Wang Huihao, Chen Bo, Zhan Hongsheng, Wang Huihao, Chen Bo, Zhan Hongsheng
Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Institute of Traumatology & Orthopedics, Shanghai Academy of TCM, Shanghai 201203, China.
Institute of Orthopaedics and Traumatology, Shanghai 200025, China.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2013 Oct;30(5):1123-6.
Clinical advantages of Chinese spinal manipulation therapy (CSMT) were recognized for spinal chronic lesions of soft tissues and bones, such as cervical spondylosis, etc. However, the security of CSMT and the hypotheses of practice mechanisms were questioned for lacking of the relevant basic researches. Researches have proved that these methods could be used to observe the dynamic effects of spine with application of finite element analysis (FEA) computer technology. Combining with other biomechanical experimental methods and applying advanced FEA technology for mechanical problems of CSMT, we may not only find the mechanisms of action and provide theoretical supports for the traditional Chinese therapy, but also standardize the key techniques and optimize the treatment options improving clinical outcomes, and even promote spreading of CSMT. Computer models are ideally suited for studying phenomena that cannot be satisfactorily investigated with other models. However, computer models of CSMT practice remain to be further refined. The results which had been acquired so far not only verified some of the traditional points of view, but also revised and specified some perspectives of the past. This paper intends to review FEA studies with Chinese cervical manipulation therapy (CCMT) for cervical spinal chronic lesions of soft tissues and bones, involving different effects for cervical spine joints (pulling/traction and thrusting) with practice techniques and cervical spine soft tissues (including vessels and its hemodynamics, muscles and fasciae, etc).
中医整脊疗法（CSMT）在治疗脊柱慢性软组织和骨骼病变（如颈椎病等）方面的临床优势已得到认可。然而，由于缺乏相关基础研究，CSMT的安全性及作用机制假说受到质疑。研究表明，应用有限元分析（FEA）计算机技术可用于观察脊柱的动态效应。将其他生物力学实验方法与先进的FEA技术相结合，研究CSMT的力学问题，不仅可以找出其作用机制，为中医治疗提供理论支持，还可以规范关键技术，优化治疗方案以改善临床疗效，甚至促进CSMT的推广。计算机模型非常适合研究那些无法用其他模型令人满意地进行研究的现象。然而，CSMT实践的计算机模型仍有待进一步完善。目前已获得的结果不仅验证了一些传统观点，还修正并细化了过去的一些观点。本文旨在综述应用有限元分析研究中医颈椎整复疗法（CCMT）治疗颈椎慢性软组织和骨骼病变的情况，涉及不同的颈椎整复技术（拔伸/牵引和推扳）对颈椎关节以及颈椎软组织（包括血管及其血流动力学、肌肉和筋膜等）的影响。
