Abstract:
:Clinical reasoning is reviewed with respect to the historical and continuing need for critical inquiry skills, the hypothetico-deductive basis of sound reasoning, factors influencing therapists' reasoning, and ways of promoting critical yet creative reasoning. The importance of clinicians' organisation of biomedical and clinical knowledge and the inclusion of the patient in the problem solving and decision making processes are emphasised.
journal_name
Man Therjournal_title
Manual therapyauthors
Jones Mdoi
10.1054/math.1995.0245subject
Has Abstractpub_date
1995-11-01 00:00:00pages
17-24issue
1eissn
1356-689Xissn
1532-2769pii
S1356-689X(85)70245-7journal_volume
1pub_type
杂志文章相关文献
MANUAL THERAPY文献大全abstract:BACKGROUND:Kinesiology tape (KINTAPE) is one of the most common adhesive therapeutic tapes. Apart from clinical applications, KINTAPE claims to be able to enhance functional performance by muscle activity facilitation. However, emerging evidence suggests that the isokinetic muscle strength remains similar when the plac...
journal_title:Manual therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.math.2015.06.001
更新日期:2016-02-01 00:00:00
abstract::Absence of the trapezius muscle is regarded as relatively rare. This report presents the clinical observations for absence of the inferior portion of the trapezius muscle in three family members that were later confirmed in vivo with magnetic resonance imaging. The absences occurred in two sisters and the son of one s...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2011.07.006
更新日期:2011-12-01 00:00:00
abstract::Treatment strategies targeting abnormal shoulder kinematics may prevent pathology or if the pathology develops, shorten its duration. We examined the effectiveness of the end-range mobilization/scapular mobilization treatment approach (EMSMTA) in a subgroup of subjects with frozen shoulder syndrome (FSS). Based on the...
journal_title:Manual therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.math.2011.08.006
更新日期:2012-02-01 00:00:00
abstract::Pelvic floor muscle (PFM) dysfunction has been recently associated with the development of low back pain (LBP). Transabdominal ultrasound imaging has been established as an appropriate method for visualizing and measuring PFM function. No study has directly evaluated PFM function in individuals with and without LBP. T...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2009.12.005
更新日期:2010-06-01 00:00:00
abstract::The objective of this cross-sectional study was to explore the associations between pain locations, responses to the posterior pelvic pain provocation (P4) test, responses to the active straight leg raise (ASLR) test and disability in late pregnancy. 283 women in gestation week 30 (mean age 31.3 years; 59% nullipara) ...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2010.01.006
更新日期:2010-06-01 00:00:00
abstract::Acute low cervical nerve root conditions may be easily misdiagnosed. The perspective presented is that their symptom presentation is not as straightforward as the classic descriptions of brachialgia would have us believe. This clinical commentary presents a series of observations and reasoning models that are relevant...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1054/math.2000.0386
更新日期:2001-05-01 00:00:00
abstract:BACKGROUND:Most people experience back pain at some point during their lives. Reports suggest that core stability interventions in subjects with non-specific low-back pain may increase function, thus decreasing pain. Reliable and validated clinical tests are required for implementing adequate rehabilitation and for eva...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2012.08.004
更新日期:2013-04-01 00:00:00
abstract::Tinnitus can be evoked or modulated by input from the somatosensory and somatomotor systems. This means that the loudness or intensity of tinnitus can be changed by sensory or motor stimuli such as muscle contractions, mechanical pressure on myofascial trigger points, transcutaneous electrical stimulation or joint mov...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2015.11.008
更新日期:2016-06-01 00:00:00
abstract::Deep cervical flexor muscle (DCF) activation is impaired with neck pain. This study investigated the effects of low load cranio-cervical flexion (C-CF) and neck flexor strengthening exercises on spatial and temporal characteristics of DCF activation during a neck movement task and a task challenging the neck's postura...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2009.05.004
更新日期:2009-12-01 00:00:00
abstract::Valid questionnaires for measuring functional limitations in patients with Whiplash Associated Disorders (WAD) are lacking, since existing measures are not suitable for addressing the specific limitations of these patients and because of cross contamination between theoretical constructs. The objective of this study w...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2014.07.008
更新日期:2015-02-01 00:00:00
abstract::SUMMARY. The slump test has been used routinely to differentiate low back pain due to involvement of neural structures from low back pain attributable to other factors. It is also said to differentiate between posterior thigh pain due to neural involvement from that due to hamstring injury. If changes in cervical posi...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1054/math.1997.0291
更新日期:1997-05-01 00:00:00
abstract::Patterns of lumbar posture and motion are associated with low back pain (LBP). Research suggests LBP subgroups demonstrate different patterns during common tasks. This study assessed differences in end-range lumbar flexion during two tasks between two LBP subgroups classified according to the Movement System Impairmen...
journal_title:Manual therapy
pub_type: 临床试验,杂志文章
doi:10.1016/j.math.2011.12.007
更新日期:2012-04-01 00:00:00
abstract::Plantar heel pain is a symptom commonly encountered by clinicians. Several conditions such as plantar fasciitis, calcaneal fracture, rupture of the plantar fascia and atrophy of the heel fat pad may lead to plantar heel pain. Injury to the tibial nerve and its branches in the tarsal tunnel and in the foot is also a co...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2007.01.014
更新日期:2008-05-01 00:00:00
abstract::The purpose of the study was to determine the effects of transverse friction massage (TFM) on flexor carpi radialis (FCR) motoneuron (MN) pool excitability. Twenty-eight healthy subjects were randomly assigned into massage and control groups. Pre- vs post-TFM H-reflex data were collected. Controls received a rest peri...
