Impact of professional experience on clinical judgment and muscular response in various neuromuscular tests

Muscle testing is an integral component in assessing musculoskeletal function and tailoring rehabilitation efforts. This study aimed i. to identify an objective evaluation system sensitive to analyze changes in different muscular conditions in different neuromuscular tests across a spectrum of profe...

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Autores:
Rey Mota, Jorge
Escribano Colmena, Guillermo
Fernández Lucas, Jesús
Parraca, Jose A.
Clemente-Suárez, Vicente Javier
Tipo de recurso:
Article of investigation
Fecha de publicación:
2024
Institución:
Corporación Universidad de la Costa
Repositorio:
REDICUC - Repositorio CUC
Idioma:
eng
OAI Identifier:
oai:repositorio.cuc.edu.co:11323/13784
Acceso en línea:
https://hdl.handle.net/11323/13784
https://repositorio.cuc.edu.co/
Palabra clave:
Neuromuscular testing
Clinical judgment
Electromyography
Thermography
Digital dynamometry
Diagnostic accuracy
Rights
openAccess
License
Atribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)
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dc.title.eng.fl_str_mv Impact of professional experience on clinical judgment and muscular response in various neuromuscular tests
title Impact of professional experience on clinical judgment and muscular response in various neuromuscular tests
spellingShingle Impact of professional experience on clinical judgment and muscular response in various neuromuscular tests
Neuromuscular testing
Clinical judgment
Electromyography
Thermography
Digital dynamometry
Diagnostic accuracy
title_short Impact of professional experience on clinical judgment and muscular response in various neuromuscular tests
title_full Impact of professional experience on clinical judgment and muscular response in various neuromuscular tests
title_fullStr Impact of professional experience on clinical judgment and muscular response in various neuromuscular tests
title_full_unstemmed Impact of professional experience on clinical judgment and muscular response in various neuromuscular tests
title_sort Impact of professional experience on clinical judgment and muscular response in various neuromuscular tests
dc.creator.fl_str_mv Rey Mota, Jorge
Escribano Colmena, Guillermo
Fernández Lucas, Jesús
Parraca, Jose A.
Clemente-Suárez, Vicente Javier
dc.contributor.author.none.fl_str_mv Rey Mota, Jorge
Escribano Colmena, Guillermo
Fernández Lucas, Jesús
Parraca, Jose A.
Clemente-Suárez, Vicente Javier
dc.subject.proposal.eng.fl_str_mv Neuromuscular testing
Clinical judgment
Electromyography
Thermography
Digital dynamometry
Diagnostic accuracy
topic Neuromuscular testing
Clinical judgment
Electromyography
Thermography
Digital dynamometry
Diagnostic accuracy
description Muscle testing is an integral component in assessing musculoskeletal function and tailoring rehabilitation efforts. This study aimed i. to identify an objective evaluation system sensitive to analyze changes in different muscular conditions in different neuromuscular tests across a spectrum of professional experience levels; and ii. to analyze differences in objective parameters and clinical judgment between participants of different levels of expertise in different muscular conditions in different neuromuscular tests. Participants included 60 subjects with Level I to III expertise who performed blinded neuromuscular tests on the middle deltoid and rectus femoris muscles of 40 volunteer subjects. The methodology centered on standardizing test protocols to minimize variability, employing EMG to quantify muscle activity, thermography to capture thermographic muscular response, and digital dynamometry to measure muscular resistance. The findings revealed that while traditional methods like thermography and electromyography provide valuable insights, digital dynamometry stands out for its sensitivity in detecting muscle condition changes in neuromuscular test. Moreover, the data underscored the pivotal role of advanced training and expertise in enhancing the precision and accuracy of neuromuscular diagnostics, since there were significant differences in objective parameters and clinical judgment between participants of different levels of expertise in the different muscular conditions in Middle deltoid and Rectus femoris neuromuscular tests analyzed, presenting higher expertise participant clinical judgment like objective validated instrument.
publishDate 2024
dc.date.accessioned.none.fl_str_mv 2024-11-22T12:06:45Z
dc.date.available.none.fl_str_mv 2024-11-22T12:06:45Z
dc.date.issued.none.fl_str_mv 2024-09-01
dc.type.none.fl_str_mv Artículo de revista
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dc.type.content.none.fl_str_mv Text
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dc.identifier.citation.none.fl_str_mv Impact of professional experience on clinical judgment and muscular response in various neuromuscular tests, Rey-Mota, Jorge, Escribano-Colmena, Guillermo, Fernández-Lucas, Jesús, Parraca, Jose A., Clemente-Suárez, Vicente Javier, Physiology & Behavior, 283,114602, 2024, 2024/09/01/, 0031-9384, https://doi.org/10.1016/j.physbeh.2024.114602.
dc.identifier.issn.none.fl_str_mv 0031-9384
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/11323/13784
dc.identifier.doi.none.fl_str_mv 10.1016/j.physbeh.2024.114602
dc.identifier.eissn.none.fl_str_mv 1873-507X
dc.identifier.instname.none.fl_str_mv Corporación Universidad de la Costa
dc.identifier.reponame.none.fl_str_mv REDICUC - Repositorio CUC
dc.identifier.repourl.none.fl_str_mv https://repositorio.cuc.edu.co/
identifier_str_mv Impact of professional experience on clinical judgment and muscular response in various neuromuscular tests, Rey-Mota, Jorge, Escribano-Colmena, Guillermo, Fernández-Lucas, Jesús, Parraca, Jose A., Clemente-Suárez, Vicente Javier, Physiology & Behavior, 283,114602, 2024, 2024/09/01/, 0031-9384, https://doi.org/10.1016/j.physbeh.2024.114602.
