有限元分析技术在腰椎推拿手法生物力学中的应用现状-《西部中医药》

文章信息/Info

Title:: Application of Finite Element Analysis in Biomechanics of Lumbar Massage

Author(s):: ZENG Xueling, ZHANG Fan, WANG Fangli; Anhui University of Chinese Medicine, Hefei　230000, China

Keywords:: lumbar massage; 3D simulation model; spinal biomechanics; finite element analysis

摘要:: 回顾近年来有限元分析法（finite element analysis，FEA）在腰椎治疗手法领域的研究进展，指出中医推拿手法在临床治疗“筋出槽、骨错缝”的腰椎病变方面具有独特理论并取得了显著效果，但由于推拿手法在生物力学效应机制的基础实验研究尚不完善，其安全性和手法作用的理论假说不统一，且常有争议；而FEA能通过数字化的方式将脊柱内部应力改变及生物力学特性变化过程更加直观地展示出来，因此将有限元分析技术运用于探究中医推拿手法的作用机理，对规范临床手法操作，完善手法治疗准则和提高临床安全性具有重要指导意义。

Abstract:: By reviewing research progress of finite element analysis (FEA) in the filed of lumbar therapeutic manipulation in the recent years, it is pointed out that traditional Chinese medicine massage has a unique theory and achieved remarkable results in the clinical treatment of lumbar diseases with “tendon and bone gap”. However, because the basic experimental research on the biomechanical effect mechanism of massage is not perfect, the theoretical hypothesis of its safety and manipulation effect is not unified, and it is often controversial; FEA can show the change process of internal stress and biomechanical characteristics of spine more intuitively through digital way. Therefore, the application of FEA technology to explore the action mechanism of TCM massage has important guiding significance for standardizing clinical manipulation, perfecting manipulation treatment criteria and improving clinical safety.