Asymmetry of the occipital condyles: a computer-assisted analysis.

Abstract:

OBJECTIVE:To ascertain the incidence of asymmetry of the occipital condyles. The a priori hypothesis of symmetry (which is pervasive both in the determination of "subluxation" and in the means chosen for correction) was tested. DESIGN:Data set design was used with a convenience sample. The condyles were chosen for convenience of visualization from plain film radiographs. The study was retrospectively designed, albeit with prospective implications for analytic investigation. SETTING:The research department of Cleveland Chiropractic College, Kansas City, MO. PATIENTS OR OTHER PARTICIPANTS:One hundred fifty-one submentovertex radiographs were examined using a computer-assisted digitizer. The radiographs were randomly obtained from the patient files of two doctors of chiropractic who routinely use this type of radiograph in their patient analysis. INTERVENTIONS:The study was a side-to-side comparison of the condyles, which were subject to neither intervention nor change. MAIN OUTCOME MEASURES:Surface area of left and right condyles for 151 examined pairs. RESULTS:Analysis with Pearson's correlation coefficient implied a lack of symmetry between condyles (r = .37; p < .0001). The scatterplot revealed values widely dispersed about the regression line, and the standard error of the estimate was 36.7. CONCLUSION:The data suggest that the underlying premise of symmetry in chiropractic analysis needs to be reexamined.

authors

Febbo TA,Morrison R,Valente R

subject

Has Abstract

pub_date

1992-11-01 00:00:00

pages

565-9

issue

9

eissn

0161-4754

issn

1532-6586

journal_volume

15

pub_type

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