Assessment of the importance of glenohumeral peripheral mechanics by practicing physiotherapists
| Autor: | Chad Cook, Kenneth Kirby, Chris Showalter |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
Male Physical Therapy Specialty medicine.medical_specialty Rotation Intraclass correlation Decision Making MEDLINE Physical Therapy Sports Therapy and Rehabilitation Models Biological Shoulder pathology Humans Medicine Range of Motion Articular Shoulder Joint business.industry Clinical reasoning Biomechanics Middle Aged Biomechanical Phenomena Physical therapy Educational Status Regression Analysis Female Clinical Competence Manual therapy business Range of motion Joint Capsule Capsular pattern |
| Zdroj: | Physiotherapy Research International. 12:136-146 |
| ISSN: | 1471-2865 1358-2267 |
| DOI: | 10.1002/pri.353 |
| Popis: | Background and Purpose. Physiotherapists develop clinical reasoning theo- ries and applied manual therapy skills through a variety of educational exposures. No studies have assessed the importance of selected theories such as the convex-concave rule, capsular pattern and scapulohumeral rhythm during clinical decision-making by physio- therapists. The present study investigated which variables physiotherapists considered were associated with the importance of these theories during practice and investigated physio- therapists' perception of translational motion biomechanics of the glenohumeral (GH) joint. Method. Six hundred and sixty physiotherapists in the USA volunteered to partici- pate in this study. Using ologit regression analyses, the identifi er themes and clinical background characteristics were associated with importance of peripheral biomechanics in manual therapy application and reliability/validity of the scapulohumeral rhythm theory in predicting pathological sequences of the shoulder complex. An intraclass correlation coeffi cient (ICC) was used to determine agreement regarding necessary translation of the GH joint for normal movement. Results. The majority of physiotherapists indicated that all theories were important or very important during treatment decision-making and reported frequent utilization. Regression models identifi ed that the importance placed on peripheral biomechanics was negatively infl uenced by academic qualifi cation (bachelors and masters degrees) and gender (men were less likely to report that scapulohumeral rhythm was a reliable/valid predictor of shoulder pathology). ICC values identifi ed excel- lent agreement among clinicians regarding translational motion. Conclusions. The impor- tance of biomechanics of the periphery for use, validation and frequency was based heavily on adoption of selected theories of glenohumeral movements despite evidence that suggests the theories lack validity. Copyright © 2007 John Wiley & Sons, Ltd. |
| Databáze: | OpenAIRE |
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