The effect of training on physical therapists' ability to apply specified forces of palpation.
The effect of training on physical therapists' ability to apply specified forces of palpation.
复制标题
训练对物理治疗师施加特定触诊力量的能力的影响。
DOI：
10.1093/ptj/73.1.38
复制
发表时间：
1993
期刊：
影响因子：
3.2
通讯作者：
T. M. Bach
中科院分区：
文献类型：
--
作者：
Jenny Keating;Thomas A. Matyas;T. M. Bach
背景和目的
本研究的目的是评估研究生物理治疗的学生学习操作是否可以学会准确地产生特定的力量，在触诊椎间关节。
科目
12名受试者（7名女性，5名男性），年龄26至36岁（X = 29.5，SD = 2.9），均完成了4年的物理治疗学位课程，并在临床实践中工作了3至10年。所有受试者都参加了为期12个月的研究生推拿治疗文凭课程。
方法
实验组的受试者（n = 6）接受训练，使用浴室秤施加1、5、10、15、20和25千磅的特定力。他们每天练习10分钟，持续30天。当他们对健康受试者的腰椎施加后前被动辅助椎间关节运动时，使用测力平台测量他们根据命令产生这些力的能力。该测试在训练前（预测试）、训练后立即（后测试）和停止训练后1个月（保持测试）进行。对照组受试者（n = 6）没有训练的规模，但也是研究生的操作物理治疗课程的学生。
结果
与对照组相比，实验训练组在训练后立即和1个月后的力量产生误差都有所减少。这种改进对于保持测试是显著的。对于保持测试，实验组受试者还接受了训练任务的测试（即他们对量表施加特定力的能力）。他们比对照组发展了更高水平的准确性。
结论与讨论
因此，实验训练是正常训练的有效补充，这表明治疗师可以学会量化施加的力量，这对沟通和评估联合行为具有重要意义。
BACKGROUND AND PURPOSE
The aim of this study was to evaluate whether postgraduate physical therapy students studying manipulation could learn to accurately produce specific forces during palpation of an intervertebral joint.
SUBJECTS
The 12 subjects (7 female, 5 male), aged 26 to 36 years (X = 29.5, SD = 2.9), had each completed a 4-year degree course in physical therapy and had worked between 3 and 10 years in clinical practice. All subjects were enrolled in a 12-month postgraduate manipulative therapy diploma course.
METHODS
Subjects in the experimental group (n = 6) trained to apply specific forces of 1, 5, 10, 15, 20, and 25 kiloponds using bathroom scales. They practiced for 10 minutes per day for 30 days. Their ability to produce these forces on command was measured using a force platform as they applied posteroanterior passive accessory intervertebral joint movements to the lumbar spine of the healthy subjects. This testing was done prior to training (pretest), immediately after training (posttest), and 1 month following cessation of training (retention test). The control group subjects (n = 6) had no training with scales but were also students of the postgraduate manipulative physical therapy course.
RESULTS
In comparison with the control group, the experimentally trained group showed reduced error in force production both immediately after training and 1 month later. This improvement was significant for the retention test. For the retention test, the experimental group subjects were also tested on the trained task (ie, their ability to apply specific forces to the scales). They developed higher levels of accuracy than did the control group.
CONCLUSION AND DISCUSSION
Experimental training, therefore, was an effective addition to normal training, suggesting that therapists can learn to quantify applied forces, with significant implications for communication and evaluation of joint behavior.