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Clinical Audit on Examination Tools Used by Physical Therapists in Metro Manila in Examining Conditions with Neck Pain 马尼拉大都会物理治疗师在检查颈部疼痛情况时使用的检查工具的临床审计
Pub Date : 2021-02-01 DOI: 10.36413/PJAHS.0402.003
Arlene Chiong Maya, Christopher I. Cruz, Hymn Nuntasomsaran, Pauline Alyssa Vega, J. Tan, Jerome Jr. Rivera, Vanessa Regina Guevarra
Background: Neck pain is considered the fourth leading cause of disability, with an annual prevalence rate of 15 to 30%. Using evidence-based practice in neck pain examination is a vital part of the rehabilitation process as it serves as a basis for determining the best treatment. The objective of the study is to determine the usage of recommended examination tool for neck pain among the physical therapists in selected hospitals and clinics in Metro Manila. Methods: The study has three distinct phases wherein phase 1 was the development and validation of a data extraction sheet, phase 2 was the assessment of interrater reliability among the investigators who will perform the chart review, and phase 3 was the chart review process. Descriptive statistics were used for data analysis. Results: In phase 1, the contents of the data extraction sheet were found to be valid. In phase 2, the inter-rater reliability was 96.7% percent. In phase 3, the visual analogue scale was the most commonly used examination tool, yielding a 54% usage. This was followed by cervical range of motion & cervical manual muscle testing (22%), palpation (15%), sensory testing (7%), postural assessment (6%), special test (4%), ocular inspection (2%), functional assessment (1%), Functional Index Measure (1%) and functional muscle testing (1%). Neck Disability Index, which was one of the literature-recommended examination tools, was not used. Conclusion: Visual analogue scale was the most commonly used examination tool in conditions with neck pain in selected hospitals and clinics in Metro Manila. Further investigation can be done in order to know the reasons for the use or nonuse of examination tools.
背景:颈部疼痛被认为是导致残疾的第四大原因,年患病率为15%至30%。在颈部疼痛检查中使用循证实践是康复过程的重要组成部分,因为它是确定最佳治疗的基础。该研究的目的是确定马尼拉大都会选定医院和诊所的物理治疗师对颈部疼痛的推荐检查工具的使用情况。方法:研究分为三个不同的阶段,其中第一阶段是数据提取表的开发和验证,第二阶段是评估将执行图表审查的调查人员之间的相互可靠性,第三阶段是图表审查过程。采用描述性统计进行数据分析。结果:在第一阶段,数据提取表的内容是有效的。在第二阶段,评估者之间的信度为96.7%。在第3阶段,视觉模拟量表是最常用的检查工具,使用率为54%。其次是颈椎活动度和颈部手工肌肉测试(22%)、触诊(15%)、感觉测试(7%)、体位评估(6%)、特殊测试(4%)、眼部检查(2%)、功能评估(1%)、功能指数测量(1%)和功能肌肉测试(1%)。未使用文献推荐的检查工具之一颈部残疾指数。结论:视觉模拟量表是马尼拉大都会选定医院和诊所中最常用的颈部疼痛检查工具。为了了解使用或不使用检查工具的原因,可以进行进一步的调查。
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引用次数: 0
The Relevant Anatomy of the Biceps Tendon When Performing Tenodesis in Filipino Cadaveric Specimens 菲律宾尸体标本进行肌腱固定术时肱二头肌肌腱的相关解剖
Pub Date : 2021-02-01 DOI: 10.36413/PJAHS.0402.004
M. L. S. Bangcoy, C. Villamin, Chino Ervin Tayag, P. Lorenzo
Background: Biceps tenodesis is a technique frequently performed in shoulder surgeries. Various techniques have been described, but there is no consensus on which technique restores the length-tension relationship. Restoration of the physiologic length-tension relationship has been correlated to better functional outcomes, such as decreased incidence of residual pain or weakness of the biceps. The objective of this study was to measure the anatomic relationship of the origin of the biceps tendon with its zones in the upper extremity. This would provide an anatomic guide or an acceptable placement of the tenodesis to reestablish good biceps tension during surgery. Methods: The study used nine adult cadavers (five males, four females) from the [withheld for blinded review]. Nine shoulder specimens were dissected and markers were placed at five points along each biceps tendon: (1) Labral origin (LO) (2) Superior bicipital groove (SBG) (3) Superior border of the pectoralis tendon (SBPMT) (4) Musculotendinous junction (MTJ) and (5) Inferior border of the pectoralis tendon (IBPMT). Using the origin of the tendon as the initial point of reference, measurements