有限元分析在手法治疗腰椎间盘突出症中的研究进展
Research Progress on Finite Element Analysis in Manual Therapy Treating Lumbar Disc Herniation
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摘要: 介绍了有限元分析方法在脊柱生物力学研究中的概况,并论述了其在腰椎建模和中医手法治疗腰椎间盘突出症中的应用情况,认为虽然有限元分析在精确模拟患者腰椎的实际状况时尚有一定的局限性,但其在研究脊柱推拿方面,可以很好地模拟各种腰部推拿手法的状态,给手法的研究注入了新的活力。
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[1] Atlas SJ, Delitto A.Spinal stenosis:Surgical versus nonsurgical treatment[J].Clin Orthop Relat Res,2006,443:198-207. [2] 李万林,黄靖宇.踩跷治疗腰椎间盘突出症100例[J]. 中国中医药,2010,8(4):39-40. [3] Li WL, Huang JY. 100 cases of stepping lumnus treating lumbar disc herniation[J]. Chin Med Modern Dist Educ Chin, 2010,8(4):39-40. [4] 罗建,丰芬,罗才贵,等.螺旋CT三维重建踩跷力学参数对腰椎椎间孔及椎管内切圆面积的影响[J].中国组织工程研究与临床康复,2008,12(30):5837-5840. [5] Luo J, Feng F, Luo CG, et al. Influence of stepping lumbus mechanical parameters on intervertebral foramen of lumbar vertebra and vertebral canal inner tangent circle area:Evaluation of spiral CT reconstruction[J]. J Clin Rehab Tissue Engineering Res, 2008,12(30):5837-5840. [6] 蓝岚,罗建,罗才贵,等.踩跷法治疗腰椎间盘突出症临床应用概况[J].中医药学报,2009,37(2):49-50. [7] Lan L, Luo J, Luo CG, et al. Summary on the clinical application of stepping lumbus therapy to treating lumbar disc herniation[J]. Acta Chin Med Pharm, 2009,37(2):49-50. [8] 李义凯,查和萍,钟世镇.脊柱推拿基础研究的新思路:计算机模拟与可视化技术[J].中国康复医学杂志,2003,18(7):431-432. [9] Li YK, Zha HP, Zhong SZ. New ideas of basic research on spinal Tuina therapy: Computer simulation and visualization[J]. Chin J Rehab Med, 2003,18(7):431-432. [10] 徐海涛,张美超,徐达传,等.三种前屈角度下坐位旋转手法对腰椎间盘作用的有限元分析[J].中国疗养医学,2008,17(2):65-67. [11] Xu HT, Zhang MC, Xu DC, et al. Analysis of effect on lumbar disc of rotation manipulation in three ante flexed levels by finite element[J]. Chin J Convalescent Med, 2008,17(2):65-67. [12] Belytschko TB,Andriacchi TP,Schuhz AB,et al.Analog studies of forces in human spine: Computational techniques[J].J Biomech,1973,6(4):361-371. [13] 胡勇,谢辉,杨述华.三维有限元分析在脊柱生物力学中应用研究[J].医用生物力学.2006,21(3):246-247. [14] Hu Y, Xie H, Yang SH. Utilization of three-dimensional finite element method in spinal biomechanics[J]. J Med Biomech, 2006,21(3):246-47. [15] Nie WZ,Ye M,Liu ZD,et al.The patient-specific brace design and biomechanical analysis of adolescent idiopathic scoliosis[J].Biomech Eng,2009,131(4):41-47 [16] 彭春政,张胜年,陆爱云.人体躯干骨骼-肌肉-韧带结构三维有限元模型的建立和验证[J].中国运动医学杂志,2010,29(6):702-705. [17] Peng CZ, Zhang SN, Lu AY. Development and validation of 3D finite element model of human trunk[J]. Chin J Sports Med, 2010,29(6):702-705. [18] 〖JP3〗Tropiano P,Thollon L,Amoux PJ,et al.Using a finite element model to evaluate human injuries application to the humos model in whip lash situation[J].Spine,2004,29(16):1709-1716.〖JP〗 [19] Yoganadan N,Kumaresan S,Voo L,et al.Finite element applications in human cervical spine modeling[J].Spine,1996,21(15):1824-1834. [20] 谭军,万卫平,王明鹏,等.