0031-9384
10.1016/j.physbeh.2024.114602
1873-507X
Corporación Universidad de la Costa
REDICUC - Repositorio CUC
url https://hdl.handle.net/11323/13784
https://repositorio.cuc.edu.co/
dc.language.iso.none.fl_str_mv eng
language eng
dc.relation.ispartofjournal.none.fl_str_mv Physiology and Behavior
dc.relation.references.none.fl_str_mv R. Correa-de-Araujo, M.O. Harris-Love, I. Miljkovic, M.S. Fragala, B.W. Anthony, T. M. Manini, The need for standardized assessment of muscle quality in skeletal muscle function deficit and other aging-related muscle dysfunctions: a symposium report, Front. Physiol. 8 (2017), https://doi.org/10.3389/fphys.2017.00087.
J.F.T. Aguilera, J. Gil-Cabrera, V.J. Clemente-Suarez, ´ Determining the psychophysiological responses of military aircrew when exposed to acute disorientation stimuli, BMJ Mil. Health 168 (2) (2022) 112–116.
P. Belinchon-deMiguel, ´ D.J. Ramos-Campo, V.J. Clemente-Su´ arez, Exploring the evolutionary disparities: a case study on the psychophysiological response to recreating the Hunter–Gatherer lifestyle through physical activity and caloric restriction, Appl. Sci. 13 (20) (2023) 11140.
A. Bellido-Esteban, P. Ruisoto, J.F. Tornero-Aguilera, V.J. Clemente-Su´ arez, Modification in psychophysiological stress parameters of soldiers after an integral operative training prior to a real mission, Sustainability 14 (5) (2022) 2792.
V.J. Clemente-Suarez, ´ S. Villafaina, T. García-Calvo, J.P. Fuentes-García, Impact of HIIT sessions with and without cognitive load on cortical arousal, accuracy and perceived exertion in amateur tennis players, Healthcare 10 (5) (2022) 767.
J. Díaz-García, V.J. Clemente-Su´ arez, J.P. Fuentes-García, S. Villafaina, Combining HIIT plus cognitive task increased mental fatigue but not physical workload in tennis players, Appl. Sci. 13 (12) (2023) 7046.
S.E. Baker, E.E. Painter, B.C. Morgan, A.L. Kaus, E.J. Petersen, C.S. Allen, G. D. Deyle, G.M. Jensen, Systematic clinical reasoning in physical therapy (SCRIPT): tool for the purposeful practice of clinical reasoning in orthopedic manual physical therapy, Phys. Ther. 97 (1) (2017) 61–70, https://doi.org/10.2522/ptj.20150482.
H. Bengacemi, K. Abed-Meraim, O. Buttelli, A. Ouldali, A. Mesloub, A new detection method for EMG activity monitoring, Med. Biol. Eng. Comput. 58 (2) (2020) 319–334, https://doi.org/10.1007/s11517-019-02048-0.
R.C. Tait, J.T. Chibnall, K. House, J. Biehl, Medical judgments across the range of reported pain severity: clinician and lay perspectives, Pain Med. 17 (7) (2016) 1269–1281, https://doi.org/10.1093/pm/pnv076.
A. Rajkomar, G. Dhaliwal, Improving diagnostic reasoning to improve patient safety, Perm. J. 15 (3) (2011) 68–73, https://doi.org/10.7812/TPP/11-098.
N.J. Jarque-Bou, J.L. Sancho-Bru, M. Vergara, A systematic review of EMG applications for the characterization of forearm and hand muscle activity during activities of daily living: results, challenges, and open issues, Sensors 21 (9) (2021) 3035, https://doi.org/10.3390/s21093035.
R. Pilkar, K. Momeni, A. Ramanujam, M. Ravi, E. Garbarini, G.F. Forrest, Use of surface EMG in clinical rehabilitation of individuals with SCI: barriers and future considerations, Front. Neurol. 11 (2020), https://doi.org/10.3389/ fneur.2020.578559
W.H. Schmitt, S.C. Cuthbert, Common errors and clinical guidelines for manual muscle testing: “the arm test” and other inaccurate procedures, Chiropr. Osteopat. 16 (1) (2008) 16, https://doi.org/10.1186/1746-1340-16-16.
J.E. Esteves, C. Spence, Developing competence in diagnostic palpation: perspectives from neuroscience and education, Int. J. Osteop. Med. 17 (1) (2014) 52–60, https://doi.org/10.1016/j.ijosm.2013.07.001.
C. Gonçalves, J.A. Parraca, J. Bravo, A. Abreu, J. Pais, A. Raimundo, V.J. ClementeSu´ arez, Influence of two exercise programs on heart rate variability, body temperature, central nervous system fatigue, and cortical arousal after a heart attack, Int. J. Environ. Res. Public Health 20 (1) (2022) 199.
