Confirmatory factor analysis in osteopathic medicine: fascial and spinal motion restrictions as correlates of muscle spasticity in children with cerebral palsy
Language: 
English
Short Title: 
Confirmatory factor analysis in osteopathic medicine
Abstract: 

CONTEXT: While numerous measures are available to assist physicians in assessing patients with cerebral palsy, there is a paucity of instruments that capture data relevant to osteopathic assessment. The lack of such tools limits the reach of research in key osteopathic indicators. METHODS: A structured objective form designed to assist osteopathic physicians in the evaluation of fascial restriction, restriction of spinal motion, and muscle spasticity was developed for use during osteopathic musculoskeletal structural examinations. Data were collected as part of a larger study investigating the effects of osteopathic manipulative treatment versus acupuncture in children with cerebral palsy. In the present study, confirmatory factor analysis was used to examine the relationships between fascial and spinal motion restrictions in addition to spasticity. RESULTS: In 57 children with spastic cerebral palsy, latent factors for fascial restrictions and spinal motion restriction fit the data well and both factors were correlated with a visual analog scale rating of the child's muscle spasticity. CONCLUSIONS: These findings provide preliminary evidence for the factorial and concurrent validity of fascial and spinal motion restrictions, demonstrating the benefits of an instrument for assessing the results of osteopathic musculoskeletal structural examinations.

Author(s): 
Davis, Melinda F.
Worden, Katherine
Clawson, Diane
Meaney, F. John
Duncan, Burris
Item Type: 
Journal Article
Publication Title: 
The Journal of the American Osteopathic Association
Journal Abbreviation: 
J Am Osteopath Assoc
Publication Date: 
Jun 2007
Publication Year: 
2007
Pages: 
226-232
Volume: 
107
Issue: 
6
ISSN: 
0098-6151
Library Catalog: 
NCBI Published Medical (?)
Extra: 
PMID: 17635903

Turabian/Chicago Citation

Melinda F. Davis, Katherine Worden, Diane Clawson, F. John Meaney and Burris Duncan. Jun 2007. "Confirmatory factor analysis in osteopathic medicine: fascial and spinal motion restrictions as correlates of muscle spasticity in children with cerebral palsy." The Journal of the American Osteopathic Association 107: 6: 226-232.

Wikipedia Citation

<ref> {{Cite journal | doi = | issn = 0098-6151 | volume = 107 | pages = 226-232 | last = Davis | first = Melinda F. | coauthors = Worden, Katherine, Clawson, Diane, Meaney, F. John, Duncan, Burris | title = Confirmatory factor analysis in osteopathic medicine: fascial and spinal motion restrictions as correlates of muscle spasticity in children with cerebral palsy | journal = The Journal of the American Osteopathic Association | date = Jun 2007 | pmid = | pmc = }} </ref>