journal_title:Manual therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.math.2008.09.005
更新日期:2009-10-01 00:00:00
abstract::Our purpose was to examine the effect of modifying symptomatic movement and alignment tests in a sample of people with LBP referred to physical therapy. Fifty-one patients (19 males, 32 females; mean age 37+/-10.59 yr) with LBP and a mean Oswestry Disability Index score of 34+/-18% were examined. The examination inclu...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2007.09.012
更新日期:2009-02-01 00:00:00
abstract::The aim of this post hoc analysis was to develop a preliminary clinical prediction rule (CPR) for identifying patients with lateral epicondylalgia (LE) likely to respond to mobilisation with movement and exercise (PT). Currently practitioners do not have an evidence-based means to identify such patients a priori. Pote...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2008.08.004
更新日期:2009-10-01 00:00:00
abstract::Reciprocal inhibition (RI) between different muscles has been used as an explanation for the effect of some treatments. Consequently, there may be a presumption that RI is bi-directional and equal between every agonist antagonist muscle pair. That is, the strength of RI from agonist to antagonist is equal to that from...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2010.03.004
更新日期:2010-08-01 00:00:00
abstract::Manual therapy is effective for reducing cervicogenic dizziness, a disabling and persistent problem, in the short term. This study investigated the effects of sustained natural apophyseal glides (SNAGs) and passive joint mobilisations (PJMs) on cervicogenic dizziness compared to a placebo at 12 months post-treatment. ...
journal_title:Manual therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.math.2014.08.003
更新日期:2015-02-01 00:00:00
abstract::Physiotherapeutic management of lumbar disorders often utilises specific segmental joint mobilisation techniques; however, there is only limited evidence of any neurophysiological effects and much of this has focused on the cervical spine and upper limbs. This study aims to extend the knowledge base underpinning the u...
journal_title:Manual therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.math.2007.05.015
更新日期:2008-12-01 00:00:00
abstract:BACKGROUND:Little is known about the physiologic mechanism of dry needling. While some evidence suggests that dry needling may decrease nocioceptive sensitivity and facilitate muscle function, no studies to date have examined these physiologic changes compared to clinical outcomes. OBJECTIVE:To examine changes in lumb...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2015.03.003
更新日期:2015-12-01 00:00:00
abstract::Optimal use of lumbar mobilisation requires a theoretical knowledge of the mechanical effects that occur. When a mobilisation force is applied the target vertebra will move with accompanying intervertebral displacements at many intervertebral joints. In addition, displacements and deformations of other tissues will co...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1054/math.1996.0252
更新日期:1996-03-01 00:00:00
abstract::Prolonged static posture has been identified as a major risk factor for work-related neck and upper limb disorders (WRNULD) in computer users. Previous research has mainly examined working postures in healthy pain-free individuals. The present study examined whether symptomatic subjects exhibited the same kinematic pa...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2005.01.005
更新日期:2005-11-01 00:00:00
abstract::The aim of this study was to evaluate the effects of a session of plantar massage and joint mobilization of the feet and ankles on clinical balance performance in elderly people. A randomized, placebo-controlled, cross-over trial was used to examine the immediate effects of manual massage and mobilization of the feet ...
journal_title:Manual therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.math.2009.03.004
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:The use of spinal manipulation (SM) for upper limb pain has been advocated based on the concept of regional interdependence. However, its evidence has not been established. OBJECTIVE:To determine the level of evidence for the effectiveness of SM in patients with upper limb pain as part of the concept of reg...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2014.11.004
更新日期:2015-08-01 00:00:00
abstract::Prior studies indicate thoracic spinal manipulative therapy (SMT) improves shoulder pain and disability. However, these studies are limited by no control or sham-treatment group. A valid sham comparator for thoracic SMT is needed. Subjects (n=69) without shoulder pain were randomized to one of three groups: thoracic S...
journal_title:Manual therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.math.2012.07.003
更新日期:2013-02-01 00:00:00
abstract::The aim of the study was to evaluate the effect of an intervention including shoulder control and strengthening exercises on function in persons with shoulder impingement. Eight subjects with shoulder impingement were evaluated weekly during the nine weeks of this single-subject design study. The study was divided int...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2008.01.010
更新日期:2009-04-01 00:00:00
abstract::Previous research suggests that Mulligan's Mobilisation-with-Movement (MWM) technique for the shoulder produces an immediate improvement in movement and pain. The aims of this study were to investigate the time course of the effects of a single MWM technique and to ascertain the effects of adding tape following MWM in...
journal_title:Manual therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.math.2013.01.001
更新日期:2013-10-01 00:00:00
abstract:STUDY DESIGN:Descriptive comparison study. OBJECTIVE:To assess the accuracy of two needle angle approaches for dry needling of the lumbar multifidus. BACKGROUND:Low back pain is a leading cause of disability around the world; the lumbar multifidus plays a vital role in low back health. Manual therapy such as dry need...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2016.08.008
更新日期:2016-12-01 00:00:00
abstract::Previous studies have examined the effectiveness of a manual therapy intervention known as Mobilization with Movement (MWM) to increase dorsiflexion range of motion (ROM) in individuals with chronic ankle instability (CAI). While a single talocrural MWM treatment has increased dorsiflexion ROM in these individuals, ex...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2013.10.001
更新日期:2014-04-01 00:00:00
abstract::Mechanical Diagnosis and Therapy (MDT) is now probably the only non-specific classification system that can be used with both spinal and non-spinal patients. Derangement syndrome, which presents with rapid changes in symptoms or mechanical response with the use of repeated movements, appears to be common in both spina...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2012.06.011
更新日期:2013-08-01 00:00:00