Abstract:
Background:Abdominal examination (AE), one of the primary diagnostic tools used in traditional Korean medicine (TKM), has a limitation of being subjective due to depending on individual practitioner's experience. Therefore, we devised a novel patient-report pressure algometer (PA) and performed a clinical trial to investigate its validity. Methods:In total, 44 participants with functional dyspepsia and 44 healthy participants completed the study. The participants were allocated into one of two groups according to the existence of abdominal stiffness at 5 acupoints or abdominal tenderness at 12 acupoints diagnosed by TKM doctors. The pressure depth and pressure pain threshold (PPT) were evaluated using the PA at the same acupoints. We assessed the validity (sensitivity and specificity) of PA and calculated the area under the curve (AUC) and optimal cutoff value of the test variables (pressure depth and PPT) to criterion standards (abdominal stiffness and tenderness). Results:Pressure depth and PPT assessed by PA showed high sensitivity and specificity in diagnosing abdominal stiffness and tenderness. The validity at CV-14 of diagnosing abdominal tenderness with PPT by PA had a sensitivity of 73.1%, specificity of 77.8%, and an AUC of 0.807 with a P value of < 0.001. Conclusion:This study may provide evidence of standardization and quantification of AE through PA.
journal_name
Integr Med Resjournal_title
Integrative medicine researchauthors
Ko SJ,Kim KH,Lee SH,Yim MH,Park JWdoi
10.1016/j.imr.2021.100742keywords:
["Abdominal examination","Algometer","Pressure pain threshold","Quantification"]subject
Has Abstractpub_date
2021-12-01 00:00:00pages
100742issue
4eissn
2213-4220issn
2213-4239pii
S2213-4220(21)00029-9journal_volume
10pub_type
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