The assessment of vibration sense in the musculoskeletal examination: Moving towards a valid and reliable quantitative approach to vibration testing in clinical practice.


:Impairment of vibration sense is an early sign of nerve pathology. A range of devices can evaluate vibration sense, with moderate to excellent reliability demonstrated for the Somedic Vibrameter. However, devices are expensive and time-consuming for use in practice, and tuning forks are used but not supported by rigorous research. The aims of this study were to evaluate the inter-rater reliability and precision of a novel device to improve use of a tuning fork, and to evaluate its concurrent validity with the Vibrameter. Following a power calculation, a double-blinded, prospective, reliability and validity study recruited 19 healthy subjects who were tested by two physiotherapists using both instruments testing over the median nerve distribution. Inter-rater reliability was determined using Intraclass Correlation Coefficients, 2.1 (0.798 for the Vibrameter and 0.520 for the tuning fork), and precision using Bland Altman plots and Standard Error of Measurement (Vibrameter 0.289 μm, tuning fork 2.55 s). Concurrent validity using Pearson's Product Moment Correlation was 0.515-0.634. The Vibrameter results support previous reliability studies. The tuning fork and novel device demonstrated a strong correlation with the Vibrameter supporting concurrent validity; although it possesses moderate inter-rater reliability. Further research exploring reliability in pathological populations is now indicated.


Man Ther


Manual therapy


O' Conaire E,Rushton A,Wright C




Has Abstract


2011-06-01 00:00:00














  • Subjective and clinical assessment criteria suggestive for five clinical patterns discernible in nonspecific neck pain patients. A Delphi-survey of clinical experts.

    abstract:BACKGROUND:Nonspecific neck pain patients form a heterogeneous group with different musculoskeletal impairments. Classifying nonspecific neck pain patients into subgroups based on clinical characteristics might lead to more comprehensive diagnoses and can guide effective management. OBJECTIVE:To establish consensus am...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Dewitte V,Peersman W,Danneels L,Bouche K,Roets A,Cagnie B

    更新日期:2016-12-01 00:00:00

  • What do patients value about spinal manipulation and home exercise for back-related leg pain? A qualitative study within a controlled clinical trial.

    abstract:BACKGROUND:Patient perceptions may influence the effectiveness and utilization of healthcare interventions, particularly for complex health conditions such as sciatica or back-related leg pain (BRLP). OBJECTIVES:To explore BRLP patients' perceptions of spinal manipulative therapy (SMT) and home exercise with advice (H...

    journal_title:Manual therapy

    pub_type: 临床试验,杂志文章


    authors: Maiers M,Hondras MA,Salsbury SA,Bronfort G,Evans R

    更新日期:2016-12-01 00:00:00

  • Acute low cervical nerve root conditions: symptom presentations and pathobiological reasoning.

    abstract::Acute low cervical nerve root conditions may be easily misdiagnosed. The perspective presented is that their symptom presentation is not as straightforward as the classic descriptions of brachialgia would have us believe. This clinical commentary presents a series of observations and reasoning models that are relevant...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Gifford L

    更新日期:2001-05-01 00:00:00

  • Identifying prognostic factors predicting outcome in patients with chronic neck pain after multimodal treatment: A retrospective study.

    abstract:OBJECTIVES:This study was conducted to identify possible prognostic factors to predict drop-out and favorable outcome in patients following a multimodal treatment program at an outpatient rehabilitation clinic. METHODS:A retrospective cohort study was conducted on 437 patients with chronic neck pain involved in an exe...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: De Pauw R,Kregel J,De Blaiser C,Van Akeleyen J,Logghe T,Danneels L,Cagnie B

    更新日期:2015-08-01 00:00:00

  • Development of a data collection tool to profile osteopathic practice: use of a nominal group technique to enhance clinician involvement.

    abstract:INTRODUCTION:Little is known about the profile of osteopathic care in the United Kingdom (UK). To address this, a standardised data collection (SDC) tool was developed to record patient-based data within private practice. METHODS:The development of the SDC tool took place within a national network of research groups (...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Fawkes CA,Leach CM,Mathias S,Moore AP

    更新日期:2014-04-01 00:00:00

  • Voluntary activation of quadriceps femoris in patients with unilateral anterior cruciate ligament rupture within 6 months of injury: A cross-sectional observational study.

