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ORIGINAL RESEARCH article

Front. Bioeng. Biotechnol.

Sec. Biomechanics

Volume 13 - 2025 | doi: 10.3389/fbioe.2025.1610916

This article is part of the Research TopicApplication of Biomechanics in Diagnosis & Therapy of Skeletal System DiseasesView all 17 articles

Quantitative analysis of the Prone stretching and adjusting neck manipulation based on motion capture technology and three-dimensional force measuring tables

Provisionally accepted
  • 1Gannan Medical University, Ganzhou, China
  • 2Gannan Normal University, Ganzhou, Jiangxi Province, China
  • 3First Affiliated Hospital, Nanjing Medical University, Nanjing, Jiangsu Province, China

The final, formatted version of the article will be published soon.

Objective: This study aimed to quantify the kinematic parameters of prone stretching and adjusting neck manipulation using motion capture technology and three-dimensional force measuring tables, thereby providing concrete evidence for standardising and scientifically grounding manual therapy training. Methods: Ten patients with radiculopathy were recruited, and an experienced physician performed the prone stretching and adjusting neck manipulation. The kinematic data and ground reaction forces of the operator and the patients were synchronized using a Vicon 3D infrared motion capture system and a Kistler three-dimensional force measuring table. Results: The results of this study showed that when performing the "prone stretching and adjusting neck manipulation" manoeuvre, the maximum force loaded vertically by the active hand in the left and right rotational pulling (wrenching phase) was 551.5 N, and the minimum was 418.3 N, with a mean value of (476.75±33.11) N. The maximum force loaded vertically in the left and right rotational pulling was 400.43 N, and the minimum was 182.4 N. The mean value was (274.79±52.08) N. The manipulation trigger time was (0.35±0.03)s, the maximum rotation angle was (73.7 ±1.34)°, and the subject's neck extension was (4.39±1.02) mm. Conclusion: The "prone stretching and adjusting neck manipulation" is time-sensitive, short. The manoeuvre was divided into three phases: the stretching phase, the triggering phase, and the return phase. It involves both the active hand and the auxiliary hand, and the maximum force loaded in the vertical direction of the active hand is consistent in different operating directions.

Keywords: Prone stretching and adjusting neck manipulation, Cervical spondyloticradiculopathy, Motioncapture, Three-dimensionalforcemeasuringtable, Quantification of kinematic parameters

Received: 13 Apr 2025; Accepted: 09 Oct 2025.

Copyright: © 2025 Hong, Lin, Yang, Zhang, Ye and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Ying Li, jsxskfkf@163.com

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