PMID: 11313614Apr 21, 2001Paper

Intraexaminer and interexaminer reliability for palpation of the cranial rhythmic impulse at the head and sacrum

Journal of Manipulative and Physiological Therapeutics
R W Moran, P Gibbons

Abstract

A range of health care practitioners use cranial techniques. Palpation of a cranial rhythmic impulse (CRI) is a fundamental clinical skill used in diagnosis and treatment with these techniques. There has been little research establishing the reliability of CRI rate palpation. This study aimed to establish the intraexaminer and interexaminer reliability of CRI rate palpation and to investigate the "core-link" hypothesis of craniosacral interaction that is used to explain simultaneous motion at the cranium and sacrum. Within-subjects, repeated-measures design. Two registered osteopaths, both with postgraduate training in diagnosis and treatment, using cranial techniques, palpated 11 normal healthy subjects. Examiners simultaneously palpated for the CRI at the head and the sacrum of each subject. Examiners indicated the "full flexion" phase of the CRI by activating silent foot switches that were interfaced with a computer. Subject arousal was monitored using heart rate. Examiners were blind to each other's results and could not communicate during data collection. Reliability was estimated from calculation of intraclass correlation coefficients (2,1). Intrarater reliability for examiners at either the head or the sacrum was fair to...Continue Reading

Associated Clinical Trials

Apr 2, 2013·Adelaida María Castro-Sánchez

References

Mar 26, 1998·The Journal of Orthopaedic and Sports Physical Therapy·W P HantenT Zink
Oct 6, 1999·Manual Therapy·B Vincent-Smith, P Gibbons
Feb 19, 2000·The Journal of Orthopaedic and Sports Physical Therapy·R P Di Fabio

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Citations

Sep 17, 2003·Journal of Manipulative and Physiological Therapeutics·Clayton J StitzelPhil R Paone
Jul 8, 2011·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Peter CurtisJ Douglas Mann
Jun 11, 2008·BMC Complementary and Alternative Medicine·John D MannSusan A Gaylord
Nov 6, 2008·Journal of Manipulative and Physiological Therapeutics·Michael T HanelineKristopher Birkeland
Sep 9, 2008·Child and Adolescent Psychiatric Clinics of North America·Susan E Levy, Susan L Hyman
Jun 19, 2007·Journal of Manipulative and Physiological Therapeutics·Brian S Budgell, Philip S Bolton
Apr 18, 2006·Physical Medicine and Rehabilitation Clinics of North America·Charles A Simpson
May 9, 2015·Physical Medicine and Rehabilitation Clinics of North America·Charles A Simpson
Dec 3, 2014·Complementary Therapies in Medicine·Heidemarie HallerGustav Dobos
May 8, 2003·BMC Complementary and Alternative Medicine·Wadie I NajmArnold F Goodman
Dec 13, 2006·The Journal of Orthopaedic and Sports Physical Therapy·Patricia A DowneyMark P Mooney
May 13, 2014·Journal of Evidence-based Complementary & Alternative Medicine·Jane Mulcahy, Brett Vaughan
Feb 7, 2014·Chiropractic & Manual Therapies·John J TrianoRodger Tepe
Feb 18, 2018·BMC Complementary and Alternative Medicine·Albin GuillaudNicolas Pinsault
Jun 25, 2005·Mental Retardation and Developmental Disabilities Research Reviews·Susan E Levy, Susan L Hyman

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