A new alternative to the Ober test for evaluating the difference between right and left iliotibial band stiffness: A reliability study

Colonna, Saverio; Mazzanti, Marco; Borghi, Corrado; Pacini, Giulio

doi:10.1016/j.jbmt.2024.04.040

Journal of Bodywork and Movement Therapies

2024

DOI: 10.1016/j.jbmt.2024.04.040

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A new alternative to the Ober test for evaluating the difference between right and left iliotibial band stiffness: A reliability study

Saverio Colonna,

Marco Mazzanti,

Corrado Borghi

et al.

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2024

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Cited by 2 publications

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Pelvic Palpatory Tests in Manual Therapy and Osteopathy: A Critical Review of the Literature and Suggestions for New Research

Colonna,

Mazzanti

2024

Cureus

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Manual therapists apply physical interventions to the entire structure of the body to promote healing, prevent pathologies, and improve patient health. In osteopathic practice, palpatory evaluation is considered a fundamental clinical practice requirement for identifying somatic dysfunction. Most of the articles published in this area have failed to demonstrate a level of reproducibility that supports palpation in evidence-based clinical practice. When considering the poor reliability of the palpatory tests highlighted in the literature, a discrepancy is noted with what is known about the tactile sensitivity of human hands. For static touch, the minimum size that can be detected, in the absence of applied movement or vibration, is approximately 0.2 mm. Yet, it seems that this high level of precision is insufficient to ensure reliability in the tests used to evaluate osteopathic somatic dysfunction. The purpose that underscores this article is to determine how these two contradictory elements, high sensitivity and low reliability, can be present in palpatory tests. The article reports the literature findings regarding palpatory tests of pelvic, which is an important structure for clinical purposes. Additionally, a critical review of how these studies were conducted is provided to identify any elements that may justify the obtained results. Following recent accredited guidelines present in the literature, we propose suggestions on vision training methods, manual perception refinement training, the search for anatomical markers, and the position of the examiner in relation to the examinee that may be useful for future studies on the topic covered by the article.

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Pelvic Palpatory Tests in Manual Therapy and Osteopathy: A Critical Review of the Literature and Suggestions for New Research

Colonna,

Mazzanti

2024

Cureus

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Persistent Lateral Knee Pain From a 10% Thickness Anterior Cruciate Ligament (ACL) Tear in a 36-Year-Old Runner

Sperling

2024

Cureus

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Anterior cruciate ligament (ACL) tears are due to jumping, rapid decelerating, or quick changes in direction, but recent research indicates that accumulated tissue fatigue from repetitive submaximal knee loading can also cause ACL disruption. Partial degenerative ACL tears due to overuse are currently thought to be asymptomatic until the ligament is at least 50% torn. In this case, a 36-year-old female runner presenting with sharp lateral joint line knee pain, which precluded running or hiking over one mile, was found to have an atraumatic 10% thickness ACL tear. After ACL debridement, the patient was able to return to full activity. Females may be more prone to degenerative partial ACL tears due to biomechanical and hormonal factors. Partial ACL tears should be considered in the differential diagnosis of knee pain even without a history of trauma.

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A new alternative to the Ober test for evaluating the difference between right and left iliotibial band stiffness: A reliability study

Cited by 2 publications

References 47 publications

Pelvic Palpatory Tests in Manual Therapy and Osteopathy: A Critical Review of the Literature and Suggestions for New Research

Pelvic Palpatory Tests in Manual Therapy and Osteopathy: A Critical Review of the Literature and Suggestions for New Research

Persistent Lateral Knee Pain From a 10% Thickness Anterior Cruciate Ligament (ACL) Tear in a 36-Year-Old Runner

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