提供脊柱操作和移动过程中的运动学策略:文献综述。

IF 2 4区 医学 Q2 REHABILITATION
Katie Svoboda, Samuel J Howarth, Martha Funabashi, Lindsay M Gorrell
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引用次数: 0

摘要

背景:脊柱操纵(MAN)和活动(MOB)在生物力学上是不同的,但两者都能减轻疼痛和增加活动范围。以前的研究集中在量化动力学(例如,施加力)或受体运动学(即运动)在MAN和MOB期间。虽然这些研究提供了有价值的信息,但他们没有报告提供者在执行MAN和MOB的复杂运动任务时采用的策略。这篇综述试图综合文献报道在提供MAN和MOB过程中的提供者运动学。方法:本范围文献综述按照范围综述的首选报告项目(PRISMA-ScR)声明进行报道。在MEDLINE (Ovid)、PsychINFO、Cochrane Library、Web of Science、Embase、Scopus、PEDro、ICL和CINAHL数据库中检索了从成立到2023年9月的MAN和MOB交付过程中与提供者运动学相关的术语。提取并描述性地报告数据,包括:一般研究特征,提供/接受MAN和/或MOB的个体数量和特征,治疗区域,使用的设备和提供手术的个体的运动学参数。结果:4844条记录中,5条(0.1%)符合入选标准,纳入分析。其中,报告了4篇(80%)提供MAN的供应商运动学,1篇(20%)提供MOB的供应商运动学。从业人员在所有(100%)研究中应用了该程序,学生在一项(20%)研究中应用了该程序。治疗的脊柱区域有:腰椎(n = 4)、胸椎(n = 2)和颈椎(n = 1)。报告的数据不同,但最常见的是使用视频或动作捕捉设备捕获(n = 4,80%)。在一项研究中(20%)完全报道了施加力的方向,而在另一项研究中仅部分报道了(一个脊柱区域)。结论:在MAN和MOB分娩过程中,有少量研究报告了提供者运动学的异质性。从生物力学的角度清楚地报告手术过程和所使用的测量设备,可以在未来对提供者运动学数据进行荟萃分析,在技术技能课程的开发中使用提供者运动学数据,并且可以可行地用于减轻提供者受伤的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Provider kinematic strategies during the delivery of spinal manipulation and mobilization: a scoping review of the literature.

Provider kinematic strategies during the delivery of spinal manipulation and mobilization: a scoping review of the literature.

Background: Spinal manipulation (MAN) and mobilization (MOB) are biomechanically different yet both elicit pain reduction and increased range of motion. Previous investigations have focused on quantifying kinetics (e.g., applied forces) or, recipient kinematics (i.e., movements) during MAN and MOB. While these studies provide valuable information, they do not report on the strategies adopted by providers when performing the complex motor tasks of MAN and MOB. This review sought to synthesise the literature reporting on provider kinematics during the delivery of MAN and MOB.

Methods: This scoping literature review is reported following the Preferred Reporting Items for Scoping Reviews (PRISMA-ScR) statement. MEDLINE (Ovid), PsychINFO, Cochrane Library, Web of Science, Embase, Scopus, PEDro, ICL and CINAHL databases were searched from inception to September 2023 for terms relating to provider kinematics during the delivery of MAN and MOB. Data were extracted and reported descriptively, including: general study characteristics, number and characteristics of individuals who delivered/received MAN and/or MOB, region treated, equipment used and kinematic parameters of the individual delivering the procedure.

Results: Of 4,844 records identified, five (0.1%) fulfilled the eligibility criteria and were included in the analysis. Of these, provider kinematics were reported for the delivery of MAN in four (80%) and for the delivery of MOB in one (20%) article. Practitioners applied the procedure in all (100%) and students in one (20%) study. Spinal regions treated were: lumbar (n = 4), thoracic (n = 2) and cervical (n = 1). Data were reported heterogeneously but were most commonly captured using either video or motion capture equipment (n = 4, 80%). The direction of applied force was fully reported in one (20%) and only partially reported (one spinal region) in another study.

Conclusions: There are a small number of studies reporting heterogeneously on provider kinematics during the delivery of MAN and MOB. Clear reporting of the procedure from a biomechanical perspective and of the measurement equipment used could enable future meta-analysis of provider kinematic data, the use of provider kinematic data in the development of technique skills curricula and could feasibly be used to mitigate risk of injury for providers.

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来源期刊
Chiropractic & Manual Therapies
Chiropractic & Manual Therapies Medicine-Complementary and Alternative Medicine
CiteScore
3.20
自引率
15.80%
发文量
48
审稿时长
20 weeks
期刊介绍: Chiropractic & Manual Therapies publishes manuscripts on all aspects of evidence-based information that is clinically relevant to chiropractors, manual therapists and related health care professionals. Chiropractic & Manual Therapies is an open access journal that aims to provide chiropractors, manual therapists and related health professionals with clinically relevant, evidence-based information. Chiropractic and other manual therapies share a relatively broad diagnostic practice and treatment scope, emphasizing the structure and function of the body''s musculoskeletal framework (especially the spine). The practices of chiropractic and manual therapies are closely associated with treatments including manipulation, which is a key intervention. The range of services provided can also include massage, mobilisation, physical therapies, dry needling, lifestyle and dietary counselling, plus a variety of other associated therapeutic and rehabilitation approaches. Chiropractic & Manual Therapies continues to serve as a critical resource in this field, and as an open access publication, is more readily available to practitioners, researchers and clinicians worldwide.
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