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Topic: Palpation

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	soft tissue motion palpation \| Warren Hammer,MS,DC,DABCO
		One of the tenets of spinal motion palpation is to determine the direction of the barrier to decide the direction of the adjustment.
		Either a superficial or deep contact, depending on your palpation for the restriction, is taken in the direction of the barrier.
		Palpation of this area usually reveals a barrier in a variety of directions.
	www.chiroweb.com /archives/17/14/21.html (543 words)

	BioMed Central \| Full text \| An investigation into the validity of cervical spine motion palpation using subjects with ...
		Consequently, active range-of-motion is used to evaluate global restrictions in cervical spine movement; provocative palpation tests of connective tissues and zygapophyseal joints to elicit pain from inflamed or damaged tissues; spinal stiffness tests to measure segmental motion; and intervertebral motion palpation to assess intersegmental dysfunction in terms of quantity and quality of intersegmental movement [16].
		The purpose of this study is to investigate the validity of motion palpation of the cervical spine in subjects with congenital block vertebrae.
		Palpation of the two patients with C2-3 CBV indicated substantial agreement (K = 0.756), whilst moderate agreement (K = 0.460) was indicated in the subject with the C5-6 block.
	www.biomedcentral.com /1471-2474/5/19 (3726 words)

	Motion Palpation \| Keith Innes, DC
		Motion palpation and the subluxation complex in chiropractic are inseparable, as the two coexist, with the final complex being greater than the sum of its parts.
		The significance of translatoric gliding motion to motion palpation is that all synovial joints can be examined in all planes of motion thus allowing the doctor to be very accurate relative to the adjustive procedures' direction of thrust as well as enabling the usage of coupled motion adjusting, the body's own naturally occurring movements.
		The doctor's ability to palpate and glean meaningful information from this coupled joint motion palpation end feel is directly proportional to his or her understanding of the myology, osteology and arthrokinematics beneath the fingers.
	www.chiroweb.com /archives/15/25/14.html (1947 words)

	Motion palpation of the pediatric cervical spine by Dr. Stuart Warner
		In motion palpation, each individual motion unit is palpated in all of its ranges of motion respectively.
		Palpation of the cervical spine may seem complicated, but is actually quite is simple.
		To palpate flexion-extension of the occiput on atlas, place your finger between the lateral tip of the atlas TP and the ramus of the jaw.
	www.worldchiropracticalliance.org /tcj/1999/oct/oct1999swarner.htm (1746 words)

	* Palpation - (Disease): Definition (Site not responding. Last check: 2007-10-29)
		Palpation of the submental lymph node area with firm pressure and rotating the finger behind the chin.
		Physical evaluation for neck strain may be divided into the phases of observation, touching your muscles and other structures in your neck (palpation), examination of the blood vessels in your neck, neurological testing and,...
		The number of tender points was assessed by digital palpation, the pain threshold on the shinbone and the middle part of the deltoid...
	www.bestknows.com /disease/palpation.html (464 words)

	American Family Physician: Can Palpation Reliably Detect Abdominal Aortic Aneurysm?
		In the past, palpation of the abdomen was the preferred method for identifying AAA; however, diagnostic imaging studies, such as computed tomographic scanning and ultrasonography, are more accurate and have become the methods of choice.
		Palpation is now limited to identification of patients who need imaging studies to confirm the diagnosis.
		In addition, palpation is not reliable enough to rule out the diagnosis; therefore, further diagnostic studies should be ordered in patients for whom there is a high index of suspicion.
	www.findarticles.com /p/articles/mi_m3225/is_8_59/ai_54567571 (606 words)

	Palpation
		Palpation is the term used to indicate the actual feeling of the developing kits in the abdominal area with the thumb and fingers of one hand.
		With time, patience and understanding most individuals, youth included, can become proficient in the palpation technique and when used appropriately, the possible damage to the young is minimal.
		When one encounters a developing feti in the palpation process, the procedure should be discontinued and the doe considered bred.
	www.feldsroyalrabbitry.com /hlrsc/Articles/palpation.html (1112 words)

