Spinal palpation for lumbar segmental mobility and pain provocation: an interexaminer reliability study

Journal of Manipulative and Physiological Therapeutics
Michael SchneiderAnthony Delitto

Abstract

This study determined the degree of interexaminer reliability using 2 experienced clinicians performing 3 palpation procedures over the lumbar facet joints and sacroiliac joints. The sample consisted of 39 patients with low back pain who had a recent history of low back pain. Two doctors of chiropractic independently examined each of these patients in the prone position with 3 different procedures: (1) springing palpation for pain provocation, (2) springing palpation for segmental mobility testing, and (3) the prone instability test. The doctors were blinded to each other's findings and the patient's clinical status, and performed the examinations on the same day. Standard and adjusted kappa values were calculated for each test. The kappa values for palpation of segmental motion restriction were poor (range, -.20 to .17) and in many cases less than chance observation (negative kappa values). The prone instability test showed reasonable reliability (kappa = .54), and palpation for segmental pain provocation also showed fair to good reliability (kappa range, .21 to .73). Palpation methods that are used to provoke pain responses are more reliable than palpation methods in which the clinician purports to find segmental motion restr...Continue Reading

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Citations

Mar 5, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Mel CusiIgnac Fogelman
Feb 7, 2014·Chiropractic & Manual Therapies·John J TrianoRodger Tepe
Feb 20, 2013·PM & R : the Journal of Injury, Function, and Rehabilitation·Steven W BroseBetty Liu
Jun 27, 2014·Manual Therapy·Shane L KoppenhaverJulie M Fritz
May 31, 2011·Archives of Physical Medicine and Rehabilitation·Margaret M RavennaLinda R Van Dillen
Jun 7, 2011·Journal of Manipulative and Physiological Therapeutics·Karen T SniderJames W Kribs
Nov 13, 2015·Manual Therapy·Sigrún Vala BjörnsdóttirMaría Ragnarsdóttir
Jan 15, 2014·The Journal of Manual & Manipulative Therapy·Richard Edward Nyberg, A Russell Smith
Oct 6, 2014·Journal of Manipulative and Physiological Therapeutics·Silvano FerrariMarco Monticone
Jul 15, 2015·Evidence-based Complementary and Alternative Medicine : ECAM·Bruce F WalkerJeffrey J Hebert
Mar 17, 2015·PM & R : the Journal of Injury, Function, and Rehabilitation·Chiyul YoonSun Gun Chung
Jan 10, 2014·Journal of Manipulative and Physiological Therapeutics·Benjamin HidalgoChristine Detrembleur
Nov 6, 2008·Journal of Manipulative and Physiological Therapeutics·Michael T HanelineKristopher Birkeland
Aug 15, 2006·Journal of Manipulative and Physiological Therapeutics·Mette Jensen StochkendahlGert Bronfort
Apr 30, 2020·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·H JinP Liu
May 17, 2021·Musculoskeletal Science & Practice·Michele MargelliLeonardo Pellicciari
Jun 16, 2021·Chiropractic & Manual Therapies·Karthik V HariharanMichael J Schneider

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