中华中医药杂志2025，Vol.40Issue(5)：2111-2116,6.
仰卧顺势拔伸手法力学特征量化及影响因素分析
Mechanical characteristics quantification and influencing factors analysis of supine homeopathic stretching-traction technique
摘要
Abstract
Objective:To investigate the mechanical parameters of the supine homeopathic stretching-traction technique(SHST),preliminarily summarize its mechanical characteristics and related laws,analyze the factors influencing the mechanical features of this technique,providing parameter basis for its standardization and biomechanical experiments.Methods:Mechanical parameters,including total traction force(Ft),left hand force(Fl),and right hand force(Fr),were collected using pressure-sensing gloves and a custom-made traction device from 30 healthy volunteers during the operation of the SHST by its founder.Correlation analysis was performed between the parameters and individual factors of the subjects.Results:A total of 30 healthy subjects were included,with all manipulations performed by the same physician.The peak Ft was(134.85±3.36)N,peak Fl was(34.03±6.31)N,and peak Fr was(107.34±19.95)N.The plateau period Ft was(114.96±3.55)N,Fl was(28.11±5.38)N,and Fr was(92.57±17.94)N.The right hand force direction was obliquely upward at 5.53(2.07,9.35)°,while the left hand force direction was obliquely downward at 26.98(19.73,29.96)°.Ft was positively correlated with height and weight(r＞0.3,P＜0.05);Fl was positively correlated with weight,neck circumference,and head circumference(r＞0.3,P＜0.05);Fr showed no correlation with individual subject factors.Conclusion:This study applies modern biomechanical measurements to systematically quantify the mechanical characteristics of the SHST for the first time,reveales the asymmetric distribution of forces during the operation,with a force ratio of approximately 3∶1 between the primary and assisting hands.Additionally,it suggestes that individual factors of the subjects had certain influences on some mechanical parameters of the technique,to provide important parameter basis for the standardized operation and further research on the biomechanical mechanisms of the SHST.关键词
仰卧顺势拔伸手法/力学特征/神经根型颈椎病/生物力学/影响因素Key words
Supine homeopathic stretching-traction technique(SHST)/Mechanical characteristics/Cervical spondylotic radiculopathy(CSR)/Biomechanics/Influencing factors引用本文复制引用
林方政,林定坤,朱立国,冯敏山,侯宇,李静,祁冀,曾小龙,罗俊华,陈树东,李永津..仰卧顺势拔伸手法力学特征量化及影响因素分析[J].中华中医药杂志,2025,40(5):2111-2116,6.基金项目
促进中医骨伤科优势诊疗技术传承与现代化专项(No.Z155080000004),岐黄学者工作室(No.国中医药人教函[2022]6号),国家自然科学基金青年科学基金项目(No.82205150),广东省中医药新黄埔中医药联合创新研究院联合创新研究项目(No.2021IR008),广东省中医药科学院优秀青年人才青苗计划(No.SZ2024QN03) （No.Z155080000004）
