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Rey-Mota J, Escribano-Colmena G, Fernández-Lucas J, Parraca JA, Clemente-Suárez VJ. Impact of professional experience on clinical judgment and muscular response in various neuromuscular tests. Physiol Behav 2024; 283:114602. [PMID: 38851442 DOI: 10.1016/j.physbeh.2024.114602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2024] [Revised: 05/30/2024] [Accepted: 06/05/2024] [Indexed: 06/10/2024]
Abstract
Muscle testing is an integral component in assessing musculoskeletal function and tailoring rehabilitation efforts. This study aimed i. to identify an objective evaluation system sensitive to analyze changes in different muscular conditions in different neuromuscular tests across a spectrum of professional experience levels; and ii. to analyze differences in objective parameters and clinical judgment between participants of different levels of expertise in different muscular conditions in different neuromuscular tests. Participants included 60 subjects with Level I to III expertise who performed blinded neuromuscular tests on the middle deltoid and rectus femoris muscles of 40 volunteer subjects. The methodology centered on standardizing test protocols to minimize variability, employing EMG to quantify muscle activity, thermography to capture thermographic muscular response, and digital dynamometry to measure muscular resistance. The findings revealed that while traditional methods like thermography and electromyography provide valuable insights, digital dynamometry stands out for its sensitivity in detecting muscle condition changes in neuromuscular test. Moreover, the data underscored the pivotal role of advanced training and expertise in enhancing the precision and accuracy of neuromuscular diagnostics, since there were significant differences in objective parameters and clinical judgment between participants of different levels of expertise in the different muscular conditions in Middle deltoid and Rectus femoris neuromuscular tests analyzed, presenting higher expertise participant clinical judgment like objective validated instrument.
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Affiliation(s)
| | | | - Jesús Fernández-Lucas
- Applied Biotechnology Group, Universidad Europea de Madrid, Urbanización El Bosque, 28670, Villaviciosa de Odón, Spain; Grupo de Investigación en Ciencias Naturales y Exactas, GICNEX, Universidad de la Costa, CUC, Calle 58 # 55-66, 080002, Barranquilla, Colombia; Department of Biochemistry and Molecular Biology, Faculty of Biology, Universidad Complutense de Madrid, Calle José Antonio Novais, 12, 28040 Madrid, Spain.
| | - Jose A Parraca
- Departamento de Desporto e Saúde, Escola de Saúde e Desenvolvimento Humano, Universidade de Évora, 7004 516 Évora, Portugal; Comprehensive Health Research Centre (CHRC), University of Évora, 7004-516 Évora, Portugal
| | - Vicente Javier Clemente-Suárez
- Grupo de Investigación en Cultura, Educación y Sociedad, Universidad de la Costa, 080002 Barranquilla, Colombia; Universidad Europea de Madrid. Faculty of Sports Sciences. Tajo Street, s/n, 28670 Madrid, Spain
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Novelli E, Molinari L, Consolo S, Mingrone L. Palpatory tests in manual therapies: an international survey on osteopathic clinical practice. JOURNAL OF COMPLEMENTARY & INTEGRATIVE MEDICINE 2023; 20:431-437. [PMID: 36351325 DOI: 10.1515/jcim-2022-0180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Accepted: 10/10/2022] [Indexed: 06/16/2023]
Abstract
OBJECTIVES The primary aim of the study is to explore the knowledge and use of palpatory tests in detecting somatic dysfunction, the second is to assess the knowledge about the inhibitory tests among osteopathic practitioners in Italy, England, and France. METHODS A quantitative survey was conducted, between March and May 2021, through the administration of a semi-structured questionnaire. The participants had to answer 8 questions. RESULTS A total of 2,223 e-mails were sent: 423 manual therapy professionals participated in the survey. Subsequently, only the responses of the 385 osteopaths (280 Italian, 23 French and 82 British) were included in the data processing; the 38 excluded were physiotherapists and chiropractors. The most significative outcomes for the total sample were found to: years of working experience and knowledge of a palpatory test that allows to discriminate two dysfunctional anatomical structures was significant with a χ2=12.509 (p-value <0.006); 68.5% answered in the affirmative to this last question. It was found that less work experience is associated with knowledge of a palpatory test to discriminate two dysfunctional structures. The correlation between years of work experience and knowledge of the inhibitory test was explored with the result being statistically significant (p-value <0.001). 64.4% know and use the inhibitory test. 39.1% base the inhibitory test on tissue change. CONCLUSIONS The clinical practice of Italian and French professionals, makes possible to establish the hierarchy between two somatic dysfunctions with respect to English sample. The osteopaths reported a wider use of the tissue change parameters rather than pain reported by the patient. Furthermore, more than half of the sample-based their discriminatory test on the musculoskeletal and fascial systems. There is a vast knowledge of the inhibition test among osteopaths.