	References
		This study sought to determine the accuracy of intraoperative lymph node palpation for identifying lymph node metastasis in gynecologic malignancies.
		Intraoperative lymph node palpation has low sensitivity and positive predictive value even when the procedure is performed by experienced board-certified gynecologic oncologists.
		Palpation is another technique often employed by surgeons who are inexperienced in treating gynecologic cancers and performing lymphadenectomies.
	www.medscape.com /content/2000/00/40/98/409850/409850_tab.html (790 words)

	Bovine Rectal Palpation Procedures
		Examination for pregnancy involves palpation of the uterine horns to determine size differences and then latter the presence of fetal membranes, cotyledones and increased blood flow in the uterine artery.
		Starting from the ovary, however, the bursa and a portion of the oviduct may be palpated (21) and the presence of adhesions or the occurrence of enlargement or distension of the oviducts detected.
		The ovaries are palpated to detect the presence and size or degree of developments of follicles and corpora lutea.
	www.wisc.edu /ansci_repro/lab/lab5/palpation_proc.html (1507 words)

	Acupuncture Diagnosis - Palpation and Pulse Taking (Site not responding. Last check: 2007-10-29)
		Palpation, or touching, is a form of diagnosis made by feeling and tapping local areas of the body to ascertain:
		In performing pulse palpation, the practitioner places the index, middle, and ring fingers on the radial artery.
		Three degrees of pressure, the light touch, the medium touch, and the heavy touch are applied to the region and correspond to the upper, middle, and lower areas of the body.
	www.aworldofacupuncture.com /acupuncture-diagnosis-palpation.htm (290 words)

	Palpation - Pulsus Paradoxus
		Palpate for this abnormality when you are considering any of the following in your differential diagnosis: pericardial disease, obstructive lung disease, or hypovolemic shock.
		The presence of pulsus paradoxus is established by palpation of the peripheral pulses, as well as by sphygmomanometric measurement of the arterial blood pressure.
		If the pulsus paradoxus is severe, you may be able to simply palpate the pulse to feel the weakness of the arterial pulse during inspiration, as compared to the pulse during expiration.
	www.learnpediatrics.com /respiration/palPulsus.htm (1005 words)

	Lab 5 - palpation (Site not responding. Last check: 2007-10-29)
		During this lab you will be rectally palpating cattle and performing a breeding soundness exam on stallions and rams.
		View the Learn@UW videos of palpation in the nonpregnant and pregnant cow reproductive tracts.
		The objective is for you to identify at least the cervix.
	www.wisc.edu /ansci_repro/lab/lab5/lab5ex.html (431 words)

	Rectal Palpation
		After calving, the uterus can be palpated to determine involution (return of the uterus to a pre-pregnant condition; i.e., ready for breeding).
		The palpation sleeve can be attached to the sleeve of the coveralls or work shirt with a hemostat or clothespin.
		When this occurs, it is nearly impossible to palpate the reproductive tract because the rectum balloons outwards.
	www.animal.ufl.edu /hansen/protocols/palpation.manual.htm (1631 words)

	A Close Look at Motion Palpation - Allen Botnick, DC, BA (Site not responding. Last check: 2007-10-29)
		Palpation is a procedure where an examiner’s hands are used to assess the body by exerting pressure through the skin.
		Motion Palpation is a useless diagnostic and treatment regimen that often causes poor patient outcomes.
		Marcotte J. The kinematics of motion palpation and its effect on the reliability for cervical spine rotation.
	www.geocities.com /healthbase/chiro_motion_palpation_botnick.html (1614 words)

	JVME v21n1: Use of a Palpation Skills Index to Assess Student Ability
		The purpose of this research was to develop a bovine palpation skills index and to measure students' palpation skills.
		Students were encouraged to learn a complete palpation examination (2, 3), rather than becoming enamored with ovarian palpation, by ordering their efforts and by initially teaching ovarian location as a function of cervical and uterine horn position.
		Palpation of client-owned animals might have to be limited to students that had first gained additional experience.
	scholar.lib.vt.edu /ejournals/JVME/V21-1/SprecherPalpation.html (2354 words)

