Ready for a paradigm shift? Part 1: introducing the philosophy of qualitative research.

Abstract:

:The manual therapy professions have almost exclusively focused on the use of quantitative research to help inform their practices. This paper argues that a greater use of qualitative research will help develop a more robust and comprehensive knowledge base in manual therapy. The types of knowledge used in practice and generated from the two research paradigms are explored. It is hoped that an understanding of the philosophical and theoretical underpinnings of qualitative research may encourage more manual therapists to value and use this approach to help further inform their practice; for some, this may involve a paradigm shift in thinking.

journal_name

Man Ther

journal_title

Manual therapy

authors

Petty NJ,Thomson OP,Stew G

doi

10.1016/j.math.2012.03.006

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

267-74

issue

4

eissn

1356-689X

issn

1532-2769

pii

S1356-689X(12)00056-2

journal_volume

17

pub_type

杂志文章,评审
  • What is the normal response to structural differentiation within the slump and straight leg raise tests?

    abstract::The purpose of the study was to assess the effect of structural differentiation or sensitising manoeuvres on responses of normal subjects to standard neurodynamic tests of straight leg raise (SLR) and slump test. Eighty-eight (39 males and 49 females) asymptomatic subjects were examined (aged 18-39 mean age 21.9+/-4.1...

    journal_title:Manual therapy

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.math.2007.01.013

    authors: Herrington L,Bendix K,Cornwell C,Fielden N,Hankey K

    更新日期:2008-08-01 00:00:00

  • The deformation and longitudinal excursion of median nerve during digits movement and wrist extension.

    abstract::The use of electronic devices, such as mobile phones and computers, has increased drastically among the young generation, but the potential health effects of carpal tunnel syndrome (CTS) on university students has not been comprehensively examined. Thirty-one university students aged 18 to 25 y with no symptoms of CTS...

    journal_title:Manual therapy

    pub_type: 杂志文章

    doi:10.1016/j.math.2014.06.005

    authors: Lai WK,Chiu YT,Law WS

    更新日期:2014-12-01 00:00:00

  • What do patients value about spinal manipulation and home exercise for back-related leg pain? A qualitative study within a controlled clinical trial.

    abstract:BACKGROUND:Patient perceptions may influence the effectiveness and utilization of healthcare interventions, particularly for complex health conditions such as sciatica or back-related leg pain (BRLP). OBJECTIVES:To explore BRLP patients' perceptions of spinal manipulative therapy (SMT) and home exercise with advice (H...

    journal_title:Manual therapy

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.math.2016.09.008

    authors: Maiers M,Hondras MA,Salsbury SA,Bronfort G,Evans R

    更新日期:2016-12-01 00:00:00

  • Changes in lumbar multifidus muscle function and nociceptive sensitivity in low back pain patient responders versus non-responders after dry needling treatment.

    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

    authors: Koppenhaver SL,Walker MJ,Su J,McGowen JM,Umlauf L,Harris KD,Ross MD

    更新日期:2015-12-01 00:00:00

  • The assessment of vibration sense in the musculoskeletal examination: Moving towards a valid and reliable quantitative approach to vibration testing in clinical practice.

    abstract::Impairment of vibration sense is an early sign of nerve pathology. A range of devices can evaluate vibration sense, with moderate to excellent reliability demonstrated for the Somedic Vibrameter. However, devices are expensive and time-consuming for use in practice, and tuning forks are used but not supported by rigor...

    journal_title:Manual therapy

    pub_type: 杂志文章

    doi:10.1016/j.math.2011.01.008

    authors: O' Conaire E,Rushton A,Wright C

    更新日期:2011-06-01 00:00:00

  • An investigation into the effects of a unilaterally applied lumbar mobilisation technique on peripheral sympathetic nervous system activity in the lower limbs.

