Measurement of ankle dorsiflexion: comparison between twodifferent positions / Medición de la dorsiflexión del tobillo: comparación entre dos posicionesdiferentes

Background: Several closed-chain activities, including walking, running, squatting or jumping, require normal flexibility ofthe ankle joint. Reduced ankle dorsiflexion range of motion will limit the forward progression of the tibia over the talus duringthese skills. A restriction ankle dorsiflexion range of motion has been associated with several clinical conditions in the lowerextremities. Weight bearing dorsiflexion measurements has been shown to be more reliable than non-weight bearing and aremore clinically relevant. In clinical practice and research, multiple protocols and positions have been utilized when measuringweight bearing ankle dorsiflexion range of motion, although the differences among have not been studied.Objective: The purpose of this study was to come ankle dorsiflexion range of motion in two different positions: standingand kneeling.Material and method: Sixty physically active participants (51 men, 9 women; average age 21.6 ± 1.2 years) participated in thisstudy. Weight bearing ankle dorsiflexion range of motion was evaluated, in random order, in two positions: a standard positionof the weight-bearing lunge test (WBL-Nor) and with the modified weight-bearing lunge test, one knee on the floor (WBL-Mod).Results: Statistically significant differences were found (p < 0.001; η2=0.513) between the values recorded during the WBL-Nor(12.5 ± 3.2 cm) vs. WBL-Mod (10.9 ± 3.5 cm).Conclusion: The standing and kneeling tests of ankle dorsiflexion range of motion cannot be used interchangeably, if theobjective is to measure peak ankle dorsiflexion range of motion. It is recommended that this test is performed in standing ifthe patient/research participant is capable.(AU)

Antecedentes: Varias actividades en cadena cerrada, como caminar, correr, ponerse de cuclillas o saltar, requieren un rangode movimiento normal de la articulación del tobillo. La reducción del rango de movimiento de la dorsiflexión del tobillolimitará la progresión hacia adelante de la tibia sobre el astrágalo durante estas acciones. Una restricción de la dorsiflexión deltobillo se ha asociado con varias disfunciones clínicas en las extremidades inferiores. Se ha demostrado que las mediciones dedorsiflexión en carga son más fiables que las que no soportan carga y son más relevantes clínicamente. En la práctica clínicay en la investigación, se han utilizado múltiples protocolos y posiciones al medir el rango de movimiento de la dorsiflexióndel tobillo en carga, aunque las diferencias entre ellas no se han estudiado.Objetivo: El objetivo de este estudio fue obtener el rango de movimiento de la dorsiflexión del tobillo en dos posicionesdiferentes: de pie y arrodillado.Material y método: Sesenta participantes físicamente activos (51 hombres, 9 mujeres; edad promedio 21,6 ± 1,2 años)participaron en este estudio. Se evaluó el rango de movimiento de la dorsiflexión del tobillo en carga, en orden aleatorio, endos posiciones: una posición estándar (WBL-Nor) y otra modificada, con una rodilla en el suelo (WBL -Modificación).Resultados: Se encontraron diferencias estadísticamente significativas (p <0,001; η2 = 0,513) entre los valores registradosdurante el WBL-Nor (12,5 ± 3,2 cm) vs. WBL-Mod (10,9 ± 3,5 cm).Conclusión: La posición de medición condicionan los valores de la dorsiflexión del tobillo. Si el objetivo es medir el rango demovimiento máximo de la dorsiflexión del tobillo, se recomienda que esta prueba se realice en WBL-Nor.(AU)

Professionalism in Physician Assistant, Physical Therapist, Occupational Therapist, Clinical Psychology, and Biomedical Sciences Students.

UNLABELLED: Interprofessional collaboration for healthcare requires a better understanding of the commonalities and differences in student perceptions of professionalism. METHODS: 217 students in five programs (PA 71, PT 46, OT 29, CP 12, and BMS 59) completed a 22-item survey (response rate 79.5%). A Likert scale grading from 1 (hardly ever) to 5 (always) was used to assess professional attitudes and behaviors. RESULTS: A mixed-model MANOVA, supplemented with post-hoc analyses, showed significant group by time interactions for 5 items. Sensitivity to differences and diversity of other people increased for BMS students, but decreased for PT students. Timeliness increased for BMS students, but did not change for PA students. Seeking out new learning experiences increased for BMS students, but did not change for PA or PT students. Taking a group leadership role increased for BMS students, decreased for PT students, while PA and OT students showed no change. Volunteering time to serve others decreased for OT and PA students, while BMS and BM students showed no change. CONCLUSION: It is plausible that these findings emerge from differences in program curricula and specific training objectives. The findings provide initial insight to educators on ways that attitudes and behaviors pertaining to professionalism sometimes vary among students in different health science programs.