[动态触诊]
[Motion palpation].
作者信息
Marcotte Justin
机构信息
Département de chiropratique, Université du Québec à Trois-Rivières, Québec, Canada.
出版信息
J Can Chiropr Assoc. 2005 Sep;49(3):210-5.
BACKGROUND
Motion palpation has been used as a diagnostic tool for vertebral subluxation, even though its reliability is questionable. Standardisation of palpation has proven substantially more reliable. A scale of assessment of a standardized palpation has not yet been tested for reliability.
OBJECTIVE
The measure of intraexaminer and interexaminer reliability of a scale of assessment for the standardized palpation of cervical rotation.
DESIGN
Intraexaminer study: Twelve chiropractic students were assessed by a blindfolded experienced clinician. Interexaminer study: Twelve regular patients with a history of neck problem were assessed by two chiropractors in a clinical setting.
RESULTS
Data analysis shows fair to strong reliability (k = 0.34 and 0.65) for the scale of assessment that was used. The results are comparable to other assessment scales used currently in practice.
CONCLUSION
The utilisation of a scale of assessment for standardised motion palpation may prove a useful clinical tool, as other common testing measures (tendon reflex, muscle tone, muscle strength) which use similar scale of assessment.
背景
尽管运动触诊的可靠性存疑，但它一直被用作脊椎半脱位的诊断工具。事实证明，触诊标准化要可靠得多。标准化触诊的评估量表尚未进行可靠性测试。
目的
评估颈椎旋转标准化触诊评估量表在检查者内和检查者间的可靠性。
设计
检查者内研究：由一位蒙眼的经验丰富的临床医生对12名脊椎按摩专业学生进行评估。检查者间研究：在临床环境中，由两位脊椎按摩师对12名有颈部问题病史的普通患者进行评估。
结果
数据分析表明，所使用的评估量表具有中等至较强的可靠性（kappa值分别为0.34和0.65）。结果与目前实践中使用的其他评估量表相当。
结论
标准化运动触诊评估量表的使用可能是一种有用的临床工具，因为其他常见的测试方法（肌腱反射、肌张力、肌肉力量）使用类似的评估量表。
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