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Spinal motion palpation

Steve Karas, Anthony Schneiders, Duncan Reid, Victor Talisa
OBJECTIVES: We sought to find if there was a relationship between the confidence in use of static palpation, passive physiological intervertebral motion (PPIVM) and passive accessory intervertebral motion (PAIVM) and the manual therapist's (MTs) knowledge of the literature on these topics. METHODS: We designed an international survey to achieve our objectives. Each skill was surveyed for the cervical, thoracic and lumbar spines. We also included several other factors that we believed might influence the use of these skills...
July 2016: Journal of Manual & Manipulative Therapy
Rune Mygind Mieritz, Gregory Neil Kawchuk
OBJECTIVE: The purpose of this study was to determine the accuracy of locating lumbar vertebrae using palpation vs ultrasonography. METHODS: In this study, ultrasonic imaging was used by 2 experienced clinicians to identify the third lumbar spinous process (target) of a female participant. The target was then located by 16 undergraduate chiropractic students using clinical palpation techniques learned in their academic program (with participant seated and prone) and ultrasonic imaging learned through a 5-minute training video...
July 2016: Journal of Manipulative and Physiological Therapeutics
Barbara A Mansholt, Robert D Vining
INTRODUCTION: The reliability and validity of many evaluation tools leading to clinical decision-making for spinal manipulation are varied. We surveyed senior students and DC employees at one chiropractic college regarding 1) which analysis tools should be used and 2) factors that influence their choices. METHODS: The survey queried which tools should be used on a routine patient encounter. Clinical evaluation tools included palpation, skin temperature analysis, leg length analysis, and radiographs...
March 2016: Journal of the Canadian Chiropractic Association
Mette Hobaek Siegenthaler
OBJECTIVE: The purpose of this case report is to describe the chiropractic management of a child with abnormal fixation of one eye and torticollis. CLINICAL FEATURES: A mother presented with a concern regarding her 23-month-old son who had a history of torticollis and an abnormal fixation of the right eye. She noticed the head tilt when he was about 7 months old and abnormal alignment of the right eye when the boy was 18 months old. At 15 months when he took his first steps, his head tilt became worse...
March 2015: Journal of Chiropractic Medicine
Bruce F Walker, Shane L Koppenhaver, Norman J Stomski, Jeffrey J Hebert
Introduction. Manual therapists commonly use assessments of intervertebral motion to determine the need for spinal manipulation, but the reliability of these procedures demonstrates conflicting results. The objectives of this study were to investigate the interrater reliability of thoracic spine motion palpation for perceived joint restriction and pain. Methods. Twenty-five participants between the ages of 18 and 70, with or without mid-back pain, were enrolled. Two raters motion palpated marked T5-T12 levels using two methods (standardised and pragmatic) and noted any restricted or painful segments...
2015: Evidence-based Complementary and Alternative Medicine: ECAM
Senol Bekmez, Halil G Demirkiran, Guney Yilmaz, Ibrahim Akel, Pergin Atilla, Sevda Fatma Muftuoglu, Muharrem Yazici, Ahmet Alanay
STUDY DESIGN: Experimental study. BACKGROUND: Convex growth arrest (CGA) has been commonly used in the treatment of long-sweeping congenital deformities of the immature spine. As there are major drawbacks about the anterior procedure in the conventional CGA method, a new modification has been documented that using only posterior spinal approach with pedicle screw instrumentation. The aim of the study was to compare posterior-only CGA using pedicle screws with combined anterior/posterior in-situ CGA for the findings in histologic, radiologic, and manual palpation examinations in an immature pig model...
June 17, 2015: Journal of Pediatric Orthopedics
A Jonathan McLeod, John S H Baxter, Golafsoun Ameri, Sugantha Ganapathy, Terry M Peters, Elvis C S Chen
PURPOSE: Epidural and spinal anesthesia are common procedures that require a needle to be inserted into the patient's spine to deliver an anesthetic. Traditionally, these procedures were performed without image guidance, using only palpation to identify the correct vertebral interspace. More recently, ultrasound has seen widespread use in guiding spinal needle interventions. Dural pulsation is a valuable cue for finding a path through the vertebral interspace and for determining needle insertion depth...
