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J Bodyw Mov Ther. 2017 Jan;21(1):101-108. doi: 10.1016/j.jbmt.2016.05.008. Epub 2016 Jun 4.

Experiences of intervertebral motion palpation in osteopathic practice - A qualitative interview study among Swedish osteopaths.

Author information

1
Scandinavian School of Osteopathy, Gothenburg, Sweden; The Institute of Orthopaedic Medicine, Gothenburg, Sweden. Electronic address: niklas@ortopedmedicinska.se.
2
Division of Nursing Science, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden; Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Abstract

BACKGROUND:

Assessment in manual therapy includes quantitative and qualitative procedures, and intervertebral motion palpation (IMP) is one of the core assessment methods in osteopathic practice. The aim of this study was to explore osteopathic practitioners' experiences of clinical decision-making and IMP as a diagnostic tool for planning and evaluation of osteopathic interventions.

METHOD:

The study was conducted with semi-structured interviews that included eight informants. Content analysis was used as the analytical procedure.

RESULT:

In total, three categories emerged from the analysis: strategic decision-making, diagnostic usability of IMP, and treatment applicability of IMP.

CONCLUSION:

The study indicated that IMP was considered relevant and was given particular importance in cases where IMP findings confirmed clinical information attained from other stages in the diagnostic process as a whole. However, IMP findings were experienced as less important if they were not correlated to other findings.

KEYWORDS:

Clinical reasoning; Intervertebral motion palpation; Osteopathy

PMID:
28167164
DOI:
10.1016/j.jbmt.2016.05.008
[Indexed for MEDLINE]

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