Please use this identifier to cite or link to this item:
https://hdl.handle.net/10321/4527
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lakhani, Ekta | en_US |
dc.contributor.author | Nook, Brian | en_US |
dc.contributor.author | Haas, Mitchell | en_US |
dc.contributor.author | Docrat, Aadil | en_US |
dc.date.accessioned | 2022-11-28T10:00:50Z | - |
dc.date.available | 2022-11-28T10:00:50Z | - |
dc.date.issued | 2009-09 | - |
dc.identifier.citation | Lakhani, E. et al. 2009. Motion palpation used as a postmanipulation assessment tool for monitoring end-feel improvement: a randomized controlled trial of test responsiveness. 32(7): 549-555. doi:10.1016/j.jmpt.2009.08.004 | en_US |
dc.identifier.issn | 0161-4754 | - |
dc.identifier.issn | 1532-6586 (Online) | - |
dc.identifier.other | isidoc: 498IO | - |
dc.identifier.other | pubmed: 19748406 | - |
dc.identifier.uri | https://hdl.handle.net/10321/4527 | - |
dc.description.abstract | A tenet of motion palpation theory is the ability to confirm postadjustive segmental end-feel improvement (EFI). Only one previous trial has evaluated the responsiveness of EFI; this was a study of the thoracic spine. The purpose of this study was to evaluate the responsiveness of postadjustive end-feel for evaluating improvement in putative segmental spinal motion restriction after spinal manipulative therapy (SMT) of the cervical spine.<h4>Methods</h4>A prospective, blinded, randomized placebo-controlled pilot trial was conducted with 20 symptomatic and 10 asymptomatic participants recruited from a chiropractic teaching clinic. The treatment group received SMT, and the control group received placebo detuned ultrasound. Responsiveness was evaluated as the etiologic fraction (% of cases with EFI attributable to SMT) and as the sensitivity and specificity of change.<h4>Results</h4>For the entire sample, the etiologic fraction was 63% (P = .002), sensitivity was 93%, and specificity was 67%. For symptomatic participants, a strong relationship appeared to exist between receiving SMT and EFI (etiologic fraction = 78%, P = .006; sensitivity = 90%; specificity = 80%). A strong relationship was not found for asymptomatic participants (etiologic fraction = 40%, P = .444; sensitivity = 100%; specificity = 40%), where EFI was recorded frequently, whether participants received SMT or detuned ultrasound.<h4>Conclusion</h4>The findings of this study showed that motion palpation of end-feel assessment appears to be a responsive postmanipulation assessment tool in the cervical spine for determining whether perceived motion restriction found before treatment improves after SMT. This observation may be limited to symptomatic participants. | en_US |
dc.format.extent | 7 p | en_US |
dc.format.medium | - | |
dc.language.iso | en | en_US |
dc.publisher | Elsevier BV | en_US |
dc.relation.ispartof | Journal of Manipulative and Physiological Therapeutics Therapeutics; Vol. 32, Issue 7 | en_US |
dc.subject | Research | en_US |
dc.subject | Chiropractic | en_US |
dc.subject | Palpation | en_US |
dc.subject | Manipulation | en_US |
dc.subject | Spinal | en_US |
dc.subject | 1103 Clinical Sciences | en_US |
dc.subject | 1104 Complementary and Alternative Medicine | en_US |
dc.subject | Orthopedics | en_US |
dc.subject | Evaluation | en_US |
dc.subject | Reliability | en_US |
dc.subject | Validity | en_US |
dc.subject.mesh | Cervical Vertebrae | - |
dc.subject.mesh | Humans | - |
dc.subject.mesh | Spinal Diseases | - |
dc.subject.mesh | Pain Measurement | - |
dc.subject.mesh | Monitoring, Physiologic | - |
dc.subject.mesh | Palpation | - |
dc.subject.mesh | Treatment Outcome | - |
dc.subject.mesh | Manipulation, Spinal | - |
dc.subject.mesh | Risk Assessment | - |
dc.subject.mesh | Sensitivity and Specificity | - |
dc.subject.mesh | Follow-Up Studies | - |
dc.subject.mesh | Prospective Studies | - |
dc.subject.mesh | Pilot Projects | - |
dc.subject.mesh | Reproducibility of Results | - |
dc.subject.mesh | Single-Blind Method | - |
dc.subject.mesh | Sensory Thresholds | - |
dc.subject.mesh | Reference Values | - |
dc.subject.mesh | Adult | - |
dc.subject.mesh | Patient Satisfaction | - |
dc.subject.mesh | South Africa | - |
dc.subject.mesh | Female | - |
dc.subject.mesh | Male | - |
dc.subject.mesh | Young Adult | - |
dc.subject.mesh | Adult | - |
dc.subject.mesh | Cervical Vertebrae | - |
dc.subject.mesh | Female | - |
dc.subject.mesh | Follow-Up Studies | - |
dc.subject.mesh | Humans | - |
dc.subject.mesh | Male | - |
dc.subject.mesh | Manipulation, Spinal | - |
dc.subject.mesh | Monitoring, Physiologic | - |
dc.subject.mesh | Pain Measurement | - |
dc.subject.mesh | Palpation | - |
dc.subject.mesh | Patient Satisfaction | - |
dc.subject.mesh | Pilot Projects | - |
dc.subject.mesh | Prospective Studies | - |
dc.subject.mesh | Reference Values | - |
dc.subject.mesh | Reproducibility of Results | - |
dc.subject.mesh | Risk Assessment | - |
dc.subject.mesh | Sensitivity and Specificity | - |
dc.subject.mesh | Sensory Thresholds | - |
dc.subject.mesh | Single-Blind Method | - |
dc.subject.mesh | South Africa | - |
dc.subject.mesh | Spinal Diseases | - |
dc.subject.mesh | Treatment Outcome | - |
dc.subject.mesh | Young Adult | - |
dc.title | Motion palpation used as a postmanipulation assessment tool for monitoring end-feel improvement : a randomized controlled trial of test responsiveness | en_US |
dc.type | Article | en_US |
dc.date.updated | 2022-11-15T15:26:39Z | - |
dcterms.dateAccepted | 2009-5-10 | - |
dc.identifier.doi | 10.1016/j.jmpt.2009.08.004 | - |
item.openairetype | Article | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.grantfulltext | open | - |
item.cerifentitytype | Publications | - |
item.languageiso639-1 | en | - |
item.fulltext | With Fulltext | - |
Appears in Collections: | Research Publications (Health Sciences) |
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File | Description | Size | Format | |
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JMPT Copyright Clearance.docx | Copyright clearance | 216.12 kB | Microsoft Word XML | View/Open |
Lakhani et al_2009.pdf | Article | 172.9 kB | Adobe PDF | View/Open |
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