静态触摸并不容易:使用腰椎的地形图作为参考来评估触摸精度
Inge Strøh Hvidkær1, Steen Harsted1,2, Maliheh Hadizadeh3
1Medical Research Unit, Spine Center of Southern Denmark, University Hospital of Southern Denmark, Odense, Denmark.
PloS one
|May 30, 2024
概括
经验丰富的临床医生在触摸腰部脊椎过程时 (S1-T12) 显示出差到中等的可靠性. 这项研究发现了显著的精度错误,证实了触摸.
科学领域:
- 脊椎解剖学和触摸生物力学.
- 对腰部疼痛的临床评估.
- 肌肉骨检查的技术.
背景情况:
- 手动治疗经常涉及临床医生对脊柱标志的触摸.
- 准确识别脊柱过程对于脊柱评估和治疗至关重要.
- 触摸精度的变化可能会影响临床决策.
研究的目的:
- 评估经验丰富的临床医生在触摸腰部脊椎过程中的一致性和准确性 (S1-T12).
- 为了将触摸结果与腰椎的客观地形数据进行比较.
- 评估脊状过程识别的内部和间的可靠性.
主要方法:
- 经验丰富的临床医生对119名参与者的脊椎过程 (S1-T12) 进行了触摸.
- 数字化的触摸点与12周的3D表面地形数据进行了比较.
- 类内相关性和布兰德-阿尔特曼分析评估了可靠性和一致性.
主要成果:
- 观察到显著程度的变化,平均精度误差为13毫米.
- 在所有后续时间点中,精度错误保持一致.
- 检测结果发现,对触摸的内和间可靠性差到中等.
结论:
- 将触摸与地形标准进行比较,为评估精度提供了一种新的方法.
- 腰部脊椎过程的触摸是不精确的,即使在经验丰富的临床医生中也是如此.
- 这些发现支持了先前的研究,强调了脊柱标志的触摸精度的局限性.
相关概念视频
Assessment of the Abdomen III: Palpation
543
Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
543
Plotting of Topographic Maps
44
Topographic maps represent the Earth's surface features using contour lines, which connect points of equal elevation to create a two-dimensional representation of three-dimensional terrain. Creating a topographic map requires a systematic approach.Begin by plotting a scaled grid and marking intersections corresponding to the survey's elevation data points. Assign elevation values at these intersections to build the base map. Next, determine contour levels using a consistent contour interval,...
44
Physical Assessment of the Respiratory Tract II: Palpation
341
Physical assessment of the respiratory tract is critical in identifying potential health issues. One key component of this assessment is palpation, a technique healthcare providers use to assess the body for abnormalities. This content explores the method of palpation in evaluating the respiratory tract, focusing on thoracic palpation and tactile fremitus.
Thoracic Palpation
Thoracic palpation detects tenderness, masses, lesions, respiratory excursions, and vocal fremitus. The nurse assesses...
Thoracic Palpation
Thoracic palpation detects tenderness, masses, lesions, respiratory excursions, and vocal fremitus. The nurse assesses...
341
Sites for measruring blood pressure
1.7K
Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
The Brachial Artery: Primary Site for Blood Pressure Measurement
1.7K


