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首页> 外文期刊>Journal of manipulative and physiological therapeutics: JMPT >Relationship Between Subjective Experience of Individuals, Practitioner Seniority, Cavitation Occurrence, and 3-Dimensional Kinematics During Cervical Spine Manipulation
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Relationship Between Subjective Experience of Individuals, Practitioner Seniority, Cavitation Occurrence, and 3-Dimensional Kinematics During Cervical Spine Manipulation

机译：颈椎操纵期间个人，从业者资历，空化发生和三维运动学与三维运动学的关系

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Abstract Objective The purpose of this study was to assess individual subjective experience (ISE) of the recipients of a cervical manipulation and to analyze the influence of kinematics, cavitation occurrence, and practitioner seniority on individual experience. Methods Practitioners with different seniority (years of experience) manipulated 20 asymptomatic volunteers at C3 and C5 on both sides. Kinematics were recorded using a 3-dimensional electrogoniometer, and ISE data were gathered through a questionnaire to explore the subjects’ experiences of manipulation in terms of tactile sensations, relaxation, perception of the task, and therapist handling. Kinematics, occurrence of cavitation, practitioner’s seniority, and ISE data were analyzed concurrently. Results Motion parameters obtained during manipulation were found to be influenced by cavitation occurrence and differences between practitioners. Data analysis indicated that ISE could be grouped into 2 factors. The first revolved around grip firmness and range and speed of practitioner’s gesture. The second factor represented patient’s relaxation and the precision of handling. Also, most ISE data correlated with kinematics, although a subjective measurement did not always correlate the highest with its objective counterpart. When cavitation occurred, ISE ratings were higher, suggesting that participants may associate cavitation with the success of manipulations. Higher practitioner seniority (more years of experience) induced feelings of higher speed, amplitude, firmness, and precision. Conclusions Recipients of cervical manipulation experienced different subjective feelings that can be expressed in 2 dimensions. These feelings are influenced by cavitation occurrence and practitioner’s seniority. A better understanding of an individual’s subjective experience related to cervical manipulation could increase confidence and improve the patient-therapist relationship, and it may provide further therapeutic perspectives for the practitioners.
机译：摘要目的本研究的目的是评估宫颈操纵受者的个人主观经验（ISE），并分析运动学，空化事项和从业者资历对个人经验的影响。方法采用不同资历（多年经验）的从业人员在两侧操纵20个无症状志愿者。使用三维电谐计记录了运动学，并通过调查问卷收集了ISE数据，以探索主题在触觉情感，放松，任务感知和治疗师处理方面操纵的经验。同时分析了运动学，空化，从业者资历和ISE数据的发生。结果发现在操纵期间获得的运动参数受到水分发生的影响和从业者之间的差异。数据分析表明ISE可以分为2个因素。第一个围绕着抓地力的坚定和范围和速度和速度的姿态。第二个因素代表了患者的放松和处理的精度。此外，大多数ISE数据与运动学相关，尽管主观测量并不总是将其目标对应物的最高相关。当空化发生时，ISE评级较高，表明参与者可以将空化与操纵的成功相关联。高级从业者资历（多年的经验）诱导更高速度，振幅，坚定和精确的感觉。结论宫颈操纵的受体经历了不同的主观感受，可以用2个维度表达。这些感受受到空化发生和从业者的资历的影响。更好地了解个人与宫颈操纵相关的主观经验可能会增加信心和改善患者治疗师关系，并且可以为从业者提供进一步的治疗角度。

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