活动度比较差异无显著性意义(P>0.05).斜扳组亚生理区活动度大于旋提组,且斜扳组左侧亚生理区活动度大于右侧(P0.05);而旋提组左右两侧及男女之间亚生理区活动度接近(P>0.05).提示颈椎旋提手法亚生理区活动度较斜扳手法小,更稳定均衡.
    • 林东鑫; 黄学成; 秦庆广; 杨洋; 邓羽平; 谭晋川; 王勉; 苏炜炜; 黄涛; 黄文华
    • 摘要: 背景:颈椎旋转手法治疗神经根型颈椎病疗效肯定,但手法使用不当易造成不良后果。通过对比临床上较为常用且均有一套标准操作流程的斜扳与旋提手法,为临床提供手法安全性指导。目的:利用运动捕捉技术测量颈椎斜扳和旋提手法治疗后颈椎活动范围的差异,探索2种手法的运动特征及安全性。方法:选取20名健康受试者(男、女各10人),随机分为2组,各10人(男5人,女5人)。分别对2组受试者行颈椎斜扳和旋提手法。测量两组受试者颈椎主动运动、被动运动以及亚生理区活动度。试验经广州医科大学附属顺德医院伦理委员会批准。结果与结论:斜板组与旋提组主动运动活动度和被动运动活动度比较差异无显著性意义(P>0.05)。斜扳组亚生理区活动度大于旋提组,且斜扳组左侧亚生理区活动度大于右侧(P0.05);而旋提组左右两侧及男女之间亚生理区活动度接近(P>0.05)。提示颈椎旋提手法亚生理区活动度较斜扳手法小,更稳定均衡。
    • 潘福勤; 朱建忠; 王忠; 王磊; 刘建辉
    • 摘要: 目的:探讨旋转手法中侧屈方向对颈椎间盘位移内在应力的影响.方法:经医学伦理委员会批准,选取1例健康成年男性志愿者作为研究对象,对其进行CT扫描成像,建立C5/6三维有限元模型,之后行手法模拟,分别于颈椎左右侧屈位下向右旋转,模拟旋转手法.通过构建三维有限元模型分析各指标参数,通过手法模拟观察组颈椎间盘的变化情况.结果:所构建颈椎C5/6三维有限元模型共194842个节点,119268个单位,高度模拟颈椎C5/6的结构.在左右侧屈体位下,C5/6三维有限元模型纤维环左侧后部出现向左、前拉伸的回缩变形,左侧屈位(0.93mm)<右侧屈位(1.12mm),左侧屈位最大应力(7.00MPa)<右侧屈位(8.19MPa).结论:旋转手法中向健侧旋转颈椎时应保持患侧侧屈,既可缓解神经根型颈椎病(CSR)症状,也可避免因操作失误引发的二次损伤.
    • 罗鹏飞; 李宁; 谢兴文; 李鼎鹏; 徐世红; 黄晋; 姜朝阳
    • 摘要: “筋骨失衡”是颈椎病的核心病机,与现代生物力学研究中的“动静力失衡”具有一致性,两者的本质都是力学失衡。“筋骨失衡”也是手法治疗颈椎病的理论基石,手法治疗的靶点是矫正“错缝脱位”关节,调整椎骨与肌肉的异常应力分布,重建颈椎“筋骨平衡”。旋转手法是治疗颈椎病最常用的手法,但其安全性尚存在争议。随着生物力学研究手段的进步,从旋转手法运动学和动力学参数以及手法力的作用效应2个角度进行研究,可以量化颈椎“筋骨失衡”和旋转手法作用效应,从而明确颈椎“筋骨失衡”和旋转手法作用效应的内在力学机制。本文从颈椎病的核心病机、颈椎病“筋骨失衡”的生物力学机制、旋转手法的生物力学机制研究内容3个方面,对旋转手法治疗颈椎病的生物力学机制研究进展进行了综述,以期为今后旋转手法治疗颈椎病的量化研究提供参考。
    • 黄学成; 叶林强; 江晓兵; 王千里; 余伟波; 梁德
    • 摘要: Objective To simulate the cervical rotatory manipulation(CRM)in left/right lateral bending position by using the three-dimensional finite element,so as to investigate the effect of lateral bending position on the displacement and intra-stress of cervical disc when performing CRM.Methods With Mimics10.01,Geomagic Studio,and Solidworks 14.0 software,a three-dimensional finite element model of C 5-6 was developed from the CT scan images of a 25-year-old normal adult female.The model was imported into Ansys Workbench 14.5 to verify and simulate the CRM.The CRM was decom-posed by principium of manipulation in left/right lateral flexion and rotated to the right side.The parameter of mechanics was analyzed with the finite element system.The change of displacement and intra-stress distribution in cervical disc simul-taneously were displayed during simulating the manipulation.Results In left/right lateral bending position and rotated to the right side,the posterior part of the left side of cervical disc was all retracted.And the displacement was toward anteri-or,left lateral flexion(0.93 mm)was smaller than the right lateral flexion(1.12 mm).The intra-stress of cervical disc were focused on the posterior part of the right side and the left side in left /right lateral flexion,respectively,and the maxi-mum stress of left lateral bending(7.00 MPa)was smaller than that of the right lateral bending(8.19 MPa). Conclusion When the cervical vertebra is in the left lateral bending position and rotates to the right side, the effects on the displacement and intra-stress are smaller than that of the right lateral bending position.Therefore,the left lateral ben-ding position is more likely to protect the left side of cervical disc.When we treat cervical spondylotic radiculopathy with CRM,should let the patients rotate to the contralateral side with lateral flexion to the ipsilateral side.In this way,it can al-leviate the symptom,and reduce the risk of secondary injury to the cervical disc of ipsilateral side at the same time.