Advanced search

Search results      


An observational study of ultrasound to confirm cervical spine segmental positional rotation

Journal: International Journal of Osteopathic Medicine Date: 2017/09/01/, 25Pages: 1-5. doi: Subito , type of study: observational study

Full text    (http://www.sciencedirect.com/science/article/pii/S1746068917300123)

Keywords:

cervical spine [210]
ultrasound [28]
medical education [623]
osteopathic manipulative treatment [2973]
OMT [2951]
palpation [170]
USA [1086]

Abstract:

Objectives Various studies demonstrate the significance of ultrasound use in undergraduate medical education. Palpatory assessment and diagnosis of the body is fundamental to osteopathic medical education and may be improved by ultrasonographic imaging. A previous study determined that ultrasound is a reliable instrument to assess lumbar spine somatic dysfunctions, yet the use of ultrasound to assess those of the cervical spine has not yet been established. This study investigated the use of ultrasound as an instrument to assess cervical spine vertebral rotation as a component of somatic dysfunctions and to establish the validity of cervical segmental rotatory motion testing. Methods In this observational study, two physicians independently confirmed the diagnosis of the most prominent cervical rotational asymmetry. Ultrasound measurements of the left and right articular pillars were obtained by a separate, blinded musculoskeletal radiologist and then compared to palpatory findings. Results: Nineteen of the 41 palpatory findings agreed with ultrasound findings. Results demonstrate no significant difference in rotation of the articular pillars in cases where ultrasound agreed with palpatory findings and in cases where ultrasound did not agree with palpatory findings (p=.099). Conclusions Our results demonstrate that ultrasound was not an appropriate tool to assess cervical spine segmental rotation compared to palpatory findings. Further studies need to be conducted to improve the assessment of the cervical spine utilizing ultrasound. Differences in cervical spine anatomy and biomechanics as compared to those of the lumbar spine may account for the discrepancy compared to prior studies.


Search results      

 
 
 






  • ImpressumLegal noticeDatenschutz


ostlib.de/data_mwuyqzbragpcnejhfdsk



Supported by

OSTLIB recommends