| Study backgroundExternal humeral epicondylitis is a typical orthopedic disease of the elbow joint.With the increasing of urban pressure and work intensity,the number of patients with tennis elbow increases year by year.If the patients with external humeral epicondylitis are not treated in time,they are easy to form intractable pain of elbow joint,which brings inconvenience to normal life.External humerus epicondylitis is a kind of "Zhoubi" disease in traditional Chinese medicine.Richard Jin Palace Bachuorounian Manipulation is a characteristic technique in the treatment of external humerus epicondylitis.The treatment of external humeral epicondylitis with traditional Chinese medicine massage has a significant effect.The treatment of external humeral epicondylitis with traditional Chinese medicine massage is the characteristic treatment of tennis elbow often used by professor Sun Shuchun,Gimmick massage is an important part of Chinese traditional fractures,is a more complicated medical operation technology,the current technique of inheritance model with architect Shi DaiTu and KouChuanXinShou is given priority to,beginners face manipulation controllability and systematicness of grasp,who taught in the description of the methods operation essentials,remains in a "uniform,durable,soft,strong,penetration" abstract description such as stage,the phenomenon leads to beginners master the technique essentials is not complete,the learning efficiency is low,it also indirectly affect the style of traditional Chinese medicine massage therapy effect,so we must make a new innovative technique main points of operation and inheriting method,We should make full use of the advantages brought by the development of modern science and technology to the study of technique,establish a new teaching mode of advanced and intuitive techniques,improve the learning method of traditional Chinese medicine techniques,and establish standardized and objective technical assessment indexes.Corresponding biological mechanics and kinematics in this study as the main research method,developed by using special equipment to capture stamp pull rolling technique of dynamic operation steps,poke rolling technique to extract the standard drawing key operation parameters,statistics and analysis and find out the key factors influencing the manipulation system and matters needing attention,summed up the scientific and reasonable technique of the whole process of operation,promotion and technique for clinical teaching assessment to provide scientific,objective and strong theoretical basis for promoting technique heritage of traditional Chinese medicine by the architect Shi Dai Tu and KouChuanXinShou teaching model towards a specific objective data controlled phase,The new teaching and assessment mode of the method of pulling and kneading of court rules and tendons is promoted to promote the better inheritance and development of traditional Chinese medicine techniques.Study objective1.The biomechanics and kinematics parameters of the manipulation of the Bachuorounian Manipulation were extracted and analyzed quantitatively.2.This paper discusses the factors that may affect the manipulation parameters in the Bachuorounian Manipulation3.Record 3D electronic pictures and videos of human body,summarize the operation characteristics of the Bachuorounian ManipulationStudy content60 patients with external humeral epicondylitis and no manipulation contraindications were collected,and parameters of influencing factors(height,weight,body mass index,elbow circumference,disease course,local tenderness value)of individual characteristics were collected.Through dynamic capture system and biological dynamics data acquisition equipment manage to court muscle pull stamp occurring in the process of rolling the Bachuorounian manipulation kinematics parameters(the patient's elbow Angle)and biomechanical parameters(technique applied to each stage performer thumb size)patients outside epicondyle of the humerus forces,to extract the parameters value and use of statistical office software rendering technique of quantitative parameters-time plot,narrative in the form of intuitive operating characteristics,at the same time using Pearson correlation methods to analyze the correlation between quantitative parameters characteristics,summed up the technique of the system operating characteristics and the quantitative parameter,At the same time,multiple linear regression analysis was carried out between the influencing factors of individual characteristics of patients and the quantitative parameters extracted from the operation process,and the possible influencing factors of the manipulation were discussed,so as to obtain the systematic quantitative research results of the manipulation.Study result1 The standardized outcome of the Bachuorounian manipulation indicatorsthe Bachuorounian manipulation is compound manipulation,according to the different operation methods in each stage of the manipulation,the manipulation is divided into four stages:back-rotation phase,buckling phase,pre-rotation phase,and stretching phase.This study quantified the kinetic and kinematic parameters produced at each stage,as well as the operation time at each stage of the manipulation.1.1 