拔戳揉捻手法治疗肱骨外上髁炎的量化研究

Quantification Research on the Bachuorounian Manipulation for the Treatment of Humeral Epicondylitis

目的:研究拔戳揉捻手法治疗左右侧肘关节肱骨外上髁炎的相似度与差异性,量化该手法参数。方法:由一名有丰富拔戳揉捻手法操作经验的高年资医师对30名健康志愿者的左右侧肘关节分别进行拔戳揉捻手法操作,通过在志愿者身上放置Marker光反射球进行标记,使用动态捕捉系统测量拔戳揉捻手法操作中志愿者的运动学参数,将测量所得参数进行统计学描述及分析。结果:受试者左肘与右肘在进行拔戳揉捻手法操作时,受试者肘关节活动角度旋后角、屈曲角、旋前角、拔直角等运动学参数间差异无统计学意义(P>0.05)。手法参数量化结果:旋后角为50.56°±0.73°,屈曲角为79.57°±0.45°,旋前角为50.15°±0.12°,拔直角为89.84°±0.69°,单次手法操作时长为(12.78±0.45)s。结论:拔戳揉捻手法治疗不同侧肘关节肱骨外上髁炎时操作方式无明显差异,手法过程中肱骨外上髁炎患者的肘关节活动角度与操作时长等运动学参数具有一致性。

Objective:To study the similarity and difference of the left and right elbow joint of humerus epicondylitis treated by bachuorounian manipulation,and to quantification the parameter of this manipulation.Methods:The bachuorounian manipulation were performed by the same one doctor who has rich experience of high qualification doctor.Left and right side of the elbow of 30 healthy volunteers respectively underwent the manipulation.Optical mirror ball marker tags were placed,and dynamic capture system was used to measure the operating characteristics of parameters in manipulation.These parameters were description and analyzed.Results:There was no statistically significant difference in the posterior rotation,buckling,anterior rotation,stretching angle parameters between the left and right elbow joints when the bachuorounian manipulation was performed(P>0.05).Results of quantitative parameters of manipulation characteristics were as follow:the posterior rotation angle was 50.56°±0.73°,the buckling angle was 79.57°±0.45°,the anterior rotation angle was 50.15°±0.12°,the stretching angle was 89.84°±0.69°,and the single time of manipulation operation was(12.78±0.45)s.Conclusion:There was no significant difference in the operation characteristics of the left and right elbow joint humerus epicondylitis treated by the same doctor.The parameters of elbow joint motion angle and operation time of the subjects in the process of bachuorounian manipulation reveal systematic standards.