临床医生技术对拉赫曼试验操作及结果判读的影响
Influences of Clinician Technique on Performance and Interpretation of the Lachman Test.
作者信息
Hurley Wendy L., Thompson McGuire D
机构信息
State University of New York College at Cortland, Cortland, NY.
出版信息
J Athl Train. 2003 Mar;38(1):34-43.
OBJECTIVE
To examine the influences of clinician technique on performance and interpretation of the Lachman test. DESIGN AND SETTING: Blinded, controlled, and randomized-block design clinical study conducted in an athletic training laboratory classroom. SUBJECTS: Twenty-two certified athletic trainer clinicians and 12 model patients. MEASUREMENTS: We used video analyses of 3-dimensional kinematics to identify variations in clinician technique. Each clinician's technique was classified according to the demonstrated grip configuration and test style. RESULTS: Clinician grip configuration was found to relate to performance and interpretation of the Lachman test. Clinicians demonstrating proximal "tibia-hand" placement were more likely to correctly perform and interpret the Lachman test than clinicians demonstrating distal tibia-hand placement. CONCLUSIONS: Clinicians should use the correct techniques when attempting to evaluate and interpret athletic injuries.
目的
研究临床医生技术对拉赫曼试验操作及结果判读的影响。
设计与环境
在运动训练实验室教室进行的双盲、对照和随机区组设计的临床研究。
受试者
22名获得认证的运动训练临床医生和12名模拟患者。
测量
我们使用三维运动学视频分析来识别临床医生技术的差异。根据所展示的握持方式和测试风格对每位临床医生的技术进行分类。
结果
发现临床医生的握持方式与拉赫曼试验的操作及结果判读有关。与展示远端胫骨-手部放置的临床医生相比，展示近端“胫骨-手部”放置的临床医生更有可能正确进行和判读拉赫曼试验。
结论
临床医生在试图评估和判读运动损伤时应使用正确的技术。
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