CN102860829B - Testing method for lumbar vertebra stretching and buckling angles and application of testing method - Google Patents

Testing method for lumbar vertebra stretching and buckling angles and application of testing method Download PDF

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CN102860829B
CN102860829B CN201210377824.1A CN201210377824A CN102860829B CN 102860829 B CN102860829 B CN 102860829B CN 201210377824 A CN201210377824 A CN 201210377824A CN 102860829 B CN102860829 B CN 102860829B
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angle
level measurement
measurement device
wrong
stretch
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CN102860829A (en
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胡茂能
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THIRD PEOPLE'S HOSPITAL OF HEFEI
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THIRD PEOPLE'S HOSPITAL OF HEFEI
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Abstract

The invention discloses a testing method for lumbar vertebra stretching and buckling angles. The stretching and retracting angles comprise a stretching-position stretching angle alpha1 and a buckling-position buckling angle alpha2, an included angle between a plane built by upper portions of the mesosternum and the sacrum of a testee and a perpendicular plane is the stretching-position stretching angle alpha1, an included angle between a plane built by upper portions of a symphysis pubis position and shoulder blades on two sides of the testee and a perpendicular plane is the buckling-position buckling angle alpha2, a horizontal measuring device and a perpendicular measuring device are fixed or shifted to measure the alpha1 and the alpha2 of the testee. The invention further discloses application of the testing method in lumbar vertebra functional-position radiography. The functional positions of the lumbar vertebrae of patients can be determined by adjusting the horizontal measuring device and the perpendicular measuring device according to lumbar vertebra stretching and buckling angle values of different individual patients, subjective randomness of the patients when the lumbar vertebra functional positions are fixed is reduced, and the radiographic quality of the lumbar vertebra functional positions is guaranteed.

