模拟治疗过程中仪器辅助软组织移动双手握力的一致性:技术报告。

IF 1.3 4区 医学 Q3 REHABILITATION
Journal of Sport Rehabilitation Pub Date : 2024-08-22 Print Date: 2024-11-01 DOI:10.1123/jsr.2023-0337
Russell T Baker, Nickolai J P Martonick, Matthew C Smitley, Christopher M Ludwig, Ashley J Reeves
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引用次数: 0

摘要

背景:器械辅助软组织活动术(IASTM)在手法治疗师中越来越受欢迎,使用率也越来越高。尽管它很受欢迎,但人们对临床医生在使用双手握持进行 IASTM 治疗时所施加的峰值力或平均力的一致性知之甚少。本研究旨在考察临床医师在使用双手 IASTM 握法时,其峰值力和平均力的一致性:设计:在一所大学的生物力学实验室进行随机交叉研究:方法: 五(5)名曾接受过 IASTM 培训的持证运动训练员使用 5 种不同的 IASTM 器械进行模拟治疗。通过测力板收集了所有 5 种 IASTM 仪器的平均峰值力(Fpeak)和平均平均力(Fmean),并附有皮肤模拟物。对描述性统计、变异系数(CV)、箱形图和密度图以及布兰-阿尔特曼图进行了评估:临床医生的平均 Fpeak 值从 3.0 N 到 11.6 N 不等,平均 Fmean 值从 1.9 N 到 8.1 N 不等。所有仪器的 Fpeak CV 值从 14% 到 31% 不等,Fmean CV 值从 15% 到 35% 不等。Bland-Altman 图显示,对于 Fpeak 和 Fmean,97% 的数据点都在不同仪器和临床医生的一致性范围内。对于 Fpeak,不同仪器之间的平均差从 0.9 牛顿(91.8 克)到 4.1 牛顿(418.1 克)不等;对于 Fmean,不同仪器之间的平均差从 1.0 牛顿(102.0 克)到 2.8 牛顿(285.5 克)不等。因此,CVs、盒图和密度图以及 Bland-Altman 图均支持总体施力一致性:结论:经过培训的 IASTM 临床医师在双手模拟施力过程中,在治疗疗程中产生了一致的治疗施力(即 Fpeak 和 Fmean)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Instrument-Assisted Soft Tissue Mobilization 2-Handed Grip Force Production Consistency During Simulated Treatment: A Technical Report.

Context: Instrument-assisted soft tissue mobilization (IASTM) continues to increase in popularity and utilization among manual therapists. Despite its popularity, little is known about the consistency in peak or average forces that clinicians apply when performing IASTM treatments with a 2-handed grip. The purpose of this study was to examine intraclinician consistency in peak and average forces when applying a 2-handed IASTM grip.

Design: Randomized crossover study conducted in a university biomechanics laboratory.

Methods: Five (5) licensed athletic trainers with prior IASTM training used 5 different IASTM instruments to apply simulated treatment. Average peak forces (Fpeak) and average mean forces (Fmean) were collected via force plate for all 5 IASTM instruments with a skin simulant attached. Descriptive statistics, coefficients of variation (CVs), box and density plots, and Bland-Altman plots were assessed.

Results: The clinicians' average Fpeak ranged from 3.0 N to 11.6 N and average Fmean from 1.9 N to 8.1 N. Fpeak CVs for all instruments ranged from 14% to 31%, and Fmean CVs ranged from 15% to 35%. Bland-Altman plots indicated that for both Fpeak and Fmean, 97% of the data points fell within the limits of agreement across instruments and clinicians. Mean differences across instruments ranged from 0.9 N (91.8 g) to 4.1 N (418.1 g) for Fpeak and from 1.0 N (102.0 g) to 2.8 N (285.5 g) for Fmean. Thus, CVs, box and density plots, and Bland-Altman plots supported general force application consistency.

Conclusion: Trained IASTM clinicians produced consistent treatment application forces (ie, Fpeak and Fmean) within treatment sessions during 2-handed simulated application.

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来源期刊
Journal of Sport Rehabilitation
Journal of Sport Rehabilitation 医学-康复医学
CiteScore
3.20
自引率
5.90%
发文量
143
审稿时长
>12 weeks
期刊介绍: The Journal of Sport Rehabilitation (JSR) is your source for the latest peer-reviewed research in the field of sport rehabilitation. All members of the sports-medicine team will benefit from the wealth of important information in each issue. JSR is completely devoted to the rehabilitation of sport and exercise injuries, regardless of the age, gender, sport ability, level of fitness, or health status of the participant. JSR publishes peer-reviewed original research, systematic reviews/meta-analyses, critically appraised topics (CATs), case studies/series, and technical reports that directly affect the management and rehabilitation of injuries incurred during sport-related activities, irrespective of the individual’s age, gender, sport ability, level of fitness, or health status. The journal is intended to provide an international, multidisciplinary forum to serve the needs of all members of the sports medicine team, including athletic trainers/therapists, sport physical therapists/physiotherapists, sports medicine physicians, and other health care and medical professionals.
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