    abstract:BACKGROUND:Deficits in quadriceps femoris strength and voluntary activation have been well documented in chronic anterior cruciate ligament (ACL) injuries, but less is known about the acute or early phase after injury. OBJECTIVES:The aim of this study was to evaluate and compare the levels of quadriceps voluntary acti...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Trees A,Dixon J,Howe TE

    更新日期:2016-04-01 00:00:00

  • The lumbar multifidus: does the evidence support clinical beliefs?

    abstract::The contribution of the trunk muscles to spinal stability is well established. There is convincing evidence for the role of multifidus in spinal stability. Recently, emphasis has shifted to the deep fibres of this muscle (DM) and five key clinical beliefs have arisen: (i) that DM stabilizes the lumbar spine whereas th...

    journal_title:Manual therapy

    pub_type: 杂志文章,评审


    authors: MacDonald DA,Moseley GL,Hodges PW

    更新日期:2006-11-01 00:00:00

  • Development of a clinical prediction rule to identify initial responders to mobilisation with movement and exercise for lateral epicondylalgia.

    abstract::The aim of this post hoc analysis was to develop a preliminary clinical prediction rule (CPR) for identifying patients with lateral epicondylalgia (LE) likely to respond to mobilisation with movement and exercise (PT). Currently practitioners do not have an evidence-based means to identify such patients a priori. Pote...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Vicenzino B,Smith D,Cleland J,Bisset L

    更新日期:2009-10-01 00:00:00

  • Clinical screening tests for assessing movement control in non-specific low-back pain. A systematic review of intra- and inter-observer reliability studies.

    abstract:BACKGROUND:Most people experience back pain at some point during their lives. Reports suggest that core stability interventions in subjects with non-specific low-back pain may increase function, thus decreasing pain. Reliable and validated clinical tests are required for implementing adequate rehabilitation and for eva...

    journal_title:Manual therapy

    pub_type: 杂志文章,评审


    authors: Carlsson H,Rasmussen-Barr E

    更新日期:2013-04-01 00:00:00

  • Using the STarT Back Tool: Does timing of stratification matter?

    abstract::It is likely that individuals with nonspecific LBP (nsLBP) constitute a heterogenic group and targeting treatment appropriately to those most likely to respond is of major relevance. The STarT Back Tool (SBT) has been developed to stratify patients into risk groups to aid management choices. However, there is controve...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Newell D,Field J,Pollard D

    更新日期:2015-08-01 00:00:00

  • Do 'sliders' slide and 'tensioners' tension? An analysis of neurodynamic techniques and considerations regarding their application.

    abstract::Despite the high prevalence of carpal tunnel syndrome and cubital tunnel syndrome, the quality of clinical practice guidelines is poor and non-invasive treatment modalities are often poorly documented. The aim of this cadaveric biomechanical study was to measure longitudinal excursion and strain in the median and ulna...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Coppieters MW,Butler DS

    更新日期:2008-06-01 00:00:00

  • The deformation and longitudinal excursion of median nerve during digits movement and wrist extension.

    abstract::The use of electronic devices, such as mobile phones and computers, has increased drastically among the young generation, but the potential health effects of carpal tunnel syndrome (CTS) on university students has not been comprehensively examined. Thirty-one university students aged 18 to 25 y with no symptoms of CTS...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Lai WK,Chiu YT,Law WS

    更新日期:2014-12-01 00:00:00

  • Neovascularity in patellar tendinopathy and the response to eccentric training: a case report using Power Doppler ultrasound.

    abstract::This report describes the case of an amateur soccer player with chronic patellar tendinopathy who underwent ultrasound imaging before and after engaging in an 8-week programme of eccentric exercise. On initial assessment, greyscale ultrasound imaging demonstrated tendon thickening and reduced echogenicity, while Power...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: McCreesh KM,Riley SJ,Crotty JM

    更新日期:2013-12-01 00:00:00

  • Quantitative application of transverse friction massage and its neurological effects on flexor carpi radialis.

    abstract::The purpose of the study was to determine the effects of transverse friction massage (TFM) on flexor carpi radialis (FCR) motoneuron (MN) pool excitability. Twenty-eight healthy subjects were randomly assigned into massage and control groups. Pre- vs post-TFM H-reflex data were collected. Controls received a rest peri...

