Spinous process palpation using the scapular tip as a landmark vs a radiographic criterion standard

Cooperstein, Robert; Haneline, Michael T.

doi:10.1016/j.jcme.2007.07.001

Cited by 20 publications

(26 citation statements)

References 6 publications

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“…However, palpatory accuracy to within 1 level of the required segment would be expected when performed by an experienced clinician. 5 Because consistent visualization of thoracic spinous processes was not possible using the radiographic imaging protocol, the present study was unable to examine palpatory accuracy. The primary objective of the radiographic protocol was to obtain optimal resolution of the vertebral bodies while minimizing participant radiation exposure.…”

Section: Discussionmentioning

confidence: 91%

“…The spinous processes were identified through surface palpation, using scapula landmarks as a reference. 5 A second investigator confirmed the marker location using the similar anatomical landmarks, prior to adhering the markers to the skin. A spherical reflective marker (10 mm in diameter) was placed over the lateral epicondyle of the right humerus.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Clinical and Radiological Investigation of Thoracic Spine Extension Motion During Bilateral Arm Elevation

Edmondston¹,

Ferguson²,

Ippersiel³

et al. 2012

J Orthop Sports Phys Ther

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Section: Discussionmentioning

confidence: 91%

Section: Methodsmentioning

confidence: 99%

Clinical and Radiological Investigation of Thoracic Spine Extension Motion During Bilateral Arm Elevation

Edmondston¹,

Ferguson²,

Ippersiel³

et al. 2012

J Orthop Sports Phys Ther

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“…Correct identification of thoracic spinous processes through palpation has been shown to be achieved on 68% of occasions, and to within 1 level of the target segment on 95% of occasions. 1 Measurements derived from surface markers are vulnerable to error related to skin movement; however, this effect would be expected to be consistent across participants in a single-observation, cross-sectional study.…”

Section: Discussionmentioning

confidence: 99%

Thoracic Spine Extension Mobility in Young Adults: Influence of Subject Position and Spinal Curvature

Edmondston¹,

Waller²,

Vallin³

et al. 2011

J Orthop Sports Phys Ther

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Mechanical pain disorders in the thoracic spine are commonly associated with impairment of mobility. 5 Thoracic spine movement limitation in individuals with mobility impairment is frequently observed in axial rotation, as well as in the sagittal plane, particularly into extension. 6 Achieving end range motion of the shoulder girdle also depends on adequate extension of the thoracic spine. 12 Consequently, observation and measurement of thoracic spine extension mobility is an important part of the physical examination of patients with thoracic spine or shoulder girdle pain disorders. Movement impairments are typically interpreted in relation to the patient's symptoms and with consideration of the expected range of motion of the region being examined. While the mechanics of thoracic motion segments have been examined in cadaveric and modeling studies, 23,26,34 few studies have examined the global and regional mobility of the thoracic spine in vivo.Normative ranges of sagittal spinal motion have been reported for the lumbar spine 4 but not for the thoracic region. This may reflect the sentiment that "extension mobility of the thoracic region is limited and usually not measured." 10 In cross-sectional studies, extension mobility in asymptomatic individuals has been variously reported as being "almost negligible," while others have recorded motion of between 20° and 40°. 18,22,35 These differences can be attributed to age, measurement technique, and the reference position from which the movement was measured.Thoracic spine mobility has been shown to decrease with increasing age, although this decline is more evident in individuals over 60 years of age. 15,22 Though several computerized spinal T T STUDY DESIGN: Cross-sectional study. T T OBJECTIVES:To examine extension mobility of the thoracic spine in young, asymptomatic adults, with particular reference to the influence of subject position and magnitude of the thoracic kyphosis. T T BACKGROUND: Impairment of thoracic extension motion is commonly associated with mechanical pain disorders in this region of the spine. Knowledge of normal thoracic mobility and the factors that may influence this motion is important in the evaluation and management of thoracic pain disorders. T T METHODS:In 40 asymptomatic adults, the total and regional thoracic extension range of motion was measured using 2-dimensional photographic image analysis. Extension mobility was measured in standing, sitting, prone, and 4-point kneeling.The association between the magnitude of the habitual thoracic kyphosis and extension mobility was also examined. T T RESULTS:When measured from the habitual standing position, the mean range of flexion was 11.5° (3.7°) and mean extension range was 8.7° T T CONCLUSION:When measured from the habitual standing position, thoracic extension range of motion in young individuals is small and poorly correlated with the magnitude of the standing thoracic kyphosis. Unloaded positions (4-point kneeling and prone), compared to positions that load the spine (standing and s...

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“…To adjust the pillow height that affects the alignment of cervical spine, the height between the head and mattress were adjusted using polyurethane layers. Using the palpation model [24] , the trunk angle and the flexion angle of knee (i.e., the angle between the lateral midline of body trunk and femur bone) were fixed at 135 and 90 degrees, respectively (Fig. 1c).…”

Section: Resting Modelsmentioning

confidence: 99%

A Comparative Study in Cervical Muscle Activities during Various Resting Postures Using Electromyography

Poor¹,

Bahraseman²,

Pouranbarani³

et al. 2017

Am. J. Biomed. Sci.

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Background: Neck and back pain are the most common reported musculoskeletal disorders. Applying surface electromyography to determine muscular activity has been used for a long time for clinical diagnosis. OBJECTIVE: The aim of this study was to assess the effect of two sleeping postures (recommended and preferred postures) on neck muscles activities and fatigue by measuring cervical muscles activities using electromyography. In the recommended posture (Model 1), the cervical and lumbar spine are horizontally aligned, while in the preferred posture (Model 2), the cervical spine is not aligned with lumbar spine. Methods: A total of nine healthy male subjects were asked to side rest with a pillow with adjustable height. The electromyography examinations were performed for upper trapezius (UT) and sternocleidomastoid (SCM) muscles of participants. After acquiring the anthropometric data, participants laid on mattress with medium hardness at the two postures for 30 minutes. Results: Comparison between the two models showed a significant difference ( ) in the level of electrical activity of neck muscles. In addition, a remarkable difference ( ) was observed in terms of neck muscle fatigue between the two tested models. Conclusions: The results indicate that the recommended posture developed and tested in this study would reduce the level of fatigue and activity of neck muscles during resting.

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Spinous process palpation using the scapular tip as a landmark vs a radiographic criterion standard

Cited by 20 publications

References 6 publications

Clinical and Radiological Investigation of Thoracic Spine Extension Motion During Bilateral Arm Elevation

Clinical and Radiological Investigation of Thoracic Spine Extension Motion During Bilateral Arm Elevation

Thoracic Spine Extension Mobility in Young Adults: Influence of Subject Position and Spinal Curvature

A Comparative Study in Cervical Muscle Activities during Various Resting Postures Using Electromyography

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