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Experimental and numerical analysis of biomechanical effects in cervical spine positioning rotation manipulation

Unlocking the biomechanical effects of cervical spine positioning rotation manipulation in the treatment of patients with neck pain. In this paper, the safety of the cervical positioning rotation manipulation is analyzed by experimentally obtaining head kinematic data, importing them into a finite element model that has been developed and validated, and calculating and analyzing the angular displacements, disc pressures, and articular surface contact forces in the normal and pathological models. The results show that the cervical spine positioning rotation technique is more effective in adjusting the position and applying force to the cervical spine C5–C6 “tendon out of the groove and bone misalignment” pathological model. Also, the cervical positioning rotation manipulation is applied with less variation in disc nucleus pulposus pressure than in the non‐positioning situation. Thus, in patients with disc degeneration, cervical positioning rotational manipulation has a more direct mechanical effect and is safer than non‐positioning rotational manipulation. The cervical spine positioning rotation manipulation is a safe method that can effectively treat patients with neck pain. It has been well demonstrated in the computational analysis of the pathological model.