L. zhang, H. Guo, Z. Li, Application of medical infrared thermal imaging in the diagnosis of human internal focus, Infrared Phys. Technol. 101 (2019) 127–132, https://doi.org/10.1016/j.infrared.2019.06.013.
Jasti, N., Bista, S. & Bhargav, H. (2019). Medical applications of infrared thermography: a narrative review. https://www.researchgate.net/publication/ 335518059.
K. Ammer, The Glamorgan Protocol for recording and evaluation of thermal images of the human body, Thermol. Int. 18 (4) (2008) 125–144.
M. Chudecka, A. Lubkowska, Thermal imaging of body surface temperature distribution in women with anorexia nervosa, Eur. Eating Disord. Rev. 24 (1) (2016) 57–61, https://doi.org/10.1002/erv.2388.
C. Hildebrandt, C. Raschner, K. Ammer, An overview of recent application of medical infrared thermography in sports medicine in Austria, Sensors 10 (5) (2010) 4700–4715, https://doi.org/10.3390/s100504700.
A. Lubkowska, W. Pluta, Infrared thermography as a non-invasive tool in musculoskeletal disease rehabilitation—the control variables in applicability—a systematic review, Appl. Sci. 12 (9) (2022) 4302, https://doi.org/10.3390/ app12094302
D. Kesztyüs, S. Brucher, C. Wilson, T. Kesztyüs, Use of infrared thermography in medical diagnosis, screening, and disease monitoring: a scoping review, Medicina (B Aires) 59 (12) (2023) 2139, https://doi.org/10.3390/medicina59122139.
R. McGrath, G.R. Tomkinson, B.C. Clark, P.M. Cawthon, M. Cesari, S. Al Snih, K. J. Hackney, Assessing additional characteristics of muscle function with digital handgrip dynamometry and accelerometry: framework for a novel handgrip strength protocol, J. Am. Med. Dir. Assoc. 22 (11) (2021) 2313–2318.
J. Pinto-Ramos, T. Moreira, F. Costa, H. Tavares, J. Cabral, C. Costa-Santos, B. Sousa-Pinto, Handheld dynamometer reliability to measure knee extension strength in rehabilitation patients—a cross-sectional study, PLoS ONE 17 (5) (2022) e0268254.
T. Stark, B. Walker, J.K. Phillips, R. Fejer, R. Beck, Hand-held dynamometry correlation with the gold standard isokinetic dynamometry: a systematic review, PM&R 3 (5) (2011) 472–479.
B. Martínez-Pascual, A. Ramírez-Adrados, S. Fern´ andez-Martínez, C. Gonzalez-deRamos, V.E. Fernandez-Elías, ´ V.J. Clemente-Suarez, ´ Autonomic stress response of physiotherapy student in the different scenarios of an objective structured clinical examination, BMC Med. Educ. 22 (1) (2022) 811.
J.-C. Guyard, Manuel Pratique De Kin´esiologie, Le Souffle d’Or, 1998.
A. Molina-Molina, E.J. Ruiz-Malagon, ´ F. Carrillo-P´erez, L.E. Roche-Seruendo, M. Damas, O. Banos, F. García-Pinillos, Validation of mDurance, a wearable surface electromyography system for muscle activity assessment, Front. Physiol. 11 (2020), https://doi.org/10.3389/fphys.2020.606287.
E.F.J. Ring, K. Ammer, Infrared thermal imaging in medicine, Physiol. Meas. 33 (3) (2012) R33.
C. Karagiannopoulos, S. Griech, B. Leggin, Reliability and validity of the ActivForce Digital Dynamometer in assessing shoulder muscle force across different user experience levels, Int. J. Sports Phys. Ther. 17 (4) (2022) 669.
J.L. Ramirez-GarciaLuna, R. Bartlett, J.E. Arriaga-Caballero, R.D.J. Fraser, G. Saiko, Infrared thermography in wound care, surgery, and sports medicine: a review, Front. Physiol. 13 (2022), https://doi.org/10.3389/fphys.2022.838528.
M.B.I. Reaz, M.S. Hussain, F. Mohd-Yasin, Techniques of EMG signal analysis: detection, processing, classification and applications, Biol. Proced. Online 8 (1) (2006) 11–35, https://doi.org/10.1251/bpo115.
S. Aitkens, J. Lord, E. Bernauer, W.M. Fowler, J.S. Lieberman, P. Berck, Relationship of manual muscle testing to objective strength measurements, Muscle Nerve 12 (3) (1989) 173–177, https://doi.org/10.1002/mus.880120302.
A. Markaki, S. Malhotra, R. Billings, L. Theus, Training needs assessment: tool utilization and global impact, BMC Med. Educ. 21 (1) (2021) 310, https://doi.org/ 10.1186/s12909-021-02748-y.
S.O. Baboolal, V.S. Singaram, Specialist training: workplace-based assessments impact on teaching, learning and feedback to support competency-based postgraduate programs, BMC Med. Educ. 23 (1) (2023) 941, https://doi.org/ 10.1186/s12909-023-04922-w.