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Affiliation(s)
- Emanuele Novelli
- Centre pour l'Etude, la Recherche et la Diffusion Osteopatiques, Department of research, Rome, Italy
| | - Livio Molinari
- Centre pour l'Etude, la Recherche et la Diffusion Osteopatiques, Department of research, Rome, Italy
| | - Stefano Consolo
- Centre pour l'Etude, la Recherche et la Diffusion Osteopatiques, Department of research, Rome, Italy
| | - Luca Mingrone
- Centre pour l'Etude, la Recherche et la Diffusion Osteopatiques, Department of research, Rome, Italy
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MacMillan A, Gauthier P, Alberto L, Ives R, Williams C, Draper-Rodi DJ. Osteopathic education: A scoping review. INT J OSTEOPATH MED 2023. [DOI: 10.1016/j.ijosm.2023.100663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/30/2023]
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Exploring lumbo-pelvic functional behaviour patterns during osteopathic motion tests: A biomechanical (en)active inference approach to movement analysis. INT J OSTEOPATH MED 2022. [DOI: 10.1016/j.ijosm.2022.05.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
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Phillips AR. Professional identity in osteopathy: A scoping review of peer-reviewed primary osteopathic research. INT J OSTEOPATH MED 2022. [DOI: 10.1016/j.ijosm.2022.06.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Wheble R, Channon SB. What Use is Anatomy in First Opinion Small Animal Veterinary Practice? A Qualitative Study. ANATOMICAL SCIENCES EDUCATION 2021; 14:440-451. [PMID: 32558304 DOI: 10.1002/ase.1995] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/11/2019] [Revised: 05/14/2020] [Accepted: 06/11/2020] [Indexed: 06/11/2023]
Abstract
Despite the uncontested importance of anatomy as one of the foundational aspects of undergraduate veterinary programs, there is still limited information available as to what anatomy knowledge is most important for the graduate veterinarian in their daily clinical work. The aim of this study was therefore to gain a deeper understanding of the role that anatomy plays in first opinion small animal veterinary practice. Using ethnographic methodologies, the authors aimed to collect rich qualitative data to answer the question "How do first opinion veterinarians use anatomy knowledge in their day-to-day clinical practice?" Detailed observations and semi-structured interviews were conducted with five veterinarians working within a single small animal first opinion practice in the United Kingdom. Thematic analysis was undertaken, identifying five main themes: Importance; Uncertainty; Continuous learning; Comparative and dynamic anatomy; and Communication and language. Anatomy was found to be interwoven within all aspects of clinical practice; however, veterinarians were uncertain in their anatomy knowledge. This impacted their confidence and how they carried out their work. Veterinarians described continually learning and refreshing their anatomy knowledge in order to effectively undertake their role, highlighting the importance of teaching information literacy skills within anatomy curricula. An interrelationship between anatomy use, psychomotor, and professional skills was also highlighted. Based on these findings, recommendations were made for veterinary anatomy curriculum development. This study provides an in-depth view within a single site small animal general practice setting: further work is required to assess the transferability of these findings to other areas of veterinary practice.
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Affiliation(s)
| | - Sarah Beth Channon
- Department of Comparative Biomedical Sciences, The Royal Veterinary College, London, United Kingdom
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Baroni F, Ruffini N, D'Alessandro G, Consorti G, Lunghi C. The role of touch in osteopathic practice: A narrative review and integrative hypothesis. Complement Ther Clin Pract 2021; 42:101277. [PMID: 33348305 DOI: 10.1016/j.ctcp.2020.101277] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Revised: 08/05/2020] [Accepted: 11/18/2020] [Indexed: 12/14/2022]
Abstract
INTRODUCTION Osteopathy relies on a touch-based approach to promote health. This narrative review aims to analyze the role of touch in clinical osteopathic practice. METHODS A database search was conducted using MEDLINE, EMBASE, PEDro and Google Scholar. Peer-reviewed papers without specifying limits on dates and design were included. RESULTS 47 articles met the inclusion criteria and were used to elucidate two main themes: Biological and psychological effects of touch; Touch in the context of osteopathic clinical reasoning. DISCUSSION Touch is one of the tools to achieve a collaborative interaction with the patient, to substantiate clinical information, and to detect somatic dysfunctions: neuro-myofascial active areas that might act as an osteopath-patient interface to transmit the biological and physiological effects of touch. CONCLUSION The findings of the review support a shared decision-making process, in which touch is one of the osteopath-patient dyad 's leading communication tools to develop a tailor-made osteopathic approach.
