• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

一种手持式可量化软组织操作设备，用于跟踪实时弥散力-运动模式，以描述手法治疗。

A Handheld Quantifiable Soft Tissue Manipulation Device for Tracking Real-Time Dispersive Force-Motion Patterns to Characterize Manual Therapy Treatment.

出版信息

IEEE Trans Biomed Eng. 2023 May;70(5):1553-1564. doi: 10.1109/TBME.2022.3222124. Epub 2023 Apr 20.

DOI:10.1109/TBME.2022.3222124
PMID:36378798
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10173803/
Abstract

OBJECTIVE

Low back pain (LBP) is one of the leading neuromusculoskeletal (NMSK) problems around the globe. Soft Tissue Manipulation (STM) is a force-based, non-invasive intervention used to clinically address NMSK pain conditions. Current STM practice standards are mostly subjective, suggesting an urgent need for quantitative metrics. This research aims at developing a handheld, portable smart medical device for tracking real-time dispersive force-motions to characterize manual therapy treatments as Quantifiable Soft Tissue Manipulation (QSTM).

METHODS

The device includes two 3D load-cells to quantify compressive and planar-shear forces, coupled with a 6 degrees-of-freedom IMU sensor for acquiring volitionally adapted therapeutic motions while scanning and mobilizing myofascial restrictions over larger areas of the body. These force-motions characterize QSTM with treatment parameters (targeted force, application angle, rate, direction, motion pattern, time) as a part of post-processing on a PC software (Q-Ware). A human case study was conducted to treat LBP as proof-of-concept for the device's clinical usability.

RESULTS

External validation of treatment parameters reported adequate device precision required for clinical use. The case study findings revealed identifiable therapeutic force-motion patterns within treatments indicating subject's elevated force-endurance with self-reported pain reduction.

CONCLUSION

QSTM metrics may enable study of STM dosing for optimized pain reduction and functional outcomes using documentable manual therapy. Clinical trials will further determine its reliability and comparison to conventional STM.

SIGNIFICANCE

This medical device technology not only advances the state-of-the-art manual therapy with precision rehabilitation but also augments practice with reproducibility to examine neurobiological responses of individualized STM prescriptions for NMSK pathology.

摘要

目的

下背痛（LBP）是全球范围内主要的神经肌肉骨骼（NMSK）问题之一。软组织操作（STM）是一种基于力的非侵入性干预措施，用于临床解决 NMSK 疼痛状况。当前的 STM 实践标准主要是主观的，这表明迫切需要定量指标。本研究旨在开发一种手持式、便携式智能医疗设备，用于跟踪实时分散力-运动，以将手动治疗描述为可量化的软组织操作（QSTM）。

方法

该设备包括两个 3D 负载单元，用于量化压缩和平面剪切力，以及一个 6 自由度 IMU 传感器，用于在扫描和动员身体较大区域的肌筋膜限制时获取自愿适应的治疗运动。这些力-运动通过治疗参数（目标力、应用角度、速度、方向、运动模式、时间）来描述 QSTM，作为 PC 软件（Q-Ware）上的后处理的一部分。进行了一项人体案例研究，以治疗 LBP，作为该设备临床可用性的概念验证。

