Haneline Michael, Cooperstein Robert, Young Morgan, Birkeland Kristopher
Palmer College of Chiropractic West, San Jose, CA 95134, USA.
J Can Chiropr Assoc. 2009 Mar;53(1):40-58.
Several literature reviews have addressed the reliability of spinal and sacroiliac (SI) motion palpation (MP), finding that, in general, interexaminer reliability is slight and intraexaminer reliability is moderate.
We performed a literature search of four biomedical databases to locate articles that dealt with MP of the spine or SI joints. The abstracts of the retrieved citations were independently screened for inclusion by two of the authors. The full-text of potentially includable articles was examined by the same two authors to assess whether they met all of the inclusion criteria. The validity of the included studies was evaluated using a 6-point scale.
The initial searches netted 415 citations; another 30 were harvested from the secondary search. Fifty-nine articles were removed as duplicates and 305 failed to meet the inclusion criteria. Another 33 were excluded because they did not adequately describe the method of analysis, used a combination of tests, were not actually MP studies, or were not reliability studies. ANNOTATED BIBLIOGRAPHY: Summaries of 48 articles that dealt with the reliability of spinal and SI MP are presented. Where appropriate, we have commented on some of the methodological deficiencies that were discovered.
多项文献综述探讨了脊柱和骶髂关节运动触诊(MP)的可靠性,发现一般而言,检查者间可靠性较低,检查者内可靠性中等。
我们对四个生物医学数据库进行文献检索,以查找涉及脊柱或骶髂关节MP的文章。两位作者独立筛选检索到的文献摘要以确定是否纳入。两位作者对可能纳入的文章全文进行审查,以评估其是否符合所有纳入标准。使用6分制评估纳入研究的有效性。
初步检索获得415篇文献;二次检索又获取30篇。59篇文献作为重复文献被剔除,305篇未符合纳入标准。另有33篇被排除,原因是它们未充分描述分析方法、使用了多种测试组合、并非实际的MP研究或并非可靠性研究。注释文献目录:列出了48篇涉及脊柱和骶髂关节MP可靠性的文章摘要。在适当的地方,我们对发现的一些方法学缺陷进行了评论。