Description

A kind of lumbar vertebra stretches method of testing and the application thereof of angle in the wrong
Technical field
The invention belongs to technical field of medical instruments, be specifically related to the method for testing that a kind of lumbar vertebra stretches angle in the wrong, the invention still further relates to the application of the method in the film making of lumbar function position.
Background technology
The diseases such as chronic low back pain, intervertebral disk hernia, deformity of spine and spondylolysis are relevant with position and posture, often there is the change of lumbar physiological-curvature in the patient of lumbago and skelalgia or waist lower limb disease, method great majority clinically for lumbar X ray examination adopt clinostatism (under non-physiology loading conditions) inspection technique, and the x-ray inspection only under functional position (hyperextension position of standing, cross bend position) situation could reflect the truth of patient's lumbar curvature, centrum olisthe degree and lumbal vertebra, thus provide objective and accurate foundation for the selection of Therapeutic Method.Another application for a patent for invention " a kind of gesture rack for the film making of lumbar function position " (publication number 102631214A) of the present inventor discloses a kind of gesture rack for the film making of lumbar function position, patient is edge-on between left and right adjusting rod, fix the hyperextension position of health by the up-down adjustment of left and right adjusting rod and cross position in the wrong, solving the problem affecting shooting quality time film making in lumbar function position because health moves.
In order to accurately reflect patient's lumbar curvature, the truth of centrum olisthe degree and lumbal vertebra, when carrying out the film making of lumbar function position, require that patient is with hyperextension to greatest extent and excessively in the wrong, due to this hyperextension to greatest extent and excessively bend decide with subjective sensation, simultaneously, the height of human body, lumbar vertebra length, there is obvious difference along with the difference of individuality in healths etc., what lumbar vertebra was excessive stretches or bends the damage that can cause patient, lumbar vertebra can affect again the quality of film making when stretching or bend inadequate, therefore, this with subjective sensation to greatest extent hyperextension and excessively bending determine that the method for functional position (stand hyperextension position and stood bend position) is random large, lack scientific and objectivity.
Summary of the invention
The technical problem to be solved in the present invention is to provide the method for testing that a kind of lumbar vertebra stretches angle in the wrong, the method can easily and accurately test person upper body stretch angle in the wrong.
Another object of the present invention is to the application that this method of testing is provided, this method of testing can overcome existing patient's functional position when making film for lumbar function position can not the deficiency of objective and accurate control, for time film making in lumbar function position, the degree in the wrong of stretching of lumbar vertebra provides normalizing operation mode, thus the individual variation accurately between the different patient of reflection.
For solving the problems of the technologies described above, a kind of lumbar vertebra of the present invention stretches the method for testing of angle in the wrong, described in stretch angle in the wrong comprise stretch position stretch angle [alpha] 1with position flexion angle α in the wrong 2, comprise the steps: that the angle of plane and the vertical built with testee's sternal body place and rumpbone top stretches angle [alpha] for stretching position 1, the plane built with pubic symphysis place and scapula place, both sides and the angle of vertical are position flexion angle α in the wrong 2, more fixing or mobile and horizontal measuring device and vertical survey device measure the α of testee 1and α 2.
The method of testing of angle in the wrong is stretched at above-mentioned lumbar vertebra, also comprise the steps: that, between edge-on the first level measurement device in gesture rack of testee and the second level measurement device, the angle of the plane built with sternal body place and rumpbone top and the first vertical survey device stretches angle [alpha] for stretching position 1, fixing or mobile first level measurement device, the second level measurement device are measured and are calculated and stretch position stretching, extension angle [alpha] 1; The plane built with pubic symphysis place and scapula place again and the angle of the second vertical survey device are position flexion angle α in the wrong 2, fixing or mobile first level measurement device, the second level measurement device are measured and are calculated and bend position flexion angle α 2.
Stretch the method for testing of angle in the wrong at above-mentioned lumbar vertebra, comprise the steps: further
(1) stretch position and stretch angle [alpha] 1measurement:
First level measurement device will move to sternal body place and fix, reading the horizontal range X at the first vertical survey device and sternal body place 1, and on the first vertical survey device, read the height Y between the first level measurement device and base 1;
Again the second level measurement device be displaced downwardly to rumpbone top and fix, reading the horizontal range X on the second vertical survey device and rumpbone top 2, and on the second vertical survey device, read the height Y between the second level measurement device and base 2;
Calculating is stretched position and is stretched angle [alpha] 1=arctg [(X 1+ X 2-50)/(Y 1-Y 2)] × 360/2 π;
(2) position flexion angle α is bent 2measurement:
First level measurement device be displaced downwardly to pubic symphysis place and fix, reading the horizontal range X at the first vertical survey device and pubic symphysis place 1, then on the first vertical survey device, read the height Y between the first level measurement device and base 2;
Second level measurement device will move to scapula place again and fix, reading the horizontal range X at the second vertical survey device and scapula place 2, and on the second vertical survey device, read the height Y between the second level measurement device and base 1;
Calculate and bend position flexion angle α 2=arctg [(X 1+ X 2-50)/(Y 1-Y 2)] × 360/2 π.
Further, stretch at above-mentioned lumbar vertebra in the method for testing of angle in the wrong and stretch position stretching, extension angle [alpha] 1with position flexion angle α in the wrong 2can directly measure or indirectly be measured by acoustooptic.