    journal_title:Manual therapy

    pub_type: 杂志文章,随机对照试验


    authors: Lee HM,Wu SK,You JY

    更新日期:2009-10-01 00:00:00

  • The difference in passive tension applied to the muscles composing the hamstrings - Comparison among muscles using ultrasound shear wave elastography.

    abstract:BACKGROUND:Hamstring muscle strain is one of the most common injuries in sports. Therefore, to investigate the factors influencing hamstring strain, the differences in passive tension applied to the hamstring muscles at the same knee and hip positions as during terminal swing phase would be useful information. In addit...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Nakamura M,Hasegawa S,Umegaki H,Nishishita S,Kobayashi T,Fujita K,Tanaka H,Ibuki S,Ichihashi N

    更新日期:2016-08-01 00:00:00

  • Effects of external pelvic compression on form closure, force closure, and neuromotor control of the lumbopelvic spine--a systematic review.

    abstract::Optimal lumbopelvic stability is a function of form closure (joint anatomy), force closure (additional compressive forces acting across the joints) and neuromotor control. Impairment of any of these mechanisms can result in pain, instability, altered lumbopelvic kinematics, and changes in muscle strength and motor con...

    journal_title:Manual therapy

    pub_type: 杂志文章,评审


    authors: Arumugam A,Milosavljevic S,Woodley S,Sole G

    更新日期:2012-08-01 00:00:00

  • Validation of a sham comparator for thoracic spinal manipulation in patients with shoulder pain.

    abstract::The evidence to guide use of spinal manipulative therapy (SMT) for patients with shoulder pain is limited. A validated sham comparator is needed to ascertain the unique effects of SMT. We investigated the plausibility of a thoracic sham-SMT comparator for SMT in patients with shoulder pain. Participants (n = 56) with ...

    journal_title:Manual therapy

    pub_type: 杂志文章,随机对照试验


    authors: Michener LA,Kardouni JR,Sousa CO,Ely JM

    更新日期:2015-02-01 00:00:00

  • Assessment of pelvic floor muscle function in women with and without low back pain using transabdominal ultrasound.

    abstract::Pelvic floor muscle (PFM) dysfunction has been recently associated with the development of low back pain (LBP). Transabdominal ultrasound imaging has been established as an appropriate method for visualizing and measuring PFM function. No study has directly evaluated PFM function in individuals with and without LBP. T...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Arab AM,Behbahani RB,Lorestani L,Azari A

    更新日期:2010-06-01 00:00:00

  • Ready for a paradigm shift? Part 1: introducing the philosophy of qualitative research.

    abstract::The manual therapy professions have almost exclusively focused on the use of quantitative research to help inform their practices. This paper argues that a greater use of qualitative research will help develop a more robust and comprehensive knowledge base in manual therapy. The types of knowledge used in practice and...

    journal_title:Manual therapy

    pub_type: 杂志文章,评审


    authors: Petty NJ,Thomson OP,Stew G

    更新日期:2012-08-01 00:00:00

  • Differences in end-range lumbar flexion during slumped sitting and forward bending between low back pain subgroups and genders.

    abstract::Patterns of lumbar posture and motion are associated with low back pain (LBP). Research suggests LBP subgroups demonstrate different patterns during common tasks. This study assessed differences in end-range lumbar flexion during two tasks between two LBP subgroups classified according to the Movement System Impairmen...

    journal_title:Manual therapy

    pub_type: 临床试验,杂志文章


    authors: Hoffman SL,Johnson MB,Zou D,Van Dillen LR

    更新日期:2012-04-01 00:00:00

  • One-week time course of the effects of Mulligan's Mobilisation with Movement and taping in painful shoulders.

    abstract::Previous research suggests that Mulligan's Mobilisation-with-Movement (MWM) technique for the shoulder produces an immediate improvement in movement and pain. The aims of this study were to investigate the time course of the effects of a single MWM technique and to ascertain the effects of adding tape following MWM in...

    journal_title:Manual therapy

    pub_type: 杂志文章,随机对照试验


    authors: Teys P,Bisset L,Collins N,Coombes B,Vicenzino B

    更新日期:2013-10-01 00:00:00

  • Clinical management of cranio-vertebral instability after whiplash, when guidelines should be adapted: a case report.

    abstract::Cranio-vertebral instability (CVI) due to loss of bony or ligamentous integrity is one of the sequelae that may result after a whiplash mechanism injury. Due to the lack of specificity of diagnostic tests, this condition is often missed and the default classification of whiplash associated disorder (WAD) is assigned. ...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Rebbeck T,Liebert A