June 2015: International Journal of Computer Assisted Radiology and Surgery
Samuel T Robinson, Mark T Svet, Linda A Kanim, Melodie F Metzger
The most common method of evaluating the success (or failure) of rat spinal fusion procedures is manual palpation testing. Whereas manual palpation provides only a subjective binary answer (fused or not fused) regarding the success of a fusion surgery, mechanical testing can provide more quantitative data by assessing variations in strength among treatment groups. We here describe a mechanical testing method to quantitatively assess single-level spinal fusion in a rat model, to improve on the binary and subjective nature of manual palpation as an end point for fusion-related studies...
February 2015: Comparative Medicine
Kyle Colin Deutschmann, Andrew Douglas Jones, Charmaine Maria Korporaal
BACKGROUND: The most utilized soccer kicking method is the instep kicking technique. Decreased motion in spinal joint segments results in adverse biomechanical changes within in the kinematic chain. These changes may be linked to a negative impact on soccer performance. This study tested the immediate effect of lumbar spine and sacroiliac manipulation alone and in combination on the kicking speed of uninjured soccer players. METHODS: This 2010 prospective, pre-post experimental, single-blinded (subject) required forty asymptomatic soccer players, from regional premier league teams, who were purposively allocated to one of four groups (based on the evaluation of the players by two blinded motion palpators)...
2015: Chiropractic & Manual Therapies
Jonathan Branney, Alan C Breen
BACKGROUND: Spinal manipulation for nonspecific neck pain is thought to work in part by improving inter-vertebral range of motion (IV-RoM), but it is difficult to measure this or determine whether it is related to clinical outcomes. OBJECTIVES: This study undertook to determine whether cervical spine flexion and extension IV-RoM increases after a course of spinal manipulation, to explore relationships between any IV-RoM increases and clinical outcomes and to compare palpation with objective measurement in the detection of hypo-mobile segments...
2014: Chiropractic & Manual Therapies
Robert Cooperstein, Morgan Young
BACKGROUND: Upright examination procedures like radiology, thermography, manual muscle testing, and spinal motion palpation may lead to spinal interventions with the patient prone. The reliability and accuracy of mapping upright examination findings to the prone position is unknown. This study had 2 primary goals: (1) investigate how erroneous spine-scapular landmark associations may lead to errors in treating and charting spine levels; and (2) study the interexaminer reliability of a novel method for mapping upright spinal sites to the prone position...
2014: Chiropractic & Manual Therapies
John J Triano, Brian Budgell, Angela Bagnulo, Benjamin Roffey, Thomas Bergmann, Robert Cooperstein, Brian Gleberzon, Christopher Good, Jacquelyn Perron, Rodger Tepe
BACKGROUND: With the development of increasing evidence for the use of manipulation in the management of musculoskeletal conditions, there is growing interest in identifying the appropriate indications for care. Recently, attempts have been made to develop clinical prediction rules, however the validity of these clinical prediction rules remains unclear and their impact on care delivery has yet to be established. The current study was designed to evaluate the literature on the validity and reliability of the more common methods used by doctors of chiropractic to inform the choice of the site at which to apply spinal manipulation...
2013: Chiropractic & Manual Therapies
O'Dane Brady, Scott Haldeman
The shared decision making process has become increasingly important in the management of spinal disorders where there remains a variety of treatment options. Spinal manipulative therapy (SMT) is often recommended as a conservative option by evidence based clinical practice guidelines and a treatment modality frequently utilized by chiropractors and other clinicians who offer SMT to their patients. This article serves as a commentary to a review of the methods that are often used by chiropractors to determine the site for applying their manipulative intervention...