%目的 利用三维有限元模拟颈椎分别在左、右侧屈位下行旋转手法,探讨该手法在不同方向侧屈体位下对颈椎间盘位移、内在应力的影响及意义.方法 对一名25岁健康成年女性志愿者的颈椎进行CT扫描成像,应用Mimics10.01、Geomagic2012、Solidworks2014等软件建立C5/6三维有限元模型,将模型导入Ansys Workbench14.5软件进行有效性验证及手法模拟.分别在颈椎左、右侧屈位下向右旋转,模拟实施旋转手法,将各项力学参数代入三维有限元模型进行计算分析,即时显示旋转手法作用时颈椎间盘的位移和内在应力变化.结果 在左、右侧屈位下向右旋转,C5/6三维有限元模型椎间盘左侧后部均出现向前回缩位移,左侧屈位(0.93 mm)小于右侧屈位(1.12 mm);椎间盘内在应力在左侧屈位时集中于旋转侧后部,右侧屈位时集中于旋转对侧后部,其中左侧屈位的最大应力(7.00 MPa)小于右侧屈位(8.19 MPa).结论 颈椎左侧屈位条件下向右旋转时对颈椎间盘位移、内在应力的影响均小于右侧屈位,更有利于保护同侧椎间盘;使用旋转手法治疗神经根型颈椎病时让患者向健侧旋颈时应向患侧侧屈,可在缓解症状的同时降低患侧椎间盘二次损伤的风险.
    • 黄学成; 叶林强; 梁德; 王千里; 余伟波; 江晓兵
    • 摘要: BACKGROUND: Cervical spondylotic radiculopathy could be effectively treated by cervical rotatory manipulation, but the symptoms may be exacerbated when rotated to the wrong direction. OBJECTIVE: To simulate the cervical rotatory manipulation in left/right rotation by three-dimensional finite element, and then investigate the effect of this manipulation on the displacement of cervical disc and the volume of intervertebral foramen so as to provide a basis for effectiveness and safety of cervical rotatory manipulation in treating cervical spondylotic radiculopathy. METHODS: With Mimics10.01, Geomagic Studio and Solidworks 14.0 software, a three-dimensional geometric CAD model of C5-6was developed from the CT scan images of a 25-year-old normal adult female. The model was imported into Ansys Workbench 14.5, and a three-dimensional finite element model was verified and simulated the cervical rotatory manipulation. The cervical rotatory manipulation was decomposed by principium of manipulation in left lateral flexion and rotated to the left/right side. The parameter of mechanics was analyzed with the finite element system. The change of displacement in cervical disc and volume in intervertebral foramen simultaneously were displayed during simulating the manipulation. RESULTS AND CONCLUSION: In left lateral flexion and rotated to the left side, the posterior part of the left side of annulus fibers was expanded 0.46 mm into posterior, and the posterior part of the right side of annulus fibers was retracted 0.77 mm. The volume of left intervertebral foramen became small and the right side became large. However, in left lateral flexion and rotated to the right side, the posterior part of the left side of annulus fibers was retracted 0.71 mm, and the posterior part of the right side of annulus fibers was expanded 0.43 mm into posterior. The volume of left intervertebral foramen became large and the right side became small. Therefore, the posterior part of the rotated side of cervical disc was expanded into posterior, while the posterior part of the contralateral side of cervical disc was retracted. The volume of intervertebral foramen in rotated side became small, while the volume of intervertebral foramen in contralateral side became large. We should rotate to the contralateral side when cervical spondylotic radiculopathy was treated with cervical rotatory manipulation.