School of Acupuncture-Moxibustion and Tuina, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
XiangYa BoAi Rehabilitation Hospital, Changsha, Hunan, China.
Technol Health Care. 2023;31(S1):35-44. doi: 10.3233/THC-236004.
In the present scenario, there is no unified measurement standard for the five basic requirements of the Tuina manipulation, such as "lasting, uniform, gentle, powerful and penetrating", and the descriptions that are solely based on the words are difficult to interpret. As a result, a quantitative study of the Tuina manipulation can aid in the development of a unified standard for Tuina manipulation, thereby assisting the transmission and advancement of the Tuina science.
Using the Tuina manipulation data gloves and data collection system, and taking Ding's rolling manipulation as the research object, the present study explored the necessity and significance of quantitative research on the inheritance and development of traditional Tuina manipulation.
Using the Tuina experts as the research object, the manipulation characteristics and parameter signs of Ding's rolling manipulation were collected and analyzed by employing the "Tuina manipulation data gloves and data collecting system".
⟀ The force waveforms, peaks and minima of each detection point altered regularly, and the force values of the front and back pendulum waveforms varied significantly with small differences in the waveform height. ⟁ The Tuina force values of the experts were concentrated in 0.70-0.85 kg, the frequency was concentrated at 120-160 times/min, and the period was about 0.4 s. ⟂ The peak, minimum, and mean of the ai1 channel was greater than ai4, all of which were statistically significant (P< 0.05). The ai6 peak, minimum, and mean were greater than ai3 and statistically significant (P< 0.05). The ai2 peak was greater than ai5, which was not statistically significant (P> 0.05). The ai2 minimum was greater than ai5, and the ai2 mean was less than ai5, all of which were statistically significant (P< 0.05).
It was found that the objectification studies of the experts performing Tuina practices should be based on real clinical process. Furthermore, the results of the quantitative study can present the quantitative characteristics of the expert's parameters, as well as the details of the manipulation process. Thus, the quantitative study of the parameters is of great significance in the transmission and development of the expert's manipulation.
目前，推拿手法的“持久、均匀、柔和、有力、深透”五项基本要求没有统一的计量标准，单纯依靠文字描述难以解读，因此，对推拿手法进行定量化研究有助于推拿手法标准化的建立，从而促进推拿学科的传承与发展。
以丁氏滚法为研究对象，使用推拿手法数据手套及数据采集系统，探讨对传统推拿手法进行定量化研究的必要性及意义。
以推拿专家为研究对象，采用“推拿手法数据手套及数据采集系统”采集和分析丁氏滚法的操作特征和参数标志。
⟀各检测点的力的波形、波峰和波谷有规律地变化，前摆和后摆的力值差别较大，波高差异小。��专家的推拿力值集中在 0.70～0.85 kg，频率集中在 120～160 次/min，周期约为 0.4 s。⟂ai1 通道的波峰、波谷和均值均大于 ai4，差异均有统计学意义（P<0.05）。ai6 的波峰、波谷和均值均大于 ai3，差异均有统计学意义（P<0.05）。ai2 的波峰大于 ai5，但差异无统计学意义（P>0.05）。ai2 的波谷大于 ai5，ai2 的均值小于 ai5，差异均有统计学意义（P<0.05）。
专家进行推拿手法操作的客观化研究，应基于真实的临床过程，定量研究的结果能呈现专家参数的量化特征和手法操作细节，对专家手法的传承与发展具有重要意义。
