有限元分析在腰椎手法治疗中的生物力学研究进展

发布时间：2018-02-12 23:38

本文关键词： 有限元分析腰椎推拿中医生物力学　出处：《医用生物力学》2017年03期 　论文类型：期刊论文

【摘要】：中医腰椎手法在腰痛等慢性损伤性腰椎病的疼痛治疗中有明显的临床优势,但其基础研究不足是限制手法进步的重要因素。利用有限元技术能够很好地模拟各类腰椎手法的力学状况,分析其作用机制,验证假说,规范手法操作,定量、定性和优化治疗方案,为手法治疗的基础研究提供有效的研究方法。通过回顾近年腰椎手法治疗的有限元研究,探讨不同腰椎手法对椎间盘、附属结构、脊柱负荷以及椎体力学稳定性的影响,结果发现目前关于腰椎手法的有限元研究有待于对模拟方法进行标准化和精确化,同时可进一步推广有限元的研究思路,更好地指导中医腰椎手法的临床运用。
[Abstract]:Lumbar manipulation in traditional Chinese medicine has obvious clinical advantages in the treatment of pain of chronic injured lumbar vertebrae, such as low back pain. However, the lack of basic research is an important factor limiting the progress of manipulation. The finite element technique can well simulate the mechanical status of all kinds of lumbar manipulations, analyze its mechanism of action, verify the hypothesis, standardize the manipulation, and quantify it. The qualitative and optimized treatment schemes provide an effective method for the basic research of manipulation therapy. By reviewing the finite element study of lumbar manipulation therapy in recent years, we discuss the intervertebral disc and accessory structure of different lumbar manipulations. The effects of spinal load and mechanical stability of vertebrae. The results show that the present finite element study on lumbar manipulations needs to be standardized and accurate, and can be further extended to the idea of finite element analysis. Better guide the clinical application of lumbar manipulation of traditional Chinese medicine.
【作者单位】：甘肃中医药大学中医临床学院;甘肃中医药大学附属医院脊柱外科;
【基金】：国家自然科学基金项目(81560780)
【分类号】：R244.1;R318.01

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