F. Bittmann, S. Dech, M. Aehle, L. Schaefer, Manual muscle testing—force profiles and their reproducibility, Diagnostics 10 (12) (2020) 996, https://doi.org/ 10.3390/diagnostics10120996.
S. Mallett, S. Halligan, M. Thompson, G.S. Collins, D.G. Altman, Interpreting diagnostic accuracy studies for patient care, BMJ 345 (jul02 1) (2012), https://doi. org/10.1136/bmj.e3999 e3999–e3999.
B. Shinkins, M. Thompson, S. Mallett, R. Perera, Diagnostic accuracy studies: how to report and analyse inconclusive test results, BMJ 346 (may16 2) (2013), https:// doi.org/10.1136/bmj.f2778 f2778–f2778.
S.C. Cuthbert, G.J. Goodheart Jr., On the reliability and validity of manual muscle testing: a literature review, Chiropr. Osteopat. 15 (1) (2007) 4.
R.W. Bohannon, Muscle strength: clinical and prognostic value of hand-grip dynamometry, Curr. Opin. Clin. Nutr. Metab. Care 18 (5) (2015) 465–470.
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spelling Atribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)© 2024 The Authorshttps://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Rey Mota, JorgeEscribano Colmena, GuillermoFernández Lucas, JesúsParraca, Jose A.Clemente-Suárez, Vicente Javier2024-11-22T12:06:45Z2024-11-22T12:06:45Z2024-09-01Impact of professional experience on clinical judgment and muscular response in various neuromuscular tests, Rey-Mota, Jorge, Escribano-Colmena, Guillermo, Fernández-Lucas, Jesús, Parraca, Jose A., Clemente-Suárez, Vicente Javier, Physiology & Behavior, 283,114602, 2024, 2024/09/01/, 0031-9384, https://doi.org/10.1016/j.physbeh.2024.114602.0031-9384https://hdl.handle.net/11323/1378410.1016/j.physbeh.2024.1146021873-507XCorporación Universidad de la CostaREDICUC - Repositorio CUChttps://repositorio.cuc.edu.co/Muscle testing is an integral component in assessing musculoskeletal function and tailoring rehabilitation efforts. This study aimed i. to identify an objective evaluation system sensitive to analyze changes in different muscular conditions in different neuromuscular tests across a spectrum of professional experience levels; and ii. to analyze differences in objective parameters and clinical judgment between participants of different levels of expertise in different muscular conditions in different neuromuscular tests. Participants included 60 subjects with Level I to III expertise who performed blinded neuromuscular tests on the middle deltoid and rectus femoris muscles of 40 volunteer subjects. The methodology centered on standardizing test protocols to minimize variability, employing EMG to quantify muscle activity, thermography to capture thermographic muscular response, and digital dynamometry to measure muscular resistance. The findings revealed that while traditional methods like thermography and electromyography provide valuable insights, digital dynamometry stands out for its sensitivity in detecting muscle condition changes in neuromuscular test. Moreover, the data underscored the pivotal role of advanced training and expertise in enhancing the precision and accuracy of neuromuscular diagnostics, since there were significant differences in objective parameters and clinical judgment between participants of different levels of expertise in the different muscular conditions in Middle deltoid and Rectus femoris neuromuscular tests analyzed, presenting higher expertise participant clinical judgment like objective validated instrument.7 páginasapplication/pdfengElsevier Inc.United Stateshttps://www.sciencedirect.com/science/article/pii/S0031938424001471?via%3DihubImpact of professional experience on clinical judgment and muscular response in various neuromuscular testsArtículo de revistahttp://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85Physiology and BehaviorR. Correa-de-Araujo, M.O. Harris-Love, I. Miljkovic, M.S. Fragala, B.W. Anthony, T. M. Manini, The need for standardized assessment of muscle quality in skeletal muscle function deficit and other aging-related muscle dysfunctions: a symposium report, Front. Physiol. 