The reliability of palpatory examinations for pelvic landmarks to determine pelvic asymmetry: a systematic review and meta-analysis

Mine, Koya; Ono, Kenta; Tanpo, Nobuhito

doi:10.1080/10833196.2021.2019368

Cited by 3 publications

(4 citation statements)

References 29 publications

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“…Cooperstein and Hickey [22] systematically reviewed studies of PSIS palpation and reported that their QAREL quality score was only 46% [44]. Mine et al [25] even found only six papers in their systematic review whose QAREL score was between 50 and 70%, indicating that the overall quality of the studies reviewed did not reach a substantial level of quality.…”

Section: Cross Line Laser Measurement Reliabilitymentioning

confidence: 99%

“…However, the reputation of PSIS palpation-based diagnostics is low because it is reportedly not reliable enough to detect accurate landmarks [22][23][24][25][26]. Nevertheless, a much higher detection rate is documented for investigators experienced in PSIS palpation [23,27,28].…”

Section: Introductionmentioning

confidence: 99%

“…Most studies of palpation reliability have used students for testing. Studies with experienced examiners are rare or the background of the observers was not reported [22][23][24][25]32]. Arguably, even long-time practicing therapists may not necessarily have skills in PSIS palpation.…”

Section: Introductionmentioning

confidence: 99%

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Can functional leg length changes be easily measured in patients with acute low back pain after gentle muscle treatment of the erector spinae muscle? A secondary analysis study.

Brandl¹,

Schmidt²

2022

Preprint

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Background: Recent work has examined an association between functional leg length discrepancy (fLLD) and acute low back pain (aLBP). Myofascial release (MFR) techniques are thought to be frequently applied in the treatment of aLBP. The purpose of this study was to evaluate a practical and low-cost measure of fLLD.Methods: A total of 83 subjects with aLBP and fLLD greater than 3 mm who underwent an MFR technique on the thoracolumbar fascia were included. In group 1 (12 subjects from a pilot study), fLLD was measured using a cross line laser (CLL), and group 2 (71 subjects from an RCT) was measured using video raster stereography (VRS) and matched with group 1 in terms of sex, age, and body mass index.Results: CLL showed an almost perfect agreement with VRS (ICC = 0.88) and required little time and resources. Participants agreed to CLL with high acceptability.Conclusions: Some recommendations for urgent needed future studies were provided. The CLL measurement of fLLD is applica-ble for monitoring treatment effects and also an affordable tool for most of manual therapy practices.

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Section: Cross Line Laser Measurement Reliabilitymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Can functional leg length changes be easily measured in patients with acute low back pain after gentle muscle treatment of the erector spinae muscle? A secondary analysis study.

Brandl¹,

Schmidt²

2022

Preprint

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“…Parallel to the radiologic examinations, methods based on palpation of the selected landmarks in the pelvic girdle area are used. Unlike radiology, they are less reliable and show great randomness ( Stovall and Kumar, 2010 ; Kilby et al, 2012 ; Li et al, 2016 ; Mine et al, 2022 ). The result of a search for methods which would be at least partially as reliable as radiologic methods, are assessments using three-plane image analysis systems ( Furian et al, 2013 ; Yu et al, 2020 ) or simple measuring devices like Palpation Meter or Duometer ( Levangie, 1999 ; Petrone et al, 2003 ; Bibrowicz and Bibrowicz, 2011a , 2011b ).…”

Section: Introductionmentioning

confidence: 99%

Asymmetry of the pelvis in Polish young adults

Bibrowicz¹,

Szurmik²,

Ogrodzka-Ciechanowicz³

et al. 2023

Front. Psychol.

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IntroductionSymmetry is one of the criteria of correct body posture in upright position. The spatial positioning of the pelvic girdle is crucial to it. Functional and structural asymmetries within the lumbo-pelvic-hip complex can have a significant influence on the structure and functions of many human body organs and systems. The aim of the study was to present the results of inclinometer measurements of selected landmarks of the pelvic girdle in young adults aged 19–29.MethodsThe analysis of occurrence of spatial pelvic asymmetry was based on the authors’ original, clinical classification and the significance of the body mass and height for the analyzed asymmetries. The inclinometer measurements of the selected landmarks of the pelvic girdle were performed in a sample consisting of 300 young individuals. Then, the occurrences of the spatial asymmetry of the pelvis were analyzed based on the authors’ own clinical classification using alignment symmetry of the iliac crests, the anterior superior iliac spines and the trochanters major as a criterion. All study subjects with asymmetry <1 degree were treated as those with a symmetrical pelvis.ResultsThe significance of gender, body mass and height for the analyzed asymmetries was assessed. Symmetric positioning of the iliac crests was observed in only 32% of the respondents. The iliac crest depression on the left side was more frequently observed – in 41% of the respondents. This occurred more often in women (44%) than in men (38%). In the group of women, the rotated pelvis was the most often observed (39.4%) asymmetry, while for men, it was the oblique pelvis (40%). More detailed analysis by pelvic asymmetry subtypes showed their statistical differentiation between women and men (p < 0.0001). Analysis of moderate rotation of the pelvis for men, were reported slightly higher values but these differences were not statistically significant (p = 0.253). Women, in turn, showed slightly higher mean values but here too, the differences were not statistically significant (p = 0.245).DiscussionAsymmetries in the pelvis area are common; they were observed in less than three-quarters of the examined population. Oblique pelvis was found in less than a quarter of women and in more than one-third men with the predominant structural asymmetries. Rotated pelvis was observed in more than one-third of women and men with dominating functional asymmetries. There were no linear correlations between the body mass and height, and the angle of asymmetries.

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A tailored training based on students’ and teachers’ needs to improve palpation skills: A quantitative part of a mixed-method study

Lavazza,

Zangoni,

Sozzi

et al. 2024

International Journal of Osteopathic Medicine

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The reliability of palpatory examinations for pelvic landmarks to determine pelvic asymmetry: a systematic review and meta-analysis

Cited by 3 publications

References 29 publications

Can functional leg length changes be easily measured in patients with acute low back pain after gentle muscle treatment of the erector spinae muscle? A secondary analysis study.

Can functional leg length changes be easily measured in patients with acute low back pain after gentle muscle treatment of the erector spinae muscle? A secondary analysis study.

Asymmetry of the pelvis in Polish young adults

A tailored training based on students’ and teachers’ needs to improve palpation skills: A quantitative part of a mixed-method study

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