Comparison of biomechanical parameters of two Chinese cervical spine rotation manipulations based on motion capture and finite element analysis

Objective: The purpose of this study was to obtain the stress-strain of the cervical spine structure during the simulated manipulation of the oblique pulling manipulation and the cervical rotation-traction manipulation in order to compare the mechanical mechanism of the two manipulations.Methods: A...

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Main Authors: Dongxin Lin, Zaopeng He, Rui Weng, Yuhua Zhu, Zhiwei Lin, Yuping Deng, Yang Yang, Jinchuan Tan, Mian Wang, Yanbin Li, Gang Huang, Guanghao Yu, Daozhang Cai, Xuecheng Huang, Wenhua Huang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Bioengineering and Biotechnology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fbioe.2023.1195583/full
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author Dongxin Lin
Zaopeng He
Zaopeng He
Zaopeng He
Rui Weng
Rui Weng
Yuhua Zhu
Zhiwei Lin
Zhiwei Lin
Yuping Deng
Yuping Deng
Yang Yang
Jinchuan Tan
Mian Wang
Yanbin Li
Gang Huang
Guanghao Yu
Daozhang Cai
Daozhang Cai
Daozhang Cai
Xuecheng Huang
Wenhua Huang
author_facet Dongxin Lin
Zaopeng He
Zaopeng He
Zaopeng He
Rui Weng
Rui Weng
Yuhua Zhu
Zhiwei Lin
Zhiwei Lin
Yuping Deng
Yuping Deng
Yang Yang
Jinchuan Tan
Mian Wang
Yanbin Li
Gang Huang
Guanghao Yu
Daozhang Cai
Daozhang Cai
Daozhang Cai
Xuecheng Huang
Wenhua Huang
author_sort Dongxin Lin
collection DOAJ
description Objective: The purpose of this study was to obtain the stress-strain of the cervical spine structure during the simulated manipulation of the oblique pulling manipulation and the cervical rotation-traction manipulation in order to compare the mechanical mechanism of the two manipulations.Methods: A motion capture system was used to record the key kinematic parameters of operating the two manipulations. At the same time, a three-dimensional finite element model of the C0-T1 full healthy cervical spine was established, and the key kinematic parameters were loaded onto the finite element model in steps to analyze and simulate the detailed process of the operation of the two manipulations.Results: A detailed finite element model of the whole cervical spine including spinal nerve roots was established, and the validity of this 3D finite element model was verified. During the stepwise simulation of the two cervical spine rotation manipulations to the right, the disc (including the annulus fibrosus and nucleus pulposus) and facet joints stresses and displacements were greater in the oblique pulling manipulation group than in the cervical rotation-traction manipulation group, while the spinal cord and nerve root stresses were greater in the cervical rotation-traction manipulation group than in the oblique pulling manipulation group. The spinal cord and nerve root stresses in the cervical rotation-traction manipulation group were mainly concentrated in the C4/5 and C5/6 segments.Conclusion: The oblique pulling manipulation may be more appropriate for the treatment of cervical spondylotic radiculopathy, while cervical rotation-traction manipulation is more appropriate for the treatment of cervical spondylosis of cervical type. Clinicians should select cervical rotation manipulations for different types of cervical spondylosis according to the patient’s symptoms and needs.
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spelling doaj.art-d7098eb9081548b390a5996bf81981f82023-07-28T00:28:16ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852023-07-011110.3389/fbioe.2023.11955831195583Comparison of biomechanical parameters of two Chinese cervical spine rotation manipulations based on motion capture and finite element analysisDongxin Lin0Zaopeng He1Zaopeng He2Zaopeng He3Rui Weng4Rui Weng5Yuhua Zhu6Zhiwei Lin7Zhiwei Lin8Yuping Deng9Yuping Deng10Yang Yang11Jinchuan Tan12Mian Wang13Yanbin Li14Gang Huang15Guanghao Yu16Daozhang Cai17Daozhang Cai18Daozhang Cai19Xuecheng Huang20Wenhua Huang21Guangdong Engineering Research Center for Translation of Medical 3D Printing Application, Guangdong Provincial Key Laboratory of Medical Biomechanics, National Key Discipline of Human Anatomy, School of Basic Medical Sciences, Southern Medical University, Guangzhou, ChinaCenter for Orthopaedic Surgery, Department of Orthopedics, The Third Affiliated Hospital of Southern Medical University, Guangzhou, ChinaThe Third School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaDepartment of Hand and Foot Surgery and Plastic Surgery, Affiliated Shunde Hospital of Guangzhou Medical University, Foshan, ChinaThe Third Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, ChinaGuangdong Research Institute for Orthopedics and Traumatology of Chinese Medicine, Guangzhou, ChinaDepartment of Spinal Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaOrthopedic Center, Affiliated Hospital of Guangdong Medical University, Zhanjiang, ChinaDepartment of Human Anatomy and Histoembryology, School of Basic Medical Sciences, Guangdong Medical University, Dongguan, China0Department of Orthopedics and Traumatology, Integrated Hospital of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China1Institute of Biomedical Engineering, Shenzhen Bay Laboratory, Shenzhen, ChinaGuangdong Engineering Research Center for Translation of Medical 3D Printing Application, Guangdong Provincial Key Laboratory of Medical Biomechanics, National Key Discipline of Human Anatomy, School of Basic Medical Sciences, Southern Medical University, Guangzhou, ChinaGuangdong Engineering