    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

    authors: Perry J,Green A

    更新日期:2008-12-01 00:00:00

  • A descriptive study of the usage of spinal manipulative therapy techniques within a randomized clinical trial in acute low back pain.

    abstract::The majority of randomized clinical trials (RCTs) of spinal manipulative therapy have not adequately defined the terms 'mobilization' and 'manipulation', nor distinguished between these terms in reporting the trial interventions. The purpose of this study was to describe the spinal manipulative therapy techniques util...

    journal_title:Manual therapy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/j.math.2004.07.008

    authors: Hurley DA,McDonough SM,Baxter GD,Dempster M,Moore AP

    更新日期:2005-02-01 00:00:00

  • Using the STarT Back Tool: Does timing of stratification matter?

    abstract::It is likely that individuals with nonspecific LBP (nsLBP) constitute a heterogenic group and targeting treatment appropriately to those most likely to respond is of major relevance. The STarT Back Tool (SBT) has been developed to stratify patients into risk groups to aid management choices. However, there is controve...

    journal_title:Manual therapy

    pub_type: 杂志文章

    doi:10.1016/j.math.2014.08.001

    authors: Newell D,Field J,Pollard D

    更新日期:2015-08-01 00:00:00

  • Sensorimotor disturbances in chronic neck pain--range of motion, peak velocity, smoothness of movement, and repositioning acuity.

    abstract::The purpose of this pilot study was to evaluate sensorimotor functions in patients with chronic neck pain with objective and quantitative methods. A group of 16 patients with chronic idiopathic neck pain of insidious onset or whiplash associated disorders (WAD) was compared to an equally sized group of healthy subject...

    journal_title:Manual therapy

    pub_type: 杂志文章

    doi:10.1016/j.math.2006.10.002

    authors: Sjölander P,Michaelson P,Jaric S,Djupsjöbacka M

    更新日期:2008-05-01 00:00:00

  • Rotator cuff related shoulder pain: Assessment, management and uncertainties.

    abstract:INTRODUCTION:Rotator cuff related shoulder pain (RCRSP) is an over-arching term that encompasses a spectrum of shoulder conditions including; subacromial pain (impingement) syndrome, rotator cuff tendinopathy, and symptomatic partial and full thickness rotator cuff tears. For those diagnosed with RCRSP one aim of treat...

    journal_title:Manual therapy

    pub_type: 杂志文章

    doi:10.1016/j.math.2016.03.009

    authors: Lewis J

    更新日期:2016-06-01 00:00:00

  • The initial effects of a Mulligan's mobilization with movement technique on range of movement and pressure pain threshold in pain-limited shoulders.

    abstract::There is little known about the specific manual therapy techniques used to treat painfully limited shoulders and their effects on range of movement (ROM) and pressure pain threshold (PPT). The objective of this study was to investigate the initial effects of a Mulligan's mobilization with movement (MWM) technique on s...

    journal_title:Manual therapy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/j.math.2006.07.011

    authors: Teys P,Bisset L,Vicenzino B

    更新日期:2008-02-01 00:00:00

  • Quantitative application of transverse friction massage and its neurological effects on flexor carpi radialis.

    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

    authors: Lee HM,Wu SK,You JY

    更新日期:2009-10-01 00:00:00

  • Massage and mobilization of the feet and ankles in elderly adults: effect on clinical balance performance.

    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

    authors: Vaillant J,Rouland A,Martigné P,Braujou R,Nissen MJ,Caillat-Miousse JL,Vuillerme N,Nougier V,Juvin R

    更新日期:2009-12-01 00:00:00

  • The effects of joint damage on muscle function, proprioception and rehabilitation.

    abstract::SUMMARY. The paper summarizes a series of studies investigating reduced quadriceps femoris activation and its effect on rehabilitation of patients with traumatic and arthritic knee damage. It incorporates findings from related research fields and speculates on the physiological causes of reduced voluntary activation f...

    journal_title:Manual therapy

    pub_type: 杂志文章

    doi:10.1054/math.1997.0281

    authors: Hurley MV

    更新日期:1997-02-01 00:00:00

  • Development of a clinical prediction rule to identify initial responders to mobilisation with movement and exercise for lateral epicondylalgia.

