de Kock Eleanor, Yelverton Christopher, Myburgh Cornelius
J Chiropr Educ. 2023 Oct 1;37(2):116-123. doi: 10.7899/JCE-22-10.
To update the state of the art regarding the acquisition of spinal high-velocity low-amplitude psychomotor skills competency among chiropractors and chiropractic students.
Available electronic articles from 5 databases, published between June 2015 and August 2020, were obtained. Eligible studies underwent methodological quality assessments using the Joanna Briggs Institute Critical Appraisal Checklists and Cochrane Collaboration's Risk of Bias Tools.
Fourteen critically appraised studies were identified, including 10 cohort studies and 4 randomized controlled trials. There was no literature excluded due to high risk of bias. The type of augmented devices included a mannequin on a force platform, a computer-connected device, a human analogue mannequin, and a 3-dimensional electrogoniometer with an instrumented spatial linkage.
The use of augmented feedback devices such as human analogue mannequins with force-sensing table technology and computer-connected devices is potentially beneficial in the chiropractic curricula and may facilitate student learning and improvement of spinal manipulation. More studies are required to determine whether psychomotor skill aids translate directly into raised competency levels in novice clinicians.
更新脊椎按摩师和脊椎按摩专业学生在获取脊柱高速低幅心理运动技能能力方面的最新技术水平。
获取了2015年6月至2020年8月期间发表的来自5个数据库的可用电子文章。使用乔安娜·布里格斯研究所批判性评价清单和Cochrane协作网偏倚风险工具对符合条件的研究进行方法学质量评估。
确定了14项经过严格评价的研究，包括10项队列研究和4项随机对照试验。没有因高偏倚风险而排除的文献。增强设备的类型包括力平台上的人体模型、计算机连接设备、人体模拟模型以及带有仪器化空间连杆的三维电子测角仪。
在脊椎按摩课程中，使用诸如带有力感应台技术的人体模拟模型和计算机连接设备等增强反馈设备可能有益，并且可能有助于学生学习和改善脊柱推拿。需要更多研究来确定心理运动技能辅助工具是否能直接转化为新手临床医生能力水平的提高。