    更新日期:2014-12-01 00:00:00

  • The effectiveness of physiotherapy functional restoration for post-acute low back pain: a systematic review.

    abstract:BACKGROUND:The effectiveness of multidisciplinary treatment for post-acute (>6 weeks) low back pain (LBP) has been established. Physiotherapists have sufficient training to conduct less intensive functional restoration. The effectiveness of physiotherapy functional restoration (PFR) has not been evaluated using current...

    journal_title:Manual therapy

    pub_type: 杂志文章,评审


    authors: Richards MC,Ford JJ,Slater SL,Hahne AJ,Surkitt LD,Davidson M,McMeeken JM

    更新日期:2013-02-01 00:00:00

  • Effects of individualised directional preference management versus advice for reducible discogenic pain: A pre-planned secondary analysis of a randomised controlled trial.

    abstract:BACKGROUND:Low back disorders are prevalent and directional preference management is a common treatment with mixed evidence for effectiveness. OBJECTIVES:To determine the effectiveness of individualised directional preference management plus guideline-based advice versus advice alone in participants with reducible dis...

    journal_title:Manual therapy

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Surkitt LD,Ford JJ,Chan AY,Richards MC,Slater SL,Pizzari T,Hahne AJ

    更新日期:2016-09-01 00:00:00

  • Clinical reasoning and pain.

    abstract::Clinical reasoning is reviewed with respect to the historical and continuing need for critical inquiry skills, the hypothetico-deductive basis of sound reasoning, factors influencing therapists' reasoning, and ways of promoting critical yet creative reasoning. The importance of clinicians' organisation of biomedical a...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Jones M

    更新日期:1995-11-01 00:00:00

  • Analgesic effects of manual therapy in patients with musculoskeletal pain: a systematic review.

    abstract:BACKGROUND:Current evidence shows that manual therapy elicits analgesic effect in different populations (healthy, pain inflicted and patients with musculoskeletal pain) when carried out at the spinal column, although the clinical significance of these effects remains unclear. Also the analgesic effects of manual therap...

    journal_title:Manual therapy

    pub_type: 杂志文章,评审


    authors: Voogt L,de Vries J,Meeus M,Struyf F,Meuffels D,Nijs J

    更新日期:2015-04-01 00:00:00

  • Relationship between the cervical component of the slump test and change in hamstring muscle tension.

    abstract::SUMMARY. The slump test has been used routinely to differentiate low back pain due to involvement of neural structures from low back pain attributable to other factors. It is also said to differentiate between posterior thigh pain due to neural involvement from that due to hamstring injury. If changes in cervical posi...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Lew PC,Briggs CA

    更新日期:1997-05-01 00:00:00

  • Diagnosis and classification of chronic low back pain disorders: maladaptive movement and motor control impairments as underlying mechanism.

    abstract::Low back pain (LBP) is a very common but largely self-limiting condition. The problem arises however, when LBP disorders do not resolve beyond normal expected tissue healing time and become chronic. Eighty five percent of chronic low back pain (CLBP) disorders have no known diagnosis leading to a classification of 'no...

    journal_title:Manual therapy

    pub_type: 杂志文章,评审


    authors: O'Sullivan P

    更新日期:2005-11-01 00:00:00

  • The initial effects of a Mulligan's mobilization with movement technique on range of movement and pressure pain threshold in pain-limited shoulders.

    abstract::There is little known about the specific manual therapy techniques used to treat painfully limited shoulders and their effects on range of movement (ROM) and pressure pain threshold (PPT). The objective of this study was to investigate the initial effects of a Mulligan's mobilization with movement (MWM) technique on s...

    journal_title:Manual therapy

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Teys P,Bisset L,Vicenzino B

    更新日期:2008-02-01 00:00:00

  • Ultrasound imaging with speckle tracking of cervical muscle deformation and deformation rate: isometric contraction of patients after anterior cervical decompression and fusion for cervical disc disease and controls.

    abstract::There is currently a lack of information regarding neck muscle activity during specific exercises. The purpose of the present study was to investigate deformation and deformation rate in different layers of dorsal and ventral neck muscles during isometric neck muscle contraction in individuals after anterior cervical ...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Peolsson A,Löfstedt T,Trygg J,Peolsson M

    更新日期:2012-12-01 00:00:00