结果

治疗参数的外部验证报告了临床使用所需的足够设备精度。案例研究结果显示，治疗过程中存在可识别的治疗力-运动模式，表明患者的力耐力提高，并自述疼痛减轻。

结论

QSTM 指标可能使研究 STM 剂量优化疼痛缓解和功能结果成为可能，使用可记录的手动治疗。临床试验将进一步确定其可靠性，并与传统 STM 进行比较。

意义

这项医疗设备技术不仅通过精确康复推进了先进的手动治疗，而且还通过可重复性增强了实践，以检查个体化 STM 处方对 NMSK 病理的神经生物学反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/e3890f11fd4e/nihms-1894258-f0012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/1d8e681e3725/nihms-1894258-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/061a0ec30004/nihms-1894258-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/e4dfd05aac4c/nihms-1894258-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/6ac40fef4812/nihms-1894258-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/4cb5427d36a2/nihms-1894258-f0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/dd8fb9daf580/nihms-1894258-f0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/5a78ece926ee/nihms-1894258-f0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/3b8f85ded828/nihms-1894258-f0008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/96e0596f0946/nihms-1894258-f0009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/061008481e14/nihms-1894258-f0010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/cd37c940a677/nihms-1894258-f0011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/e3890f11fd4e/nihms-1894258-f0012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/1d8e681e3725/nihms-1894258-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/061a0ec30004/nihms-1894258-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/e4dfd05aac4c/nihms-1894258-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/6ac40fef4812/nihms-1894258-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/4cb5427d36a2/nihms-1894258-f0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/dd8fb9daf580/nihms-1894258-f0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/5a78ece926ee/nihms-1894258-f0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/3b8f85ded828/nihms-1894258-f0008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/96e0596f0946/nihms-1894258-f0009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/061008481e14/nihms-1894258-f0010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/cd37c940a677/nihms-1894258-f0011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ba/10173803/e3890f11fd4e/nihms-1894258-f0012.jpg

相似文献

1
A Handheld Quantifiable Soft Tissue Manipulation Device for Tracking Real-Time Dispersive Force-Motion Patterns to Characterize Manual Therapy Treatment.一种手持式可量化软组织操作设备，用于跟踪实时弥散力-运动模式，以描述手法治疗。
IEEE Trans Biomed Eng. 2023 May;70(5):1553-1564. doi: 10.1109/TBME.2022.3222124. Epub 2023 Apr 20.
2
Quantifiable Soft Tissue Manipulation (QSTM™) - A novel modality to improve clinical manual therapy with objective metrics.量化软组织操作（QSTM）——一种用客观指标改善临床手法治疗的新方法。
Annu Int Conf IEEE Eng Med Biol Soc. 2021 Nov;2021:4961-4964. doi: 10.1109/EMBC46164.2021.9629616.
3
Does manual therapy affect functional and biomechanical outcomes of a sit-to-stand task in a population with low back pain? A preliminary analysis.手法治疗是否会影响腰痛人群坐站任务的功能和生物力学结果？初步分析。
Chiropr Man Therap. 2020 Jan 24;28(1):5. doi: 10.1186/s12998-019-0290-7. eCollection 2020.
4
Trial Protocol: Cognitive functional therapy compared with combined manual therapy and motor control exercise for people with non-specific chronic low back pain: protocol for a randomised, controlled trial.试验方案：认知功能疗法对比联合手法治疗和运动控制训练治疗非特异性慢性下腰痛患者的随机对照试验方案
J Physiother. 2018 Jul;64(3):192. doi: 10.1016/j.jphys.2018.02.018. Epub 2018 Jun 11.
5
Forces applied during manual therapy to patients with low back pain.手法治疗过程中施加于腰痛患者的力。
J Manipulative Physiol Ther. 2002 Jul-Aug;25(6):362-9. doi: 10.1067/mmt.2002.126131.
6
Analysis of Postural Stability Following the Application of Myofascial Release Techniques for Low Back Pain-A Randomized-Controlled Trial.肌筋膜松解技术治疗腰痛后姿势稳定性分析：一项随机对照试验。
Int J Environ Res Public Health. 2023 Jan 26;20(3):2198. doi: 10.3390/ijerph20032198.
7
American Osteopathic Association Guidelines for Osteopathic Manipulative Treatment (OMT) for Patients With Low Back Pain.美国整骨疗法协会针对腰痛患者的整骨手法治疗（OMT）指南。
J Am Osteopath Assoc. 2016 Aug 1;116(8):536-49. doi: 10.7556/jaoa.2016.107.
8
Osteopathic Manual Treatment Compared to Kaltenborn-Evjenth Orthopedic Manual Therapy for Chronic Low Back Pain: A Randomized Study.整脊手法治疗与 Kaltenborn-Evjenth 骨科手法治疗慢性下腰痛的随机对照研究。
Altern Ther Health Med. 2023 May;29(4):76-81.
9
Comparative effectiveness of Chuna manual therapy versus conventional usual care for non-acute low back pain: a pilot randomized controlled trial.Chuna 手法治疗与常规常规护理治疗非急性腰痛的疗效比较：一项先导随机对照试验。
Trials. 2019 Apr 15;20(1):216. doi: 10.1186/s13063-019-3302-y.
10
Does targeting manual therapy and/or exercise improve patient outcomes in nonspecific low back pain? A systematic review.针对手法治疗和/或运动是否能改善非特异性下腰痛患者的结局？系统评价。
BMC Med. 2010 Apr 8;8:22. doi: 10.1186/1741-7015-8-22.

