对Ober测试的一种新的替代方法,用于评估右带和左带度之间的差异:可靠性研究
Saverio Colonna1, Marco Mazzanti2, Corrado Borghi3
1Spine Center Project, Bologna, Italy; Scuola Osteopatia OSCE, Osteopathic Spine Center Education, Bologna, Italy.
Journal of bodywork and movement therapies
|November 27, 2024
概括
一个新的手动触摸测试 iliotibial带 (ITB) 刚性显示在特殊训练后高可靠性. 这种方法提供了一种可重复的方法来评估ITB度,有助于对相关病理的临床决策.
科学领域:
- 生物机械评估评估
- 肌肉骨诊断系统的诊断
- 物理治疗技术 物理治疗技术
背景情况:
- 阴带 (ITB) 硬与骨盆,腰椎和膝盖问题有关.
- 目前用于ITB刚度的黄金标准测试 (Ober测试) 缺乏验证,具有可疑的特异性.
- 需要一种经过验证,可靠的方法来评估ITB的刚性和指导治疗.
研究的目的:
- 开发和验证一种新型的手动触摸试验,用于评估 iliotibial 带的刚性.
- 评估拟议的手动评估方法的可复制性和可靠性.
- 为了将手动评估与仪器肌肉测量测量进行比较.
主要方法:
- 两名检查员通过对40名无症状受试者的指尖触摸评估了ITB度差异 (右与左).
- 评估是在20小时的培训课程之前和之后进行的,使用3级和7级的毕业度.
- 计算了可复制性 (内部和内部检查员),并根据肌肉测量测量验证了手动评估.
主要成果:
- 在培训后,内部审查员协议超过0.88,内部审查员协议达到0.72.
- 培训前的协议显著较低 (<0.48 内部检查员,<0.12 内部检查员).
- 手动和仪器硬度评估之间的一致性相当到中等 (频率0.347,硬度0.470).
结论:
- 这种新型的手动触摸测试证明了ITB硬度在内部检查员和内部检查员之间 (一天内) 的良好可重现性.
- 具体的培训对于实现高可靠性至关重要.
- 本研究中手动和仪器ITB刚度评估之间的比较需要进一步调查.
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