A kind of lumbar vertebra of the present invention stretches the application of method of testing in the film making of lumbar function position of angle in the wrong, described functional position comprises stand hyperextension position and position in the wrong of standing, between edge-on the first level measurement device in gesture rack of patient and the first level measurement device, Y, perpendicular to the detector plane of x-ray photographic apparatus, is measured in the lumbosacral region back side 1and Y 2value, stretches angle [alpha] to stretch position 1within the scope of 30 ~ 60 degree, by formula α 1=arctg [(X 1+ X 2-50)/(Y 1-Y 2)] X that calculates of × 360/2 π 1with X 2sum, mobile first level measurement device, the second level measurement device are separately fixed at sternal body place and the rumpbone top of patient, determine the hyperextension position of standing of this patient;
Again with position flexion angle α in the wrong 2within the scope of 30 ~ 45 degree, by formula α 2=arctg [(X 1+ X 2-50)/(Y 1-Y 2)] X that calculates of × 360/2 π 1with X 2sum, mobile first level measurement device, the second level measurement device are separately fixed at pubic symphysis place and the scapula place of patient, determine that standing of this patient bends position.
Take technique scheme, the beneficial effect that the present invention has is:
1, the present invention can stretch angle in the wrong by testing human lumbar vertebra by horizontal and vertical measuring device, and accurately convenient, practicality is stronger.
2, lumbar vertebra of the present invention stretches angle measurement method in the wrong when making film for lumbar function position, stretch angle value in the wrong according to the lumbar vertebra of Different Individual, patient's lumbar function position can be determined by adjustment horizontal and vertical measuring device (stand hyperextension and position in the wrong of standing), the subjectivity decreased when fixing lumbar function position is random, thus ensure that the shooting quality of lumbar function position, decrease because of lumbar vertebra hyperextension or cross the damage of bending and patient being caused.
Accompanying drawing explanation
Below in conjunction with the drawings and specific embodiments, the present invention is further detailed explanation.
Fig. 1 is the structural representation that a kind of lumbar vertebra of the present invention stretches the gesture rack of the method for testing use of angle in the wrong;
Fig. 2 is that method of testing that a kind of lumbar vertebra of the present invention stretches angle in the wrong is stretched position in measurement and stretched angle [alpha] 1time schematic diagram;
Fig. 3 is that a kind of lumbar vertebra of the present invention stretches the method for testing of angle in the wrong at measurement position flexion angle α in the wrong 2time schematic diagram.
Detailed description of the invention
Fig. 1 shows the gesture rack that a kind of lumbar vertebra of the present invention stretches the method for testing use of angle in the wrong, comprise base and be arranged on the first vertical survey device 1 and the second vertical survey device 2 on base, described first vertical survey device 1 and the second vertical survey device 2 are respectively equipped with can left and right and the first level measurement device 3 and the second level measurement device 4 of moving up and down.
First vertical survey device 1, second vertical survey device 2, first level measurement device 3 and the second level measurement device 4 being equipped with graduation mark, obtaining X by reading scale 1, X 2, Y 1and Y 2value.
Composition graphs 2 and Fig. 3, illustrate the method for testing that lumbar vertebra stretches angle in the wrong:
(1) stretch position and stretch angle [alpha] 1measurement:
First level measurement device 3 will move to sternal body and fix, reading the horizontal range X at the first vertical survey device 1 and sternal body place 1, and on the first vertical survey device 1, read the height Y between the first level measurement device 3 and base 1;
Again the second level measurement device 4 be displaced downwardly to rumpbone top and fix, reading the horizontal range X on the second vertical survey device 2 and rumpbone top 2, and on the second vertical survey device 2, read the height Y between the second level measurement device 4 and base 2;
Calculating is stretched position and is stretched angle [alpha] 1=arctg [(X 1+ X 2-50)/(Y 1-Y 2)] × 360/2 π;
(2) position flexion angle α is bent 2measurement:
First level measurement device 3 be displaced downwardly to pubic symphysis place and fix, reading the horizontal range X at the first vertical survey device 1 and pubic symphysis place 1, then on the first vertical survey device 1, read the height Y between the first level measurement device 3 and base 2;
Second level measurement device 4 will move to scapula place again and fix, reading the horizontal range X at the second vertical survey device 2 and scapula place 2, and on the second vertical survey device 2, read the height Y between the second level measurement device 4 and base 1;
Calculate and bend position flexion angle α 2=arctg [(X 1+ X 2-50)/(Y 1-Y 2)] × 360/2 π.
Stretch position and stretch angle [alpha] 1with position flexion angle α in the wrong 2with X 1, X 2, Y 1, Y 2relation see the following form:
Stretch angle [alpha] in the wrong 1, α 2list position: degree
Wherein: first is classified as Y 1-Y 2value, the first behavior X 1+ X 2value, unit is centimetre.
A kind of lumbar vertebra stretches the application of method of testing in the film making of lumbar function position of angle in the wrong, functional position comprises stand hyperextension position and position in the wrong of standing, between edge-on the first level measurement device 3 in gesture rack of patient and the second level measurement device 4, Y, perpendicular to the detector plane of x-ray photographic apparatus, is measured in the lumbosacral region back side 1and Y 2value, stretches angle [alpha] to stretch position 1within the scope of 30 ~ 60 degree, by formula α 1=arctg [(X 1+ X 2-50)/(Y 1-Y 2)] X that calculates of × 360/2 π 1with X 2sum, mobile first level measurement device 3, second level measurement device 4 is separately fixed at sternal body place and the rumpbone top of patient, determines the hyperextension position of standing of this patient; Again with position flexion angle α in the wrong 2within the scope of 30 ~ 45 degree, by formula α 2=arctg [(X 1+ X 2-50)/(Y 1-Y 2)] X that calculates of × 360/2 π 1with X 2sum, mobile first level measurement device 3, second level measurement device 4 is separately fixed at pubic symphysis place and the scapula place of patient, determines that standing of this patient bends position.
Due to the Y of patient, (Y equals Y 1-Y 2) value be fixing, when selection stretch position stretch angle [alpha] 1with position flexion angle α in the wrong 2value after, X 1with X 2sum can calculate, according to X 1with X 2sum adjusts the length of the first level measurement device 3 and the second level measurement device 4 and fixes, get final product the lumbar function position (stand hyperextension position and position in the wrong of standing) of the accurately objective patient of determination, decrease subjectivity when fixing lumbar function position random, operability and practical.

