僵硬度比较测试：一项初步研究，旨在确定与性别、年龄和与职业相关经验有关的触诊技能的个体差异。

The Stiffness Comparison Test: A pilot study to determine inter-individual differences in palpatory skill related to gender, age, and occupation-related experience.

机构信息

Verein zur Förderung der Faszienforschung e.V., Munich, Germany; Department of Sport Science and Sports, Friedrich-Alexander University Erlangen-Nürnberg, Germany.

Experimental Anaesthesiology, Ulm University, Ulm, Germany; Department of Sports Medicine and Health Promotion, Friedrich Schiller University Jena, Jena, Germany; Fascia Research Group, Experimental Anesthesiology, Ulm University, Ulm, Germany; Diploma University of Applied Sciences, Bad Sooden-Allendorf, Germany; Conservative and Rehabilitative Orthopedics, Department of Sport and Health Sciences, Technical University of Munich, Germany.

出版信息

J Bodyw Mov Ther. 2020 Oct;24(4):1-6. doi: 10.1016/j.jbmt.2020.06.009. Epub 2020 Jul 11.

DOI:10.1016/j.jbmt.2020.06.009

PMID:33218495

Abstract

BACKGROUND

Manual palpation is a core skill in physical examination. Assessing elastic properties such as tissue stiffness has the potential for being an important diagnostics tool in the detection of cancer and other diseases.

OBJECTIVE

The study describes the newly developed Stiffness Comparison Test (SCT). The aim of our study was to test the SCT as a tool to detect interindividual differences in palpation skill related to gender, age and occupational experience.

METHODS

We used eight pairs of polyuterhane gel pads with the stiffness difference decreasing from the first to the last pair. Test subjects were asked to palpate each pair and determine stiffness differences.

PARTICIPANTS

We recruited 25 osteopaths, 48 other manual therapists and 50 participants from other non-manual professions.

RESULTS

As hypothesized there was no significant difference in SCT performance between the sexes (t(121) = 0.288, p = .774). To investigate if an age-related decline would have an effect on palpation skill, we carried out a linear regression. As hypothesized, the model did not predict any significant associations (F(1, 121) = 2.733, b = -0.149, p = .101, R = 0.022). To compare the effect of occupational groups on SCT performance a one-way ANOVA was conducted. There were no statistically significant differences between group means (F(2, 120) = 0.598, p = .552).

CONCLUSIONS

The SCT can be used as simple and affordable tool for assessment, teaching and training in all disciplines of manual medicine. Further refinements of the tool are suggested to advance its discrimination power.

摘要

背景

手动触诊是体检的核心技能。评估组织硬度等弹性特性有可能成为癌症和其他疾病检测的重要诊断工具。

目的

本研究描述了新开发的硬度比较测试（SCT）。我们的研究目的是测试 SCT 作为一种工具，以检测与性别、年龄和职业经验相关的触诊技能的个体差异。

方法

我们使用了 8 对具有从第一对到最后一对硬度逐渐降低的聚氨基甲酸酯凝胶垫。要求测试对象触摸每对垫子并确定硬度差异。

参与者

我们招募了 25 名整骨医生、48 名其他手动治疗师和 50 名来自其他非手动职业的参与者。

结果

正如假设的那样，性别之间的 SCT 表现没有显著差异（t(121)=0.288，p=0.774）。为了研究年龄相关的下降是否会对触诊技能产生影响，我们进行了线性回归。正如假设的那样，该模型没有预测出任何显著的关联（F(1, 121)=2.733，b=-0.149，p=0.101，R=0.022）。为了比较职业群体对 SCT 表现的影响，进行了单向方差分析。组平均值之间没有统计学上的显著差异（F(2, 120)=0.598，p=0.552）。