were made to the four subsequent sites. The humeral length was recorded by measuring the distance between the greater tuberosity and the lateral epicondyle as well as the tendon diameter at the articular surface. Results: The intraclass correlation coefficient was excellent across all measures. A total of nine cadavers were included. Mean age of patients was 66.33 years old, ranging from 52-82 years old. These were composed of five male and four female cadavers. The mean tendon length was 24.83mm ± 4.32 from the origin to the superior border of the bicipital groove, 73.50mm ± 6.96 to the Superior Border Pectoralis Major Tendon, 100.89mm ± 6.88 to the Musculotendinous Junction, and 111.11mm ± 7.45 to the Inferior Border Pectoralis Major Tendon. The mean tendon diameter at the articular origin was 6.44mm ± 1.76. Conclusion: This study provided measurement guidelines that could restore the natural length-tension relationship during biceps tenodesis using the interference screw technique in Filipinos. A simple method of restoring a normal length-tension relationship is by doing tenodesis close to the articular origin and creating a bone socket of approximately 25mm in depth, using the superior border of the bicipital groove as a landmark.
背景:肌腱固定二头肌是肩部手术中常用的一种技术。已经描述了各种技术,但对于哪种技术可以恢复长度-张力关系,还没有达成共识。生理长度-张力关系的恢复与更好的功能结果相关,如减少残余疼痛或二头肌无力的发生率。本研究的目的是测量二头肌腱起源与其上肢区域的解剖关系。这将提供一个解剖学指导或可接受的肌腱固定位置,以在手术期间重建良好的二头肌张力。方法:该研究使用了9具成人尸体(5具男性,4具女性),来自[保留进行盲法审查]。解剖了9个肩部标本,并在每个肱二头肌肌腱的5个点放置了标记:(1)Labral origin(LO)(2)Superior bicipital groove(SBG))(3)胸肌腱上缘(SBPMT)(4)肌腱交界处(MTJ)和(5)胸肌肌腱下缘(IBPMT)。使用肌腱的起源作为初始参考点,对随后的四个部位进行测量。通过测量大结节和外侧上髁之间的距离以及关节表面的肌腱直径来记录肱骨长度。结果:组内相关系数在所有测量中都很好。共包括9具尸体。患者的平均年龄为66.33岁,年龄在52-82岁之间。这些尸体由五具男性和四具女性尸体组成。从起始点到肱二头肌沟上缘的平均肌腱长度为24.83mm±4.32,到上缘胸大肌腱的平均长度为73.50mm±6.96,到肌腱交界处的平均肌腱宽度为100.89mm±6.88,到下缘胸大腱的平均肌腱长度为111.11mm±7.45。关节起始处的平均肌腱直径为6.44mm±1.76。结论:本研究为菲律宾人应用干涉螺钉技术恢复二头肌肌腱固定过程中的自然长度张力关系提供了测量指南。恢复正常长度-张力关系的一个简单方法是在关节原点附近进行肌腱固定,并以肱二头肌沟的上边界为标志,制作深度约25毫米的骨窝。
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引用次数: 0
A Literature Review on the Facilitators and Barriers to the Uptake of Interprofessional Collaboration in the Field of Assistive Technology within Rehabilitation Medicine 康复医学辅助技术领域接受跨专业合作的推动者和障碍的文献综述
Pub Date : 2021-02-01 DOI: 10.36413/PJAHS.0402.006
D. P. Yao, Kenneth Matthew B. Beltran, T. Santos, Kaoru Inoue
Assistive technology (AT) enables an optimized life for persons with disability through the scaffolding of functional capabilities. However, AT provision faces challenges such as long approval processes, funding inadequacies, and difficulties integrating evidence into practice. A means to address these issues is through interprofessional collaboration (IPC), the process by which health professionals efficiently coordinate and work with each other towards a common goal to maximize limited resources. To promote its effective implementation, there is a need to know the facilitators and barriers that affect its implementation. Thus, this paper aims to review the facilitators and barriers to the uptake of IPC in the field of AT within rehabilitation medicine identified by existing literature. This literature review followed the steps outlined by The Model Systems Knowledge Translation Center. Articles published between January 2000 until September 2019 were retrieved from four electronic databases (Cochrane Library, PubMed, Scopus, Science Direct). Three studies were included in the study. Facilitators identified were: (1) optimal work culture, (2) professional competence, and (3) associating with team members. Barriers to effective IPC in the field of AT were identified as: (1) presence of professional silos, (2) lack of unified language, and (3) gaps in bureaucratic support. The mechanisms and factors in implementing interprofessional collaboration identified by the World Health Organization are vital in the field of AT. However, the barriers identified above need to be addressed to promote the uptake of IPC within this specialized field.
