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














  • The influence of high and low heeled shoes on EMG timing characteristics of the lumbar and hip extensor complex during trunk forward flexion and return task.

    abstract:BACKGROUND:Recent studies suggest that wearing high-heel shoes increases the risk of developing certain musculoskeletal pain conditions. In this study we sought to examine whether heel height alters lumbar and hip extensor muscle timing characteristics during a standardized trunk flexion task. METHODS:Thirty-one young...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Mika A,Clark BC,Oleksy Ł

    更新日期:2013-12-01 00:00:00

  • Development of a sham comparator for thoracic spinal manipulative therapy for use with shoulder disorders.

    abstract::Prior studies indicate thoracic spinal manipulative therapy (SMT) improves shoulder pain and disability. However, these studies are limited by no control or sham-treatment group. A valid sham comparator for thoracic SMT is needed. Subjects (n=69) without shoulder pain were randomized to one of three groups: thoracic S...

    journal_title:Manual therapy

    pub_type: 杂志文章,随机对照试验


    authors: Michener LA,Kardouni JR,Lopes Albers AD,Ely JM

    更新日期:2013-02-01 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

  • The muscular arch of the axilla revisited: its possible role in the thoracic outlet and shoulder instability syndromes.

    abstract::SUMMARY. The thoracic outlet syndrome and shoulder instability provoke well known and partly similar sensations, often described by the patient as "my arm feels deadellipsisI have no strength in my armellipsisI feel pins and needles in my armellipsis". In axillary surgery, there are sometimes reports of a fibromuscula...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Clarys JP,Barbaix E,Van Rompaey H,Caboor D,Van Roy P

    更新日期:1996-06-01 00:00:00

  • Association of radiographic osteoarthritis, pain on passive movement and knee range of motion: a cross-sectional study.

    abstract:BACKGROUND:Knee pain is associated with radiographic knee osteoarthritis, but the relationships between physical examination, pain and radiographic features are unclear. OBJECTIVE:To examine whether deficits in knee extension or flexion were associated with radiographic severity and pain during clinical examination in...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Hilfiker R,Jüni P,Nüesch E,Dieppe PA,Reichenbach S

    更新日期:2015-04-01 00:00:00

  • Manual therapy for cervicogenic dizziness: Long-term outcomes of a randomised trial.

    abstract::Manual therapy is effective for reducing cervicogenic dizziness, a disabling and persistent problem, in the short term. This study investigated the effects of sustained natural apophyseal glides (SNAGs) and passive joint mobilisations (PJMs) on cervicogenic dizziness compared to a placebo at 12 months post-treatment. ...

    journal_title:Manual therapy

    pub_type: 杂志文章,随机对照试验


    authors: Reid SA,Callister R,Snodgrass SJ,Katekar MG,Rivett DA

    更新日期:2015-02-01 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

  • 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

  • Outcomes of osteopathic manual treatment for chronic low back pain according to baseline pain severity: results from the OSTEOPATHIC Trial.

    abstract:PURPOSE:To assess response to osteopathic manual treatment (OMT) according to baseline severity of chronic low back pain (LBP). METHODS:The OSTEOPATHIC Trial used a randomized, double-blind, sham-controlled, 2×2 factorial design to study OMT for chronic LBP. A total of 269 (59%) patients reported low baseline pain sev...

    journal_title:Manual therapy

    pub_type: 杂志文章,随机对照试验


    authors: Licciardone JC,Kearns CM,Minotti DE

    更新日期:2013-12-01 00:00:00

  • Computer assisted learning in manipulative therapy education.

    abstract::Teaching manipulative therapy is one of the most relevant issues in a physiotherapy course. However, for an effective instruction of this topic practical experience is considered fundamental. To achieve this purpose, this paper presents a computer assisted environment for the practical learning of manipulative therapy...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Dias OP,Amaral TG,Fernão Pires V

    更新日期:2011-06-01 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

  • 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

  • The association between postural alignment and psychosocial factors to upper quadrant pain in high school students: a prospective study.

    abstract::Prolonged sitting and psychosocial factors have been associated with musculoskeletal symptoms among adolescents. However, the impact of prolonged static sitting on musculoskeletal pain among South African high school students is uncertain. A prospective observational study was performed to determine whether sitting po...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Brink Y,Crous LC,Louw QA,Grimmer-Somers K,Schreve K

    更新日期:2009-12-01 00:00:00

  • Central facilitation and remote effects: treating both ends of the system.

    abstract::SUMMARY. This article reports a series of three case studies where the author carried out a spinal mobilization treatment concurrent with the patient's attempt to contract a chronically weakened muscle or muscle group. All of the cases describe enhancement of the contraction of the posterior crural muscles post trauma...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Wilson E

    更新日期:1997-08-01 00:00:00

  • Specific manipulative therapy treatment for chronic lateral epicondylalgia produces uniquely characteristic hypoalgesia.

    abstract::The treatment of lateral epicondylalgia, a widely-used model of musculoskeletal pain in the evaluation of many physical therapy treatments, remains somewhat of an enigma. The protagonists of a new treatment technique for lateral epicondylalgia report that it produces substantial and rapid pain relief, despite a lack o...

    journal_title:Manual therapy

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Vicenzino B,Paungmali A,Buratowski S,Wright A

    更新日期:2001-11-01 00:00:00

  • What do physiotherapists consider to be the best sitting spinal posture?

    abstract::While sitting is a common aggravating factor in low back pain (LBP), the best sitting posture remains unclear. This study investigated the perceptions of 295 physiotherapists in four different European countries on sitting posture. Physiotherapists selected their perceived best sitting posture from a sample of nine op...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: O'Sullivan K,O'Sullivan P,O'Sullivan L,Dankaerts W

