Haneline Michael T, Cooperstein Robert, Young Morgan, Birkeland Kristopher
Palmer College of Chiropractic West, San Jose, California 95134, USA.
J Manipulative Physiol Ther. 2008 Oct;31(8):616-26. doi: 10.1016/j.jmpt.2008.09.007.
Spinal motion palpation (MP) is a procedure used to detect intersegmental hypomobility/hypermobility. Different means of assessing intersegmental mobility are described, assessing either excursion of the segments (quantity of movement) or end feel (quality of motion when stressed against the paraphysiological space). The objective of this review was to classify and compare studies based on method of MP used, considering that some studies may have used both methods.
Four databases were searched: MEDLINE-PubMed, Manual Alternative and Natural Therapy System, Index to Chiropractic Literature, and Cumulative Index to Nursing and Allied Health Literature databases for the years 1965 through January 2007. Retrieved citations were independently screened for inclusion by 2 of the authors consistent with the inclusion and exclusion criteria. Included studies were appraised for quality, and data were extracted and recorded in tables.
The search strategy generated 415 citations, and 29 were harvested from reference lists. After removing articles that did not meet the inclusion criteria, 44 were considered relevant and appraised for quality. Fifteen studies focused on MP excursion, 24 focused on end feel, and 5 used both. Eight studies reported high levels of reproducibility (kappa = >or=0.4), although 4 were not of acceptable quality, and 2 were only marginally acceptable. When only high-quality studies were considered, 3 of 24 end-feel studies reported good reliability compared with 1 of 15 excursion studies. There was no statistical support for a difference between the 2 groupings.
A difference in reported reliability was observed when the method of MP varied, although it was not statistically significant. There was no support in the literature for the advantage of one MP method over the other.
脊柱运动触诊（MP）是一种用于检测节段间活动度降低/增加的方法。描述了评估节段间活动度的不同方法，包括评估节段的移动（运动的量）或终末感觉（在接近生理极限空间时的运动质量）。本综述的目的是根据所使用的MP方法对研究进行分类和比较，因为一些研究可能同时使用了这两种方法。
检索了四个数据库：1965年至2007年1月期间的MEDLINE-PubMed、手法替代与自然疗法系统、脊椎按摩文献索引以及护理与联合健康文献累积索引数据库。检索到的文献由两名作者根据纳入和排除标准独立筛选以确定是否纳入。对纳入的研究进行质量评估，并提取数据并记录在表格中。
检索策略共产生415条引用，从参考文献列表中获取了29条。在剔除不符合纳入标准的文章后，44篇被认为相关并进行了质量评估。15项研究关注MP移动，24项关注终末感觉，5项同时使用了这两种方法。8项研究报告了较高的可重复性（kappa≥0.4），尽管其中4项质量不可接受，2项仅勉强可接受。仅考虑高质量研究时，24项终末感觉研究中有3项报告了良好的可靠性，而15项移动研究中有1项。两组之间没有统计学上的差异支持。
当MP方法不同时，报告的可靠性存在差异，尽管在统计学上不显著。文献中没有支持一种MP方法优于另一种方法的依据。
