Abstract:
OBJECTIVE:The aim of this study was to develop and validate a multivariate prediction model, guided by palpation and personal information, for locating the seventh cervical spinous process (C7SP). METHODS:A single-blinded, cross-sectional study at a primary to tertiary health care center was conducted for model development and temporal validation. One-hundred sixty participants were prospectively included for model development (n = 80) and time-split validation stages (n = 80). The C7SP was located using the thorax-rib static method (TRSM). Participants underwent chest radiography for assessment of the inner body structure located with TRSM and using radio-opaque markers placed over the skin. Age, sex, height, body mass, body mass index, and vertex-marker distance (DV-M) were used to predict the distance from the C7SP to the vertex (DV-C7). Multivariate linear regression modeling, limits of agreement plot, histogram of residues, receiver operating characteristic curves, and confusion tables were analyzed. RESULTS:The multivariate linear prediction model for DV-C7 (in centimeters) was DV-C7 = 0.986DV-M + 0.018(mass) + 0.014(age) - 1.008. Receiver operating characteristic curves had better discrimination of DV-C7 (area under the curve = 0.661; 95% confidence interval = 0.541-0.782; P = .015) than DV-M (area under the curve = 0.480; 95% confidence interval = 0.345-0.614; P = .761), with respective cutoff points at 23.40 cm (sensitivity = 41%, specificity = 63%) and 24.75 cm (sensitivity = 69%, specificity = 52%). The C7SP was correctly located more often when using predicted DV-C7 in the validation sample than when using the TRSM in the development sample: n = 53 (66%) vs n = 32 (40%), P < .001. CONCLUSIONS:Better accuracy was obtained when locating the C7SP by use of a multivariate model that incorporates palpation and personal information.
journal_name
J Manipulative Physiol Therjournal_title
Journal of manipulative and physiological therapeuticsauthors
Ferreira APA,Póvoa LC,Zanier JFC,Ferreira ASdoi
10.1016/j.jmpt.2016.10.012subject
Has Abstractpub_date
2017-02-01 00:00:00pages
89-97issue
2eissn
0161-4754issn
1532-6586pii
S0161-4754(16)30279-2journal_volume
40pub_type
杂志文章abstract:OBJECTIVE:Good communication between health care professionals has proved to be important in ensuring high standards of care. Patients have shown an increased use of complementary medicine (eg, chiropractic) in addition to conventional medicine. However, this does not automatically guarantee good cooperation and commun...
journal_title:Journal of manipulative and physiological therapeutics
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journal_title:Journal of manipulative and physiological therapeutics
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journal_title:Journal of manipulative and physiological therapeutics
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journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1067/mmt.2002.121413
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journal_title:Journal of manipulative and physiological therapeutics
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journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2017.11.001
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journal_title:Journal of manipulative and physiological therapeutics
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journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章,评审
doi:
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journal_title:Journal of manipulative and physiological therapeutics
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journal_title:Journal of manipulative and physiological therapeutics
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journal_title:Journal of manipulative and physiological therapeutics
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journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2014.05.007
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journal_title:Journal of manipulative and physiological therapeutics
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journal_title:Journal of manipulative and physiological therapeutics
pub_type: 临床试验,杂志文章
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journal_title:Journal of manipulative and physiological therapeutics
pub_type: 临床试验,杂志文章
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journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
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journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
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journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
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更新日期:2015-05-01 00:00:00
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journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
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journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2017.06.001
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journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
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journal_title:Journal of manipulative and physiological therapeutics
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更新日期:2012-07-01 00:00:00
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journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2014.08.002
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journal_title:Journal of manipulative and physiological therapeutics
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1016/j.jmpt.2005.07.003
更新日期:2005-09-01 00:00:00
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journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
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更新日期:2020-06-01 00:00:00
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journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:10.1016/j.jmpt.2005.04.007
更新日期:2005-06-01 00:00:00
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journal_title:Journal of manipulative and physiological therapeutics
pub_type: 指南,杂志文章,评审
doi:
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journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1996-03-01 00:00:00
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journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
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journal_title:Journal of manipulative and physiological therapeutics
pub_type: 杂志文章
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