三维有限元分析正常人腰椎椎体的应力分布[J].第二军医大学学报,1997,18(6):566-568. [21] 〖JP3〗Tan J, Wan WP, Wang MP, et al. Evaluation of stress distribution analysis of lumbar vertebral body by 3D finite element analysis[J]. Acad J 2nd Millt Med Univ, 1997,18(6):566-568.〖JP〗 [22] 鲍春雨,刘晋浩.人体脊柱腰椎节段三维有限元建模[J].中国科技论文在线,2008,3(8):598-601. [23] 〖JP3〗Bao CY, Liu JH. Three-dimensional finite element modeling of human body lumbar[J]. Sciencepaper Online, 2008,3(8):598-601.〖JP〗 [24] 付裕,阮狄克,霍洪军,等.基于CT扫描CAD技术建立下腰椎三维有限元模型[J].中国组织工程研究与临床康复,2011,15(9):1557-1561. [25] Fu Y, Ruan DK, Huo HJ, et al. Construction of a three-dimensional finite element model of lower lumbar spine based on computed tomography images and computer aided design[J]. J Clin Rehab Tissue Engineering Res, 2011,15(9):1557-1561. [26] 叶淦湖,张美超,李义凯.模拟推拿时腰椎小关节有限元模型的生物力学分析[J].广州中医药大学学报,2003,20(3):195-197. [27] Ye JH, Zhang MC, Li YK. Biomechanical analysis of finite element model of lumbar facet joint during manipulation[J]. J Guangzhou Univ Tradit Chin Med, 2003,20(3):195-197. [28] Zander T,Rohlmann A,Burra NK,et al.Estimation of muscle forces in the lumbar spine during upper-body inclination[J].Clin Biomech,2001,16(1):73-80. [29] Li C, Guilak F, Lori AS. Pericellular matrix mechanics in the anulus fibrosus predicted by a three-dimensional finite element model and in situ morphology[J].Cell Mol Bioeng, 2009,2(3):306-319. [30] Kato Y, Kanchiku T, Imajo Y, et al.Flexion model simulating spinal cord injury without radiographic abnormality in patients with ossification of the longitudinal ligament: The influence of flexion speed on the cervical spine[J]. Spinal Cord Med,2009,32(5):555-559. [31] 李延红,张晓刚,李具宝,等.腰椎拔伸手法三维有限元模型分析[J].浙江中医杂志,2010,45(12):879-880. [32] Li YH, Zhang XG, Li JB, et al. Three-dimensional finite element analysis of lumbar pulling and stretching manipulation[J]. Zhejiang J Tradit Chin Med, 2010,45(12):879-880. [33] 徐海涛,徐传达,李义凯.坐位旋转手法时退变腰椎间盘内在应力和位移的有限元分析[J].中国康复医学杂志,2007,22(9):769-771. [34] Xu HT, Xu DC, Li YK. Analyses of intra-stress and displacement of degenerate lumbar disc during simulating rotatory manipulation by finite element[J]. Chin J Rehab Med, 2007,22(9):769-771. [35] 杨学锋,李具宝,李延红,等.模拟按压手法腰椎运动节段三维有限元模型分析[J].中国中医骨伤科杂志,2009,17(10):18-19. [36] Yang XF, Li JB, Li YH, et al. A Three-dimensional finite element model for simulating pressing manipulation on lumbar vertebrae[J]. Chin J Tradit Med Traumatol & Orthoped, 2009,17(10):18-19. [37] 张晓刚,董建华,杨学峰,等.三维有限元腰椎节段模型上模拟拔伸按压手法的生物力学分析[J].中国组织工程研究与临床康复,2010,14(22):4000-4004. [38] Zhang XG, Dong JH, Yang XF, et al. Biomechanical analysis of simulating pulling, extension and compression on the three-dimensional finite element model of lumbar segments[J]. J Clin Rehab Tissue Engineering Res, 2010,14(22):4000-4004.
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