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Subjective and objective indices in determining stretching effect
Shinichi Daikuya1, Yumi Okayama1
1Faculty of Health and Medical Sciences, Hokuriku University, Kanazawa, Japan.
Objective measures and subjective feedback in stretching interventions show limited correlation. Therapists’ subjective assessments may be more reliable than patients’, but objective criteria are still needed for effective stretching.
Area of Science:
- Clinical Biomechanics
- Physical Therapy
- Rehabilitation Science
Background:
- Stretching is crucial for physical function, yet its assessment often relies on subjective therapist evaluations.
- A lack of objective criteria hinders the standardization and effectiveness of stretching interventions.
- This study addresses the gap between subjective feedback and objective physiological measures in stretching.
Purpose of the Study:
- To correlate objective biomechanical and physiological measures with subjective therapist and patient feedback during stretching.
- To assess the consistency of therapist judgments and identify objective criteria for evaluating stretching effectiveness.
- To enhance the clinical applicability and formalize knowledge surrounding stretching interventions.
Main Methods:
- Sixteen physiotherapists evaluated straight leg raising stretching on a simulated patient.
- Objective measures included joint angle, electromyography (EMG), and posterior thigh stiffness.
- Subjective data were collected using numerical rating scales from therapists and the simulated patient.
Main Results:
- Therapist ratings positively correlated with joint angle change and stretching duration.
- Patient ratings showed a positive correlation with integrated EMG of the semitendinosus muscle but a negative correlation with joint angle change.
- Regression analyses did not yield significant predictive models, indicating discrepancies between subjective and objective outcomes.
Conclusions:
- Subjective evaluations in stretching may not consistently align with objective outcomes, necessitating caution.
- While therapists subjectively detected minor joint angle improvements, no objective predictor was identified.
- Therapists' evaluations appear more aligned with objective outcomes than patients', highlighting the need for objective assessment in clinical practice.
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