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Affiliation(s)
- Francesca Baroni
- Clinical-based Human Research Department, Research Division, COME Collaboration, Pescara, Italy; Malta ICOM Educational, Malta
| | - Nuria Ruffini
- Clinical-based Human Research Department, Research Division, COME Collaboration, Pescara, Italy; National Centre Germany, Foundation C.O.ME. Collaboration, Berlin, Germany
| | | | - Giacomo Consorti
- Clinical-based Human Research Department, Research Division, COME Collaboration, Pescara, Italy; Research Department of the Centre pour L'Etude, La Recherche et La Diffusion Osteopathiques (C.E.R.D.O.), Rome, Italy.
| | - Christian Lunghi
- Clinical-based Human Research Department, Research Division, COME Collaboration, Pescara, Italy; Malta ICOM Educational, Malta
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Demers K, Morin C, Collette L, DeMont R. Moderate to Substantial Inter-Rater Reliability in the Assessment of Cranial Bone Mobility Restrictions. J Altern Complement Med 2021; 27:263-272. [PMID: 33395535 DOI: 10.1089/acm.2020.0325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Background: The World Health Organization benchmarks for osteopathic training consider cranial osteopathy as an important manual skill. Studies of cranial manual therapy have exhibited poor reliability. The aim of this study was to investigate the inter-rater reliability of the manual mobility tests of the spheno-occipital synchondrosis (SOS), and the temporal, parietal, and frontal bones, as assessed in osteopathic manual therapy. Methods: Twenty-one adults were assessed on a single day by three experienced osteopaths using a standard assessment protocol. Before data collection, the osteopaths participated in a consensus training, which included establishing the criteria for identifying a cranial bone mobility restriction; the application of the seven-step palpation method; a pretesting practice; a fine-tuning palpation training; and a calibration period before the assessment of the subjects. Three subjects were assessed simultaneously with the evaluators rotating to assess each subject. The evaluators were blinded to the subject by a curtain, and each other's assessments. Each bone was rated as restricted or not restricted. The authors applied the Landis and Koch classification to describe the magnitude of inter-rater reliability. Results: Moderate reliability was established for a lateral strain of the SOS (Fleiss' generalized kappa 0.48), substantial reliability was established for the other SOS strain patterns (Fleiss' generalized kappa 0.62-0.75), and almost perfect reliability for temporal, parietal, and frontal bone (Fleiss' generalized kappa 0.81-0.96). Conclusion: The results demonstrate consistency when three experienced osteopaths evaluate cranial bone mobility restrictions. The results highlight the importance of consensus training and rigorous methodology in manual therapy reliability studies.
