A novel model for developing thrust joint manipulation skills: a teaching and learning perspective.

Spinal and extremity thrust joint manipulation (TJM) has been shown to be an effective intervention when treating patients with various musculoskeletal conditions. Learning skilled TJM requires the proper execution of many discrete tasks. If any of these are missing, effectiveness and safety may be...

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Publicado en:Journal of Manual & Manipulative Therapy (Taylor & Francis Ltd) Vol. 32; no. 4; pp. 412 - 421
Autores principales: Adams, Kyle R., Kolb, William H., Geiser, Mary Beth, Dolphin, Michelle
Formato: pictorial tables/charts Journal Article
Publicado: Taylor & Francis Ltd Aug2024
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Journal of Manual & Manipulative Therapy (Taylor & Francis Ltd)
      issn: 10669817
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      dt: Aug2024
      vid: 32
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/10669817.2023.2299184
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        atl: A novel model for developing thrust joint manipulation skills: a teaching and learning perspective.
      aug:
        au:
          Adams, Kyle R.
          Kolb, William H.
          Geiser, Mary Beth
          Dolphin, Michelle
        affil: Doctor of Physical Therapy Department, Baylor University, Waco, TX, USA
      sug:
        subj:
          Models, Educational
          Physical Therapists Education
          Manipulation, Orthopedic Education
          Psychomotor Performance
          Skill Acquisition
          Task Performance and Analysis
          Feedback
          Musculoskeletal Diseases Therapy
          Education, Physical Therapy
          Patient Positioning
          Patient Safety
          Students, Physical Therapy
          Entry Into Practice
          Teaching Methods
          Learning Methods
          Videorecording
          Treatment Errors Prevention and Control
      ab: Spinal and extremity thrust joint manipulation (TJM) has been shown to be an effective intervention when treating patients with various musculoskeletal conditions. Learning skilled TJM requires the proper execution of many discrete tasks. If any of these are missing, effectiveness and safety may be limited. While it is accepted that practice and feedback are important when physical therapists are learning clinical tasks, the best type of practice has not been identified for learning to perform TJM tasks. In this paper, we propose an educational model for instruction of joint manipulation that: 1) standardizes feedback terminology and 2) describes a core set of four discrete tasks (lift, drop, pull, and combination-rotation) that apply to most TJM tasks. The model includes instructing TJM tasks followed by identifying key errors related to the components of setup and thrust. Once these key errors have been identified, intentional practice activities are provided to address the noted positional and movement errors. Finally, reassessment is performed to determine if errors have diminished. This model is similar to the test–retest approach that is commonly used when treating patients. We hope this educational model will provide a framework for teaching TJM and will also foster future research.
      pubtype: Academic Journal
      doctype:
        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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