在确定拉伸效应时的主观和客观指数
Shinichi Daikuya1, Yumi Okayama1
1Faculty of Health and Medical Sciences, Hokuriku University, Kanazawa, Japan.
PloS one
|April 29, 2025
概括
在拉伸干预中,客观测量和主观反显示出有限的相关性. 治疗师的主观评估可能比患者更可靠,但仍然需要客观的标准来进行有效的伸展.
科学领域:
- 临床生物力学 临床生物力学
- 物理疗法物理治疗
- 康复科学 康复科学 康复科学
背景情况:
- 伸展对于身体功能至关重要,但它的评估往往依赖于主观治疗师的评估.
- 缺乏客观标准阻碍了延伸干预措施的标准化和有效性.
- 这项研究解决了主观反和伸展中的客观生理测量之间的差距.
研究的目的:
- 为了将客观的生物机械和生理测量与主观治疗师和患者在拉伸过程中的反相关联.
- 评估治疗师判断的一致性,并确定评估拉伸效果的客观标准.
- 为了提高临床适用性和正式化围绕伸展干预的知识.
主要方法:
- 16名理疗师对一个模拟患者进行了直腿提升伸展的评估.
- 客观测量包括关节角度,心电图 (EMG) 和后腿硬度.
- 从治疗师和模拟患者的数值评分表来收集主观数据.
主要成果:
- 治疗师评级与关节角度变化和拉伸持续时间正相关.
- 患者的评分与半肌的集成EMG呈正相关性,与关节角度变化呈负相关性.
- 回归分析没有产生显著的预测模型,表明主观和客观结果之间的差异.
结论:
- 伸展方面的主观评估可能不总是与客观结果一致,需要谨慎.
- 虽然治疗师主观地检测到较小的关节角度改善,但没有确定任何客观预测因素.
- 治疗师的评估似乎比患者更符合客观结果,突出了临床实践中客观评估的必要性.
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