Influence of Transverse Process Landmark Localization on Palpation Accuracy of Lumbar Spine Models

The Journal of the American Osteopathic Association
Eric J SniderBrian F Degenhardt

Abstract

Accurate determination of transverse process displacement in the horizontal plane requires accurate transverse process landmark localization followed by accurate discrimination of asymmetry by the examiner's palpating digits. To determine whether the accurate localization of transverse process landmarks influences overall accuracy of asymmetry determination in third-year osteopathic medical students evaluating covered lumbar spine models. A class of third-year osteopathic medical students was split into 2 groups and asked to determine whether the right transverse processes of covered lumbar spine models were anterior or posterior relative to the left transverse process. The marked model group (group A) was provided covered models with black dots on the fabric covers over the transverse process landmarks, while the covered models given to the students in the unmarked model group (group B) had no markings. Both groups were asked to assess asymmetry differences from L1 to L5 on 2 models. Landmarks were randomized for asymmetry (ranging from 2 mm to 6 mm) and direction (anterior or posterior on the right side). The number of correct responses was modeled as a binomial random variable in a generalized linear model to compare the eff...Continue Reading

References

Feb 5, 2010·PM & R : the Journal of Injury, Function, and Rehabilitation·Bradley Alan Stovall, Shrawan Kumar
Jun 7, 2011·Journal of Manipulative and Physiological Therapeutics·Karen T SniderJames W Kribs
Sep 29, 2011·Manual Therapy·Julia KilbyMark Maybury
Nov 9, 2012·Manual Therapy·Kay CooperFrancis W Smith
Feb 19, 2013·Manual Therapy·Oliver MerzMarga Rominger
Jun 12, 2014·The Journal of the American Osteopathic Association·Eric J SniderBrian F Degenhardt
May 30, 2016·Journal of Manipulative and Physiological Therapeutics·Rune Mygind Mieritz, Gregory Neil Kawchuk

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Citations

May 27, 2020·The Journal of the American Osteopathic Association·Navya VoletiSheldon Yao
Oct 14, 2021·Journal of Osteopathic Medicine·Shirley ChangRandall Nydam

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