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随着手动脚重置后,部疼痛和宫旋转范围的变化可靠性

Nipaporn Wannaprom¹, Julia Treleaven², Gwendolen Jull²

¹Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand.

Journal of bodywork and movement therapies

|June 18, 2023

概括

手动头骨头骨重新定位显示了检查人员之间的部疼痛和宫旋转范围的可靠变化. 然而,患者对这些变化的感知只显示了与测量结果的适度一致.

科学领域:

物理治疗物理治疗
肌肉骨系统疾病肌肉骨系统疾病
临床测量临床测量

背景情况:

手动的头骨头骨重新定位可能会改变部疼痛和宫运动范围.
当临床医生进行这些变化时,这些变化的可靠性尚未得到充分确立.

研究的目的:

评估手动头骨头骨重新定位用于部疼痛和宫旋转的评价者间可靠性.
评估测量变化与患者感知结果之间的一致性.

主要方法:

一项涉及69名患有部疼痛和变化的头骨头状位置的参与者的横截面研究.
两位理疗师进行了手动的头巾重新定位,测量了部疼痛 (0-10级) 和宫旋转 (CROM装置).
患者报告的结果使用利克尔特等级来评估.

主要成果:

在检查者之间的疼痛和范围变化方面发现了高可靠性 (ICC 0.92-0.91).
对疼痛和范围的临床相关变化观察到中度一致 (kappa 0.64).
测量变化与患者感知之间的一致性是中度的 (kappa 0.51-0.52).

结论:

手动的头骨头骨重新定位证明了改善部疼痛和宫旋转的良好间隔可靠性.
在客观测量和患者对变化的感知之间存在中等程度的一致性.

关键词:

协议协议协议协议宫脊椎的部脊椎的部脊椎的部临床评估临床评估姿势姿势姿势头骨是一个头骨.

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