%背景:旋转手法治疗神经根型颈椎病可迅速缓解根性疼痛,但旋转方向失当可加重原有症状.目的:利用颈椎三维有限元模型模拟旋转手法,探讨旋转方向对颈椎间盘位移和椎间孔容积的影响,为旋转手法治疗神经根型颈椎病的有效性和安全性提供依据.方法:对1名25岁健康成年女性志愿者的颈椎进行CT扫描成像,应用Mimics10.01、Geomagic Studio、Solidworks 14.0等软件建立颈椎C5-6实体CAD模型,然后将模型导入Ansys Workbench 14.5软件进行有效性验证及手法模拟.在颈椎左侧屈位下分别向左、右侧旋转,模拟旋转手法实施,把各项力学参数代入三维有限元模型进行计算分析.即时显示手法作用时颈椎间盘位移和椎间孔容积的变化.结果与结论:向左旋转时,椎间盘左侧后部向后位移0.46 mm,右侧后部向前位移0.77 mm,左侧椎间孔容积变小,右侧椎间孔容积变大;向右旋转时,椎间盘左侧后部向前位移0.71 mm,右侧后部向后位移0.43 mm,左侧椎间孔容积变大,右侧椎间孔容积变小.因此,旋转侧椎间盘后部向后位移,旋转对侧椎间盘后部向前位移,旋转侧椎间孔容积变小,旋转对侧椎间孔容积变大,若使用旋转手法治疗神经根型颈椎病,应向健侧旋转.
    • 李远栋; 王平; 刘爱峰; 张君涛; 苏瑾; 李嘉钰; 陈永帅
    • 摘要: 神经根型颈椎病(CSR)是骨伤科临床中的常见病与多发病,发病率居各种颈椎病之首,被世界卫生组织列为疑难病,其主要表现为与病变节段相一致的根性症状和体征,僵硬、疼痛及麻木等症状严重影响患者的身心健康和生活质量.临床上多数CSR患者的症状可通过理疗、针刺等方法得到缓解,但寻求更为有效的治疗方法已成为目前研究的热点.手法可通过改善颈椎动静力平衡、矫正关节错缝、改善血循环等作用达到治疗目的,其操作简便、快捷及见效快,已被广大医生所认可,而其中旋转类手法的疗效更为显著.国内外学者对于旋转类手法的研究均从颈椎离体与在体生物力学方面进行研究,对于旋转手法本身的生物力学研究不尽相同.目前对于旋转类手法的力学研究仍处于发展阶段,对于这些力学参数研究的异同以及其对于颈椎的力学环境究竟有何影响均无明确的定论.对颈椎旋转类手法的生物力学特性研究进展进行综述,可为旋转类手法治疗CSR的作用机制提供确切的理论依据.%Cervical spondylotic radiculopathy is a common and frequently-occurring disease in the clinical department of orthopedics.It has the highest incidence of cervical spondylosis and has been classified as a difficult disease by the World Health Organization.Cervical spondylotic radiculopathy mainly manifests as root symptoms and signs consistent with the diseased segment,and the symptoms of stiffness,pain and numbness,which seriously affect the physical and mental health and life quality of patients.In clinical practice,the symptoms of cervical spondylotic radiculopathy can be alleviated by physical therapy,acupuncture,etc.Therefore,searching for more effective treatments has become a hot topic of current researches.Manipulations have the advantages of simple operation,quickness,quick effect and high recognition degree,and can achieve therapeutic purpose by improving the dynamic and static balance of cervical spines,correcting joint dislocation and improving blood circulation.Among them,the curative effect of rotational manipulations is more remarkable.The researches on rotational manipulations by domestic and foreign scholars mainly focus on the in vitro and in vivo biomechanics of cervical spines,and the biomechanical researches on the rotational manipulation itself were different.At present,the mechanical research on the rotational manipulation is still in the development stage,and there is no clear conclusion on the similarities and differences of the mechanical parameters and their influence on the mechanical environment of the cervical spine.In this paper,the research progress of biomechanical properties of cervical spine rotational manipulation was summarized to provide a theoretical basis for the mechanism of the rotational manipulation treatment of cervical spondylotic radiculopathy.
    • 阳斯伟
    • 摘要: 目的:探讨旋转手法在颈椎病患者治疗中的应用效果.方法:选择2015年3月—2017年3月期间我院收治的颈椎病患者72例为研究对象,均分为两组,对照组为推拿手法,观察组为旋转手法,对比两组患者治疗情况.结果:两组患者的总有效率为94.44%和77.78%,观察组的总有效率高于对照组,统计学有意义(P<0.05).结论:旋转手法在颈椎病患者治疗中的应用效果显著,患者症状和生活质量得到改善,提高了治疗效果,值得应用.
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