An inter-examiner reliability study in the location of the second sacral spinous process

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dc.contributor.advisor Dr. M. Moodley en_US
dc.contributor.author Singh, Jessica
dc.date.accessioned 2012-08-01T10:07:11Z
dc.date.available 2012-08-01T10:07:11Z
dc.date.issued 2012-08-01
dc.date.submitted 2012-04-16
dc.identifier.uri http://hdl.handle.net/10210/5396
dc.description M.Tech. en_US
dc.description.abstract In order to diagnose and treat a patient with a musculoskeletal complaint, a manual medical practitioner relies upon clinical palpatory skills (O'Haire and Gibbons, 2000). To compare palpatory findings between spinal levels and across treatment sessions, Chiropractors must be able to locate individual vertebral levels accurately and reliably (McKenzie and Taylor, 1997). There have been reports that the use of landmark palpation to locate spinal levels is of questionable reliability (Burton, Edwards and Sykes, 1990, Simmonds and Kumar, 1993). The most accepted method of identifying the second sacral spinous process is by using an accepted landmark known as the Posterior Superior Iliac Spines (PSIS). The PSIS lies about 4cm lateral to the second spinous tubercle of the sacrum (Williams and Warwick, 1980). However, in a search of published work, no evidence could be found of any study which established these generally accepted statements (Stonelake, 1983). This was an inter-examiner reliability study aimed to determine whether palpation of the PSIS was a reliable and accurate method of determining the location of the second sacral spinous process (S2) in participants experiencing lumbosacral joint dysfunction. Thirty participants were marked by three examiners in the prone position using the PSIS to locate S2. An x-ray was taken of each participant in the prone position, after being marked by all three examiners. Measurements were then made on the x-rays to assess the location of the markers on the sacral anatomy. en_US
dc.language.iso en en_US
dc.subject Palpation en_US
dc.subject Chiropractic treatment en_US
dc.subject Musculoskeletal complaints - Chiropractic treatment en_US
dc.title An inter-examiner reliability study in the location of the second sacral spinous process en_US
dc.type Thesis en_US

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