中国组织工程研究

中国组织工程研究 ›› 2026, Vol. 30 ›› Issue (23): 6081-6091.doi: 10.12307/2026.376

• 脊柱组织构建 spinal tissue construction • 上一篇    下一篇

脊柱定点旋转复位法治疗颈椎病：运动学的特征变化

顾江鹏1，2，郭  伟1，2，陈许晶2，刘晓民3，刘洪波1，孙  鹏4，叶超群5，冯  伟1，王  飞1，2   

  1. 空军特色医学中心，1中西医结合正骨科，4医学影像科，5康复医学科,北京市   100142；2安徽医科大学第五临床学院，安徽省合肥市   230032；3北京工业大学电子信息与控制工程学院，北京市   100024 
  • 收稿日期:2025-06-30 接受日期:2025-09-16 出版日期:2026-08-18 发布日期:2026-01-04
  • 通讯作者: 王飞，博士，副主任医师，硕士生导师，空军特色医学中心中西医结合正骨科，北京市 100142；安徽医科大学第五临床学院，安徽省合肥市 230032
  • 作者简介:顾江鹏，男，1999年生，江苏省盐城市人，汉族，安徽医科大学在读硕士，主要从事中西医结合治疗软组织损伤研究。
  • 基金资助:
    中央军委后勤科研重点项目(BKJ20J004)，分课题负责人：王飞；中央军委后勤科研重点项目(BKJ23WS1J003)，项目负责人：叶超群；空军特色医学中心科技助推项目(2022ZTYB32)，项目负责人：王飞

Feng’s spinal manipulation for cervical spondylosis: kinematic changes

Gu Jiangpeng1, 2, Guo Wei1, 2, Chen Xujing2, Liu Xiaomin3, Liu Hongbo1, Sun Peng4, Ye Chaoqun5, Feng Wei1, Wang Fei1, 2   

  1. 1Department of Orthopedics of Integrated Traditional Chinese and Western Medicine, 4Department of Radiology, 5Department of Rehabilitation, Air Force Medical Center of PLA, Beijing 100142, China; 2Fifth Clinical Medical College of Anhui Medical University, Hefei 230032, Anhui Province, China; 3School of Electronic Information and Control Engineering, Beijing University of Technology, Beijing 100024, China 
  • Received:2025-06-30 Accepted:2025-09-16 Online:2026-08-18 Published:2026-01-04
  • Contact: Wang Fei, MD, Associate chief physician, Master’s supervisor, Department of Orthopedics of Integrated Traditional Chinese and Western Medicine, Air Force Medical Center of PLA, Beijing 100142, China; Fifth Clinical Medical College of Anhui Medical University, Hefei 230032, Anhui Province, China
  • About author:Gu Jiangpeng, MS candidate, Department of Orthopedics of Integrated Traditional Chinese and Western Medicine, Air Force Medical Center of PLA, Beijing 100142, China; Fifth Clinical Medical College of Anhui Medical University, Hefei 230032, Anhui Province, China
  • Supported by:
    the Key Research Project of the Central Military Commission Logistics Department, No. BKJ20J004 (to WF); the Key Research Project of the Central Military Commission Logistics Department, No. BKJ23WS1J003(to YCQ); the Science and Technology Boosting Project of Air Force Medical Center of PLA, No. 2022ZTYB32 (to WF)

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摘要：



文题释义：
颈椎耦合运动：是指颈椎在三维空间中进行前屈后伸、侧屈和旋转时，各运动节段产生的协调、共轭的运动模式。这种运动并非单一平面的独立活动，而是多个自由度之间精密的生物力学联动，确保颈椎在维持稳定性的同时实现灵活运动。耦合运动的异常往往是颈椎疾病的重要生物力学特征，对其深入研究有助于理解颈椎病理机制并指导临床治疗。
光学三维运动捕捉系统：是通过多目高速摄像阵列，实时追踪反光标记点空间坐标的精密测量技术，以其高精度将复杂人体运动、机械动态等连续动作转化为数字化三维轨迹，突破传统观测维度限制，为生物力学研究、运动康复评估等领域提供可视化、定量化的动态分析基准。