    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

    authors: Vicenzino B,Smith D,Cleland J,Bisset L

    更新日期:2009-10-01 00:00:00

  • The influence of high and low heeled shoes on EMG timing characteristics of the lumbar and hip extensor complex during trunk forward flexion and return task.

    abstract:BACKGROUND:Recent studies suggest that wearing high-heel shoes increases the risk of developing certain musculoskeletal pain conditions. In this study we sought to examine whether heel height alters lumbar and hip extensor muscle timing characteristics during a standardized trunk flexion task. METHODS:Thirty-one young...

    journal_title:Manual therapy

    pub_type: 杂志文章

    doi:10.1016/j.math.2013.03.004

    authors: Mika A,Clark BC,Oleksy Ł

    更新日期:2013-12-01 00:00:00

  • Diagnostic utility of clinical tests for spinal dysfunction.

    abstract::The purpose of this study was to outline the clinical tests that exhibit the highest diagnostic utility for the spine. Using a sensitive search strategy but highly restrictive inclusion criteria based on assessment of quality and reduction of bias, we identified 16 well constructed diagnostic accuracy studies of the s...

    journal_title:Manual therapy

    pub_type: 杂志文章,评审

    doi:10.1016/j.math.2010.07.004

    authors: Cook C,Hegedus E

    更新日期:2011-02-01 00:00:00

  • The opinion and experiences of Dutch orthopedic surgeons and radiologists about diagnostic musculoskeletal ultrasound imaging in primary care: a survey.

    abstract:INTRODUCTION AND AIM:The use of diagnostic musculoskeletal ultrasound (DMUS) in primary health care has increased in the recent years. Nevertheless, there are hardly any data concerning the reliability, accuracy and treatment consequences of DMUS used by physical therapists or general practitioners. Moreover, there are...

    journal_title:Manual therapy

    pub_type: 杂志文章

    doi:10.1016/j.math.2013.08.003

    authors: Scholten-Peeters GG,Franken N,Beumer A,Verhagen AP

    更新日期:2014-04-01 00:00:00

  • Shoulder pain: differential diagnosis with mechanical diagnosis and therapy extremity assessment - a case report.

    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

    authors: Menon A,May S

    更新日期:2013-08-01 00:00:00

  • Impaired trunk muscle function in sub-acute neck pain: etiologic in the subsequent development of low back pain?

    abstract::Low back pain (LBP) and neck pain are associated with dysfunction of the trunk and neck muscles, respectively, and may involve common or similar mechanisms. In both cases, dysfunction may compromise spinal control. Anecdotally, neck pain patients commonly develop LBP. This study investigated the possibility that trunk...

    journal_title:Manual therapy

    pub_type: 杂志文章

    doi:10.1016/j.math.2004.03.002

    authors: Moseley GL

    更新日期:2004-08-01 00:00:00

  • Cranio-cervical flexor muscle impairment at maximal, moderate, and low loads is a feature of neck pain.

    abstract::Impairment of the cranio-cervical flexor (CCF) muscles is a feature of painful cervical spine disorders. The aim of this study was to investigate if CCF muscle impairment is present over a range of contraction intensities (maximal, moderate, low) in neck pain sufferers compared to individuals with no history of neck p...

    journal_title:Manual therapy

    pub_type: 杂志文章

    doi:10.1016/j.math.2006.02.010

    authors: O'Leary S,Jull G,Kim M,Vicenzino B

    更新日期:2007-02-01 00:00:00

  • The association between postural alignment and psychosocial factors to upper quadrant pain in high school students: a prospective study.

    abstract::Prolonged sitting and psychosocial factors have been associated with musculoskeletal symptoms among adolescents. However, the impact of prolonged static sitting on musculoskeletal pain among South African high school students is uncertain. A prospective observational study was performed to determine whether sitting po...

    journal_title:Manual therapy

    pub_type: 杂志文章

    doi:10.1016/j.math.2009.02.005

    authors: Brink Y,Crous LC,Louw QA,Grimmer-Somers K,Schreve K

    更新日期:2009-12-01 00:00:00

  • Kinesiology tape does not promote vertical jumping performance: A deceptive crossover trial.

