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Effects of manipulations of oblique pulling on the biomechanics of the sacroiliac joint: a cadaveric study

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机构: [1]Department of Spine Surgery, The First Affiliated Hospital,Hengyang Medical School, University of South China, Hengyang, Hunan Province, China [2]School of Traditional Chinese Medicine, Southern Medical University, Guangdong Province, Guangzhou, China [3]Division of Spine Surgery, Department of Orthopaedics, Nanfang Hospital, Southern Medical University, Guangdong Province, Guangzhou, China
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关键词: Manipulations Sacroiliac joint Biomechanics Stability Cadaver study

摘要:
There are many reports on the treatment of sacroiliac joint dysfunction by manipulation of oblique pulling (MOP). However, the specific mechanism of MOP on the sacroiliac joint remains unclear. This study aimed to investigate the effect of MOP on the biomechanics of the sacroiliac joint and the effect of the anterior sacroiliac ligament on the stability of the sacroiliac joint.First, MOP-F1 (F: force) and MOP-F2 were applied to nine cadaveric pelvises. Then, segmental resection of the anterior sacroiliac ligament was performed. The range of motion of the sacroiliac joint was observed in all procedures.Under MOP-F1 and F2, the average total angles were 0.84° ± 0.59° and 1.52° ± 0.83°, and the displacements were 0.61 ± 0.21 mm and 0.98 ± 0.39 mm, respectively. Compared with MOP-F1, MOP-F2 caused greater rotation angles and displacements of the sacroiliac joint (p = 0.00 and p = 0.01, respectively). In addition, the rotation angles and displacements of the sacroiliac joint significantly increased after complete resection of the anterior sacroiliac ligament (p = 0.01 and p = 0.02, respectively). The increase was mainly due to the transection of the upper part of the anterior sacroiliac ligament.MOP-F2 caused greater rotation angles and displacements of the sacroiliac joint and was a more effective manipulation. The anterior sacroiliac ligament played an important role in maintaining the stability of the sacroiliac joint; the upper part of the anterior sacroiliac ligament contributed more to the stability of the joint than the lower part.© 2023. The Author(s).

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出版当年[2022]版:
大类 | 3 区 医学
小类 | 4 区 骨科 4 区 风湿病学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 骨科 3 区 风湿病学
第一作者:
第一作者机构: [1]Department of Spine Surgery, The First Affiliated Hospital,Hengyang Medical School, University of South China, Hengyang, Hunan Province, China [2]School of Traditional Chinese Medicine, Southern Medical University, Guangdong Province, Guangzhou, China
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