Integrating 2D Video Analysis with Symptom Modification Procedure, Intervention & Telehealth

Original Editor - Thomas Longbottom based on the course by Damien Howell

Top Contributors - Thomas Longbottom, Kim Jackson, Jess Bell and Stacy Schiurring  

Introduction[edit | edit source]

The ability to observe and analyse movement is important in the management of movement system impairment syndromes.  When deciding whether or not to use 2d slow motion video analysis to facilitate this process, one must consider a number of related issues, including potential indications for and benefits of this practise, possible barriers to its implementation, techniques for capturing the video and conducting the analysis, and specifics regarding the identification of atypical or deviant movement. Finally, the provider considering use of this technology needs to determine how best to apply the information learned through this analysis in appropriate symptom modification and interventions designed to alleviate the patient’s identified problems.  This course is designed to assist the provider in learning how to integrate the 2D motion analysis with symptom modification procedures, including within the telehealth environment.

Symptom Modification Procedure[edit | edit source]

Symptom modification procedure is a useful contemporary approach by physiotherapists to target the reduction of symptoms and the improvement of function by identifying movements that provoke symptoms and then modifying that movement.[1]  The reduction of symptoms is the key factor in identifying the correct movement modifier.  For example, pain encountered during a sit-to-stand movement may be reduced by minimizing lumbar flexion and increasing flexion at the hip accompanied by abdominal bracing. In this case, mediolateral shear was decreased.[2]  In a different case, a movement accompanied by increased mediolateral shear, indicating a different biomechanical change, may be the one that reduces the symptoms.[2]  The correct movement strategy is the one that modifies the symptoms in the desired manner.

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References[edit | edit source]

  1. Lehman GJ. The role and value of symptom-modification approaches in Musculoskeletal practice. Journal of Orthopaedic & Sports Physical Therapy. 2018;48(6):430–5.
  2. 2.0 2.1 Ikeda DM, McGill SM. Can altering motions, postures, and loads provide immediate low back pain relief. Spine. 2012;37(23).