The concept of palpation of the shoulder – A basic element of physiotherapy practice: A focus group study with physiotherapists

Eriksson, Lisbeth; Ekenberg, Lilly; Melander‐Wikman, Anita

doi:10.3109/14038196.2012.738244

Cited by 6 publications

(4 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In conclusion, the results of this study provide data confirming that ultrasound imaging is a valuable tool in assessing the ability of rotating physicians to locate musculoskeletal structures by palpation. This study details the ability of the rotating physician to locate two joint cavities and two tendons together, although success rates for both joint cavities and the long head of the biceps tendon were low, but given the inexperience of rotating physicians in palpation skills, this is extenuating, and data on patterns of misorientation could help improve palpation skill teaching methods ( Eriksson et al, 2012 ).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Ultrasound Imaging in Assessing the Palpation Skills of Rotating Physicians

Huang

Zheng²,

Liu³

et al. 2022

Front. Genet.

View full text Add to dashboard Cite

As an important means of physical examination, palpation is usually limited to the physical examination before surgery and used as an auxiliary method for disease diagnosis in the field of surgery. In practice, palpation is also used in every aspect of the surgical procedure, and its application is of great significance to surgery. The purpose of this study was to investigate the ability of ultrasound imaging to assess the ability of rotating physicians to locate musculoskeletal structures by palpation. Rotating physicians were asked to palpate and locate the long head tendon of the biceps (LHB), posterior tibialis (TPT), acromioclavicular joint (ACJ), and medial tibiofemoral joint (TFJ) spaces on two volunteer models. After positioning, a truncated steel needle was attached to the skin and parallel to the palpable structure, and the position of the steel needle relative to the designated structure was assessed by ultrasound imaging, using the Cohen kappa test to study the inter-rater agreement. The results showed that the assessor’s Kappa coefficient for judging the location of all structures was 0.816, LHB was 1.00, TPT was 0.912, ACJ gap was 0.796, and TFJ medial space was 0.844, and the success rate of palpation for TPT was 62.2%, TFJ medial space was 37.8%, ACJ clearance was 24.3%, and LHB was 8.1%. In conclusion, the teaching methods of anatomy and palpation skills need further improvement, and ultrasound imaging is an effective tool for assessing palpation skills.

show abstract

Section: Discussionmentioning

confidence: 99%

Effectiveness of Ultrasound Imaging in Assessing the Palpation Skills of Rotating Physicians

Huang

Zheng²,

Liu³

et al. 2022

Front. Genet.

View full text Add to dashboard Cite

show abstract

“…Patients valued attention as it gave an impression that physiotherapists were interested in their problems (Crepeau, 2016;Thornquist, 1991) and were taking their problems seriously (Ekerholt & Bergland, 2004. When patients felt the physiotherapist was attentive, they felt confirmed, listened to, and understood (Eriksson et al, 2012;Houston-McMillan, 1988). This influenced patient satisfaction and their perceptions of positive recovery (Crepeau, 2016;Gyllensten et al, 2000;Potter et al, 2003b).…”

Section: Themesmentioning

confidence: 99%

“…Theme 4: Building the therapeutic relationship Numerous researchers suggest that body communication played an essential role in building the therapeutic relationship (Ahlsen & Nilsen, 2022;Bjorbaekmo & Mengshoel, 2016;Crepeau, 2016;Eriksson et al, 2012;Hiller et al, 2015;Houston-McMillan, 1988;Jamarim et al, 2019;Normann et al, 2013;Rutberg et al, 2013;Thornquist, 1991). Several studies suggested that physiotherapists could establish rapport and convey caring and understanding through therapeutic touch in a way that transcended words (Ahlsen & Nilsen, 2022;Bjorbaekmo & Mengshoel, 2016;Eriksson et al, 2012;Houston-McMillan, 1988;Normann et al, 2013;Rutberg et al, 2013). However, examples of what this touch looked like, and how physiotherapists enacted therapeutic touch, were absent, making it challenging for other clinicians to learn from.…”