辅助技术(AT)通过功能能力的支架为残疾人提供了优化的生活。然而,AT条款面临着审批过程长、资金不足以及难以将证据纳入实践等挑战。解决这些问题的一种方法是通过跨专业合作(IPC),即卫生专业人员有效协调和相互合作的过程,以实现最大限度地利用有限资源的共同目标。为了促进其有效执行,有必要了解影响其执行的促进者和障碍。因此,本文旨在回顾现有文献中确定的在康复医学中AT领域吸收IPC的促进因素和障碍。这篇文献综述遵循了模型系统知识翻译中心概述的步骤。从四个电子数据库(Cochrane Library、PubMed、Scopus、Science Direct)检索2000年1月至2019年9月期间发表的文章。本研究包括三项研究。确定的促进者有:(1)最佳工作文化,(2)专业能力,(3)与团队成员建立联系。AT领域有效IPC的障碍被确定为:(1)存在专业筒仓,(2)缺乏统一的语言,以及(3)官僚支持方面的差距。世界卫生组织确定的实施跨专业合作的机制和因素在AT领域至关重要。然而,需要解决上述障碍,以促进IPC在该专业领域的应用。
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引用次数: 0
A Rapid Literature Review on the Strategies for Collaboration Between Occupational therapists and Speech-Language Therapists in the Field of Augmentative and Alternative Communication 职业治疗师与言语语言治疗师在辅助和替代沟通领域合作策略的快速文献综述
Pub Date : 2021-02-01 DOI: 10.36413/PJAHS.0402.007
D. P. Yao
An alternative and augmentative communication (AAC) device replaces or supplements a person’s natural speech. Speech-Language Pathologists (SLPs) collaborate with a team of healthcare professionals in the process of identification and use of the right AAC device for a person with complex communication needs (CCN). In the Philippines, occupational therapists (OTs) and SLPs are more likely to collaborate in the treatment of their clients due to their interprofessional education (IPE) experience. However, most Filipino SLPs do not engage in interprofessional collaboration (IPC) when rendering AAC services. Thus, there is a need to identify existing literature that tackles collaborative practices to raise the quality of service and care. Hence, this study aimed to identify and discuss existing literature that documented IPE and IPC strategies between OTs and SLPs in the field of AAC. The structure of this literature review was guided and adapted from the topics outlined in the preferred reporting items for systematic reviews and meta-analyses (PRISMA). Literature archived in two databases (Pubmed and Scopus) were reviewed. Two articles out of five studies were included in this review. Strategies found were “case based learning approach” for post-graduate students and the “Beyond Access model” in supporting practitioners. In conclusion, there is a dearth of literature on IPC practices among OTs and SLPs in the field of AAC. There is a need to report IPE and IPC efforts in the Philippines to provide applicable strategies to the local healthcare landscape.
