Standardization of muscle palpation- methodological considerations

dc.contributor.authorKothari, Mohit
dc.contributor.authorKothari, Simple
dc.contributor.authorZambra, Raul
dc.contributor.authorBaad-Hansen, Lene
dc.contributor.authorSvensson, Peter
dc.date.accessioned2017-03-21T19:15:23Z
dc.date.available2017-03-21T19:15:23Z
dc.date.issued2014
dc.description.abstractObjectives: To compare test-retest variability of palpation between a new palpometer and manual palpation using (1) right or left hand, (2) index or middle finger, (3) randomized or fixed sequence of force levels, (4) palpation on soft or hard surface, and (5) palpation for 2 or 10 seconds. Methods: Twelve clinicians were instructed to target 0.5, 1.0, and 2.0 kg on a force meter using a palpometer (adjustable spring-coil with a small pin touching the examiner’s hand when the correct pressure is achieved) and manual palpation with right or left hand, index or middle finger, randomized or fixed sequence of force levels, on hard or soft surface, and for 2 or 10 seconds. During all experiments, 10 force measures were taken and variability was determined as coefficient of variation (CV) and compared with analyses of variance. Results: In all experiments, the palpometer had lower variability compared with manual palpation (P<0.001). There were no differences between the CVs of right and left hand (P=0.122), index and middle finger (P=0.240), and soft and hard surface (P=0.240). Random sequence of force levels had higher CVs than fixed sequence with manual palpation (P=0.004), but not with palpometer (P=0.856). CVs for 2 seconds palpation were higher than 10 seconds (P=0.002). Conclusions: The palpometer had low test-retest variability and provided a more accurate and reproducible pressure stimulus than manual palpation. The findings of this study may help to standardize palpation of human muscles required for accurate and reliable diagnosis of musculoskeletal pain conditions.
dc.format.extent1
dc.identifier.citationClin J Pain. 2014 Feb;30(2) p:174-182
dc.identifier.urihttp://hdl.handle.net/11447/1048
dc.identifier.urihttp://dx.doi.org/10.1097/AJP.0b013e31828c893d
dc.language.isoen_US
dc.publisherLippincott Williams & Wilkins
dc.subjectpalpation
dc.subjectpalpometer
dc.subjecttemporomandibular disorders
dc.subjectvariability
dc.subjectreproducibility
dc.titleStandardization of muscle palpation- methodological considerations
dc.typeArtículo

Files

Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Standardization of muscle palpation methodological considerations.pdf
Size:
179.03 KB
Format:
Adobe Portable Document Format
Description:
Resumen