8 (2017), https://doi.org/10.3389/fphys.2017.00087.J.F.T. Aguilera, J. Gil-Cabrera, V.J. Clemente-Suarez, ´ Determining the psychophysiological responses of military aircrew when exposed to acute disorientation stimuli, BMJ Mil. Health 168 (2) (2022) 112–116.P. Belinchon-deMiguel, ´ D.J. Ramos-Campo, V.J. Clemente-Su´ arez, Exploring the evolutionary disparities: a case study on the psychophysiological response to recreating the Hunter–Gatherer lifestyle through physical activity and caloric restriction, Appl. Sci. 13 (20) (2023) 11140.A. Bellido-Esteban, P. Ruisoto, J.F. Tornero-Aguilera, V.J. Clemente-Su´ arez, Modification in psychophysiological stress parameters of soldiers after an integral operative training prior to a real mission, Sustainability 14 (5) (2022) 2792.V.J. Clemente-Suarez, ´ S. Villafaina, T. García-Calvo, J.P. Fuentes-García, Impact of HIIT sessions with and without cognitive load on cortical arousal, accuracy and perceived exertion in amateur tennis players, Healthcare 10 (5) (2022) 767.J. Díaz-García, V.J. Clemente-Su´ arez, J.P. Fuentes-García, S. Villafaina, Combining HIIT plus cognitive task increased mental fatigue but not physical workload in tennis players, Appl. Sci. 13 (12) (2023) 7046.S.E. Baker, E.E. Painter, B.C. Morgan, A.L. Kaus, E.J. Petersen, C.S. Allen, G. D. Deyle, G.M. Jensen, Systematic clinical reasoning in physical therapy (SCRIPT): tool for the purposeful practice of clinical reasoning in orthopedic manual physical therapy, Phys. Ther. 97 (1) (2017) 61–70, https://doi.org/10.2522/ptj.20150482.H. Bengacemi, K. Abed-Meraim, O. Buttelli, A. Ouldali, A. Mesloub, A new detection method for EMG activity monitoring, Med. Biol. Eng. Comput. 58 (2) (2020) 319–334, https://doi.org/10.1007/s11517-019-02048-0.R.C. Tait, J.T. Chibnall, K. House, J. Biehl, Medical judgments across the range of reported pain severity: clinician and lay perspectives, Pain Med. 17 (7) (2016) 1269–1281, https://doi.org/10.1093/pm/pnv076.A. Rajkomar, G. Dhaliwal, Improving diagnostic reasoning to improve patient safety, Perm. J. 15 (3) (2011) 68–73, https://doi.org/10.7812/TPP/11-098.N.J. Jarque-Bou, J.L. Sancho-Bru, M. Vergara, A systematic review of EMG applications for the characterization of forearm and hand muscle activity during activities of daily living: results, challenges, and open issues, Sensors 21 (9) (2021) 3035, https://doi.org/10.3390/s21093035.R. Pilkar, K. Momeni, A. Ramanujam, M. Ravi, E. Garbarini, G.F. Forrest, Use of surface EMG in clinical rehabilitation of individuals with SCI: barriers and future considerations, Front. Neurol. 11 (2020), https://doi.org/10.3389/ fneur.2020.578559W.H. Schmitt, S.C. Cuthbert, Common errors and clinical guidelines for manual muscle testing: “the arm test” and other inaccurate procedures, Chiropr. Osteopat. 16 (1) (2008) 16, https://doi.org/10.1186/1746-1340-16-16.J.E. Esteves, C. Spence, Developing competence in diagnostic palpation: perspectives from neuroscience and education, Int. J. Osteop. Med. 17 (1) (2014) 52–60, https://doi.org/10.1016/j.ijosm.2013.07.001.C. Gonçalves, J.A. Parraca, J. Bravo, A. Abreu, J. Pais, A. Raimundo, V.J. ClementeSu´ arez, Influence of two exercise programs on heart rate variability, body temperature, central nervous system fatigue, and cortical arousal after a heart attack, Int. J. Environ. Res. Public Health 20 (1) (2022) 199.L. zhang, H. Guo, Z. Li, Application of medical infrared thermal imaging in the diagnosis of human internal focus, Infrared Phys. Technol. 101 (2019) 127–132, https://doi.org/10.1016/j.infrared.2019.06.013.Jasti, N., Bista, S. & Bhargav, H. (2019). Medical applications of infrared thermography: a narrative review. https://www.researchgate.net/publication/ 335518059.K. Ammer, The Glamorgan Protocol for recording and evaluation of thermal images of the human body, Thermol. Int. 18 (4) (2008) 125–144.M. Chudecka, A. Lubkowska, Thermal imaging of body surface temperature distribution in women with anorexia nervosa, Eur. Eating Disord. Rev. 24 (1) (2016) 57–61, https://doi.org/10.1002/erv.2388.C. Hildebrandt, C. Raschner, K. Ammer, An overview of recent application of medical infrared thermography in sports medicine in Austria, Sensors 10 (5) (2010) 4700–4715, https://doi.org/10.3390/s100504700.A. Lubkowska, W. Pluta, Infrared thermography as a non-invasive tool in musculoskeletal disease rehabilitation—the control variables in applicability—a systematic review, Appl. Sci. 12 (9) (2022) 4302, https://doi.org/10.3390/ app12094302D. Kesztyüs, S. Brucher, C. Wilson, T. Kesztyüs, Use of infrared thermography in medical diagnosis, screening, and disease monitoring: a scoping review, Medicina (B Aires) 59 (12) (2023) 2139, https://doi.org/10.3390/medicina59122139.R. McGrath, G.R. Tomkinson, B.C. Clark, P.M. Cawthon, M. Cesari, S. Al Snih, K. J. Hackney, Assessing additional characteristics of muscle function with digital handgrip dynamometry and accelerometry: framework for a novel handgrip strength protocol, J. Am. Med. Dir. Assoc. 