Sammenligning av to undersökelsesmetoder innen psykomotorisk tradisjon: GFM-52 og DOK
Sammanfattning
Purpose: Within Norwegian psychomotor physiotherapy two fairly similar methods have
been developed: the Global Physiotherapy Examination-52 (GPE-52) and the Comprehensive
Body Examination (CBE). The aim of this study was to compare, and furthermore
examine if both methods could discriminate equally well between healthy individuals and
patients, and between different groups of patients.
Design: Descriptive, comparative and quantitative cross-sectional study.
Material: 132 individuals (89 women, 43 men), with average age 38.7 (SD 12.5), were
examined independently with GPE-52 and CBE by two physiotherapists: 34 were healthy
individuals, 32 had localised pain, 32 had widespread pain, and 34 had psychoses.
Methods: Similarities and differences in GPE-52 and CBE were first examined through
descriptions in literature. The included persons were examined in random order and results
of each examination were unknown to the other tester. For examination of discriminative
validity, Mann-Whitney U-test and Receiver Operating Characteristics Curve were used.
Level of significance was set at ≤ 1 percentage.
Results: Both methods comprise the domains Posture, Respiration, Movement and Muscle.
GPE-52 also includes the domain Skin, while CBE includes examination of motor disturbances.
GPE-52 has 13 sub-scales and 52 items (4 tests in each sub-scale), while CBE has 14
sub-scales and 112 tests (3 to 14 tests in each sub-scale). Both body examinations have
well defined variables, a graded scoring scale, and many similarities, but differ somewhat
in choice of variables in the sub-scales. In both methods, healthy persons had significantly
lower scores and less bodily aberrations, compared to the patient groups.
Conclusion: Our results show many similarities between GPE-52 and CBE, but choice of
items, combination of tests in the subscales, as well as scoring, had some variations. Both
methods discriminated very well between healthy individuals and patients, but not well
between different groups of patients. It should be examined whether these two methods
could be merged to a new body examination method, hopefully with better discriminative
ability.