Clinical feasibility of quantifying the force-time characteristics of spinal mobilizations in the preschool-age pediatric population
Notice bibliographique
Résumé
• Measuring pediatric mobilization force-time characteristics is challenging. • The calibration method of the force sensor was not accurate. • Chiropractors and legal guardians were enthusiastic to participate. • The fingertip sensor did not alter the clinician’s tactile perception. • The additional time required for the encounters was acceptable. Spinal mobilizations are commonly employed to address neuromusculoskeletal disorders in children. However, there is limited data on the biomechanics of these interventions. This study aimed to evaluate the feasibility of using a fingertip force sensor to measure the force-time characteristics of spinal mobilizations delivered by chiropractors to children. Chiropractors were recruited through purposive sampling via the research team’s network, targeting those with a pediatric-focused practice and contacted via professional email. A force sensor was attached to their fingertip while they performed spinal mobilizations on patients aged five years and younger. Feasibility was assessed through five elements: recruitment of participants (chiropractors and children), data collection, acceptability and suitability, resources, and data quality. A thematic analysis was performed to categorize information related to each feasibility element into barriers and facilitators. A total of 6 chiropractors and 43 children participated in the study. Recruitment was successful, with all invited chiropractors agreeing to participate and children being recruited through their legal guardians. Data collection was feasible, though challenges with children’s cooperation led to repeated trials. Both chiropractors and legal guardians expressed general satisfaction; the sensor did not impact the clinicians' tactile sensitivity, and treatment time was not extended. Resource management was efficient, with no equipment malfunctions. Issues with sensor calibration and difficulties in visually confirming sensor positioning were noted. Data quality indicated data loss, particularly during cervical mobilization. This study indicates that, while using a fingertip force sensor does not interfere with the treatment process, several challenges, including calibration issues, were identified. These insights provide a basis for improving methodologies in pediatric manual therapy research. This study was registered on ClinicalTrials.gov (NCT05607355).
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,010 | 0,010 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».