摘要
目的:观察急性颈痛患者有明显压痛及无压痛部位的力-位移曲线,探索软组织张力测试诊断颈痛的生物力学指标及其方法。方法:采用自制软组织张力测试系统,观察急性颈痛患者自身压痛点及无压痛点的力-位移曲线,分上颈椎、下颈椎及颈肩背部等三部位,对生物力学指标按照“压痛点”、“无痛点”配对比较。结果:在α=0.05水平,上颈椎压痛点与无痛点的所有指标均无统计学差异,下颈椎压痛点的D0.5Kg显著低于对应无痛点,颈肩背部的压痛点只有斜率显著高于无痛点,其余指标则无显著性差异。结论:局部软组织张力测试能将急性颈痛患者的压痛点与无痛点区分开,但是,应根据具体部位采用敏感生物力学指标左右配对比较。
Objective： To observe the stress-strain curve of local soft tissue between tenderness and normal point in subjects with acute neck pain, and further to explore the newly diagnostic indexes and method named biomechanical measurement of tension IBMT）. Methods：The tenderness of normal points in subjects with acute neck pain were firstly diagnosed with current diagnostic method, secondly were measured with tonic measurement system of local soft tissue, then whose stress-strain curves were analysized to find proper indexes reflexing the difference. Results： At the level of 0.05, there was no significant difference of D0.5Kg, S and k between tenderness and normal point at the upper cervical column, but D0.5Kg of tenderness at the lower cervical column was significantly inferior to that of normal point. Besides, the k index of tenderness was significantly superior to that of normal point at the conjunction between neck and shoulder.Conclusions：The tenderness and normal point in subjects with acute neck pain can be accurately distinguished with the appropriate index, which were bilaterally compared each other.
出处
《中国中医骨伤科杂志》
CAS
2006年第2期18-20,共3页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
软组织
张力
诊断
疼痛
颈部
Soft tissue Tension Diagnosis Pain and neck
