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梅 凌,李义凯,付小勇,王华军.颈椎旋转手法的扳动方向与颈椎旋转角度的关系*[J].中国康复医学杂志,2010,25(1):9~12
颈椎旋转手法的扳动方向与颈椎旋转角度的关系*    点此下载全文
梅 凌  李义凯  付小勇  王华军
南方医科大学中医药学院,广州,510515
基金项目:国家自然科学基金资助(30772841)
DOI:
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摘要:
      目的: 探讨颈椎旋转手法的扳动方向对颈椎旋转角度的影响。 方法:选取28名健康受试者,随机分为4组,每组7人。分别对4组受试者行一侧或两侧颈椎定点旋转手法。测量4组受试者每次手法扳动前、后颈椎旋转的主动活动和被动活动范围。 结果:向一侧扳动后,颈椎向两侧的主动旋转度显著增大(P<0.05),且扳动侧的改变幅度大于对侧;向两侧分别扳动颈椎,第一次扳动侧的主动活动度增大(P<0.05),但明显小于仅向一侧扳动时(P<0.01);无论是向一侧或是两侧扳动颈椎,都不会明显改变颈椎的被动旋转范围(P>0.05)。 结论:为了改善患者的颈椎主动旋转范围,颈椎旋转手法的扳动方向应与患者颈椎主动旋转受限的方向一致且仅扳动一次。
关键词:颈椎旋转手法  扳动方向  主动旋转度  被动旋转度
The relationship between pulled direction of cervical rotational manipulation and cervical rotating degree    Download Fulltext
College of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515
Fund Project:
Abstract:
      Objective: To study the effect of cervical pulled direction on cervical rotating degree in cervical ratational manipulation. Method: Twenty-eight asymptomatic and normal volunteers were randomly divided into four groups (n=7). Active and passive cervical rotating degrees before and after cervical rotational manipulation were measured in all volunteers. Result: The ranges of active cervical rotating to both sides increased significantly after cervical rotational manipulation pulled to one side, and the varied degrees of pulled side were larger than that of the other side. The active cervical rotating degree also increased when cervical spine was pulled to both sides, the active cervical rotating degree of the first pulled side increased(P<0.05), but significantly less than pulled to one side only(P<0.01). The alterations of passive cervical rotating degree were not obvious after cervical rotational manipulation pulled to one side or two sides′. Conclusion: To increasing the active cervical rotating degree, the pulled direction in cervical rotational manipulation should be consisted with the limited direction of patient′s active cervical rotating, and only one pulling is adequate.
Keywords:cervical rotational manipulation  pulled direction  active rotating degree  passive rotating degree
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