Claims (3)

1. lumbar vertebra stretches a method of testing for angle in the wrong, described in stretch angle in the wrong comprise stretch position stretch angle [alpha] 1with position flexion angle α in the wrong 2, the plane built with testee's sternal body place and rumpbone top and the angle of vertical stretch angle [alpha] for stretching position 1, the plane built with pubic symphysis place and both sides scapula and the angle of vertical are position flexion angle α in the wrong 2, more fixing or mobile and horizontal measuring device and vertical survey device measure the α of testee 1and α 2between edge-on the first level measurement device (3) in gesture rack of testee and the second level measurement device (4), the angle of the plane built with sternal body place and rumpbone top and the first vertical survey device (1) stretches angle [alpha] for stretching position 1, fixing or mobile first level measurement device (3), the second level measurement device (4) are measured and are calculated and stretch position stretching, extension angle [alpha] 1; The plane built with pubic symphysis place and both sides scapula again and the angle of the second vertical survey device (2) are position flexion angle α in the wrong 2, fixing or mobile first level measurement device (3), the second level measurement device (4) are measured and are calculated and bend position flexion angle α 2, it is characterized in that comprising the steps:
(1) stretch position and stretch angle [alpha] 1measurement:
First level measurement device (3) will move to sternal body place and fix, reading the horizontal range X at the first vertical survey device (1) and sternal body place 1, and at the upper height Y between reading first level measurement device (3) and base of the first vertical survey device (1) 1;
Again the second level measurement device (4) be displaced downwardly to rumpbone top and fix, reading the horizontal range X on the second vertical survey device (2) and rumpbone top 2, and at the upper height Y between reading second level measurement device (4) and base of the second vertical survey device (2) 2;
Calculating is stretched position and is stretched angle [alpha] 1=arctg [(X 1+ X 2-50)/(Y 1-Y 2)] × 360/2 π;
(2) position flexion angle α is bent 2measurement:
First level measurement device (3) be displaced downwardly to pubic symphysis place and fix, reading the horizontal range X at the first vertical survey device (1) and pubic symphysis place 1, then at the upper height Y between reading first level measurement device (3) and base of the first vertical survey device (1) 2;
Second level measurement device (4) will move to scapula place again and fix, reading the horizontal range X at the second vertical survey device (2) and scapula place 2, and at the upper height Y between reading second level measurement device (4) and base of the second vertical survey device (2) 1;
Calculate and bend position flexion angle α 2=arctg [(X 1+ X 2-50)/(Y 1-Y 2)] × 360/2 π.
2. a kind of lumbar vertebra according to claim 1 stretches the method for testing of angle in the wrong, it is characterized in that: described in stretch position stretch angle [alpha] 1with position flexion angle α in the wrong 2can directly measure or indirectly be measured by acoustooptic.
3. a kind of lumbar vertebra according to claim 1 stretches the application of method of testing in the film making of lumbar function position of angle in the wrong, described functional position comprises stand hyperextension position and position in the wrong of standing, it is characterized in that: between edge-on the first level measurement device (3) in gesture rack of patient and the second level measurement device (4), Y, perpendicular to the detector plane of x-ray photographic apparatus, is measured in the lumbosacral region back side 1and Y 2value, stretches angle [alpha] to stretch position 1within the scope of 30 ~ 60 degree, by formula α 1=arctg [(X 1+ X 2-50)/(Y 1-Y 2)] X that calculates of × 360/2 π 1with X 2sum, mobile first level measurement device (3), the second level measurement device (4) are separately fixed at sternal body place and the rumpbone top of patient, determine the hyperextension position of standing of this patient;
Again with position flexion angle α in the wrong 2within the scope of 30 ~ 45 degree, by formula α 2=arctg [(X 1+ X 2-50)/(Y 1-Y 2)] X that calculates of × 360/2 π 1with X 2sum, mobile first level measurement device (3), the second level measurement device (4) are separately fixed at pubic symphysis place and the scapula place of patient, determine that standing of this patient bends position.
CN201210377824.1A 2012-09-20 2012-09-20 Testing method for lumbar vertebra stretching and buckling angles and application of testing method Active CN102860829B (en)

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CN109820511B (en) * 2019-01-31 2021-11-05 上海长征医院 Device for measuring Cobb angle change in operation
CN111803317B (en) * 2020-06-30 2022-04-15 四川大学华西医院 Lumbar vertebra lesion detection system

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CN2161263Y (en) * 1993-04-20 1994-04-13 金霄雷 Adjustable lumbar vertebrae lateral irradiation positioner
CN2477141Y (en) * 2001-05-14 2002-02-20 陶务圣 Photo taking angle rack for lumbar loxosis
CN2880004Y (en) * 2006-02-27 2007-03-21 李桂华 Angle stand for inclined photo-taking of articulatio sacroiliaca
US20090030349A1 (en) * 2006-08-04 2009-01-29 Cowin David J Angular Displacement Sensor for Joints And Associated System and Methods
US20090005709A1 (en) * 2007-06-27 2009-01-01 Gagne Raoul J Range of motion measurement device
CN102631214B (en) * 2012-04-21 2014-01-15 合肥市第三人民医院 Body position frame for lumbar vertebra functional position shooting

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