| 颈椎旋提手法教学机器人的稳定性研究 |
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Received:July 24, 2016
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| 作者 | Author | 单位 | Unit | E-Mail |
| 冯敏山 |
FENG Min-shan |
中国中医科学院望京医院 中医正骨技术北京市重点实验室, 北京 100102 |
Beijing Key Laboratory of Traditional Chinese Orthopedics and Traumatology, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 朱立国 |
ZHU Li-guo |
中国中医科学院望京医院 中医正骨技术北京市重点实验室, 北京 100102 |
Beijing Key Laboratory of Traditional Chinese Orthopedics and Traumatology, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 王尚全 |
WANG Shang-quan |
中国中医科学院望京医院 中医正骨技术北京市重点实验室, 北京 100102 |
Beijing Key Laboratory of Traditional Chinese Orthopedics and Traumatology, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 于杰 |
YU Jie |
中国中医科学院望京医院 中医正骨技术北京市重点实验室, 北京 100102 |
Beijing Key Laboratory of Traditional Chinese Orthopedics and Traumatology, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 陈明 |
CHEN Ming |
中国中医科学院望京医院 中医正骨技术北京市重点实验室, 北京 100102 |
Beijing Key Laboratory of Traditional Chinese Orthopedics and Traumatology, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
cm8924@163.com |
| 李玲慧 |
LI Ling-hui |
中国中医科学院望京医院 中医正骨技术北京市重点实验室, 北京 100102 |
Beijing Key Laboratory of Traditional Chinese Orthopedics and Traumatology, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 魏戌 |
WEI Xu |
中国中医科学院望京医院 中医正骨技术北京市重点实验室, 北京 100102 |
Beijing Key Laboratory of Traditional Chinese Orthopedics and Traumatology, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 期刊信息：《中国骨伤》2017年30卷，第3期，第241-246页 |
| DOI：10.3969/j.issn.1003-0034.2017.03.011 |
| 基金项目:国家自然科学基金项目（编号：81302992，81072825）；“十二五”国家科技支撑计划-中医骨伤的规范手法传承模式及推广应用研究（编号：2014BAI08B06）；中国中医科学院流派传承专项（编号：ZZ0808018） |
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目的：评价颈椎旋提手法教学机器人实际应用中的稳定性。
方法：应用颈椎旋提手法教学机器人对10位临床应用旋提手法至少5年且熟练掌握手法操作要领的医师进行操作考核，对考核过程中的6项核心指标（预牵引力、提扳力、最大作用力、提扳时间、旋转幅度和俯仰幅度）进行数据采集，比较10位医师5次操作（G1、G2、G3、G4、G5）中各项指标的合格率差异，并对每位医师5次操作各项指标的合格情况进行分析，以评价该机器人的稳定性。
结果：10位医师在G1、G2操作中存在不合格指标，以提扳力、最大作用力、旋转幅度为着，经 χ2检验，P值分别为0.074、0.264、0.531，差异无统计学意义；G3次操作开始未再出现不合格指标。对10位操作者的5次操作数据进行单因素方差分析比较，提扳力方面，G4、G5与G1相比较，差异有统计学意义（P=0.015，P=0.006）；最大作用力方面，G4、G5与G1相比较，差异有统计学意义（P=0.021，P=0.012）；其余各项指标两两比较，P值均>0.05，差异无统计学意义。
结论：颈椎旋提手法教学机器人作为考核工具能稳定有效地评价术者施行旋提手法操作的优劣，可以将旋提手法的核心指标进行客观量化，有望建立新的手法教学和考核模式。 |
| [关键词]:颈椎病 手法，骨科 机器人 计算机辅助教学 |
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| Research on the stability of teaching robots of rotation-traction manipulation |
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Abstract:
Objective: To evaluate the stability of teaching robot of rotation-traction manipulation.
Methods: Operators were required to get the hang of rotation-traction manipulation and had clinical experience for over 5 years. The examination and data processing of the ten operators in our research were collected by the teaching robot of rotation-traction manipulation. Traction,pulling force,maximum force,pulling time,rotational amplitude and pitch range were recorded and compared for five times(G1,G2,G3,G4 and G5). The qualification rates were analyzed to evaluate the stability of teaching robot of rotation-traction manipulation.
Results: Nonconforming items were found in G1 and G2,for instance,pulling force(P=0.074),maximum force(P=0.264)and rotational amplitude(P=0.531). There was no statistically difference. None nonconforming item was found in G3,G4 and G5. All data were processed by SPSS and One-way ANOVA was used to analysis. Pulling force was found statistically different in G1,compared with G4 and G5(P=0.015,P=0.006). Maximum force was found statistically different in G1,compared with G4 and G5(P=0.021,P=0.012). None differences were found in other comparisons(P>0.05).
Conclusion: The teaching robot of rotation-traction manipulation used in our research could provide objective and quantitative indices and was considered to be an effective tool of assessing the rotation-traction manipulation. |
| KEYWORDS:Cervical spondylosis Manipulation,orthopedic Robotics Computer-assisted instruction |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 冯敏山,朱立国,王尚全,于杰,陈明,李玲慧,魏戌.颈椎旋提手法教学机器人的稳定性研究[J].中国骨伤,2017,30(3):241~246 |
| 英文格式: | FENG Min-shan,ZHU Li-guo,WANG Shang-quan,YU Jie,CHEN Ming,LI Ling-hui,WEI Xu.Research on the stability of teaching robots of rotation-traction manipulation[J].zhongguo gu shang / China J Orthop Trauma ,2017,30(3):241~246 |
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