Research Center for Translation of Medical 3D Printing Application, Guangdong Provincial Key Laboratory of Medical Biomechanics, National Key Discipline of Human Anatomy, School of Basic Medical Sciences, Southern Medical University, Guangzhou, ChinaGuangdong Engineering Research Center for Translation of Medical 3D Printing Application, Guangdong Provincial Key Laboratory of Medical Biomechanics, National Key Discipline of Human Anatomy, School of Basic Medical Sciences, Southern Medical University, Guangzhou, ChinaGuangdong Engineering Research Center for Translation of Medical 3D Printing Application, Guangdong Provincial Key Laboratory of Medical Biomechanics, National Key Discipline of Human Anatomy, School of Basic Medical Sciences, Southern Medical University, Guangzhou, China0Department of Orthopedics and Traumatology, Integrated Hospital of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China2Mudanjiang Medical University, Mudanjiang, Heilongjiang, ChinaCenter for Orthopaedic Surgery, Department of Orthopedics, The Third Affiliated Hospital of Southern Medical University, Guangzhou, ChinaThe Third School of Clinical Medicine, Southern Medical University, Guangzhou, China3Orthopedic Hospital of Guangdong Province, Academy of Orthopedics, Guangzhou, China4Shenzhen Hospital of Guangzhou University of Chinese Medicine (Futian), Shenzhen, ChinaGuangdong Engineering Research Center for Translation of Medical 3D Printing Application, Guangdong Provincial Key Laboratory of Medical Biomechanics, National Key Discipline of Human Anatomy, School of Basic Medical Sciences, Southern Medical University, Guangzhou, ChinaObjective: The purpose of this study was to obtain the stress-strain of the cervical spine structure during the simulated manipulation of the oblique pulling manipulation and the cervical rotation-traction manipulation in order to compare the mechanical mechanism of the two manipulations.Methods: A motion capture system was used to record the key kinematic parameters of operating the two manipulations. At the same time, a three-dimensional finite element model of the C0-T1 full healthy cervical spine was established, and the key kinematic parameters were loaded onto the finite element model in steps to analyze and simulate the detailed process of the operation of the two manipulations.Results: A detailed finite element model of the whole cervical spine including spinal nerve roots was established, and the validity of this 3D finite element model was verified. During the stepwise simulation of the two cervical spine rotation manipulations to the right, the disc (including the annulus fibrosus and nucleus pulposus) and facet joints stresses and displacements were greater in the oblique pulling manipulation group than in the cervical rotation-traction manipulation group, while the spinal cord and nerve root stresses were greater in the cervical rotation-traction manipulation group than in the oblique pulling manipulation group. The spinal cord and nerve root stresses in the cervical rotation-traction manipulation group were mainly concentrated in the C4/5 and C5/6 segments.Conclusion: The oblique pulling manipulation may be more appropriate for the treatment of cervical spondylotic radiculopathy, while cervical rotation-traction manipulation is more appropriate for the treatment of cervical spondylosis of cervical type. Clinicians should select cervical rotation manipulations for different types of cervical spondylosis according to the patient’s symptoms and needs.https://www.frontiersin.org/articles/10.3389/fbioe.2023.1195583/fullmotion capturefinite element analysiscervical rotation manipulationoblique pulling manipulationcervical rotation-traction manipulationbiomechanics
spellingShingle Dongxin Lin
Zaopeng He
Zaopeng He
Zaopeng He
Rui Weng
Rui Weng
Yuhua Zhu
Zhiwei Lin
Zhiwei Lin
Yuping Deng
Yuping Deng
Yang Yang
Jinchuan Tan
Mian Wang
Yanbin Li
Gang Huang
Guanghao Yu
Daozhang Cai
Daozhang Cai
Daozhang Cai
Xuecheng Huang
Wenhua Huang
Comparison of biomechanical parameters of two Chinese cervical spine rotation manipulations based on motion capture and finite element analysis
Frontiers in Bioengineering and Biotechnology
motion capture
finite element analysis
cervical rotation manipulation
oblique pulling manipulation
cervical rotation-traction manipulation
biomechanics
title Comparison of biomechanical parameters of two Chinese cervical spine rotation manipulations based on motion capture and finite element analysis
title_full Comparison of biomechanical parameters of two Chinese cervical spine rotation manipulations based on motion capture and finite element analysis
title_fullStr Comparison of biomechanical parameters of two Chinese cervical spine rotation manipulations based on motion capture and finite element analysis
title_full_unstemmed Comparison of biomechanical parameters of two Chinese cervical spine rotation manipulations based on motion capture and finite element analysis
title_short Comparison of biomechanical parameters of two Chinese cervical spine rotation manipulations based on motion capture and finite element analysis
title_sort comparison of biomechanical parameters of two chinese cervical spine rotation manipulations based on motion capture and finite element analysis
topic motion capture
finite element analysis
cervical rotation manipulation
oblique pulling manipulation
cervical rotation-traction manipulation
biomechanics
url https://www.frontiersin.org/articles/10.3389/fbioe.2023.1195583/full
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