The standardized outcome of the Bachuorounian manipulation biomechanics indicatorsThe kinetic parameters are shown as follows:the preloading force applied at the beginning of the manipulation is about 17.64N,the rolling force back-rotation is about 31.91N,the buckling bending drawing force is about 36.39N,the rolling force pre-rotation is about 30.15N,and the stretch drawing and thrusting force is about 38.26N.1.2 The standardized outcome of the Bachuorounian manipulation kinematics indicatorsThe kinematic parameters are as follows:elbow joint back-rotation angle is about 49.86°,elbow joint buckling angle is about 78.47°,elbow joint pre-rotation angle is about 50.13°,elbow joint stretch extension angle is about 89.21°.1.3 The standardized outcome of the Bachuorounian manipulation timeIn this study,it was found that in the process of the Richard Jin Palace Bachuorounian manipulation,patients with back-rotation had 6 times of that phase,and the time of that one was about 2.79s.Patients with buckling phase had three elbow flexion operations,and the time of one buckle was about 2.63s.Patients with pre-rotation had 6 times of that phase,and the time of one time was about 2.59s.The patient's elbow joint was streatch once,which took about 1.67s,and the total time of this manipulation was about 41.53s.2 The related of the Manipulate operation standardized parameter2.1 There is a significant positive correlation between the back-rotation rolling force and the late buckling presswork force,pre-rotation preswork force and stretch presswork force.2.2 There is a significant positive correlation between the force of buckling and pre-rotation's rolling.2.3 There was any positive correlation between the angle of the buckling elbow joint and the angle of the stretching2.4 There is a significant negative correlation between the force of preloading and the angle of back-rotation phase.3 The correlation between patients's personal influnencing factors and standardized parameter of manipulation operation.3.1 There is a significant correlation between patients's weight and the force of buckling phase after Multiple linear regression analysis.3.2 The influencing factors of the stretching force were the patient's body weight,body mass index and the local tenderness value.3.3 There is a significant correlation between the elbow angle of back-rotation phases and elbow circumference.3.4 There are all have a significant negative correlation between the elbow angle of back-rotation or pre-rotation and direase course.Study conclusion? This is the first study to systematically bachuorounian manipulation can be divided into periodic operation process,and to extract the manipulation of key indicators to quantify parameter measurement,the technique of dynamic quantitative parameters:the preloading force is about 17.64 N,rotary rolling operation after 6 times and forces is about 31.91 N,buckling operation three times,pull force is about 36.39 N,the former rotary rolling for 6 times,force is about 30.15 N,the stretched to poke press 1 time,pull force is about 38.26 N;Quantization parameters of key indexes of elbow joint kinematics in the manipulative process:the rotation Angle is about 49.86°,the flexion Angle is about 78.47°,the rotation Angle is about 50.13°,and the extension Angle is about 89.21°.The system concluded that the total operation time of this technique was about 41.53s.The parameter-time curve is adopted to directly describe the operation characteristic of hand manipulation,which is uniform,lasting and powerful.The 3D dynamic electronic pictures and videos of the manipulation teaching are made by dynamic capture technology,and a complete system of the manipulation examination index is established and modern technique inherits the teaching method.? This study further analyzed the correlation between the quantization parameters of the key indexes of bachuorounian manipulation,and concluded that there was a positive correlation between the presswork force and the later flexural presswork force,presswork force,and presswork force,as well as a positive correlation between the presswork force and presswork force.There was a certain correlation between the flexion phase and the straight phase Angle of the elbow joint,and there was a positive correlation between the amount of the preloading force of the elbow joint and the elbow joint activity during the back rolling at the beginning of the elbow joint,Improve the integrity of Chinese medicine treatment.?This study analyzes the influencing factors the manipulation of patients to individual,the results showed that patients with the size and weight of performer buckling force size pull a significant positive correlation,the influence factors of performer and stamp pull force size for the patient's body weight,body mass index,lateral elbow pressure value,screw diameter size and patients with elbow Angle weeks after patients there is a positive correlation,patients with Angle of elbow pronation and supination Angle size course has significant negative correlation with the patient,It provides a theoretical basis for TCM manipulation treatment based on syndrome differentiation and holistic concept. |
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