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Michael Kuchera

2015

Osteopathic manipulation

Articles 1 - 2 of 2

Full-Text Articles in Medicine and Health Sciences

Inter-Examiner Reliability Of An Anterior Superior Iliac Spine Compression Test Used To Lateralize Pelvic Somatic Dysfunction To The Right Side Or Not, Frank Casella, Michael Kuchera, Nicole Myers, Jeffrey Nelson, Veronica Ferencz Dec 2015

Inter-Examiner Reliability Of An Anterior Superior Iliac Spine Compression Test Used To Lateralize Pelvic Somatic Dysfunction To The Right Side Or Not, Frank Casella, Michael Kuchera, Nicole Myers, Jeffrey Nelson, Veronica Ferencz

Michael Kuchera

BACKGROUND: Osteopathic physicians use a number of palpatory structural examinations to diagnose pelvic somatic dysfunction (SD). They may elect to use the Anterior Superior Iliac Spine (ASIS) Compression Test to lateralize the dysfunctional side. Accurate, reliable tests are crucial to neuromusculoskeletal diagnosis and this study employs the kappa (κ) analysis protocol recommended for assessing interexaminer reliability of manual medicine tests (published by the Fédération Internationale de Médecine Manuelle [FIMM]). κ-values ≥0.40 (moderate agreement) are considered to be acceptable for use in the clinical setting.


Effect Of Prior Anterior Superior Iliac Spine Compression Testing On Second Assessor Findings: Implications For Inter-Examiner Reliability Testing, Frank Casella, Michael Kuchera, Jeffrey Nelson, Veronica Ferencz, Nicole Myers Dec 2015

Effect Of Prior Anterior Superior Iliac Spine Compression Testing On Second Assessor Findings: Implications For Inter-Examiner Reliability Testing, Frank Casella, Michael Kuchera, Jeffrey Nelson, Veronica Ferencz, Nicole Myers

Michael Kuchera

BACKGROUND: Osteopathic physicians use palpation to diagnose sacroiliac joint somatic dysfunction (SD) -- including the Anterior Superior Iliac Spine (ASIS) Compression Test for dysfunctional side lateralization. (Literature suggests right-sided lateralization in 80% of asymptomatic individuals). Accurate, reliable tests are crucial however to diagnose SD and kappa (κ) analysis is a gold-standard to determine the degree of interexaminer reliability for tests. Few studies have examined the effect the palpatory examination has on subsequent diagnostic findings and therefore on κ-values.