A finite element study of traditional Chinese cervical manipulation.
Eur Spine J
; 26(9): 2308-2317, 2017 09.
Article
en En
| MEDLINE
| ID: mdl-28660372
ABSTRACT
PURPOSE:
Traditional Chinese cervical manipulation (TCCM) has been claimed as an effective treatment for diseases of the cervical spine, but its biomechanical effects on the vertebral body and intervertebral discs remain unclear. The aim of this study was to develop and validate a detailed finite element model of cervical spine, which was then used to investigate the biomechanical response of the cervical spine to TCCM.METHODS:
The model of a C2-T1 cervical spine was constructed based on CT images of a healthy male volunteer and validated against published in vitro studies under different loading conditions. The detailed force-time data of TCCM were measured on the same volunteer through dynamometric diaphragms. The data were applied on the validated finite element model to simulate TCCM.RESULTS:
The current model could offer potentials to effectively reflect the behavior of human cervical spine suitable for biomechanics studies of TCCM. Under simulated TCCM condition, the stress distributions in cervical spine and intervertebral discs could not be completely explained through the traditional theory.CONCLUSION:
Spinal manipulation, or TCCM, might play no role in reducing intradiscal pressure for treating cervical spondylosis. It could cause less stress concentration in intervertebral discs while operating spinal manipulation or TCCM when the adjustment points was chosen near the root of spinous process than the top of spinous process.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Medicinas Tradicionales:
Medicinas_tradicionales_de_asia
/
Medicina_china
Asunto principal:
Vértebras Cervicales
/
Manipulación Espinal
/
Disco Intervertebral
/
Manipulación Ortopédica
/
Medicina Tradicional China
Tipo de estudio:
Diagnostic_studies
Idioma:
En
Revista:
Eur Spine J
Año:
2017
Tipo del documento:
Article
País de afiliación:
China