دورية أكاديمية
أعرض في EDS

Static palpation ain't easy: Evaluating palpation precision using a topographical map of the lumbar spine as a reference.

التفاصيل البيبلوغرافية
العنوان: Static palpation ain't easy: Evaluating palpation precision using a topographical map of the lumbar spine as a reference.
المؤلفون: Hvidkær IS; Medical Research Unit, Spine Center of Southern Denmark, University Hospital of Southern Denmark, Odense, Denmark., Harsted S; Medical Research Unit, Spine Center of Southern Denmark, University Hospital of Southern Denmark, Odense, Denmark.; Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark., Hadizadeh M; School of Public Health, University of Alberta, Edmonton, Canada., O'Neill S; Medical Research Unit, Spine Center of Southern Denmark, University Hospital of Southern Denmark, Odense, Denmark.; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark., Kawchuk GN; Faculty of Rehabilitation Medicine, Department of Physical Therapy, University of Alberta, Edmonton, Canada., Nim C; Medical Research Unit, Spine Center of Southern Denmark, University Hospital of Southern Denmark, Odense, Denmark.; Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.
المصدر: PloS one [PLoS One] 2024 May 30; Vol. 19 (5), pp. e0304571. Date of Electronic Publication: 2024 May 30 (Print Publication: 2024).
نوع المنشور: Journal Article; Randomized Controlled Trial
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Palpation*/methods , Lumbar Vertebrae*/diagnostic imaging , Lordosis*/diagnostic imaging, Humans ; Female ; Male ; Adult ; Low Back Pain/diagnosis ; Low Back Pain/physiopathology ; Prospective Studies ; Middle Aged
مستخلص: Introduction: Clinicians commonly use manual therapy to treat low back pain by palpating the spine to identify the spinous processes. This study aims to evaluate the ability of experienced clinicians to consistently locate the spinous processes from S1 to T12 through palpation. The results will be compared to topographical data representing the lumbar lordosis at baseline and four follow-up time points.
Materials and Methods: In a prior prospective randomized trial, experienced clinicians used palpation to locate the lumbar spinous processes (S1-T12) and then digitized these locations in three-dimensional space. The same digitizing equipment was then used to continuously collect three-dimensional position data of a wheel that rolled along the back's surface through a trajectory that connected the previously digitized locations of the spinous processes. This process was repeated at 4 days, 1, 4, and 12 weeks. The resulting lordosis trajectories were plotted and aligned using the most anterior point in the lordosis to compare the locations of the spinous processes identified in different trials. This way, spinous palpation points could be compared to surface topography over time. Intra- and interrater reliability and agreement were estimated using intraclass correlations of agreement and Bland-Altman limits of agreement.
Results: Five clinicians palpated a total of 119 participants. The results showed a large degree of variation in precision estimates, with a mean total value of 13 mm (95%CI = 11;15). This precision error was consistent across all time points. The smallest precision error was found at L5, followed by S1 File, after which the error increased superiorly. Intra- and interrater reliability was poor to moderate.
Conclusions: Comparison of palpation results to a topographic standard representing the lumbar lordosis is a new approach for evaluating palpation. Our results confirm the results of prior studies that find palpation of lumbar spinous processes imprecise, even for experienced clinicians.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Hvidkær et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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تواريخ الأحداث: Date Created: 20240530 Date Completed: 20240530 Latest Revision: 20240718
رمز التحديث: 20240719
مُعرف محوري في PubMed: PMC11139336
DOI: 10.1371/journal.pone.0304571
PMID: 38814967
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0304571