引用本文的文献

1
Strain-based biomarkers at the skin surface detect changes in soft tissue mobility linked to myofascial pain following soft tissue manipulation intervention.基于应变的皮肤表面生物标志物可检测软组织操作干预后与肌筋膜疼痛相关的软组织活动度变化。
medRxiv. 2025 Aug 1:2025.07.31.25332529. doi: 10.1101/2025.07.31.25332529.
2
Soft tissue manipulation enhances recovery of muscle mass in a disuse model of sarcopenia.软组织手法治疗可促进肌肉减少症废用模型中肌肉量的恢复。
J Osteopath Med. 2025 Mar 13. doi: 10.1515/jom-2024-0247.
3
Optical Measurements of the Skin Surface to Infer Bilateral Distinctions in Myofascial Tissue Stiffness.

本文引用的文献

1
Quantifiable Soft Tissue Manipulation (QSTM™) - A novel modality to improve clinical manual therapy with objective metrics.量化软组织操作（QSTM）——一种用客观指标改善临床手法治疗的新方法。
Annu Int Conf IEEE Eng Med Biol Soc. 2021 Nov;2021:4961-4964. doi: 10.1109/EMBC46164.2021.9629616.
2
Soft Tissue Manipulation May Attenuate Inflammation, Modulate Pain, and Improve Gait in Conscious Rodents With Induced Low Back Pain.软组织手法可能会减轻炎症、调节疼痛，并改善诱导出下背痛的有意识的啮齿动物的步态。
Mil Med. 2021 Jan 25;186(Suppl 1):506-514. doi: 10.1093/milmed/usaa259.
3
A Hand-Held Device to Apply Instrument-Assisted Soft Tissue Mobilization at Targeted Compression Forces and Stroke Frequencies.
通过皮肤表面光学测量推断肌筋膜组织硬度的双侧差异
World Haptics Conf. 2023 Jul;2023:244-251. doi: 10.1109/whc56415.2023.10224420. Epub 2023 Aug 25.
一种可在目标压缩力和冲程频率下应用器械辅助软组织松动术的手持设备。
J Med Device. 2019 Mar;13(1):0145041-145045. doi: 10.1115/1.4041696. Epub 2018 Dec 4.
4
Robot-assisted mechanical therapy attenuates stroke-induced limb skeletal muscle injury.机器人辅助机械疗法可减轻中风引起的肢体骨骼肌损伤。
FASEB J. 2017 Mar;31(3):927-936. doi: 10.1096/fj.201600437R. Epub 2016 Nov 28.
5
The efficacy of instrument assisted soft tissue mobilization: a systematic review.器械辅助软组织松动术的疗效：一项系统评价。
J Can Chiropr Assoc. 2016 Sep;60(3):200-211.
6
Successful treatment of a guitarist with a finger joint injury using instrument-assisted soft tissue mobilization: a case report.使用器械辅助软组织松动术成功治疗一名患有手指关节损伤的吉他手：病例报告
J Man Manip Ther. 2015 Dec;23(5):246-53. doi: 10.1179/2042618614Y.0000000089.
7
Instrument-assisted soft tissue mobilization: effects on the properties of human plantar flexors.器械辅助软组织松动术：对人体跖屈肌特性的影响。
Int J Sports Med. 2015 Mar;36(3):197-203. doi: 10.1055/s-0034-1384543. Epub 2014 Oct 27.
8
Feasibility of monitoring muscle health in microgravity environments using Myoton technology.使用Myoton技术监测微重力环境下肌肉健康的可行性。
Med Biol Eng Comput. 2015 Jan;53(1):57-66. doi: 10.1007/s11517-014-1211-5. Epub 2014 Oct 21.
9
A mechatronic system for quantitative application and assessment of massage-like actions in small animals.一种机电一体化系统，用于对小动物的按摩样动作进行定量应用和评估。
Ann Biomed Eng. 2014 Jan;42(1):36-49. doi: 10.1007/s10439-013-0886-3. Epub 2013 Aug 14.
10
Graston instrument soft tissue mobilization and home stretching for the management of plantar heel pain: a case series.格拉森技术软组织松动术及家庭伸展训练治疗足跟痛：病例系列
J Manipulative Physiol Ther. 2011 Feb;34(2):138-42. doi: 10.1016/j.jmpt.2010.12.003.