	COCA - June 1999 Newsletter: Review of evidence: The Death of Motion Palpation? An Overview of the Evidence of Motion ...
		Motion palpation was 1 of 8 dimensions of chiropractic examination procedures assessed.
		It was found that active and passive motion palpation were the least reliable dimensions of the chiropractic examination.
		If chiropractors continue using motion palpation as a diagnostic tool in order to assess and monitor patient progress, it must be used with caution and with the knowledge that it has not shown adequate reliability under controlled conditions.
	www.coca.com.au /newsletter/1999/JUN9910a.htm (1369 words)

	Confessions of a Quackbuster: A Close Look at Motion Palpation, by Allen Botnick, DC, BA (Site not responding. Last check: 2007-10-29)
		Motion Palpation is one of the most commonly used chiropractic diagnostic methods for treating the spine and extremities.(1) It is taught in all chiropractic programs.
		Static palpation feels individual bones in a resting spine for uneven bone structures which are assumed to come from spinal misalignment.
		The fundamental belief of Motion Palpation, that vertebrae should have a complete range of motion regardless of their alignment, is completely false (17,18, 19, 20).
	quackfiles.blogspot.com /2005/01/close-look-at-motion-palpation-by.html (1646 words)

	Motion palpation of the pediatric pelvis by Drs. Stuart and Theresa Warner
		Motion palpation of the pediatric pelvis by Drs.
		You may also attempt to palpate the lower joint by dropping down to the PIIS and S3 tubercle as you would in an adult, however, this may be unnecessary depending upon the age of the infant.
		In the child, you may initially palpate with the child seated by pushing forward on the PSIS, PIIS and on the sacrum.
	www.worldchiropracticalliance.org /tcj/1997/aug/aug1997warners.htm (825 words)

	Reliability and Validity of Muscle Palpation as in indicator of Subluxation in the Upper C
		Muscle palpation is a technique taught in the curriculum and used routinely in the health center, but has not been well validated as a subluxation measure.
		After all three doctors have palpated the patients, the palpation results as well as initial pattern analyses will be used to determine if the patient is in need of an adjustment.
		Palpation data sheets will be collated by patient and the data entered into a spreadsheet for data analysis.
	www.sherman.edu /research/palp_rv.html (1539 words)

	Book Review -- The Art of Palpatory Diagnosis in Oriental Medicine. Acupuncture Today, June 2004 (Site not responding. Last check: 2007-10-29)
		Palpation was a vital aspect of ancient, classical Chinese medicine, but lost favor as a means of diagnosis to the four methods (inspection, auscultation/olfaction, inquiry and pulse palpation).
		Pulse palpation, though quite valuable, is difficult to master, and is probably losing to more intellectual methods of diagnosis.
		Palpation is at the heart of modern-day Japanese acupuncture, which developed a system of abdominal or hara palpation akin to the tongue diagnosis of Chinese medicine.
	www.acupuncturetoday.com /archives2004/jun/06review.html (535 words)

	Ultrasound (Site not responding. Last check: 2007-10-29)
		The abdomen is palpated from the hepaxial muscles downward, attempting to slip the uterus between the thumb and fingers.
		It is difficult to accurately count the number of fetuses and the viability of the pregnancy cannot be determined by abdominal palpation.
		On very large dogs, you may try to palpate with two hands, but it is not the best way to palpate.
	www.vetmed.lsu.edu /eiltslotus/Theriogenology-5361/ultrasound.htm (835 words)

	Reproducibility and clinical utility of tendon palpation to detect patellar tendinopathy in young basketball players -- ...
		the reproducibility of palpation tenderness of the patellar
		Palpation of the patellar tendon attachment to the patella was
		Palpation tenderness does not indicate US status in asymptomatic athletes and should not be used to screen athletes for potential problems in this tendon.
	bjsm.bmjjournals.com /cgi/content/full/35/1/65 (2592 words)