Section: Consent Through Body Communicationmentioning

confidence: 99%

The role and function of body communication in physiotherapy practice: A qualitative thematic synthesis

Good,

Bright,

Mooney

2024

NZJP

View full text Add to dashboard Cite

Communication is essential to physiotherapy practice. While verbal communication has been a primary focus in research, less is known about body communication. Body communication refers to communication achieved by means other than words, such as touch, eye contact, prosody, and proxemics. This review aims to provide detailed knowledge of the roles and functions of body communication in physiotherapy practice and identify areas for future research. We undertook a systematic search and thematic synthesis of published qualitative literature in October 2022. Four databases were searched with results screened to identify articles providing insight into the roles and functions of body communication. Quality appraisal of included studies was completed. Thematic synthesis was used to generate findings. Thirty-three studies met the inclusion criteria. Four themes were constructed to reflect the roles and functions of body communication in physiotherapy practice: conveying the physiotherapist’s attention and interest; enabling patients to contribute to care; guiding physiotherapy intervention through bodily dialogue; and building the therapeutic relationship. The findings demonstrate how body communication shapes the therapeutic process and how sensitive and responsive body communication supports a more reciprocal and person-centred approach to care. Research is needed to obtain more in-depth and nuanced accounts of body communication to support the clinical application of findings.

show abstract

“…Hands-on interventions are inextricably related to hands-on assessment [ 40 ], and often associated with claims of ‘specialisation’ [ 41 ]. By this we mean where a great level of training and precision are claimed to be necessary for influencing the interpretation of assessment findings, treatment decisions, and/or treatment outcomes.…”

Section: Introductionmentioning

confidence: 99%

A modern way to teach and practice manual therapy

Kerry,

Young,

Evans

et al. 2024

Chiropr Man Therap

View full text Add to dashboard Cite

Background Musculoskeletal conditions are the leading contributor to global disability and health burden. Manual therapy (MT) interventions are commonly recommended in clinical guidelines and used in the management of musculoskeletal conditions. Traditional systems of manual therapy (TMT), including physiotherapy, osteopathy, chiropractic, and soft tissue therapy have been built on principles such as clinician-centred assessment, patho-anatomical reasoning, and technique specificity. These historical principles are not supported by current evidence. However, data from clinical trials support the clinical and cost effectiveness of manual therapy as an intervention for musculoskeletal conditions, when used as part of a package of care. Purpose The purpose of this paper is to propose a modern evidence-guided framework for the teaching and practice of MT which avoids reference to and reliance on the outdated principles of TMT. This framework is based on three fundamental humanistic dimensions common in all aspects of healthcare: safety, comfort, and efficiency. These practical elements are contextualised by positive communication, a collaborative context, and person-centred care. The framework facilitates best-practice, reasoning, and communication and is exemplified here with two case studies. Methods A literature review stimulated by a new method of teaching manual therapy, reflecting contemporary evidence, being trialled at a United Kingdom education institute. A group of experienced, internationally-based academics, clinicians, and researchers from across the spectrum of manual therapy was convened. Perspectives were elicited through reviews of contemporary literature and discussions in an iterative process. Public presentations were made to multidisciplinary groups and feedback was incorporated. Consensus was achieved through repeated discussion of relevant elements. Conclusions Manual therapy interventions should include both passive and active, person-empowering interventions such as exercise, education, and lifestyle adaptations. These should be delivered in a contextualised healing environment with a well-developed person-practitioner therapeutic alliance. Teaching manual therapy should follow this model.

show abstract

The concept of palpation of the shoulder – A basic element of physiotherapy practice: A focus group study with physiotherapists

Cited by 6 publications

References 17 publications

Effectiveness of Ultrasound Imaging in Assessing the Palpation Skills of Rotating Physicians

Effectiveness of Ultrasound Imaging in Assessing the Palpation Skills of Rotating Physicians

The role and function of body communication in physiotherapy practice: A qualitative thematic synthesis

A modern way to teach and practice manual therapy

Contact Info

Product

Resources

About