22 (11) (2021) 2313–2318.J. Pinto-Ramos, T. Moreira, F. Costa, H. Tavares, J. Cabral, C. Costa-Santos, B. Sousa-Pinto, Handheld dynamometer reliability to measure knee extension strength in rehabilitation patients—a cross-sectional study, PLoS ONE 17 (5) (2022) e0268254.T. Stark, B. Walker, J.K. Phillips, R. Fejer, R. Beck, Hand-held dynamometry correlation with the gold standard isokinetic dynamometry: a systematic review, PM&R 3 (5) (2011) 472–479.B. Martínez-Pascual, A. Ramírez-Adrados, S. Fern´ andez-Martínez, C. Gonzalez-deRamos, V.E. Fernandez-Elías, ´ V.J. Clemente-Suarez, ´ Autonomic stress response of physiotherapy student in the different scenarios of an objective structured clinical examination, BMC Med. Educ. 22 (1) (2022) 811.J.-C. Guyard, Manuel Pratique De Kin´esiologie, Le Souffle d’Or, 1998.A. Molina-Molina, E.J. Ruiz-Malagon, ´ F. Carrillo-P´erez, L.E. Roche-Seruendo, M. Damas, O. Banos, F. García-Pinillos, Validation of mDurance, a wearable surface electromyography system for muscle activity assessment, Front. Physiol. 11 (2020), https://doi.org/10.3389/fphys.2020.606287.E.F.J. Ring, K. Ammer, Infrared thermal imaging in medicine, Physiol. Meas. 33 (3) (2012) R33.C. Karagiannopoulos, S. Griech, B. Leggin, Reliability and validity of the ActivForce Digital Dynamometer in assessing shoulder muscle force across different user experience levels, Int. J. Sports Phys. Ther. 17 (4) (2022) 669.J.L. Ramirez-GarciaLuna, R. Bartlett, J.E. Arriaga-Caballero, R.D.J. Fraser, G. Saiko, Infrared thermography in wound care, surgery, and sports medicine: a review, Front. Physiol. 13 (2022), https://doi.org/10.3389/fphys.2022.838528.M.B.I. Reaz, M.S. Hussain, F. Mohd-Yasin, Techniques of EMG signal analysis: detection, processing, classification and applications, Biol. Proced. Online 8 (1) (2006) 11–35, https://doi.org/10.1251/bpo115.S. Aitkens, J. Lord, E. Bernauer, W.M. Fowler, J.S. Lieberman, P. Berck, Relationship of manual muscle testing to objective strength measurements, Muscle Nerve 12 (3) (1989) 173–177, https://doi.org/10.1002/mus.880120302.A. Markaki, S. Malhotra, R. Billings, L. Theus, Training needs assessment: tool utilization and global impact, BMC Med. Educ. 21 (1) (2021) 310, https://doi.org/ 10.1186/s12909-021-02748-y.S.O. Baboolal, V.S. Singaram, Specialist training: workplace-based assessments impact on teaching, learning and feedback to support competency-based postgraduate programs, BMC Med. Educ. 23 (1) (2023) 941, https://doi.org/ 10.1186/s12909-023-04922-w.F. Bittmann, S. Dech, M. Aehle, L. Schaefer, Manual muscle testing—force profiles and their reproducibility, Diagnostics 10 (12) (2020) 996, https://doi.org/ 10.3390/diagnostics10120996.S. Mallett, S. Halligan, M. Thompson, G.S. Collins, D.G. Altman, Interpreting diagnostic accuracy studies for patient care, BMJ 345 (jul02 1) (2012), https://doi. org/10.1136/bmj.e3999 e3999–e3999.B. Shinkins, M. Thompson, S. Mallett, R. Perera, Diagnostic accuracy studies: how to report and analyse inconclusive test results, BMJ 346 (may16 2) (2013), https:// doi.org/10.1136/bmj.f2778 f2778–f2778.S.C. Cuthbert, G.J. Goodheart Jr., On the reliability and validity of manual muscle testing: a literature review, Chiropr. Osteopat. 15 (1) (2007) 4.R.W. Bohannon, Muscle strength: clinical and prognostic value of hand-grip dynamometry, Curr. Opin. Clin. Nutr. Metab. 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ara ejercer estos derechos sobre la Obra tal y como se indica a continuación:</p>
    <ol type="a">
      <li>Reproducir la Obra, incorporar la Obra en una o más Obras Colectivas, y reproducir la Obra incorporada en las Obras Colectivas.</li>
      <li>Distribuir copias o fonogramas de las Obras, exhibirlas públicamente, ejecutarlas públicamente y/o ponerlas a disposición pública, incluyéndolas como incorporadas en Obras Colectivas, según corresponda.</li>
      <li>Distribuir copias de las Obras Derivadas que se generen, exhibirlas públicamente, ejecutarlas públicamente y/o ponerlas a disposición pública.</li>
    </ol>
    <p>Los derechos mencionados anteriormente pueden ser ejercidos en todos los medios y formatos, actualmente conocidos o que se inventen en el futuro. Los derechos antes mencionados incluyen el derecho a realizar dichas modificaciones en la medida que sean técnicamente necesarias para ejercer los derechos en otro medio o formatos, pero de otra manera usted no está autorizado para realizar obras derivadas. Todos los derechos no otorgados expresamente por el Licenciante quedan por este medio reservados, incluyendo pero sin limitarse a aquellos que se mencionan en las secciones 4(d) y 4(e).</p>
  </li>
  <br/>
  <li>
    Restricciones.
