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Michael Kuchera

2015

Examination medicine

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The Use Of Objective Data To Improve Interexaminer Reliability, Veronica Ferencz, Frank Casella, Jeffrey Nelson, Nicole Myers, Michael Kuchera Dec 2015

The Use Of Objective Data To Improve Interexaminer Reliability, Veronica Ferencz, Frank Casella, Jeffrey Nelson, Nicole Myers, Michael Kuchera

Michael Kuchera

BACKGROUND: In Osteopathic Manipulative Medicine (OMM) and Manual/Musculoskeletal Medicine (MMM), palpatory diagnosis is performed on a regular basis to diagnose somatic dysfunction (SD). This examination requires careful and precise touch coupled with subjective interpretation by individual examiners who may have been trained to evaluate SD through different methods. Interexaminer reliability studies aim to minimize variance by providing quantifiable scientific data to evaluate specific test protocols which can then be taught to practitioners. In a previous PCOM study, two examiners independently diagnosed innominate bone dysfunction lateralized using the ASIS compression test on a large group of subjects. A pressure monitoring system …