Abstract：
OBJECTIVE: To explore dose-effect relationship of biomechanical parameters in treating atlantoaxial joint disorder by slimming manipulation.
METHODS: From October 2022 to May 2023, 18 patients with atlantoaxial joint disorders were treated, including 10 males and 8 females;aged from 24 to 27 years old with an average of (25.50±1.10) years old;CT of cervical vertebra showed 16 patients with right side distortion and 2 patients with left side distortion. The mechanical parameters of treatment of atlantoaxial joint disorder by tendon relaxation manipulation were measured by wearing massage manipulation gloves. The magnitude, frequency and mechanical curve of force during tendon relaxation and starting force, pulling force, pulling time and mechanical curve during rehabilitation were quantified, the differences between the affected and contralateral manipulations were compared.
RESULTS: The maximum force and frequency of Fengchi(GB20) on the affected side were (19.82±2.02) N and (116.83±14.49) times/min, and opposite side were (13.87±2.19) N and (188.89±16.03) times/min, respectively. There were statistically difference in the maximum force and frequency of both sides (P<0.05). The maximum force and frequency of Quepen (ST12) on the affected side were (14.44±3.27) N and (139.06±28.47) times/min, and those on the opposite side were (9.41±1.38) N and (142.50±28.47) times/min. There was difference in maximum force on both sides (P<0.05). The starting force, turning force and turning time of the affected side were (14.16±5.98) N, (11.56±6.63) N, (0.14±0.03) S, and the contralateral side were (8.94±3.39) N, (8.30±4.64) N, (0.18±0.04) S, respectively. The difference of starting force, turning force and turning time on both sides were statistically significant (P<0.05).
CONCLUSIONS: By applying a light relaxation force on the affected side, the mechanical balance between cervical vertebrae could be restored, and recovery trend of atlantoaxial joint disorder could be strengthened. On this basis, the atlantoaxial odontoid process could be reversed by applying a light rotation force, which reflects the characteristics of high safety of the manipulation.
METHODS: From October 2022 to May 2023, 18 patients with atlantoaxial joint disorders were treated, including 10 males and 8 females;aged from 24 to 27 years old with an average of (25.50±1.10) years old;CT of cervical vertebra showed 16 patients with right side distortion and 2 patients with left side distortion. The mechanical parameters of treatment of atlantoaxial joint disorder by tendon relaxation manipulation were measured by wearing massage manipulation gloves. The magnitude, frequency and mechanical curve of force during tendon relaxation and starting force, pulling force, pulling time and mechanical curve during rehabilitation were quantified, the differences between the affected and contralateral manipulations were compared.
RESULTS: The maximum force and frequency of Fengchi(GB20) on the affected side were (19.82±2.02) N and (116.83±14.49) times/min, and opposite side were (13.87±2.19) N and (188.89±16.03) times/min, respectively. There were statistically difference in the maximum force and frequency of both sides (P<0.05). The maximum force and frequency of Quepen (ST12) on the affected side were (14.44±3.27) N and (139.06±28.47) times/min, and those on the opposite side were (9.41±1.38) N and (142.50±28.47) times/min. There was difference in maximum force on both sides (P<0.05). The starting force, turning force and turning time of the affected side were (14.16±5.98) N, (11.56±6.63) N, (0.14±0.03) S, and the contralateral side were (8.94±3.39) N, (8.30±4.64) N, (0.18±0.04) S, respectively. The difference of starting force, turning force and turning time on both sides were statistically significant (P<0.05).
CONCLUSIONS: By applying a light relaxation force on the affected side, the mechanical balance between cervical vertebrae could be restored, and recovery trend of atlantoaxial joint disorder could be strengthened. On this basis, the atlantoaxial odontoid process could be reversed by applying a light rotation force, which reflects the characteristics of high safety of the manipulation.
摘要：
目的：探讨减肥手法治疗寰枢关节紊乱的生物力学参数的量效关系。
方法：自2022年10月至2023年5月，共治疗18例寰枢关节紊乱患者，其中男10例,女8例;年龄24～27岁,平均(25.50±1.10)岁;颈椎CT显示右侧变形16例,左侧变形2例。戴按摩手法手套测量肌腱松弛手法治疗寰枢关节紊乱的力学参数。幅度,肌腱松弛和启动力的频率和力学曲线，拉力,对康复过程中的牵拉时间和力学曲线进行量化，比较了受影响和对侧操作之间的差异。
结果：风池（GB20）在患侧的最大力和频率分别为（19.82±2.02）N和（116.83±14.49）次/min，对侧为（13.87±2.19）N和（188.89±16.03）次/min，分别。两侧最大力和频率差异有统计学意义(P<0.05)。患侧Quepen（ST12）的最大力和频率分别为（14.44±3.27）N和（139.06±28.47）次/min，对侧为（9.41±1.38）N和（142.50±28.47）次/min。两侧最大受力差异有统计学意义(P<0.05)。启动力，受影响侧的转弯力和转弯时间为（14.16±5.98）N，(11.56±6.63)N,(0.14±0.03)S,对侧为（8.94±3.39）N，(8.30±4.64)N,(0.18±0.04)S,分别。起动力的差异，两侧车削力和车削时间差异有统计学意义(P<0.05)。
结论：通过在患侧施加轻微的松弛力，颈椎之间的机械平衡可以恢复，寰枢关节紊乱的恢复趋势可以加强。在此基础上,通过施加轻微的旋转力可以逆转寰枢椎齿状突过程，体现了操纵安全性高的特点。
方法：自2022年10月至2023年5月，共治疗18例寰枢关节紊乱患者，其中男10例,女8例;年龄24～27岁,平均(25.50±1.10)岁;颈椎CT显示右侧变形16例,左侧变形2例。戴按摩手法手套测量肌腱松弛手法治疗寰枢关节紊乱的力学参数。幅度,肌腱松弛和启动力的频率和力学曲线，拉力,对康复过程中的牵拉时间和力学曲线进行量化，比较了受影响和对侧操作之间的差异。
结果：风池（GB20）在患侧的最大力和频率分别为（19.82±2.02）N和（116.83±14.49）次/min，对侧为（13.87±2.19）N和（188.89±16.03）次/min，分别。两侧最大力和频率差异有统计学意义(P<0.05)。患侧Quepen（ST12）的最大力和频率分别为（14.44±3.27）N和（139.06±28.47）次/min，对侧为（9.41±1.38）N和（142.50±28.47）次/min。两侧最大受力差异有统计学意义(P<0.05)。启动力，受影响侧的转弯力和转弯时间为（14.16±5.98）N，(11.56±6.63)N,(0.14±0.03)S,对侧为（8.94±3.39）N，(8.30±4.64)N,(0.18±0.04)S,分别。起动力的差异，两侧车削力和车削时间差异有统计学意义(P<0.05)。
结论：通过在患侧施加轻微的松弛力，颈椎之间的机械平衡可以恢复，寰枢关节紊乱的恢复趋势可以加强。在此基础上,通过施加轻微的旋转力可以逆转寰枢椎齿状突过程，体现了操纵安全性高的特点。
