PMID- 19632877
OWN - NLM
STAT- MEDLINE
DCOM- 20100415
LR  - 20220408
IS  - 1532-2769 (Electronic)
IS  - 1356-689X (Linking)
VI  - 15
IP  - 1
DP  - 2010 Feb
TI  - Real-time feedback improves accuracy of manually applied forces during cervical 
      spine mobilisation.
PG  - 19-25
LID - 10.1016/j.math.2009.05.011 [doi]
AB  - PURPOSE: To determine if real-time feedback enables students to apply 
      mobilisation forces to the cervical spine that are similar to an expert 
      physiotherapist. METHODS: An instrumented treatment table collected mobilisation 
      force data with feedback about forces displayed on a computer screen. An expert 
      physiotherapist performed posteroanterior mobilisation of C7 on 21 asymptomatic 
      subjects while forces were recorded. These data were used as force targets for 51 
      students who mobilised one of the asymptomatic subjects on two occasions. 
      Students' forces were recorded before and after practice either with 
      (experimental group) or without real-time feedback (control group). Improved 
      performance was defined as a smaller difference between expert and student 
      forces, comparing groups with non-parametric statistics. RESULTS: Students 
      receiving feedback applied more accurate forces than controls (median difference 
      between student and expert forces in the experimental group, 4.0N, inter-quartile 
      range (IQR) 1.9-7.7; in controls, 14.3N, IQR 6.2-26.2, difference between groups 
      p<0.001). One week later, these students still applied forces that more closely 
      matched the expert's compared to controls (p<0.01), but the differences between 
      the students' and expert's forces were greater (6.4N, IQR 3.1-14.7). CONCLUSION: 
      Practice with real-time objective feedback enables students to apply forces 
      similar to an expert, supporting its use in manual therapy training.
FAU - Snodgrass, Suzanne J
AU  - Snodgrass SJ
AD  - Discipline of Physiotherapy, School of Health Sciences, The University of 
      Newcastle, Australia. suzanne.snodgrass@newcastle.edu.au 
      <suzanne.snodgrass@newcastle.edu.au>
FAU - Rivett, Darren A
AU  - Rivett DA
FAU - Robertson, Val J
AU  - Robertson VJ
FAU - Stojanovski, Elizabeth
AU  - Stojanovski E
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
DEP - 20090725
PL  - Scotland
TA  - Man Ther
JT  - Manual therapy
JID - 9610924
SB  - IM
MH  - Attitude of Health Personnel
MH  - *Cervical Vertebrae
MH  - *Clinical Competence
MH  - Computer Systems
MH  - Data Display
MH  - Feedback, Psychological
MH  - Feedback, Sensory
MH  - Humans
MH  - *Manipulation, Spinal/methods
MH  - Physical Therapy Specialty/*education/methods
MH  - Psychomotor Performance
MH  - Statistics, Nonparametric
MH  - *Students, Health Occupations/psychology
MH  - Task Performance and Analysis
MH  - Therapy, Computer-Assisted/*methods
EDAT- 2009/07/28 09:00
MHDA- 2010/04/16 06:00
CRDT- 2009/07/28 09:00
PHST- 2009/01/13 00:00 [received]
PHST- 2009/05/05 00:00 [revised]
PHST- 2009/05/17 00:00 [accepted]
PHST- 2009/07/28 09:00 [entrez]
PHST- 2009/07/28 09:00 [pubmed]
PHST- 2010/04/16 06:00 [medline]
AID - S1356-689X(09)00091-5 [pii]
AID - 10.1016/j.math.2009.05.011 [doi]
PST - ppublish
SO  - Man Ther. 2010 Feb;15(1):19-25. doi: 10.1016/j.math.2009.05.011. Epub 2009 Jul 
      25.