通过体格检查训练中的模拟来理解眼外肌及动眼神经、滑车神经和展神经：一种创新方法。
Understanding the extraocular muscles and oculomotor, trochlear, and abducens nerves through a simulation in physical examination training: an innovative approach.
作者信息
Zhang Niu, He Xiaohua
机构信息
Palmer College of Chiropractic Florida.
出版信息
J Chiropr Educ. 2010 Fall;24(2):153-8. doi: 10.7899/1042-5055-24.2.153.
PURPOSE
The purpose of this study was to investigate the effect of an innovative exhibitory eye model simulation in a physical examination laboratory format on explaining Listing's Law concerning the individual extraocular muscle action and the rationale for cranial nerve testing.
METHODS
Participants were 71 volunteers in the third quarter of a chiropractic training program. The study involved a specially designed eyeball model used to explain the movements of individual extraocular muscles based on Listing's law and their cranial innervations in conjunction with the physical examination. Pre- and post-written tests were used to assess participants' understanding of the subjects taught. The test results were compared with those of nonparticipants who also took the same pre- and posttests.
RESULTS
An independent samples t-test of the posttest showed a significant difference between the groups. The study group students achieved higher scores than their counterparts in the control group.
CONCLUSION
Using an innovative approach to explain Listing's law and rationale for cranial nerve tests can improve physical examination skill and help produce more effective written test results.
目的
本研究旨在探讨以体格检查实验室形式进行的创新性展示性眼模型模拟，在解释关于个体眼外肌作用的利斯廷定律以及颅神经测试基本原理方面的效果。
方法
参与者为整脊培训项目第三季度的71名志愿者。该研究使用了一个专门设计的眼球模型，用于结合体格检查，依据利斯廷定律解释个体眼外肌的运动及其颅神经支配。通过书面前测和后测来评估参与者对所教授主题的理解。将测试结果与同样参加了前测和后测的非参与者的结果进行比较。
结果
后测的独立样本t检验显示两组之间存在显著差异。研究组学生的得分高于对照组的学生。
结论
采用创新方法解释利斯廷定律和颅神经测试的基本原理，可提高体格检查技能，并有助于产生更有效的书面测试结果。
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