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训练有素的临床医生在双手器械辅助软组织松动术中施加的力的描述性分析。

Descriptive Analysis of Forces Applied by Trained Clinicians During Two-Handed Instrument-Assisted Soft Tissue Mobilization.

作者信息

Stevenson Taylor C, Whitlock James A, Martonick Nickolai, Cheatham Scott W, Reeves Ashley, McGowan Craig, Baker Russell T

机构信息

Doctor of Medicine Candidate, WWAMI Medical Education Program, University of Idaho, Moscow, ID;

Research Assistant, WWAMI Medical Education Program & Department of Movement Sciences, University of Idaho, Moscow, ID;

出版信息

J Athl Train. 2021 Nov 18;58(1):60-4. doi: 10.4085/1062-6050-282-21.

Abstract

Instrument-assisted soft tissue mobilization (IASTM) is a common intervention among clinicians. Despite the popularity, little is known about the forces applied by the clinician with the instruments during treatment. The purpose of this investigation was to examine the forces applied by trained clinicians using IASTM instruments during a simulated treatment. Eleven IASTM trained (Graston Technique, Técnica Gavilán, or RockBlades) clinicians (Physical Therapist = 2, Chiropractor = 2, Athletic Trainer = 7) participated in the study. Each clinician performed 75 two-handed strokes distributed evenly across five different IASTM instruments on a skin simulant attached to a force plate. IASTM stroke application was analyzed for peak normal forces (Fpeak) and mean normal forces (Fmean) by stroke. We observed an average Fpeak of 8.9N and Fmean of 6.0N across all clinicians and instruments. Clinicians and researchers may use the descriptive values as a reference for application of IASTM in practice and research.

摘要

器械辅助软组织松动术(IASTM)是临床医生常用的一种干预手段。尽管该方法很受欢迎,但对于临床医生在治疗过程中使用器械施加的力量却知之甚少。本研究的目的是检查经过培训的临床医生在模拟治疗过程中使用IASTM器械施加的力量。11名接受过IASTM培训(格拉森技术、加维兰技术或RockBlades)的临床医生(物理治疗师2名、脊椎按摩师2名、运动训练师7名)参与了该研究。每位临床医生在连接到测力板的皮肤模拟物上,使用五种不同的IASTM器械均匀分布地进行75次双手操作。通过操作分析IASTM操作施加的峰值法向力(Fpeak)和平均法向力(Fmean)。我们观察到,所有临床医生和器械的平均Fpeak为8.9N,平均Fmean为6.0N。临床医生和研究人员可将这些描述性数值作为在实践和研究中应用IASTM的参考。

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