FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W1646413893> ?p ?o ?g. }

• W1646413893 abstract "Motion palpation is an examination technique commonly used by chiropractors to identify a manipulable subluxation prior to manipulation. In order for its continued use, it must be validated. Many studies conducted on motion palpation’s inter-examiner reliability in the spine have shown it to be below average, however only a few studies have addressed its use in the extremity joints. No inter-examiner reliability studies on motion palpation were found for the elbow, let alone the symptomatic elbow with regards to chronic lateral epicondylalgia, a common disorder of the elbow effectively treated by the use of manipulation. Objectives The objectives of this study were to determine the inter-examiner reliability of motion palpation of the elbow for the asymptomatic elbow and the symptomatic elbow with regards to chronic lateral epicondylalgia. It also aimed to compare these results to determine any difference in reliability, the number of manipulable subluxations and the presence of manipulable subluxations in particular directions, between the two groups. Method Twenty participants (n=40 elbows) between the ages of 18 to 65, with one asymptomatic and one symptomatic elbow (chronic lateral epicondylalgia) were examined by three final year masters chiropractic students for the presence of manipulable subluxations in end play, using only motion palpation. The examiners were pre-trained, randomised and blinded. Each examiner individually motion palpated both elbows on each participant, in nine directions of motion palpation, incorporating the humeroulnar and proximal radioulnar joints. They were also required to identify which elbow was symptomatic. Fleiss’ kappa and percentage agreement (perfect percentage agreement and mean percentage agreement) were used to measure reliability. Paired non parametric Wilcoxon signed ranks compared the difference between both groups and McNemar’s chi square tests assessed the percentage of correctly identified symptomatic elbows for each examiner. A p value <0.05 was considered statistically significant. iv Results The asymptomatic elbows showed a poor range of kappa results, from 0.0683 to -0.1321, with a mean kappa of -0.0664. Perfect percentage agreement was 50% to 85% and mean percentage agreement was 83.30% to 94.99%. The symptomatic elbows’ kappa values ranged between -0.2691 to 0.4034 with a mean kappa of -0.0028. The humeroulnar medial to lateral direction of motion palpation had a moderate kappa value of 0.4034. Perfect percentage agreement ranged from 10% to 85% and mean percentage agreement from 69.94% to 94.99%. There was an insignificant difference in kappa values between the two groups (p=0.260), although there was a trend towards the asymptomatic kappa values being lower than the symptomatic values. The difference between symptomatic and asymptomatic elbows was significant in proximal radioulnar posterior to anterior glide in pronation (p=0.013), as well as proximal radioulnar rotation of the radial head on the ulna (p=0.008). Overall, more manipulable subluxations were found in the symptomatic elbows than in the asymptomatic elbows. The examiners correctly identified the symptomatic elbow in 65% to 90% of participants (p=1.000). Conclusions and Recommendations In conclusion, the inter-examiner reliability of motion palpation in the asymptomatic elbow was poor, and in the symptomatic elbow (chronic lateral epicondylalgia), poor to moderate. There was an insignificant difference in reliability between the two groups, although more manipulable subluxations were found in the symptomatic elbows overall. These were mainly in proximal radioulnar posterior to anterior glide in pronation, as well as proximal radioulnar rotation of the radial head on the ulna, two directions of motion that form part of Mills’ manipulation. This study also found that examiners were able to identify the symptomatic elbows with the use of motion palpation. It is recommended that future research continue from this study in assessing the identification and presence of manipulable subluxations in all the extremity joints. However the methodological problems with the statistical analysis need to be addressed." @default.
• W1646413893 created "2016-06-24" @default.
• W1646413893 creator A5041480717 @default.
• W1646413893 date "2022-04-11" @default.
• W1646413893 modified "2023-10-18" @default.
• W1646413893 title "The inter-examiner reliability of motion palpation in chronic lateral epicondylalgia and asymptomatic elbows" @default.
• W1646413893 cites W106131717 @default.
• W1646413893 cites W1486805979 @default.
• W1646413893 cites W1501252511 @default.
• W1646413893 cites W1502628213 @default.
• W1646413893 cites W1525958871 @default.
• W1646413893 cites W1582238871 @default.
• W1646413893 cites W1588293607 @default.
• W1646413893 cites W1813904347 @default.
• W1646413893 cites W1912628003 @default.
• W1646413893 cites W1965116959 @default.
