临床评估工具：对一所脊椎按摩疗法学院的脊椎按摩疗法医生和学生的调查。
Clinical evaluation tools: a survey of doctors of chiropractic and students at one chiropractic college.
作者信息
Mansholt Barbara A, Vining Robert D
机构信息
Associate Professor, Clinic, Palmer College of Chiropractic.
Associate Professor, Senior Research Clinician, Palmer Center for Chiropractic Research, Palmer College of Chiropractic.
出版信息
J Can Chiropr Assoc. 2016 Mar;60(1):26-35.
INTRODUCTION
The reliability and validity of many evaluation tools leading to clinical decision-making for spinal manipulation are varied. We surveyed senior students and DC employees at one chiropractic college regarding 1) which analysis tools should be used and 2) factors that influence their choices.
METHODS
The survey queried which tools should be used on a routine patient encounter. Clinical evaluation tools included palpation, skin temperature analysis, leg length analysis, and radiographs.
RESULTS
Surveys were collected from 58 doctors of chiropractic (DCs) and 74 students. Respondents from both groups reported to most commonly use static palpation, followed by motion palpation and leg length analysis. DC respondents ranked evidence and personal experience high for rationale; student respondents frequently chose patient preference.
CONCLUSION
DC and student respondents reported use of clinical evaluation tools consistently. However, some variations in rationale were noted. It is important for educators to provide a balanced presentation of the strengths and limitations of clinical analysis procedures to support the development of well-justified evidence-based clinical decision-making skills.
引言
许多用于脊柱推拿临床决策的评估工具的可靠性和有效性各不相同。我们对一所脊椎按摩疗法学院的高年级学生和脊椎按摩疗法师雇员进行了调查，内容涉及1）应使用哪些分析工具，以及2）影响他们选择的因素。
方法
该调查询问了在常规患者诊疗过程中应使用哪些工具。临床评估工具包括触诊、皮肤温度分析、腿长分析和X光片。
结果
收集到了58名脊椎按摩疗法师和74名学生的调查问卷。两组受访者均报告最常使用静态触诊，其次是动态触诊和腿长分析。脊椎按摩疗法师受访者将证据和个人经验列为选择的主要依据；学生受访者则经常选择患者偏好。
结论
脊椎按摩疗法师和学生受访者报告在临床评估工具的使用上较为一致。然而，在选择依据上存在一些差异。教育工作者必须全面介绍临床分析程序的优势和局限性，以帮助培养有充分依据的循证临床决策技能，这一点至关重要。
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