替代和辅助交流(AAC)设备取代或补充一个人的自然语言。语言病理学家(slp)与医疗保健专业人员团队合作,为具有复杂沟通需求(CCN)的人识别和使用正确的AAC设备。在菲律宾,由于职业治疗师(OTs)和职业治疗师(slp)的跨专业教育(IPE)经验,他们更有可能在治疗客户方面进行合作。然而,大多数菲律宾slp在提供AAC服务时不参与跨专业合作(IPC)。因此,有必要确定处理协作实践以提高服务和护理质量的现有文献。因此,本研究旨在识别和讨论在AAC领域中记录OTs和slp之间IPE和IPC策略的现有文献。本文献综述的结构是根据系统综述和荟萃分析(PRISMA)首选报告项目中概述的主题进行指导和改编的。对两个数据库(Pubmed和Scopus)中的文献进行了综述。本综述纳入了5篇研究中的2篇。所发现的策略是针对研究生的“基于案例的学习方法”和支持从业者的“超越访问模式”。总之,在AAC领域,关于OTs和slp之间的IPC实践的文献很少。有必要报告菲律宾的IPE和IPC工作,以便为当地医疗保健领域提供适用的战略。
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引用次数: 1
Speech language pathology services in a time of pandemic 疫情时期的言语病理学服务
Pub Date : 2020-08-15 DOI: 10.36413/pjahs.0401.003
C. Vickers
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引用次数: 0
Effect of non-elastic closed-basket weave ankle taping on muscle activity of tibialis anterior, peroneus longus, medial, and lateral gastrocnemius during jump landing on a hard, flat surface in healthy individuals: a pilot study 非弹性闭篮编织脚踝绑带对健康个体在坚硬平坦表面上跳跃着陆时胫骨前肌、腓骨长肌、内侧和外侧腓骨肌肌肉活动的影响:一项初步研究
Pub Date : 2020-08-15 DOI: 10.36413/pjahs.0401.007
Fe T. Chavez, Emmanuel Carpio, Philip Andrew Aguilar, Daniella Ang, Blessie Busog, Rheine Canlas, Isabella Gonzales, Joan Marie Ibanez, Adrian Miclat, M. Principe
Background: Inversion ankle sprains are among the most common traumatic injuries for both men and women caused by jumping and landing activities. The ankle is protected by the static and dynamic stabilizers to reduce the incidences of injuries. Furthermore, using a non-elastic closed-basket weave taping technique is one of the common interventions to prevent it. Knowledge about the muscle activity reaction of the dynamic stabilizers upon application of tape is limited with varying results. Objectives: To determine the effect of non-elastic closed-basket weave ankle taping on the muscle activity of tibialis anterior, peroneus longus, medial, and lateral gastrocnemius on healthy individuals during jump landing on a hard, flat surface. Methods: This study is a quasi-experimental study using a pre- and post-test design. Peak amplitude muscle activity was assessed and analyzed using surface electromyography (sEMG) after landing from a jump. The pre-test was done by jump landing without tape, after which post-test data was immediately collected after applying the non-elastic closed-basket weave taping. Jump landing was done for three trials for both pre- and post-tests. A paired t-test was used to determine significant differences in pre-post taping . Results: Fifteen healthy participants were included in the study (9 females, 6 males) with a mean age of 21 + 1.03 years old and BMI of 22.74 + 1.63 kg/m 2 . No significant difference was observed on peak amplitude muscle activity of the tibialis anterior (p= 0.06), medial gastrocnemius (p= 0.32), and lateral gastrocnemius (p= 0.66) after application of tape. However, a significant difference was observed in the peroneus longus after the application of tape (p= 0.05) during jump landing. Conclusion: Non-elastic closed-basket weave taping decreased the peak amplitude muscle activity of the peroneus longus during jump landing. This research suggests that tape may influence the peroneus longus, and it may or may not be detrimental in reducing the risk of ankle sprains.