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Affiliation(s)
- Kyla Demers
- Department of Health, Kinesiology and Applied Physiology, Concordia University, Montreal, Canada.,Centre Ostéopathique du Québec, Montréal, Canada
| | - Chantal Morin
- Centre Ostéopathique du Québec, Montréal, Canada.,Faculty of Medicine and Health Sciences, School of Rehabilitation, Sherbrooke University, Sherbrooke, Canada
| | | | - Richard DeMont
- Department of Health, Kinesiology and Applied Physiology, Concordia University, Montreal, Canada
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Kamp R, Möltner A, Harendza S. "Princess and the pea" - an assessment tool for palpation skills in postgraduate education. BMC MEDICAL EDUCATION 2019; 19:177. [PMID: 31146715 PMCID: PMC6543652 DOI: 10.1186/s12909-019-1619-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/17/2018] [Accepted: 05/22/2019] [Indexed: 06/09/2023]
Abstract
BACKGROUND In osteopathic medicine, palpation is considered to be the key skill to be acquired during training. Whether palpation skills are adequately acquired during undergraduate or postgraduate training is difficult to assess. The aim of our study was to test a palpation assessment tool developed for undergraduate medical education in a postgraduate medical education (PME) setting. METHODS We modified and standardized an assessment tool, where a coin has to be palpated under different layers of copy paper. For every layer depth we randomized the hiding positions with a random generator. The task was to palpate the coin or to determine that no coin was hidden in the stack. We recruited three groups of participants: 22 physicians with no training in osteopathic medicine, 25 participants in a PME course of osteopathic techniques before and after a palpation training program, 31 physicians from an osteopathic expert group with at least 700 h of osteopathic skills training. These experts ran the test twice to check for test-retest-reliability. Inferential statistical analyzes were performed using generalized linear mixed models with the dichotomous variable "coin detected / not detected" as the dependent variable. RESULTS We measured a test-retest reliability of the assessment tool as a whole with 56 stations in the expert group of 0.67 (p < 0.001). For different paper layers, we found good retest reliabilities up to 300 sheets. The control group detected a coin significantly better in a depth of 150 sheets (p = 0.01) than the pre-training group. The osteopathic training group showed significantly more correct coin localizations after the training in layer depths of 200 (p = 0.03) and 300 sheets (p = 0.05). This group also had significantly better palpation results than the expert group in the depth of 300 sheets (p = 0.001). When there was no coin hidden, the expert group showed significantly better results than the post-training group (p = 0.01). CONCLUSIONS Our tool can be used with reliable results to test palpation course achievements with 200 and 300 sheets of paper. Further refinements of this tool will be needed to use it in complex assessment designs for the evaluation of more sophisticated palpatory skills in postgraduate medical settings.
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Affiliation(s)
- Rainer Kamp
- Academy of Medical Education of the Medical Council Westphalia-Lippe, Ärztekammer Westfalen-Lippe and Kassenärztliche Vereinigung Westfalen-Lippe, Münster, Germany
| | - Andreas Möltner
- Ruprecht-Karls-University, Center of Excellence for Assessment in Medicine – Baden Württemberg, Heidelberg, Germany
| | - Sigrid Harendza
- III. Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
- Universitätsklinikum Hamburg-Eppendorf, III. Medizinische Klinik Martinistr. 52, 20246 Hamburg, Germany
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Nathaniel TI, Gainey JC, Williams JA, Stewart BL, Hood MC, Brechtel LE, Faulkner RV, Pendergrass JS, Black LA, Griffin SK, Troup CE, Reuben JS, Black AC. Impact and educational outcomes of a small group self-directed teaching strategy in a clinical neuroscience curriculum. ANATOMICAL SCIENCES EDUCATION 2018; 11:478-487. [PMID: 29251834 DOI: 10.1002/ase.1759] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/14/2017] [Revised: 06/27/2017] [Accepted: 11/18/2017] [Indexed: 06/07/2023]
Abstract
The complexity of the material being taught in clinical neuroscience within the medical school curriculum requires creative pedagogies to teach medical students effectively. Many clinical teaching strategies have been developed and are well described to address these challenges. However, only a few have been evaluated to determine their impact on the performance of students studying clinical neuroscience. Interactive, 2-hour, self-directed small-group interactive clinical case-based learning sessions were conducted weekly for 4 weeks to integrate concepts learned in the corresponding didactic lectures. Students in the small groups analyzed cases of patients suffering from neurological disease that were based on eight learning objectives that allowed them to evaluate neuroanatomical data and clinical findings before presenting their case analysis to the larger group. Students' performances on the formative quizzes and summative tests were compared to those of first-year medical students in the previous year for whom the self-directed, small-group interactive clinical sessions were not available. There was a significant improvement in the summative performance of first-year medical students with self-directed clinical case learning in the second year (Y2) of teaching clinical neuroscience (P < 0.05) when compared with first-year students in the first year (Y1) for whom the self-directed learning approach was not available. Student performance in the formative assessments between Y1 and Y2 was not significantly different (P = 0.803). A target of ≥70% student scoring above 80% in the final summative examination was met. The current study revealed evidence for the impact and educational outcomes of a self-directed, clinical teaching strategy in a clinical neuroscience curriculum for first-year medical students. Anat Sci Educ 11: 478-487. © 2017 American Association of Anatomists.