	Dorsalis pedis arterial pulse: palpation using a bony landmark -- Mowlavi et al. 78 (926): 746 -- Postgraduate Medical ...
		was 10.4 (3.4) mm by palpation and 11.5 (0.7) mm from the dorsal
		Pulse palpation was performed using two fingers, the index and middle fingers of the dominant hand.
		Reliability of palpation of pedal pulses as ascertained by the kappa statistic.
	pmj.bmjjournals.com /cgi/content/full/78/926/746 (1233 words)

	Palpation: The Art and Science of Chiropractic Diagnosis
		Palpation is the process of examining by means of touch.
		Palpation is not the only way a chiropractor determines where and how to adjust or manipulate the spine.
		Static palpation involves the palpation of tissue surrounding the spine for pain or tenderness, as well as feeling for lack of tissue compliance or tightness.
	www.spineuniverse.com /displayarticle.php/article154.html (1096 words)

	Physical Therapy: Palpation and Assessment Skills: Assessment and Diagnosis Through Touch, ed 2 (Site not responding. Last check: 2007-10-29)
		Palpation and Assessment Skills: Assessment and Diagnosis Through Touch, ed 2 Chaitow L. London, United Kingdom, Churchill Livingstone Inc, 2003, paperback (with accompanying CD-ROM), 406 pp, illus, ISBN: 0-443-07218-3, $62.95.
		The stated purpose of this book is to describe types of palpation and exercises that can be used to achieve skill in executing these palpation methods.
		Each of the palpation exercises is well documented with illustrations for each step of the process.
	www.findarticles.com /p/articles/mi_qa3753/is_200409/ai_n9439149 (521 words)

	Palpation
		Palpation is an assessment technique in which the examiner uses the surface of the fingers and hands to feel for abnormalities.
		To assess the symmetry of chest expansion during breathing, stand behind the person, and place your hands with fingers spread apart beneath his or her arms, on the sides of the chest, about 2 inches below the axilla.
		While the patient is speaking, palpate the chest from one side to the other.
	www.rnceus.com /resp/resppalp.html (264 words)

	Reproducibility and clinical utility of tendon palpation to detect patellar tendinopathy in young basketball players -- ...
		Reproducibility and clinical utility of tendon palpation to detect patellar tendinopathy in young basketball players -- Cook et al.
		In 58 tendons, palpation was performed twice to test reliability.
		Tenderness to palpation was scored on a scale from 0 to 3 where
	bjsm.bmjjournals.com /cgi/content/abstract/35/1/65 (364 words)

	CattlePro 2005® Forum - update last palpation date problem
		The palpation date and results were updated correctly, but the status was only changed for the first animal.
		After that comes the Palpation with a diagnosis of how many days of pregnancy the cow has and start the problem for Cattlepro for to calculate and send the Due Date where should be ready for the fancy reports.
		In the meantime the best way to track your palpation results is to estimate the gestation days and conception date and manually enter a new breeding record.
	www.cattlepro.com /forum/topic.asp?TOPIC_ID=55 (1783 words)

	Palpation 1,2,3 (Site not responding. Last check: 2007-10-29)
		If the uterus is retracted, palpation of the horns and ovaries is relatively easy and a traumatic.
		It is imperative that you retract, because the uterus cannot be palpated a traumatically without being fully retracted.
		When the uterus is retracted, it is easy to palpate both horns and the ovaries without fighting to 'hang on".
	www.vetmed.lsu.edu /eiltslotus/Theriogenology-5361/Palpation_2.htm (466 words)

	Remote Palpation Instrument
		We are developing remote palpation systems to convey tactile information from inside a patient's body to the surgeon's fingertips during minimally invasive procedures.
		Creation of remote palpation technology will increase safety and reliability in present minimally invasive procedures, and bring the advantages of minimally invasive techniques to other, more complex procedures, which are not possible today.
		This is trivial using traditional palpation with the fingers because the nodule is much stiffer than the surrounding lung tissue.
	biorobotics.harvard.edu /research/bill.html (970 words)

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