    更新日期:2012-10-01 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

  • 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

  • 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

  • Cervical arterial dissection: An overview and implications for manipulative therapy practice.

    abstract:INTRODUCTION:Cervical arterial dissection (CAD) is a common cause of stroke in young people under 55 years. It can occur spontaneously or subsequent to minor trauma or infection. The incidence is difficult to determine accurately as not all CAD progress to stroke. CAD is the most catastrophic adverse event associated w...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Thomas LC

    更新日期:2016-02-01 00:00:00

  • The effects of mobilization with movement on dorsiflexion range of motion, dynamic balance, and self-reported function in individuals with chronic ankle instability.

    abstract::Previous studies have examined the effectiveness of a manual therapy intervention known as Mobilization with Movement (MWM) to increase dorsiflexion range of motion (ROM) in individuals with chronic ankle instability (CAI). While a single talocrural MWM treatment has increased dorsiflexion ROM in these individuals, ex...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Gilbreath JP,Gaven SL,Van Lunen L,Hoch MC

    更新日期:2014-04-01 00:00:00

  • A comparison of symptomatic and asymptomatic office workers performing monotonous keyboard work--2: neck and shoulder kinematics.

    abstract::Prolonged static posture has been identified as a major risk factor for work-related neck and upper limb disorders (WRNULD) in computer users. Previous research has mainly examined working postures in healthy pain-free individuals. The present study examined whether symptomatic subjects exhibited the same kinematic pa...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Szeto GP,Straker LM,O'Sullivan PB

    更新日期:2005-11-01 00:00:00

  • Validity and reliability of smartphone magnetometer-based goniometer evaluation of shoulder abduction--A pilot study.

    abstract:BACKGROUND:Goniometers are commonly used by physical therapists to measure range-of-motion (ROM) in the musculoskeletal system. These measurements are used to assist in diagnosis and to help monitor treatment efficacy. With newly emerging technologies, smartphone-based applications are being explored for measuring join...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Johnson LB,Sumner S,Duong T,Yan P,Bajcsy R,Abresch RT,de Bie E,Han JJ

    更新日期:2015-12-01 00:00:00

  • Impaired trunk muscle function in sub-acute neck pain: etiologic in the subsequent development of low back pain?

    abstract::Low back pain (LBP) and neck pain are associated with dysfunction of the trunk and neck muscles, respectively, and may involve common or similar mechanisms. In both cases, dysfunction may compromise spinal control. Anecdotally, neck pain patients commonly develop LBP. This study investigated the possibility that trunk...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Moseley GL

    更新日期:2004-08-01 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

  • A review of plantar heel pain of neural origin: differential diagnosis and management.

    abstract::Plantar heel pain is a symptom commonly encountered by clinicians. Several conditions such as plantar fasciitis, calcaneal fracture, rupture of the plantar fascia and atrophy of the heel fat pad may lead to plantar heel pain. Injury to the tibial nerve and its branches in the tarsal tunnel and in the foot is also a co...

    journal_title:Manual therapy

    pub_type: 杂志文章,评审


    authors: Alshami AM,Souvlis T,Coppieters MW

    更新日期:2008-05-01 00:00:00

  • Recognition of central sensitization in patients with musculoskeletal pain: Application of pain neurophysiology in manual therapy practice.

    abstract::Central sensitization plays an important role in the pathophysiology of numerous musculoskeletal pain disorders, yet it remains unclear how manual therapists can recognize this condition. Therefore, mechanism based clinical guidelines for the recognition of central sensitization in patients with musculoskeletal pain a...

    journal_title:Manual therapy

    pub_type: 杂志文章,评审


    authors: Nijs J,Van Houdenhove B,Oostendorp RA

    更新日期:2010-04-01 00:00:00

  • Absence of the inferior portion of the trapezius muscle in three family members.

    abstract::Absence of the trapezius muscle is regarded as relatively rare. This report presents the clinical observations for absence of the inferior portion of the trapezius muscle in three family members that were later confirmed in vivo with magnetic resonance imaging. The absences occurred in two sisters and the son of one s...

    journal_title:Manual therapy

    pub_type: 杂志文章


    authors: Bergin M,Elliott J,Jull G

    更新日期:2011-12-01 00:00:00

  • Orofacial manual therapy improves cervical movement impairment associated with headache and features of temporomandibular dysfunction: a randomized controlled trial.

    abstract::There is evidence that temporomandibular disorder (TMD) may be a contributing factor to cervicogenic headache (CGH), in part because of the influence of dysfunction of the temporomandibular joint on the cervical spine. The purpose of this randomized controlled trial was to determine whether orofacial treatment in addi...

    journal_title:Manual therapy

    pub_type: 杂志文章,随机对照试验


    authors: von Piekartz H,Hall T

    更新日期:2013-08-01 00:00:00

  • Abdominal and pelvic floor muscle function in women with and without long lasting pelvic girdle pain.

    abstract::Approximately 5-20% of postpartum women suffer from long-lasting pelvic girdle pain (PGP). The etiology and pathogenesis of PGP are still unclear. The aim of this study was to examine whether subjects with and without persisting PGP and disability differed with respect to their ability to voluntarily contract the deep...

    journal_title:Manual therapy

    pub_type: 杂志文章,随机对照试验


    authors: Stuge B,Mørkved S,Dahl HH,Vøllestad N

    更新日期:2006-11-01 00:00:00