• W1646413893 cites W1966440386 @default.
• W1646413893 cites W1968344452 @default.
• W1646413893 cites W1968861001 @default.
• W1646413893 cites W1970063700 @default.
• W1646413893 cites W1975914997 @default.
• W1646413893 cites W1977549103 @default.
• W1646413893 cites W1983897914 @default.
• W1646413893 cites W1993770115 @default.
• W1646413893 cites W1997684010 @default.
• W1646413893 cites W2004795078 @default.
• W1646413893 cites W2005431696 @default.
• W1646413893 cites W2018078876 @default.
• W1646413893 cites W2021589723 @default.
• W1646413893 cites W2021770375 @default.
• W1646413893 cites W2025778230 @default.
• W1646413893 cites W2026113968 @default.
• W1646413893 cites W2034409432 @default.
• W1646413893 cites W2040447587 @default.
• W1646413893 cites W2043578607 @default.
• W1646413893 cites W2046590997 @default.
• W1646413893 cites W2049172066 @default.
• W1646413893 cites W2052850222 @default.
• W1646413893 cites W2053641010 @default.
• W1646413893 cites W2069005260 @default.
• W1646413893 cites W2070285512 @default.
• W1646413893 cites W2076061140 @default.
• W1646413893 cites W2082336292 @default.
• W1646413893 cites W2085586756 @default.
• W1646413893 cites W2085683860 @default.
• W1646413893 cites W2090003204 @default.
• W1646413893 cites W2090026871 @default.
• W1646413893 cites W2098415572 @default.
• W1646413893 cites W2112348070 @default.
• W1646413893 cites W2115777141 @default.
• W1646413893 cites W2116180232 @default.
• W1646413893 cites W2141774445 @default.
• W1646413893 cites W2147806301 @default.
• W1646413893 cites W2149216546 @default.
• W1646413893 cites W2155098783 @default.
• W1646413893 cites W2163848238 @default.
• W1646413893 cites W2164068562 @default.
• W1646413893 cites W2164777277 @default.
• W1646413893 cites W2169716112 @default.
• W1646413893 cites W2170021941 @default.
• W1646413893 cites W2170823929 @default.
• W1646413893 cites W2320778175 @default.
• W1646413893 cites W2413894778 @default.
• W1646413893 cites W2424537803 @default.
• W1646413893 cites W2581762432 @default.
• W1646413893 cites W562430977 @default.
• W1646413893 cites W637819937 @default.
• W1646413893 cites W638343911 @default.
• W1646413893 cites W2013284654 @default.
• W1646413893 doi "https://doi.org/10.51415/10321/544" @default.
• W1646413893 hasPublicationYear "2022" @default.
• W1646413893 type Work @default.
• W1646413893 sameAs 1646413893 @default.
• W1646413893 citedByCount "1" @default.
• W1646413893 countsByYear W16464138932022 @default.
• W1646413893 crossrefType "dissertation" @default.
• W1646413893 hasAuthorship W1646413893A5041480717 @default.
• W1646413893 hasBestOaLocation W16464138931 @default.
• W1646413893 hasConcept C141071460 @default.
• W1646413893 hasConcept C142724271 @default.
• W1646413893 hasConcept C1862650 @default.
• W1646413893 hasConcept C204787440 @default.
• W1646413893 hasConcept C2777910003 @default.
• W1646413893 hasConcept C2781167935 @default.
• W1646413893 hasConcept C2781184374 @default.
• W1646413893 hasConcept C29694066 @default.
• W1646413893 hasConcept C516994506 @default.
• W1646413893 hasConcept C60465272 @default.
• W1646413893 hasConcept C71924100 @default.
• W1646413893 hasConcept C99508421 @default.
• W1646413893 hasConceptScore W1646413893C141071460 @default.
• W1646413893 hasConceptScore W1646413893C142724271 @default.
• W1646413893 hasConceptScore W1646413893C1862650 @default.
• W1646413893 hasConceptScore W1646413893C204787440 @default.
• W1646413893 hasConceptScore W1646413893C2777910003 @default.
• W1646413893 hasConceptScore W1646413893C2781167935 @default.
• W1646413893 hasConceptScore W1646413893C2781184374 @default.
• W1646413893 hasConceptScore W1646413893C29694066 @default.
• W1646413893 hasConceptScore W1646413893C516994506 @default.
• W1646413893 hasConceptScore W1646413893C60465272 @default.

• next