脊柱推拿手法在腰椎退行性疾病的非手术治疗法中占据重要地位。脊柱推拿手法是一种复合型手法，在操作瞬间包含着众多的力学元素和运动特征。将脊柱推拿手法瞬态加载过程的参数进行量化、客观化，归纳操作的技术特点，深入探讨手法的生物力学机制，有利于推拿手法的教学考核和临床诊疗规范，使手法操作更加安全高效，进一步推动中医推拿手法的传承和发展。笔者查阅整理了近年来国内外关于脊柱推拿手法治疗腰椎退行性疾病的生物力学研究论著，拟从脊柱推拿手法瞬态载荷下对腰椎间盘的生物力学作用、技术参数的测量以及手法操作特征等方面进行综述。

Spinal manipulation plays an important role in the non-surgical treatment of lumbar degenerative diseases. Spinal manipulation technique is a compound technique that contains many mechanical elements and motion characteristics at the moment of operation. Quantifying and objectifying the parameters of traditional Chinese medicine massage techniques, summarizing the technical characteristics of the operation, and in-depth discussion of the biomechanical mechanism of the manipulation is conducive to the teaching assessment and clinical diagnosis and treatment standards of massage techniques, making the manipulation more safe and efficient, and further promoting the inheritance and development of spinal manipulation techniques. The author has reviewed and compiled the biomechanical research papers on spinal manipulation at home and abroad in recent years, and intends to review the biomechanical effect of spinal manipulation on the lumbar disc under transient load, the measurement of technical parameters, and the characteristics of manipulation.