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Affiliation(s)
- Thomas I Nathaniel
- Department of Biomedical Sciences, University of South Carolina School of Medicine Greenville, Greenville, South Carolina
| | - Jordan C Gainey
- University University of South Carolina School of Medicine Greenville, Greenville, South Carolina
| | - Jessica A Williams
- University University of South Carolina School of Medicine Greenville, Greenville, South Carolina
| | - Bianca L Stewart
- University University of South Carolina School of Medicine Greenville, Greenville, South Carolina
| | - Michael C Hood
- University University of South Carolina School of Medicine Greenville, Greenville, South Carolina
| | - Leanne E Brechtel
- University University of South Carolina School of Medicine Greenville, Greenville, South Carolina
| | - Rakiya V Faulkner
- University University of South Carolina School of Medicine Greenville, Greenville, South Carolina
| | - Jasmine S Pendergrass
- University University of South Carolina School of Medicine Greenville, Greenville, South Carolina
| | - Leigh-Ann Black
- University University of South Carolina School of Medicine Greenville, Greenville, South Carolina
| | - Scott K Griffin
- University University of South Carolina School of Medicine Greenville, Greenville, South Carolina
| | | | - Jayne S Reuben
- Department of Biomedical Sciences, University of South Carolina School of Medicine Greenville, Greenville, South Carolina
| | - Asa C Black
- Department of Biomedical Sciences, University of South Carolina School of Medicine Greenville, Greenville, South Carolina
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Abstract
Previous research into osteopathic clinical and diagnostic decision making suggests that reasoning is commonly based on highly analytical as well as intuitive processes. According to the dual-process theory, the intuitive and analytical processing that leads to decision making is equally important in diagnostic reasoning. This article aims to explore the underlying and influencing factors that may lead to the development and reliability of intuition in clinical decision making generally and in osteopathic clinical reasoning specifically. Practical suggestions are given on how to encourage the development of intuition within the context of osteopathic teaching and practice.
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Ziat M, Park M, Kakas B, Rosenbaum DA. Potters Make Shorter Pots Under Conditions of Reduced Sensory Input. Perception 2018; 47:860-872. [PMID: 29886803 DOI: 10.1177/0301006618781511] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Although people have made clay pots for millennia, little behavioral research has explored how they do so. We were specifically interested in potters' use of auditory, haptic, and visual feedback. We asked what would happen if one or two of these sources of feedback were removed and potters tried to create pots of a given height, stopping when they thought they had reached that height. We asked students in a pottery class to build simple clay vessels either when they had full sensory feedback (in the control condition for all participants) or when they had reduced input from one modality (in Experiment 1) or two modalities (in Experiment 2). Participants were asked to stop building the vessels when they thought the vessels were 5 in. high. We found that participants produced shorter vessels when one or more forms of sensory feedback was reduced. The degree of shortening did not depend on the type or number of reduced sensory channels. The results are consistent with a control hypothesis where potters must have learned how to use sensory feedback from the modalities to help them control their ceramic creations. The results help highlight the importance of the intimate connections between perception and action.
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Affiliation(s)
- Mounia Ziat
- Northern Michigan University, Marquette, MI, USA
| | - Min Park
- Northern Michigan University, Marquette, MI, USA
| | - Brian Kakas
- Northern Michigan University, Marquette, MI, USA
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Osteopathic clinical reasoning: An ethnographic study of perceptual diagnostic judgments, and metacognition. INT J OSTEOPATH MED 2018. [DOI: 10.1016/j.ijosm.2018.03.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Sciomachen P, Arienti C, Bergna A, Castagna C, Consorti G, Lotti A, Lunghi C, Tramontano M, Longobardi M. Core competencies in osteopathy: Italian register of osteopaths proposal. INT J OSTEOPATH MED 2018. [DOI: 10.1016/j.ijosm.2018.02.001] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Integration of Patients into First-year Neuroscience Medical Curriculum. HEALTH PROFESSIONS EDUCATION 2018. [DOI: 10.1016/j.hpe.2017.02.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
