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斜向牵引手法对骶髂关节位移和韧带应变的影响：有限元分析。

Manipulations of Oblique Pulling Affect Sacroiliac Joint Displacements and Ligament Strains: A Finite Element Analysis.

机构信息

Department of Spine Surgery, The First Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang 421000, Hunan Province, China.

School of Traditional Chinese Medicine, Southern Medical University, No. 1838, Guangzhou Avenue North, Baiyun District, Guangzhou 510515, Guangdong Province, China.

出版信息

J Healthc Eng. 2023 Jan 3;2023:2840421. doi: 10.1155/2023/2840421. eCollection 2023.

DOI:10.1155/2023/2840421
PMID:36636670
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9831713/
Abstract

OBJECTIVE

Clinical studies have found that manipulation of oblique pulling has a good clinical effect on sacroiliac joint pain. However, there is no uniform standard for manipulation of oblique pulling at present. The purpose of this study was to investigate the effects of four manipulations of oblique pulling on sacroiliac joint and surrounding ligaments.

METHODS

A three-dimensional finite element model of the pelvis was established. Four manipulations of oblique pulling were simulated. The stresses and displacements of sacroiliac joint and the strains of surrounding ligaments were analyzed under four manipulations of oblique pulling.

RESULTS

Manipulation of oblique pulling F2 and F3 caused the highest and lowest stress on the pelvis, at 85.0 and 52.6 MPa, respectively. Manipulation of oblique pulling F3 and F1 produced the highest and lowest stress on the left sacroiliac joint, at 6.6 and 5.6 MPa, respectively. The four manipulations of oblique pulling mainly produced anterior-posterior displacement. The maximum value was 1.21 mm, produced by manipulation of oblique pulling F2, while the minimal value was 0.96 mm, produced by manipulation of oblique pulling F3. The four manipulations of oblique pulling could all cause different degrees of ligament strain, and manipulation of oblique pulling F2 produced the greatest ligament strain.

CONCLUSIONS

The four manipulations of oblique pulling all produced small displacements of sacroiliac joint. However, they produced different degrees of ligament strain. Manipulation of oblique pulling F2 produced the largest displacement of sacroiliac joint and the greatest ligament strain, which could provide a certain reference for physiotherapists.

摘要

目的

临床研究发现，斜扳法对骶髂关节疼痛具有良好的临床疗效。然而，目前斜扳法的操作尚无统一标准。本研究旨在探讨 4 种斜扳法对骶髂关节及其周围韧带的影响。

方法

建立骨盆三维有限元模型。模拟 4 种斜扳法。分析 4 种斜扳法对骶髂关节及周围韧带的应力和位移。

结果

斜扳法 F2 和 F3 对骨盆的应力最高，分别为 85.0 和 52.6 MPa；斜扳法 F3 和 F1 对左侧骶髂关节的应力最高，分别为 6.6 和 5.6 MPa。4 种斜扳法主要产生前后位移，最大位移为 1.21mm，由斜扳法 F2 产生，最小位移为 0.96mm，由斜扳法 F3 产生。4 种斜扳法均可引起不同程度的韧带应变，斜扳法 F2 产生的韧带应变最大。

结论

4 种斜扳法均使骶髂关节产生小位移，但产生不同程度的韧带应变。斜扳法 F2 使骶髂关节产生最大位移和最大韧带应变，可为物理治疗师提供一定参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6dc/9831713/c11711a6cc25/JHE2023-2840421.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6dc/9831713/735ccd1085a7/JHE2023-2840421.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6dc/9831713/a9d8e42887d9/JHE2023-2840421.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6dc/9831713/efc0bd71171f/JHE2023-2840421.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6dc/9831713/50283a256434/JHE2023-2840421.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6dc/9831713/89499e62b7b3/JHE2023-2840421.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6dc/9831713/45ba00efdfac/JHE2023-2840421.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6dc/9831713/39f08787b62d/JHE2023-2840421.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6dc/9831713/c11711a6cc25/JHE2023-2840421.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6dc/9831713/735ccd1085a7/JHE2023-2840421.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6dc/9831713/a9d8e42887d9/JHE2023-2840421.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6dc/9831713/efc0bd71171f/JHE2023-2840421.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6dc/9831713/50283a256434/JHE2023-2840421.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6dc/9831713/89499e62b7b3/JHE2023-2840421.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6dc/9831713/45ba00efdfac/JHE2023-2840421.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6dc/9831713/39f08787b62d/JHE2023-2840421.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6dc/9831713/c11711a6cc25/JHE2023-2840421.008.jpg

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