| 推拿手法治疗腰椎间盘突出症的机制 |
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| 引用本文： | 毕胜,李义凯,赵卫东,张勇,侯京山,王福根.推拿手法治疗腰椎间盘突出症的机制[J].中国康复医学杂志,2001,16(1):8-10. |
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| 作者姓名： | 毕胜 李义凯 赵卫东 张勇 侯京山 王福根 |
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| 作者单位： | 1. 解放军总院康复科,
2. 第一军医大学 |
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| 摘 要： | 目的应用生物力学的方法研究推拿手法治疗腰椎间盘突出症的机制。方法用5具新鲜尸体腰椎在生物力学材料实验机上，在计算机定量控制下模拟不同手法的作用条件，使用引伸仪测量神经根与临近椎间盘之间的位移。结果3种手法的位移分期为1.283±0.758m，1.411±0.769mm，1.348±0.774mm。结论腰椎间盘突出手法推拿的治疗机制是通过神经根相对位移来减轻或消除髓核突出症对神经根的刺激与压迫，松解突出的间盘与神经根两者之间的炎性粘连，是腰椎间盘突出物的"变位"作用，而非髓核的还纳复位。
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| 关 键 词： | 治疗 神经根 腰椎间盘突出症 推拿手法 髓核 生物力学 手法推拿 结论 引伸 机制 |
A study on mechanism of manipulation used in lumbar disc herniation |
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| Abstract: | Objective: To study the mechanism of manipulation in treating for lumbar disc herniation by means of biomechanics. Method: 5 cadaver lumbar spines were loaded on a Material Test System, computerzed quantitative control to simulate different manipulations,and an extensometer were used to measure the range of displacement between nerve roots and discs. Result: The range of displacement three kinds of manipulations were respectively 1.283± 0.758mm, 1.411±0.769mm and 1.348 ±0.774mm. Conclusion:The mechanism of manipulation for lumbar disc herniation might be that the pressure and stimulation of the disc protrusion on the nerve root was reduced by relative displacement of the nerve roots,and loosened the adhesion between the disc protrusion and the nerve roots. It is the displacement, rather the restoration of the disc that explains the mechanisms of the therapeutic effect. |
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| Keywords: | lumbar disc herniation manipulation mechanism |
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