    <p>La licencia otorgada en la anterior Sección 3 está expresamente sujeta y limitada por las siguientes restricciones:</p>
    <ol type="a">
      <li>Usted puede distribuir, exhibir públicamente, ejecutar públicamente, o poner a disposición pública la Obra sólo bajo las condiciones de esta Licencia, y Usted debe incluir una copia de esta licencia o del Identificador Universal de Recursos de la misma con cada copia de la Obra que distribuya, exhiba públicamente, ejecute públicamente o ponga a disposición pública. No es posible ofrecer o imponer ninguna condición sobre la Obra que altere o limite las condiciones de esta Licencia o el ejercicio de los derechos de los destinatarios otorgados en este documento. No es posible sublicenciar la Obra. Usted debe mantener intactos todos los avisos que hagan referencia a esta Licencia y a la cláusula de limitación de garantías. Usted no puede distribuir, exhibir públicamente, ejecutar públicamente, o poner a disposición pública la Obra con alguna medida tecnológica que controle el acceso o la utilización de ella de una forma que sea inconsistente con las condiciones de esta Licencia. Lo anterior se aplica a la Obra incorporada a una Obra Colectiva, pero esto no exige que la Obra Colectiva aparte de la obra misma quede sujeta a las condiciones de esta Licencia. Si Usted crea una Obra Colectiva, previo aviso de cualquier Licenciante debe, en la medida de lo posible, eliminar de la Obra Colectiva cualquier referencia a dicho Licenciante o al Autor Original, según lo solicitado por el Licenciante y conforme lo exige la cláusula 4(c).</li>
      <li>Usted no puede ejercer ninguno de los derechos que le han sido otorgados en la Sección 3 precedente de modo que estén principalmente destinados o directamente dirigidos a conseguir un provecho comercial o una compensación monetaria privada. El intercambio de la Obra por otras obras protegidas por derechos de autor, ya sea a través de un sistema para compartir archivos digitales (digital file-sharing) o de cualquier otra manera no será considerado como estar destinado principalmente o dirigido directamente a conseguir un provecho comercial o una compensación monetaria privada, siempre que no se realice un pago mediante una compensación monetaria en relación con el intercambio de obras protegidas por el derecho de autor.</li>
      <li>Si usted distribuye, exhibe públicamente, ejecuta públicamente o ejecuta públicamente en forma digital la Obra o cualquier Obra Derivada u Obra Colectiva, Usted debe mantener intacta toda la información de derecho de autor de la Obra y proporcionar, de forma razonable según el medio o manera que Usted esté utilizando: (i) el nombre del Autor Original si está provisto (o seudónimo, si fuere aplicable), y/o (ii) el nombre de la parte o las partes que el Autor Original y/o el Licenciante hubieren designado para la atribución (v.g., un instituto patrocinador, editorial, publicación) en la información de los derechos de autor del Licenciante, términos de servicios o de otras formas razonables; el título de la Obra si está provisto; en la medida de lo razonablemente factible y, si está provisto, el Identificador Uniforme de Recursos (Uniform Resource Identifier) que el Licenciante especifica para ser asociado con la Obra, salvo que tal URI no se refiera a la nota sobre los derechos de autor o a la información sobre el licenciamiento de la Obra; y en el caso de una Obra Derivada, atribuir el crédito identificando el uso de la Obra en la Obra Derivada (v.g., "Traducción Francesa de la Obra del Autor Original," o "Guión Cinematográfico basado en la Obra original del Autor Original"). Tal crédito puede ser implementado de cualquier forma razonable; en el caso, sin embargo, de Obras Derivadas u Obras Colectivas, tal crédito aparecerá, como mínimo, donde aparece el crédito de cualquier otro autor comparable y de una manera, al menos, tan destacada como el crédito de otro autor comparable.</li>
      <li>
        Para evitar toda confusión, el Licenciante aclara que, cuando la obra es una composición musical:
        <ol type="i">
          <li>Regalías por interpretación y ejecución bajo licencias generales. El Licenciante se reserva el derecho exclusivo de autorizar la ejecución pública o la ejecución pública digital de la obra y de recolectar, sea individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, SAYCO), las regalías por la ejecución pública o por la ejecución pública digital de la obra (por ejemplo Webcast) licenciada bajo licencias generales, si la interpretación o ejecución de la obra está primordialmente orientada por o dirigida a la obtención de una ventaja comercial o una compensación monetaria privada.</li>
          <li>Regalías por Fonogramas. El Licenciante se reserva el derecho exclusivo de recolectar, individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, los consagrados por la SAYCO), una agencia de derechos musicales o algún agente designado, las regalías por cualquier fonograma que Usted cree a partir de la obra (“versión cover”) y distribuya, en los términos del régimen de derechos de autor, si la creación o distribución de esa versión cover está primordialmente destinada o dirigida a obtener una ventaja comercial o una compensación monetaria privada.</li>
        </ol>
      </li>
      <li>Gestión de Derechos de Autor sobre Interpretaciones y Ejecuciones Digitales (WebCasting). Para evitar toda confusión, el Licenciante aclara que, cuando la obra sea un fonograma, el Licenciante se reserva el derecho exclusivo de autorizar la ejecución pública digital de la obra (por ejemplo, webcast) y de recolectar, individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, ACINPRO), las regalías por la ejecución pública digital de la obra (por ejemplo, webcast), sujeta a las disposiciones aplicables del régimen de Derecho de Autor, si esta ejecución pública digital está primordialmente dirigida a obtener una ventaja comercial o una compensación monetaria privada.</li>
    </ol>
  </li>
  <br/>
  <li>
    Representaciones, Garantías y Limitaciones de Responsabilidad.