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The role of ultrasound and preparation in first-year medical students' learning lumbar spine anatomy and diagnostic skills. INT J OSTEOPATH MED 2017. [DOI: 10.1016/j.ijosm.2016.10.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Sposato NS, Bjerså K. Experiences of intervertebral motion palpation in osteopathic practice – A qualitative interview study among Swedish osteopaths. J Bodyw Mov Ther 2017; 21:101-108. [DOI: 10.1016/j.jbmt.2016.05.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2016] [Revised: 05/04/2016] [Accepted: 05/06/2016] [Indexed: 11/17/2022]
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Roots SA, Niven E, Moran RW. Osteopaths' clinical reasoning during consultation with patients experiencing acute low back pain: A qualitative case study approach. INT J OSTEOPATH MED 2016. [DOI: 10.1016/j.ijosm.2015.06.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Casey-Trott T, Heerkens JLT, Petrik M, Regmi P, Schrader L, Toscano MJ, Widowski T. Methods for assessment of keel bone damage in poultry. Poult Sci 2015; 94:2339-50. [PMID: 26287001 DOI: 10.3382/ps/pev223] [Citation(s) in RCA: 67] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2015] [Accepted: 06/15/2015] [Indexed: 12/22/2022] Open
Abstract
Keel bone damage (KBD) is a critical issue facing the laying hen industry today as a result of the likely pain leading to compromised welfare and the potential for reduced productivity. Recent reports suggest that damage, while highly variable and likely dependent on a host of factors, extends to all systems (including battery cages, furnished cages, and non-cage systems), genetic lines, and management styles. Despite the extent of the problem, the research community remains uncertain as to the causes and influencing factors of KBD. Although progress has been made investigating these factors, the overall effort is hindered by several issues related to the assessment of KBD, including quality and variation in the methods used between research groups. These issues prevent effective comparison of studies, as well as difficulties in identifying the presence of damage leading to poor accuracy and reliability. The current manuscript seeks to resolve these issues by offering precise definitions for types of KBD, reviewing methods for assessment, and providing recommendations that can improve the accuracy and reliability of those assessments.
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Affiliation(s)
- T Casey-Trott
- Animal and Poultry Science, University of Guelph, 50 Stone Road East, Guelph, Ontario, N1G 2W1, Canada
| | - J L T Heerkens
- Institute for Agricultural and Fisheries Research, Animal Sciences Unit - Farm Animal Welfare & Behaviour Research Group, Scheldeweg 68, 9090 Melle, Belgium
| | - M Petrik
- Animal and Poultry Science, University of Guelph, 50 Stone Road East, Guelph, Ontario, N1G 2W1, Canada
| | - P Regmi
- Department of Animal Science, Anthony Hall, 474 S. Shaw Lane, East Lansing, MI 48824 USA
| | - L Schrader
- Research Center for Proper Housing: Poultry and Rabbits (ZTHZ) Division of Animal Welfare, VPH Institute, University of Bern, Burgerweg 22, 3052 Zollikofen, Switzerland
| | - M J Toscano
- Research Center for Proper Housing: Poultry and Rabbits (ZTHZ) Division of Animal Welfare, VPH Institute, University of Bern, Burgerweg 22, 3052 Zollikofen, Switzerland
| | - T Widowski
- Animal and Poultry Science, University of Guelph, 50 Stone Road East, Guelph, Ontario, N1G 2W1, Canada
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Williamson JA, Hecker K, Yvorchuk K, Artemiou E, French H, Fuentealba C. Development and validation of a feline abdominal palpation model and scoring rubric. Vet Rec 2015. [DOI: 10.1136/vr.103212] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- J. A. Williamson
- Ross University School of Veterinary Medicine, P.O. Box 334, Basseterre, St. Kitts
- Lincoln Memorial University College of Veterinary Medicine; 6965 Cumberland Gap Pkwy Harrogate TN 37752 USA
| | - K. Hecker
- Faculty of Veterinary Medicine; University of Calgary; TRW 2D01, 3280 Hospital Drive NW Calgary Alberta Canada T2N 4Z6
| | - K. Yvorchuk
- Ross University School of Veterinary Medicine, P.O. Box 334, Basseterre, St. Kitts
| | - E. Artemiou
- Ross University School of Veterinary Medicine, P.O. Box 334, Basseterre, St. Kitts
| | - H. French
- Ross University School of Veterinary Medicine, P.O. Box 334, Basseterre, St. Kitts
| | - C. Fuentealba
- Ross University School of Veterinary Medicine, P.O. Box 334, Basseterre, St. Kitts
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Liem T. Pitfalls and challenges involved in the process of perception and interpretation of palpatory findings. INT J OSTEOPATH MED 2014. [DOI: 10.1016/j.ijosm.2014.04.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Spadaccini J, Esteves JE. Intuition, analysis and reflection: An experimental study into the decision-making processes and thinking dispositions of osteopathy students. INT J OSTEOPATH MED 2014. [DOI: 10.1016/j.ijosm.2014.04.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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