Document Detail

Why yet another diagnostic sign of sacroiliac movement restriction?
MedLine Citation:
PMID:  10220714     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Poor results of interexaminer and intraexaminer reliability of movement palpation tests for sacroiliac movement restriction are found in the literature. OBJECTIVE: To analyze current diagnostic techniques for movement palpation. The most evident sources of error and technical pitfalls are detailed. METHOD: A random sample of 64 consecutive patients at a university hospital, inpatients and outpatients, were examined with the new technique, which was compared with a set of other techniques as detailed before and after treatment. RESULTS: Full agreement was found in all but two cases in which head rotation was restricted and in two cases of severe scoliosis. The interexaminer reliability of the new test between two independent (blinded) examiners in 33 patients (66 joints) was in agreement in 82% and in disagreement in 18% (0.68 kappa). CONCLUSION: For its simplicity and lack of possible errors, this is a valuable sign. Its mechanism, however, is poorly understood.
K Lewit; A Rosina
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of manipulative and physiological therapeutics     Volume:  22     ISSN:  0161-4754     ISO Abbreviation:  J Manipulative Physiol Ther     Publication Date:    1999 Mar-Apr
Date Detail:
Created Date:  1999-07-06     Completed Date:  1999-07-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7807107     Medline TA:  J Manipulative Physiol Ther     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  154-60     Citation Subset:  IM    
Rehabilitation Department, Second Medical Faculty, Charles University, Prague, Czech Republic.
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MeSH Terms
Diagnosis, Differential
Joint Diseases / diagnosis*,  radiography
Middle Aged
Palpation* / methods
Physical Examination / methods
Sacroiliac Joint / physiopathology*

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