    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

    authors: Cheung RT,Yau QK,Wong K,Lau P,So A,Chan N,Kwok C,Poon KY,Yung PS

    更新日期:2016-02-01 00:00:00

  • The difference in passive tension applied to the muscles composing the hamstrings - Comparison among muscles using ultrasound shear wave elastography.

    abstract:BACKGROUND:Hamstring muscle strain is one of the most common injuries in sports. Therefore, to investigate the factors influencing hamstring strain, the differences in passive tension applied to the hamstring muscles at the same knee and hip positions as during terminal swing phase would be useful information. In addit...

    journal_title:Manual therapy

    pub_type: 杂志文章

    doi:10.1016/j.math.2016.03.012

    authors: Nakamura M,Hasegawa S,Umegaki H,Nishishita S,Kobayashi T,Fujita K,Tanaka H,Ibuki S,Ichihashi N

    更新日期:2016-08-01 00:00:00

  • Assessment of pain perception in clinical practice.

    abstract::With pain a frequent precipitant in individuals seeking manual therapy, it is important for therapists to adequately assess pain. At one level, pain forms an important part of the diagnostic assessment. It is suggested that a simple, reliable and quantitative pain measure be used in patients who present with routine p...

    journal_title:Manual therapy

    pub_type: 杂志文章,评审

    doi:10.1054/math.1999.0205

    authors: Strong J

    更新日期:1999-11-01 00:00:00

  • Pelvic girdle pain, clinical tests and disability in late pregnancy.

    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

    authors: Robinson HS,Mengshoel AM,Bjelland EK,Vøllestad NK

    更新日期:2010-06-01 00:00:00

  • What do physiotherapists consider to be the best sitting spinal posture?

    abstract::While sitting is a common aggravating factor in low back pain (LBP), the best sitting posture remains unclear. This study investigated the perceptions of 295 physiotherapists in four different European countries on sitting posture. Physiotherapists selected their perceived best sitting posture from a sample of nine op...

    journal_title:Manual therapy

    pub_type: 杂志文章

    doi:10.1016/j.math.2012.04.007

    authors: O'Sullivan K,O'Sullivan P,O'Sullivan L,Dankaerts W

    更新日期:2012-10-01 00:00:00

  • Computer assisted learning in manipulative therapy education.

    abstract::Teaching manipulative therapy is one of the most relevant issues in a physiotherapy course. However, for an effective instruction of this topic practical experience is considered fundamental. To achieve this purpose, this paper presents a computer assisted environment for the practical learning of manipulative therapy...

    journal_title:Manual therapy

    pub_type: 杂志文章

    doi:10.1016/j.math.2010.11.007

    authors: Dias OP,Amaral TG,Fernão Pires V

    更新日期:2011-06-01 00:00:00

  • Referencing and quotation accuracy in four manual therapy journals.

    abstract::The aim of the study was to investigate the reference and quotation accuracy in four peer-reviewed manual therapy journals. A stratified random sample of original research (n=7) was collected from each of the journals spanning the years January 2000 to December 2001. A further random selection of 80 references from ea...

    journal_title:Manual therapy

    pub_type: 杂志文章

    doi:10.1016/s1356-689x(03)00056-0

    authors: Gosling CM,Cameron M,Gibbons PF

    更新日期:2004-02-01 00:00:00

  • Relationship between the cervical component of the slump test and change in hamstring muscle tension.

    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

    authors: Lew PC,Briggs CA

    更新日期:1997-05-01 00:00:00