2001
DOI: 10.21836/pem20010305
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Diagnostic procedure for the verification of an assumed backproblem in the horse

Abstract: ZusammenfassungDas diagnostische Vorgehen zur Abklärung eines Patienten mit einem vermuteten Rückenproblem sollte nach einem festen Untersuchungsschema erfolgen. Neben Anamnese und Adspektion bildet die Palpation den wesentlichen Untersuchungsschritt zur Diagnosefindung. Hierbei sind zwei Punkte entscheidend: Nur schmerzhafte und reproduzierbare Reaktionen bzw. Verhaltensäußerungen (Stöhnen, Schlagen, "nach-untenAusweichen") dürfen als positiver Palpationsbefund bewertet werden. Zweitens muss immer eine Lahmhe… Show more

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Cited by 4 publications
(3 citation statements)
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References 12 publications
(23 reference statements)
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“…There are presently no studies which can confirm our results regarding the correlation between skin surface temperature and muscle tone; thus, further research is necessary. In addition, palpation examination of muscle tone is limited by a large degree of subjectivity [ 49 ]; however, it is recommended by clinicians as it has an excellent interrater reliability among horses when using a categorical scoring system [ 49 , 59 , 60 ]. Ideally the subjective palpation examination should be replaced with pressure algometry as an objective method to determine pressure pain threshold by applying controlled pressure to the longissimus dorsi muscle.…”
Section: Discussionmentioning
confidence: 99%
“…There are presently no studies which can confirm our results regarding the correlation between skin surface temperature and muscle tone; thus, further research is necessary. In addition, palpation examination of muscle tone is limited by a large degree of subjectivity [ 49 ]; however, it is recommended by clinicians as it has an excellent interrater reliability among horses when using a categorical scoring system [ 49 , 59 , 60 ]. Ideally the subjective palpation examination should be replaced with pressure algometry as an objective method to determine pressure pain threshold by applying controlled pressure to the longissimus dorsi muscle.…”
Section: Discussionmentioning
confidence: 99%
“…Even though a large number of diagnostic aids are available for the investigation of thoracolumbar pain, palpation remains one of the most important methods; this is even described as the most valuable part of the clinical assessment [7]. A standardized manual and digital palpation is recommended [7, 9], however this is limited by a large degree of subjectivity [9].…”
Section: Introductionmentioning
confidence: 99%
“…A standardized manual and digital palpation is recommended [7, 9], however this is limited by a large degree of subjectivity [9]. Algometry has been shown to be an objective method to quantify pressure sensitivity or pain on pressure; it is easy to use and it has been successful in a number of studies in veterinary and human medicine [3–5, 9–11].…”
Section: Introductionmentioning
confidence: 99%