手法治疗脊柱滑脱症的临床与实验研究

应用位移传感器测量新鲜尸体标本模拟运动及旋转复位时位移情况，可见腰椎下关节突产生向上及侧方位移，使椎间孔扩大，椎体产生相应向后回位趋势；肉眼观察峡部裂脊柱标本在手法作用下出现峡部裂间距加大。对３５例腰椎滑脱症病人手法治疗，效果较为满意，尤对退变型滑脱为佳；仰卧屈膝，屈髋腰起坐锻炼和等张肌力锻炼是治疗该病的重要措施。

Clinical and experimental studies on spondylolithiasis treated by manipulation

Displacement microsensor was applied to measure fresh cadavar specimen in mimic the displacement in movement and rotatory reduction. It was found that the inferior facet joint of the lumbar spine producing an upward and lateral displacement to enlarge the intervertebral foramen ,the vertebral body producing a tendency of relatively backward and retaining to its original position. Through naked eye observation, there was increasing of the width of the isthmus under the action of manipulatin of the gap of isthmus. Thirty-five cases of spondylolithiasis were treated by manipulation with satisfactory results, especially for those suffering with degenerative type. It showed that lying in supine position with flexion of knees and hip joints, by rolling the waist,sitting up exercise and iso-tension training are important procedures in therapy.