Cervical Spine Mechanism for Reproduction of the Biomechanical Behaviours of the Human Neck during Rotation-Traction Manipulation

Rotation-traction (RT) manipulation is a commonly used physical therapy procedure in TCM (traditional Chinese medicine) for cervical spondylosis. This procedure temporarily separates the C3 and C4 cervical vertebrae from each other when a physician applies a jerky action while the neck is voluntaril...

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Main Authors: Yuancan Huang, Shuai Li, Minshan Feng, Liguo Zhu
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Applied Bionics and Biomechanics
Online Access:http://dx.doi.org/10.1155/2017/5829048
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author Yuancan Huang
Shuai Li
Minshan Feng
Liguo Zhu
author_facet Yuancan Huang
Shuai Li
Minshan Feng
Liguo Zhu
author_sort Yuancan Huang
collection DOAJ
description Rotation-traction (RT) manipulation is a commonly used physical therapy procedure in TCM (traditional Chinese medicine) for cervical spondylosis. This procedure temporarily separates the C3 and C4 cervical vertebrae from each other when a physician applies a jerky action while the neck is voluntarily turned by the patient to a specific position as instructed by the physician, where the cervical vertebrae are twisted and locked. However, a high rate of cervical injury occurs due to inexperienced physician interns who lack sufficient training. Therefore, we developed a cervical spine mechanism that imitates the dynamic behaviours of the human neck during RT manipulation. First, in vivo and in vitro experiments were performed to acquire the biomechanical feature curves of the human neck during RT manipulation. Second, a mass-spring-damper system with an electromagnetic clutch was designed to emulate the entire dynamic response of the human neck. In this system, a spring is designed as rectilinear and nonlinear to capture the viscoelasticity of soft tissues, and an electromagnetic clutch is used to simulate the sudden disengagement of the cervical vertebrae. Test results show that the mechanism can exhibit the desired behaviour when RT manipulation is applied in the same manner as on humans.
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spelling doaj-art-f014b73ad9d845d4838f904c035e55302025-02-03T06:05:47ZengWileyApplied Bionics and Biomechanics1176-23221754-21032017-01-01201710.1155/2017/58290485829048Cervical Spine Mechanism for Reproduction of the Biomechanical Behaviours of the Human Neck during Rotation-Traction ManipulationYuancan Huang0Shuai Li1Minshan Feng2Liguo Zhu3School of Mechatronical Engineering, Beijing Institute of Technology, 5 South Zhongguncun Street, Haidian District, Beijing 100081, ChinaSchool of Mechatronical Engineering, Beijing Institute of Technology, 5 South Zhongguncun Street, Haidian District, Beijing 100081, ChinaWangjing Hospital, China Academy of Chinese Medicine Sciences, Beijing 100102, ChinaWangjing Hospital, China Academy of Chinese Medicine Sciences, Beijing 100102, ChinaRotation-traction (RT) manipulation is a commonly used physical therapy procedure in TCM (traditional Chinese medicine) for cervical spondylosis. This procedure temporarily separates the C3 and C4 cervical vertebrae from each other when a physician applies a jerky action while the neck is voluntarily turned by the patient to a specific position as instructed by the physician, where the cervical vertebrae are twisted and locked. However, a high rate of cervical injury occurs due to inexperienced physician interns who lack sufficient training. Therefore, we developed a cervical spine mechanism that imitates the dynamic behaviours of the human neck during RT manipulation. First, in vivo and in vitro experiments were performed to acquire the biomechanical feature curves of the human neck during RT manipulation. Second, a mass-spring-damper system with an electromagnetic clutch was designed to emulate the entire dynamic response of the human neck. In this system, a spring is designed as rectilinear and nonlinear to capture the viscoelasticity of soft tissues, and an electromagnetic clutch is used to simulate the sudden disengagement of the cervical vertebrae. Test results show that the mechanism can exhibit the desired behaviour when RT manipulation is applied in the same manner as on humans.http://dx.doi.org/10.1155/2017/5829048
spellingShingle Yuancan Huang
Shuai Li
Minshan Feng
Liguo Zhu
Cervical Spine Mechanism for Reproduction of the Biomechanical Behaviours of the Human Neck during Rotation-Traction Manipulation
Applied Bionics and Biomechanics
title Cervical Spine Mechanism for Reproduction of the Biomechanical Behaviours of the Human Neck during Rotation-Traction Manipulation
title_full Cervical Spine Mechanism for Reproduction of the Biomechanical Behaviours of the Human Neck during Rotation-Traction Manipulation
title_fullStr Cervical Spine Mechanism for Reproduction of the Biomechanical Behaviours of the Human Neck during Rotation-Traction Manipulation
title_full_unstemmed Cervical Spine Mechanism for Reproduction of the Biomechanical Behaviours of the Human Neck during Rotation-Traction Manipulation
title_short Cervical Spine Mechanism for Reproduction of the Biomechanical Behaviours of the Human Neck during Rotation-Traction Manipulation
title_sort cervical spine mechanism for reproduction of the biomechanical behaviours of the human neck during rotation traction manipulation
url http://dx.doi.org/10.1155/2017/5829048
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AT minshanfeng cervicalspinemechanismforreproductionofthebiomechanicalbehavioursofthehumanneckduringrotationtractionmanipulation
AT liguozhu cervicalspinemechanismforreproductionofthebiomechanicalbehavioursofthehumanneckduringrotationtractionmanipulation