Palpatory Accuracy of Lumbar Spinous Processes Using Multiple Bony Landmarks

The basis for spinal manipulation: Chiropractic perspective of indications and theory

“…It is highly relevant that several studies report poor inter-examiner reliability identifying specific anatomical spine landmarks (Billis et al, 2003;Harlick et al, 2007;Snider et al, 2011). Studies examining the reliability of spine assessment procedures also required examining clinicians to identify the specific anatomical level of misalignment or altered mobility.…”

Teaching sonoanatomy to anesthesia faculty and residents: utility of hands-on gel phantom and instructional video training models

“…This localization process may be problematic when patients are obese, pregnant, or have spinal abnormalities, including misalignment or degenerative changes [3][4][5][6][7]. Ultrasound can be used to gain a more accurate understanding of a patient's spinal anatomy, leading to fewer needle insertion attempts and spinal needle manipulations, and improve patient satisfaction [3,5,6,[8][9][10][11][12][13][14][15][16][17][18]. Further, a decrease in the number of needle insertion attempts has been shown to correlate with a decreased incidence of postdural puncture headache [19], new-onset persistent low-back pain [20], and puncture site bleeding [21].…”

Evaluation of E-Learning as an Adjunctive Method for the Acquisition of Skills in Bony Landmark Palpation and Muscular Ultrasound Examination in the Lumbopelvic Region: A Controlled Study

“…Other professional skills such as palpation are essential for musculoskeletal manual practitioners in the clinical assessment of patients with lumbopelvic pain as a component of the evaluative process of making patient management decisions. 8,9 Educational strategies combining palpation and USI to improve acquisition of this fundamental ability in musculoskeletal manual practitioners represent a research gap in learning processes.…”