Do experienced physiotherapists and final year physiotherapy trainees apply similar force during posterior-to-anterior lumbar mobilization techniques?

Gagnon, Dany H; Longtin, Christian; Berbiche, Djamal; Gaudreault, Nathaly

Gagnon, Dany H; Longtin, Christian; Berbiche, Djamal; Gaudreault, Nathaly.

Afiliación

Gagnon DH; School of Rehabilitation, Université de Montréal, Montreal, Canada; Pathokinesiology Laboratory, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Institut de réadaptation Gingras-Lindsay-de-Montréal, Montreal, Canada. Electronic address: Dany.Gagnon2@umontreal.ca.
Longtin C; School of Rehabilitation, Université de Sherbrooke, Sherbrooke, Canada. Electronic address: Christian.Longtin@usherbrooke.ca.
Berbiche D; Centre de recherche, Hôpital Charles LeMoyne, Longueuil, Canada. Electronic address: Djamal.Berbiche@usherbrooke.ca.
Gaudreault N; School of Rehabilitation, Université de Sherbrooke, Sherbrooke, Canada; Centre de recherche, Hôpital Charles LeMoyne, Longueuil, Canada. Electronic address: Nathaly.Gaudreault@usherbrooke.ca.

Man Ther ; 21: 287-91, 2016 Feb.

Article en En | MEDLINE | ID: mdl-26033263

RESUMEN

This study aims to quantify the force applied during posterior-to-anterior lumbar vertebrae mobilizations of different grades (I to IV) and compare that force between experienced physiotherapists and final year physiotherapy students. Four experienced physiotherapists and four final year physiotherapy students participated in this study along with five healthy asymptomatic individuals. A manual therapy table positioned over three force plates allowed for measurements of the force oscillation frequency and intensity applied during grade I, II, III and IV posterior-to-anterior (PA) mobilizations at two lumbar vertebral levels (L2 and L4). Mixed model ANOVAs were used to compare the force applied between the experienced physiotherapists and students, and between the various grades. The results showed that the mean oscillation frequency was similar between the groups for all grades. Grade I and grade IV PA mobilizations showed similar mean oscillation frequency as did grade II and III PA mobilizations. The minimum and maximum force applied was higher for the physiotherapists than for the students for all mobilization grades (p values < 0.05). Similar mean maximum force values were recorded for PA mobilizations between grade I and II and between grade III and grade IV. Grade III and IV PA mobilizations yielded higher mean maximum force values than those recorded during grade I and grade II PA mobilizations. The method used in this study allowed for quantification of the force applied during lumbar PA mobilizations. Experienced physiotherapists apply greater force than physiotherapy students across all grades, despite similar oscillation frequency.

Asunto(s)

Traumatismos de la Espalda/rehabilitación; Fenómenos Biomecánicos/fisiología; Región Lumbosacra/fisiopatología; Manipulación Espinal/métodos; Fisioterapeutas; Presión; Estudiantes de Medicina; Adulto; Humanos; Adulto Joven

Palabras clave

Force; Manual therapy; Physiotherapy; Rehabilitation; Spinal mobilization

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Presión / Estudiantes de Medicina / Fenómenos Biomecánicos / Traumatismos de la Espalda / Manipulación Espinal / Fisioterapeutas / Región Lumbosacra Tipo de estudio: Guideline Límite: Adult / Humans Idioma: En Revista: Man Ther Asunto de la revista: MEDICINA FISICA Año: 2016 Tipo del documento: Article Pais de publicación: Reino Unido

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