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模拟推拿时腰椎小关节有限元模型的生物力学分析
引用本文:叶淦湖,张美超,李义凯.模拟推拿时腰椎小关节有限元模型的生物力学分析[J].广州中医药大学学报,2003,20(3):195-197,200.
作者姓名:叶淦湖  张美超  李义凯
作者单位:1. 广东省东莞市石碣医院,广东,东莞,523290
2. 第一军医大学解放军医学生物力学实验室,广州,510515
3. 第一军医大学解放军医学中医系骨伤科,广州,510515
基金项目:国家自然科学基金课题(编号:30171184)
摘    要:【目的】采用生物力学的方法分析模拟推拿时正常和退变腰椎小关节的应力分布状况。【方法】通过有限元及配套影像方法,建立能准确反映第4腰椎与第5腰椎间(L4-5)小关节实际状况的有限元模型,对模型分别施加前屈、后伸、侧弯、旋转与压缩5种载荷,以分析比较其在模拟推拿作用时的受力情况。【结果】腰椎小关节在承载方面具有较大的作用,特别是在抗旋转推拿运动过程中的作用更为明显。【结论】对有明显退变的腰椎,使用前屈旋转手法时以轻巧手法为宜。

关 键 词:模拟推拿  腰椎小关节  有限元模型  生物力学  腰椎间盘突出症
文章编号:1007-3213(2003)03-0195-04

Biomechanical Analysis of Finite Element Model of Lumbar Facet Joint During Manipulation
YE Ganhu,ZHANG Meichao,LI Yikai.Biomechanical Analysis of Finite Element Model of Lumbar Facet Joint During Manipulation[J].Journal of Guangzhou University of Traditional Chinese Medicine,2003,20(3):195-197,200.
Authors:YE Ganhu  ZHANG Meichao  LI Yikai
Abstract:Objective] To analyze the stress distribution in facet joint of lumbar spine on normal and degenerative models with biomechanical method during the manipulation. Methods] The finite element model of lumbar facet joint of L4-5 were reconstructed with finite element method and imaging method. Different movements such as anteflexion, retroflexion, lateral flexion, rotation and compression were loaded on the models and then stress distribution during the mimetic spinal manipulation was analyzed and compared. Results] The facet joint of lumbar spine has an important role in resisting load, especially in resisting rotation. Conclusion ] The strong flexion-rotation manipulation should be avoided for seriously degenerative subject.
Keywords:LUMBAR VERTEBRAE  TUINA  COMPUTER SIMULATION  BIOMECHANICS
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