Palpation

Publication Title: 
Complementary Therapies in Medicine

OBJECTIVES: This survey was undertaken to learn how Traditional Chinese Medicine acupuncturists' diagnose and treat patients with chronic low back pain in order to develop a standardized treatment for a clinical trial of that condition. DESIGN: We surveyed a randomly selected group of 56 acupuncturists in Washington State, USA about styles of acupuncture they used for treating chronic low back pain, diagnoses made, and key features of treatment for this condition.

Author(s): 
Sherman, K. J.
Hogeboom, C. J.
Cherkin, D. C.
Publication Title: 
The Anatomical Record

Acupuncture meridians traditionally are believed to constitute channels connecting the surface of the body to internal organs. We hypothesize that the network of acupuncture points and meridians can be viewed as a representation of the network formed by interstitial connective tissue. This hypothesis is supported by ultrasound images showing connective tissue cleavage planes at acupuncture points in normal human subjects. To test this hypothesis, we mapped acupuncture points in serial gross anatomical sections through the human arm.

Author(s): 
Langevin, Helene M.
Yandow, Jason A.
Publication Title: 
The Journal of the American Osteopathic Association

CONTEXT: Establishing reliable palpatory tests continues to be a critical, yet elusive, step in osteopathic medical research and evidence-based clinical practice. OBJECTIVE: The authors investigated the interobserver reliability of common osteopathic palpatory tests used to evaluate the lumbar spine. DESIGN AND METHODS: Subjects (N=119) were recruited from the faculty, staff, and students of Kirksville (MO) College of Osteopathic Medicine (KCOM) of A.T. Still University of Health Sciences.

Author(s): 
Degenhardt, Brian F.
Snider, Karen T.
Snider, Eric J.
Johnson, Jane C.
Publication Title: 
The Journal of the American Osteopathic Association

CONTEXT: Few studies have shown that diagnostic palpation is reliable. No studies have shown that the reliability of diagnostic palpatory skills can be maintained and improved over time. OBJECTIVE: To investigate whether the reliability of selected palpatory tests used to identify lumbar somatic dysfunction was maintained during a 4-month period as part of a clinical observational study. METHODS: Participants with low back pain and participants without low back pain, recruited from a rural Midwestern community, were examined during 6 separate sessions over a 4-month period.

Author(s): 
Degenhardt, Brian F.
Johnson, Jane C.
Snider, Karen T.
Snider, Eric J.
Publication Title: 
The Journal of the American Osteopathic Association

CONTEXT: Identifying objective measures that correlate with somatic dysfunction palpatory findings will aid in establishing clinical relevance of the findings and provide outcome measures for future studies. OBJECTIVE: To investigate the association of altered segmental lumbar vertebral mechanics (ie, somatic dysfunction) as assessed by palpation with bone mineral density (BMD) T-score variability in participants, some with chronic low back pain (CLBP) and others without low back pain (LBP).

Author(s): 
Snider, Karen T.
Johnson, Jane C.
Degenhardt, Brian F.
Snider, Eric J.
Publication Title: 
Clinical Biomechanics (Bristol, Avon)

OBJECTIVE: Three-dimensionality (3D) of manual contact forces at the patient-practitioner interface. DESIGN: Description of a new hand/palm-held computerized 3D force measuring system. BACKGROUND: Up until now instrumented direct manual contact force measurement has been one-dimensional (1D).Methods. The system is built for interface (direct) measurement of 3D manual contact force with real-time data presentation.

Author(s): 
Van Zoest, Gerrit G. J. M.
van den Berg, Henk T. C. M.
Holtkamp, Fred C.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

This article presents a theoretical model based on previously published chiropractic theories and clinical experience. The thesis proposes a comparison of specific dynamically diagnosed manipulative procedure with non-specific statically determined mobilization. The proposed mechanism also theoretically provides a means by which one can determine areas of segmental motion-disturbance necessitating specific correction, as well as identifying areas where adjusting might be contraindicated.

Author(s): 
Nall, S. K.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

In this study, 58 subjects with myofascial low back pain and 26 asymptomatic controls were evaluated according to a protocol of biomechanical analysis involving the plumbline, lateral bending dynamic roentgenograms, sacro-iliac motion palpation, lumbar motion palpation and straight-leg-raising. The outcomes of each test were blinded as to group assignment and the data was assessed statistically to derive each test's independent scores of sensitivity, specificity, predictive value and accuracy.

Author(s): 
Brunarski, D. J.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

Spinal palpation as employed by practitioners of manipulative therapy is a common diagnostic tool used to identify manipulable lesions. Three methods of diagnostic palpation are static palpation, active motion palpation and passive motion palpation. As a diagnostic technique, spinal palpation suffers from a lack of research on its statistical reliability. Assessment of the clinical efficacy of manipulative therapy would be better addressed if a statistically reliable method of palpatory diagnosis were developed.

Author(s): 
Russell, R.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

A reliability study was conducted to determine whether palpatory findings on the cervical spine, obtained under normal chiropractic clinical conditions were reproducible. Forty normal freshman chiropractic students underwent static and motion palpation of their cervical spines by three different chiropractors. Intra- and inter-examiner reliability of findings was assessed by concordance statistics (weighted kappa). There was statistically significant agreement of findings for all three examiners only for fixations in the lower cervical spine.

Author(s): 
DeBoer, K. F.
Harmon, R.
Tuttle, C. D.
Wallace, H.

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