背景:内翻性踝关节扭伤是由跳跃和落地活动引起的男性和女性最常见的创伤之一。脚踝受到静态和动态稳定器的保护,以减少受伤的发生率。此外,使用非弹性封闭篮子编织胶带技术是预防这种情况的常见干预措施之一。关于动态稳定剂在使用胶带时的肌肉活动反应的知识有限,结果各不相同。目的:确定在坚硬平坦的表面上跳跃着陆时,非弹性闭合篮编织踝带对健康人胫骨前肌、腓骨长肌、内侧和外侧腓肠肌肌肉活动的影响。方法:本研究为准实验研究,采用测试前和测试后设计。跳跃着地后,使用表面肌电图(sEMG)对峰值振幅肌肉活动进行评估和分析。预测试是在没有胶带的情况下通过跳跃着陆进行的,之后在应用非弹性封闭篮子编织胶带后立即收集测试后数据。跳跃着陆进行了三次测试,包括测试前和测试后。配对t检验用于确定贴胶带前后的显著差异。结果:15名健康参与者(9名女性,6名男性)被纳入研究,平均年龄为21±1.03岁,BMI为22.74±1.63 kg/m2。应用胶带后,胫骨前肌(p=0.06)、腓肠内侧肌(p=0.32)和腓肠外侧肌(p=0.66)的峰值振幅肌肉活动没有观察到显著差异。然而,在跳跃着陆过程中使用胶带后,腓骨长肌出现了显著差异(p=0.05)。结论:非弹性闭合编织带降低了跳跃着地过程中腓骨长肌峰值振幅的肌肉活动。这项研究表明,胶带可能会影响腓骨长肌,它可能对降低脚踝扭伤的风险有害,也可能不有害。
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引用次数: 0
Teaching allied health courses in the time of COVID-19: challenges and opportunities 新冠肺炎时期的联合健康课程教学:挑战与机遇
Pub Date : 2020-08-15 DOI: 10.36413/pjahs.0401.002
G. Torres, E. F. Sumile
Allied health sciences are essential to an organized society. It contributes to the manpower that fuels global health and impacts people’s quality of life. The educational preparation of health professionals is highly skill-based and high touch. However, in a digital era like today, the challenge of ensuring a balance between high tech and high touch is paramount. But it takes a whole new level of challenge when a pandemic strikes.
联合健康科学对一个有组织的社会是必不可少的。它为促进全球健康和影响人们生活质量的人力资源作出贡献。卫生专业人员的教育准备是高度技术化和高度接触化的。然而,在像今天这样的数字时代,确保高科技和高触感之间的平衡的挑战是至关重要的。但当大流行来袭时,挑战就会达到一个全新的水平。
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引用次数: 0
Occupational therapy in the times of the pandemic 大流行时期的职业疗法
Pub Date : 2020-08-15 DOI: 10.36413/pjahs.0401.004
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引用次数: 2
Clinical audit on outcome measures used in examination of knee osteoarthritis in selected hospitals and clinics in the Philippines 在菲律宾选定的医院和诊所对膝关节骨关节炎检查中使用的结果指标进行临床审计
Pub Date : 2020-08-15 DOI: 10.36413/pjahs.0401.006
J. Regino, Cristine Rose S. Versales, J. Catalan, Edgar Maurice Bajado, Marielle Regine De Jesus, Orville Hernández, Gabriele Uriel Palisoc, Jaime Antonio Rama, Alyssa Rae Tungal
Background: Knee osteoarthritis is a degenerative joint disease affecting the aging Filipino population. Outcome measure tools are used to assess a patient’s health status for the quality of care improvement. With the increasing prevalence of knee osteoarthritis, it warrants the need to conduct a clinical audit to identify the most common outcome measure tools used by Filipino Physical Therapists. Objectives: To determine the outcome measure tools used by Filipino Physical Therapists in assessing knee osteoarthritis in hospitals and clinics and compare it to the current global standard of assessment. Methods: A retrospective record audit study design was used to determine the current assessment tool compared with standards of assessment. Results: Of the 45 of 285 charts reviewed, 80% were females and 73.33%, aged older than 60 years. The following were examination tools used by Physical Therapists: In Subjective; a. pain score (97.77%), b Functional status (80%), and c. stiffness ( 4.44%). In Objective; a. ocular inspection and palpation(97.77% ), b. range of motion and manual muscle testing (93.33%), c. posture ( 48.89%), d. special tests (33.33%), e. gait analysis ( 71.11%), and f. Functional assessment ( 91.11%). Physical Therapists did not use Western Ontario and McMaster Universities Osteoarthritis (WOMAC), Visual Analog Scale (VAS), Short Form-36 (SF-36), and Knee Injury and Osteoarthritis Outcome Score ( KOOS) outcome measures for assessing knee osteoarthritis. Conclusion: Physical Therapists did not use standardized outcome measure tools in the assessment for knee osteoarthritis. Thus, the study shows the gap in the assessment for knee osteoarthritis in the Philippines and global standards.