    <p>A MENOS QUE LAS PARTES LO ACORDARAN DE OTRA FORMA POR ESCRITO, EL LICENCIANTE OFRECE LA OBRA (EN EL ESTADO EN EL QUE SE ENCUENTRA) “TAL CUAL”, SIN BRINDAR GARANTÍAS DE CLASE ALGUNA RESPECTO DE LA OBRA, YA SEA EXPRESA, IMPLÍCITA, LEGAL O CUALQUIERA OTRA, INCLUYENDO, SIN LIMITARSE A ELLAS, GARANTÍAS DE TITULARIDAD, COMERCIABILIDAD, ADAPTABILIDAD O ADECUACIÓN A PROPÓSITO DETERMINADO, AUSENCIA DE INFRACCIÓN, DE AUSENCIA DE DEFECTOS LATENTES O DE OTRO TIPO, O LA PRESENCIA O AUSENCIA DE ERRORES, SEAN O NO DESCUBRIBLES (PUEDAN O NO SER ESTOS DESCUBIERTOS). ALGUNAS JURISDICCIONES NO PERMITEN LA EXCLUSIÓN DE GARANTÍAS IMPLÍCITAS, EN CUYO CASO ESTA EXCLUSIÓN PUEDE NO APLICARSE A USTED.</p>
  </li>
  <br/>
  <li>
    Limitación de responsabilidad.
    <p>A MENOS QUE LO EXIJA EXPRESAMENTE LA LEY APLICABLE, EL LICENCIANTE NO SERÁ RESPONSABLE ANTE USTED POR DAÑO ALGUNO, SEA POR RESPONSABILIDAD EXTRACONTRACTUAL, PRECONTRACTUAL O CONTRACTUAL, OBJETIVA O SUBJETIVA, SE TRATE DE DAÑOS MORALES O PATRIMONIALES, DIRECTOS O INDIRECTOS, PREVISTOS O IMPREVISTOS PRODUCIDOS POR EL USO DE ESTA LICENCIA O DE LA OBRA, AUN CUANDO EL LICENCIANTE HAYA SIDO ADVERTIDO DE LA POSIBILIDAD DE DICHOS DAÑOS. ALGUNAS LEYES NO PERMITEN LA EXCLUSIÓN DE CIERTA RESPONSABILIDAD, EN CUYO CASO ESTA EXCLUSIÓN PUEDE NO APLICARSE A USTED.</p>
  </li>
  <br/>
  <li>
    Término.
    <ol type="a">
      <li>Esta Licencia y los derechos otorgados en virtud de ella terminarán automáticamente si Usted infringe alguna condición establecida en ella. Sin embargo, los individuos o entidades que han recibido Obras Derivadas o Colectivas de Usted de conformidad con esta Licencia, no verán terminadas sus licencias, siempre que estos individuos o entidades sigan cumpliendo íntegramente las condiciones de estas licencias. Las Secciones 1, 2, 5, 6, 7, y 8 subsistirán a cualquier terminación de esta Licencia.</li>
      <li>Sujeta a las condiciones y términos anteriores, la licencia otorgada aquí es perpetua (durante el período de vigencia de los derechos de autor de la obra). No obstante lo anterior, el Licenciante se reserva el derecho a publicar y/o estrenar la Obra bajo condiciones de licencia diferentes o a dejar de distribuirla en los términos de esta Licencia en cualquier momento; en el entendido, sin embargo, que esa elección no servirá para revocar esta licencia o que deba ser otorgada , bajo los términos de esta licencia), y esta licencia continuará en pleno vigor y efecto a menos que sea terminada como se expresa atrás. La Licencia revocada continuará siendo plenamente vigente y efectiva si no se le da término en las condiciones indicadas anteriormente.</li>
    </ol>
  </li>
  <br/>
  <li>
    Varios.
    <ol type="a">
      <li>Cada vez que Usted distribuya o ponga a disposición pública la Obra o una Obra Colectiva, el Licenciante ofrecerá al destinatario una licencia en los mismos términos y condiciones que la licencia otorgada a Usted bajo esta Licencia.</li>
      <li>Si alguna disposición de esta Licencia resulta invalidada o no exigible, según la legislación vigente, esto no afectará ni la validez ni la aplicabilidad del resto de condiciones de esta Licencia y, sin acción adicional por parte de los sujetos de este acuerdo, aquélla se entenderá reformada lo mínimo necesario para hacer que dicha disposición sea válida y exigible.</li>
      <li>Ningún término o disposición de esta Licencia se estimará renunciada y ninguna violación de ella será consentida a menos que esa renuncia o consentimiento sea otorgado por escrito y firmado por la parte que renuncie o consienta.</li>
      <li>Esta Licencia refleja el acuerdo pleno entre las partes respecto a la Obra aquí licenciada. No hay arreglos, acuerdos o declaraciones respecto a la Obra que no estén especificados en este documento. El Licenciante no se verá limitado por ninguna disposición adicional que pueda surgir en alguna comunicación emanada de Usted. Esta Licencia no puede ser modificada sin el consentimiento mutuo por escrito del Licenciante y Usted.</li>
    </ol>
  </li>
  <br/>
</ol>