2013: Chiropractic & Manual Therapies
Richard Edward Nyberg, A Russell Smith
Spinal motion palpation (SMP) is a standard component of a manual therapy examination despite questionable reliability. The present research is inconclusive as to the relevance of the findings from SMP, with respect to the patient's pain complaints. Differences in the testing methods and interpretation of spinal mobility testing are problematic. If SMP is to be a meaningful component of a spinal examination, the methods for testing and interpretation must be carefully scrutinized. The intent of this narrative review is to facilitate a better understanding of how SMP should provide the examiner with relevant information for assessment and treatment of patients with spinal pain disorders...
August 2013: Journal of Manual & Manipulative Therapy
Anthony L Rosner, Katharine M Conable, Tracy Edelmann
OBJECTIVE: The purpose of this study was to investigate the effects of 4 weeks of custom foot orthotics on pain, disability, recurrence of spinal fixation, and muscle dysfunction in adult low back pain patients receiving limited chiropractic care. METHODS: Adult volunteers with low back pain of greater than or equal to 1 month's duration were randomized to receive custom orthotics (group A) or a flat insole sham (group B) with limited chiropractic care in 5 visits over 4 weeks...
February 2014: Journal of Manipulative and Physiological Therapeutics
Lisa C Carlesso, Joy C Macdermid, P Lina Santaguida, Lehana Thabane, Kevin Giulekas, Leo Larocque, James Millard, Caitlin Williams, Jack Miller, Bert M Chesworth
PURPOSE: This practice survey describes how Fellows of the Canadian Academy of Manipulative Physiotherapy (FCAMPT) use spinal manipulation and mobilization and how they perceive their competence in performing spinal assessment; it also quantifies relationships between clinical experience and use of spinal manipulation. METHODS: A cross-sectional survey was designed based on input from experts and the literature was administered to a random sample of the FCAMPT mailing list...
2013: Physiotherapy Canada. Physiothérapie Canada
Tomonori Yamaguchi, Nozomu Inoue, Robert L Sah, Yu-Po Lee, Alexander P Taborek, Gregory M Williams, Timothy A Moseley, Won C Bae, Koichi Masuda
Rat posterolateral lumbar fusion (PLF) models have been used to assess the safety and effectiveness of new bone substitutes and osteoinductive growth factors using palpation, radiography, micro-computed tomography (μCT), and histology as standard methods to evaluate spinal fusion. Despite increased numbers of PLF studies involving alternative bone substitutes and growth factors, the quantitative assessment of treatment efficacy during spinal motion has been limited. The purpose of this study was to evaluate the effect of spinal fusion on lumbar spine segment stability during lateral bending using a μCT-based three-dimensional (3D) kinematic analysis in the rat PLF model...
July 2014: Tissue Engineering. Part C, Methods
D Harvey, D Byfield
This study was designed to investigate the ability of eight graduate chiropractors and 19 final year chiropractic students to detect the presence or absence of lumbar spine intersegmental motion restriction by palpating a spinal model equipped with artificial fixators. There was little difference between the two groups of palpators with regard to the successful identification of the presence or absence of fixation. Typically, 43 per cent of reported fixations were correctly identified in contrast to the 16 per cent expected by chance alone...
May 1991: Clinical Biomechanics
Brian Gleberzon, Kent Stuber
OBJECTIVE: The purpose of this study was to determine which diagnostic and therapeutic procedures of the spine are most commonly utilized by chiropractors practicing in Ontario, based on a list of currently taught procedures at CMCC. In Part 1 of this study (published previously), the demographics and practice patterns of the respondents were presented. Part 2 of this study (presented here) reports on the utilization rates of spinal diagnostic and therapeutic procedures by the respondents...
June 2013: Journal of the Canadian Chiropractic Association
Robert Cooperstein, Morgan Young, Michael Haneline
INTRODUCTION: Motion palpators usually rate the movement of each spinal level palpated, and their reliability is assessed based upon discrete paired observations. We hypothesized that asking motion palpators to identify the most fixated cervical spinal level to allow calculating reliability at the group level might be a useful alternative approach. METHODS: Three examiners palpated 29 asymptomatic supine participants for cervical joint hypomobility. The location of identified hypomobile sites was based on their distance from the T1 spinous process...
June 2013: Journal of the Canadian Chiropractic Association
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