背景：由于颈椎结构的退行性改变和力学失衡，颈椎病患者常表现出不同的颈椎运动学异常。已有研究探讨了健康个体与颈椎病患者在部分运动学参数上的差异，但对耦合运动及耦合运动比例却少有研究。
目的：探讨脊柱(定点)旋转复位法治疗颈椎病患者前后运动学特征指标变化。
方法：纳入颈椎病患者及健康受试者各30名，令其做左右侧屈、前屈后伸和左右旋转3个运动，采用立体视觉成像技术捕捉健康受试者及患者入院和出院时颈椎三维运动轨迹，分析各自的主运动范围、耦合运动范围、耦合运动模式、运动对称度、运动平滑度和运动速度等指标。比较健康受试者和颈椎病患者、颈椎病患者治疗前后的运动学差异。
结果与结论：①颈椎病患者颈椎左右侧屈、前屈后伸、左右旋转极限角较健康受试者显著降低(P < 0.05)，左右侧屈耦合屈伸比率、左右侧屈耦合旋转比率、后伸耦合侧屈比率、左右旋耦合侧屈比率较健康受试者显著增加(P < 0.05)。②颈椎病患者治疗后疼痛目测类比评分和颈椎功能障碍指数均较治疗前显著改善(P < 0.05)，颈椎左右侧屈极限角、侧屈对称度、左右侧屈速度最大值和平均值、前屈后伸极限角、前屈后伸速度最大值和平均值、左右旋转极限角、旋转对称度、左右旋转速度最大值、左旋转速度平均值治疗前后差异有显著性意义(P < 0.05)，治疗前后耦合运动模式差异无显著性意义(P > 0.05)，治疗前后右侧屈耦合屈伸比率、左右侧屈耦合旋转比率、右旋转耦合屈伸比率、左右旋转耦合侧屈比率差异有显著性意义(P < 0.05)。③颈椎病患者部分耦合运动占主运动的比率较健康受试者增加，脊柱(定点)旋转复位法能够显著改善患者的临床症状，并且能够有效恢复颈椎的运动功能。
https://orcid.org/0009-0008-2327-1205 (顾江鹏)；https://orcid.org/0000-0002-6918-3779 (王飞)


中国组织工程研究杂志出版内容重点：干细胞；骨髓干细胞；造血干细胞；脂肪干细胞；肿瘤干细胞；胚胎干细胞；脐带脐血干细胞；干细胞诱导；干细胞分化；组织工程

关键词: 颈椎病, 运动学, 运动范围, 耦合运动, 三维运动捕捉, 运动曲线

Abstract: BACKGROUND: Patients with cervical spondylosis often exhibit varying kinematic abnormalities due to degenerative structural changes and biomechanical imbalances in the cervical spine. Although previous studies have compared specific kinematic parameters between healthy individuals and cervical spondylosis patients, research on coupled motions and their associated ratios remains limited.
OBJECTIVE: To investigate changes in kinematic parameters in cervical spondylosis patients before and after Feng’s spinal manipulation therapy.
METHODS: Thirty patients with cervical spondylosis and 30 healthy controls were enrolled. Participants completed three standardized motion tasks: lateral flexion, flexion-extension, and axial rotation. Three-dimensional cervical spine kinematics were quantified using stereophotogrammetry upon admission and discharge. The following kinematic parameters were analyzed: primary range of motion, coupled range of motion, coupling patterns, movement symmetry, motion smoothness, and angular velocity. Comparative analyses were conducted between healthy controls and cervical spondylosis patients as well as between pre- and post-treatment kinematic changes in patients.
RESULTS AND CONCLUSION: (1) Patients with cervical spondylosis exhibited significantly reduced maximal angular displacement compared with healthy controls during lateral flexion, flexion-extension, and axial rotation of the cervical spine (P < 0.05). Conversely, significant increases were observed in the following coupling ratios: flexion-extension during bending, axial rotation during bending, bending during extension, and bending during rotation (P < 0.05). (2) There were significant improvements in cervical spondylosis patients after treatment, with notable reductions in both Visual Analog Scale and Neck Disability Index scores (P < 0.05). Significant differences were also observed in kinematic parameters: maximal angular displacement during bending, bending symmetry, peak and mean bending velocities, maximal flexion-extension angle, peak and mean flexion-extension velocities, maximal axial rotation angles, rotational symmetry, peak rotational velocities, and mean left rotation velocity (P < 0.05). However, no significant differences were detected in coupling movement patterns (P > 0.05). Additionally, the axial rotation coupling ratio during bending, flexion-extension coupling ratio during right bending, bending coupling ratio during rotation and flexion-extension coupling ratio during right rotation showed significant post-treatment changes (P < 0.05). (3) Compared with healthy controls, patients with cervical spondylosis exhibited significantly higher coupling-to-primary motion ratios. Feng’s spinal manipulation not only markedly alleviated clinical symptoms but also effectively restored cervical spine mobility.


Key words: cervical spondylosis, kinematics, range of motion, coupled motion, three-dimensional motion capture, motion trajectory

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