Spinal Motion Palpation: A Review of Reliability Studies

Huijbregts, Peter A.

doi:10.1179/106698102792209585

Cited by 76 publications

(59 citation statements)

References 26 publications

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“…This yielded the following findings: Palpation for mobility is used by manual medicine clinicians to identify mobility dysfunctions that may contribute to spinal disorders [61][62][63][64][65][66] . Palpation for mobility in the cervical and thoracic spine has demonstrated both intra-and interrater agreement varying from no better than chance to perfect 65 . Most relevant to this case report, however, Jull et al 61 reported near excellent to perfect interrater agreement (κ=0.78-1.00) for identifying a C0-C3 joint restriction considered relevant to CGH.…”

Section: Physical Examinationmentioning

confidence: 99%

Physical Therapy Diagnosis and Management of a Patient with Chronic Daily Headache: A Case Report

Issa¹,

Huijbregts²

2006

Journal of Manual & Manipulative Therapy

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Chronic headaches are a significant health problem for patients and often a clinical enigma for the medical professionals who treat such patients. The purpose of this case report is to describe the physical therapy diagnosis and management of a patient with chronic daily headache. The patient was a 48-year-old woman with a medical diagnosis of combined common migraine headache and chronic tension-type headache. An exacerbation of these long-standing headache complaints had resulted in a chronic daily headache for the preceding eight months. Symptoms included bilateral headache, neck pain, left facial pain, and tinnitus. Outcome measures used included the Henry Ford Hospital Headache Disability Inventory (HDI) and the Neck Disability Index (NDI). Examination revealed myofascial, articular, postural, and neuromuscular impairments of the head and neck region. Treatment incorporated myofascial trigger point dry needling, orthopaedic manual physical therapy, exercise therapy, and patient education. On the final visit, the patient reported no headaches during the preceding month. There was a 31% improvement in the HDI emotional score, a 42% improvement in the functional score, and a 36% improvement in the total score for the HDI, the latter exceeding the minimal detectable change for the total score on this measure. The NDI at discharge showed an 18% improvement with a maximal improvement during the course of treatment of 26%. Both improvements exceeded the minimal clinically important difference for the NDI. This case report indicates that physical therapy diagnosis and management as described may be indicated for the conservative care of patients with chronic headaches.

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Section: Physical Examinationmentioning

confidence: 99%

Physical Therapy Diagnosis and Management of a Patient with Chronic Daily Headache: A Case Report

Issa¹,

Huijbregts²

2006

Journal of Manual & Manipulative Therapy

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“…Conditions commonly treated by CAM practitioners included back pain, neck problems, arthritis, and headache (1). While substantial evidence suggests that manipulative therapy of the spine has value in relieving back pain and other conditions of the spine (6,7), there is also a growing concern about the reliability of manipulative diagnostic procedures such as spinal palpation (8).…”

Section: Introductionmentioning

confidence: 99%

Spinal palpation: the challenges of information retrieval using available databases

Murphy¹,

Reinsch²,

Najm³

et al. 2003

Journal of Manipulative and Physiological Therapeutics

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Methods:We formulated the following research question: "What is the reliability of spinal palpation procedures?" We identified specific Medical Subject Headings (MeSH) and key terms as used in osteopathic medicine, allopathic medicine, chiropractic, and physical therapy. Using PubMed, we formulated an initial search template and applied it to 12 additional selected databases. Subsequently we applied the inclusion criteria and evaluated the yield in terms of precision and sensitivity in identifying relevant studies. Results:The online search result of the 13 databases identified 1189 citations potentially addressing the research question. After excluding overlapping and non-pertinent citations, and those not meeting the inclusion criteria, 49 citations remained. PubMed yielded 19 while MANTIS, a manual therapy database, yielded 35 citations. Twenty-six of the 49 online citations were repeatedly indexed in 3 or more databases. Content experts and selective manual searches identified 11 additional studies. In all, we identified 60 studies that addressed the research question. The cost of the databases used for conducting this search ranged from free-of-charge to $43,000 per year for a single network subscription. Conclusions:Commonly used databases often do not provide accurate indexing or coverage of CAM publications. Subject-specific specialized databases are recommended. Access, cost, and ease of using specialized databases, are limiting factors.

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“…12,13 While these techniques are commonly taught in manual therapy education, their lack of validity and reliability has not gone unnoticed. [14][15][16][17][18][19][20][21][22] Some journal commentaries and editorials have suggested MTs move away from segment specific motion palpation altogether, [23][24][25] and correspondingly, some studies have found positive results using techniques that were designed to treat a spinal region, not a specific motion segment. [26][27][28][29][30][31][32] However, research that supports the use of regional techniques also often encourages the use of segmental motion palpation as part of the clinical decision-making process.…”

Section: -11mentioning

confidence: 99%

Factors affecting confidence and knowledge in spinal palpation among International Manual Physical Therapists

Karas

Schneiders

Reid

et al. 2016

Journal of Manual & Manipulative Therapy

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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. Results: We concluded that familiarity of the literature was significantly associated with a MTs' confidence in the use of static palpation, PPIVM and PAIVM techniques. We also found a relationship with the country of practice of the MT and their confidence using these techniques. Discussion: Spinal palpation is an integral part of the MT's evaluation and treatment abilities. The vast majority of MTs use spinal palpation and nearly all entry-level education programmes include it in their training. Knowing what factors influence MTs' confidence assessing and treating the spine may allow for more effective teaching and training, as well as improved patient outcomes.

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Spinal Motion Palpation: A Review of Reliability Studies

Cited by 76 publications

References 26 publications

Physical Therapy Diagnosis and Management of a Patient with Chronic Daily Headache: A Case Report

Physical Therapy Diagnosis and Management of a Patient with Chronic Daily Headache: A Case Report

Spinal palpation: the challenges of information retrieval using available databases

Factors affecting confidence and knowledge in spinal palpation among International Manual Physical Therapists

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