Ability to categorize end-feel joint movement according to years of clinical experience: an experiment with an end-feel simulator

• Published in: Journal of Physical Therapy Science 2020, Vol.32(4), pp.297-302
• Main Authors: Kawamura, Hiroyuki, Tasaka, Shimon, Ikeda, Atsutoshi, Harada, Takashi, Higashimoto, Yuji, Fukuda, Kanji
• Format: Article
• Language: English
• Subjects: End-feel; End-feel classification ability; End-feel simulator; Original; Therapists
• ISSN: 0915-5287; 2187-5626
• DOI: 10.1589/jpts.32.297

[Purpose] Discrimination between end-feel types is difficult, and years of clinical experience is considered a factor for improving the accuracy of the discrimination. The present study investigated whether the accuracy of classification of end-feel types improves with the increase in years of clinical experience. [Participants and Methods] In total, 44 therapists (range of years of clinical experience: 1–26 years) and 13 students were included. The participants identified the type of end feel simulated by our newly developed simulator. The proportion of correct answers of the therapists was compared with that of the students. For the therapists, years of clinical experience and their awareness of end feel were examined, and their relationships with the ability to classify end-feel types were analyzed. [Results] The therapists showed a higher ability to identify end-feel type than the students. The ability of the therapists improved according to their years of clinical experience. The cutoff values for years of clinical experience to improve the ability for identifying bone-to-bone, muscular, and tissue approximations were 15, 6, and 15, respectively. The therapists who were always conscious about end feel were associated with a higher ability to classify end-feel types. [Conclusion] Our present study demonstrated that the ability to classify end feel improves with the increase in years of clinical experience.