Jansen R D, Nansel D D, Slosberg M
Research Department, Palmer College of Chiropractic-West, Sunnyvale, CA 94087.
J Manipulative Physiol Ther. 1990 Jun;13(5):243-6.
Test-retest reliability of a hand-held tissue compliance meter was evaluated in 20 normal subjects at four paraspinal locations to determine possible effects of probe response or other sources of variability on measurements taken 10 min later at exactly the same location. If tissue compliance, as measured by this instrument, is to be used in a pre-post context to evaluate treatment effects, caution is urged, since 26% of the sites were significantly (+/- 1.96 SD) different on 10 min retest though subjects remained supine and without intervention. In addition, since 85% of these normal subjects displayed at least one paraspinal compliance asymmetry large enough to qualify as pathological by Fischer's criteria, revision of these criteria may be appropriate, at least for these paraspinal locations.
在20名正常受试者的四个脊柱旁位置评估了手持式组织顺应性测量仪的重测信度，以确定探头反应或其他变异性来源对10分钟后在完全相同位置进行测量的可能影响。如果要用该仪器测量的组织顺应性在前后对照中评估治疗效果，需谨慎行事，因为尽管受试者保持仰卧且未进行干预，但在10分钟重测时，26%的部位有显著差异（±1.96标准差）。此外，由于这些正常受试者中有85%表现出至少一处脊柱旁顺应性不对称，其程度足以按费舍尔标准判定为病理性，因此至少对于这些脊柱旁位置，可能需要修订这些标准。