背景:膝骨关节炎是一种影响菲律宾老年人的退行性关节疾病。结果测量工具用于评估患者的健康状况,以改善护理质量。随着膝关节骨关节炎患病率的增加,有必要进行临床审计,以确定菲律宾物理治疗师使用的最常见的结果测量工具。目的:确定菲律宾物理治疗师在医院和诊所评估膝关节骨关节炎时使用的结果测量工具,并将其与目前的全球评估标准进行比较。方法:采用回顾性记录审计研究设计,确定当前评估工具与评估标准的比较。结果:285张病历中45张,女性占80%,60岁以上占73.33%。以下是物理治疗师使用的检查工具:主观;a.疼痛评分(97.77%),b .功能状态(80%),c.僵硬(4.44%)。在客观;a.眼部检查和触诊(97.77%),b.活动范围和手肌测试(93.33%),c.姿势(48.89%),d.特殊测试(33.33%),e.步态分析(71.11%),f.功能评估(91.11%)。物理治疗师没有使用西安大略和麦克马斯特大学骨关节炎(WOMAC)、视觉模拟量表(VAS)、短表36 (SF-36)和膝关节损伤和骨关节炎结局评分(oos)结果测量来评估膝关节骨关节炎。结论:物理治疗师在评估膝骨关节炎时没有使用标准化的结果测量工具。因此,该研究显示了菲律宾膝关节骨关节炎的评估与全球标准的差距。
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引用次数: 0
Muscle activation pattern of gluteus medius, tibialis anterior and peroneus longus during drop landing on different surfaces: a cross-sectional study 臀中肌、胫骨前肌和腓骨长肌在不同表面落点时的肌肉激活模式:一项横断面研究
Pub Date : 2020-08-15 DOI: 10.36413/pjahs.0401.008
K. E. Sosa, K. Devora, Rino Luis Santiago, Shyllah Trish Abando, Samuel John Chua, R. Leon, Raphael Jose Maria Eala, Iana Joy Famy, Anselm Raphael Garvida, Liezelle Soriano
Background: Gluteus medius (GMeds), peroneus longus (PL), and tibialis anterior (TA) help in maintaining frontal stability of the lower extremity, particularly, the ankle. Muscle activation must be sufficient to prevent the occurrence of an ankle sprain. The purpose of this study is to compare the muscle activation of the GMeds, TA, and PL during drop landing on stable and unstable surfaces of physically active individuals. Methods: Surface EMG (sEMG) was used to determine the muscle activation pattern of the GMeds, TA, and PL of fifteen (15) recreational athletes during drop landing. The mean percentage of maximum voluntary isometric contraction (%MVIC) was calculated for comparison. Wilcoxon signed-rank test was used to compare means. Results: There were no statistically significant differences in the muscle activity of GMeds (p=0.69), TA (p=0.26), and PL (p=0.23) on stable and unstable surfaces. However, a small effect size showed that GMeds (d=0.30) has higher activation in the unstable surface while TA (d=0.28) and PL (d=0.17) have lower activation on unstable surface. Conclusion : Landing surface does not significantly alter muscle activity of GMeds, TA, and PL. However, the magnitude of the difference in the mean %MVIC between groups shows the compensatory mechanism of the body when subjected to different surface conditions. This can be used when creating injury prevention programs of the lower extremity.
背景:臀中肌(GMeds)、腓骨长肌(PL)和胫骨前肌(TA)有助于维持下肢,特别是踝关节的前部稳定性。肌肉活动必须足以防止脚踝扭伤的发生。本研究的目的是比较身体活动个体在稳定和不稳定表面降落过程中GMeds、TA和PL的肌肉激活情况。方法:应用表面肌电(sEMG)测定15名休闲运动员在降落过程中的GMed、TA和PL的肌肉激活模式。计算最大自主等长收缩的平均百分比(%MVIC)进行比较。Wilcoxon符号秩检验用于比较平均值。结果:在稳定和不稳定表面上,GMeds(p=0.69)、TA(p=0.26)和PL(p=0.23)的肌肉活动没有统计学上的显著差异。然而,较小的效应尺寸表明,GMeds(d=0.30)在不稳定表面具有较高的活化,而TA(d=0.28)和PL(d=0.17)在非稳定表面具有较低的活化。结论:着陆表面不会显著改变GMeds、TA和PL的肌肉活动。然而,组间平均%MVIC的差异程度表明了在不同表面条件下身体的补偿机制。这可以在创建下肢损伤预防程序时使用。
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引用次数: 1
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