影响国际手法物理治疗师脊柱触诊信心和知识水平的因素。
Factors affecting confidence and knowledge in spinal palpation among International Manual Physical Therapists.
作者信息
Karas Steve, Schneiders Anthony, Reid Duncan, Talisa Victor
机构信息
Department of Physical Therapy, Chatham University, Pittsburgh, PA, USA.
Department of Physiotherapy, Central Queensland University, Bundaberg, Australia.
出版信息
J Man Manip Ther. 2016 Jul;24(3):166-73. doi: 10.1080/10669817.2015.1125082.
OBJECTIVES
We sought to find if there was a relationship between the confidence in use of static palpation, passive physiological intervertebral motion (PPIVM) and passive accessory intervertebral motion (PAIVM) and the manual therapist's (MTs) knowledge of the literature on these topics.
METHODS
We designed an international survey to achieve our objectives. Each skill was surveyed for the cervical, thoracic and lumbar spines. We also included several other factors that we believed might influence the use of these skills.
RESULTS
We concluded that familiarity of the literature was significantly associated with a MTs' confidence in the use of static palpation, PPIVM and PAIVM techniques. We also found a relationship with the country of practice of the MT and their confidence using these techniques.
DISCUSSION
Spinal palpation is an integral part of the MT's evaluation and treatment abilities. The vast majority of MTs use spinal palpation and nearly all entry-level education programmes include it in their training. Knowing what factors influence MTs' confidence assessing and treating the spine may allow for more effective teaching and training, as well as improved patient outcomes.
目的
我们试图探寻在静态触诊、被动生理椎间运动（PPIVM）和被动附属椎间运动（PAIVM）的使用信心与手法治疗师（MTs）对这些主题的文献知识之间是否存在关联。
方法
我们设计了一项国际调查以实现我们的目标。对颈椎、胸椎和腰椎的每项技能进行了调查。我们还纳入了其他一些我们认为可能影响这些技能使用的因素。
结果
我们得出结论，对文献的熟悉程度与手法治疗师在使用静态触诊、PPIVM和PAIVM技术方面的信心显著相关。我们还发现手法治疗师的执业国家与其使用这些技术的信心之间存在关联。
讨论
脊柱触诊是手法治疗师评估和治疗能力的一个组成部分。绝大多数手法治疗师使用脊柱触诊，并且几乎所有入门级教育课程都将其纳入培训。了解哪些因素影响手法治疗师评估和治疗脊柱的信心可能有助于更有效的教学和培训，以及改善患者的治疗效果。
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