Palpation

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palpation

[pal′pā·shən]
(medicine)
Diagnostic examination by touch.

Palpation

 

a method of medical examination of a patient. Palpation in the broad sense, for example, feeling the pulse, is mentioned as early as the works of Hippocrates; however, for examination of internal organs it became common in the second half of the 19th century, following the work of R. Laënnec, Joseph Ŝkoda, and V. P. Obraztsov. Palpation is based on tactile perception that results from moving and pressing the fingers or palm of the palpating hand. Tissues and organs are palpated to determine their position, size, shape, consistency, mobility, topographic interrelations, and tenderness.

Palpation may be superficial or deep. Superficial palpation is performed with one or both palms placed flat on the examined area of the skin, joints, heart, or other part of the body. Blood vessels are palpated with the tips of the fingers to determine fullness and the condition of the walls. Deep palpation is performed by special methods that differ for examination of the stomach, intestinal tract (sliding palpation, developed by Obraztsov), liver, spleen and kidneys, rectum, vagina, and other organs.

REFERENCE

Miasnikov, A. L. Osnovy diagnostiki i chastnoi patologii (propedevtika) vnutrennikh boleznei, 2nd ed. Moscow, 1951.

V. S. IAKOVLEVA

References in periodicals archive ?
It is instructive to relate these findings to the practice of motion palpation. In all likelihood abject segmental specificity on a putative site of care is not required, since an intervention would generally address a motion segment consisting of 2 vertebrae.
Few studies have reported on the content validity (i.e., have defined a reference standard) for motion palpation. Najm (34) found only 5 that satisfied the inclusion criteria in a 2003 systematic review showing equivocal validity.
The authors would suggest the most-fixated level paradigm best captures the operational definition of motion palpation as it is usually done, and is thus more clinically relevant than level-by-level analysis of agreement.
Thirty-six to 43% of student respondents reported personal experience as their rationale for their use of LLI and motion palpation. Nearly 35% used personal experience as their rationale for responses to using radiographic analysis.
This rationale was chosen by less than 15% for static and motion palpation as well as LLI assessments.
Preliminary studies with a mechanical model for the evaluation of spinal motion palpation. Clinical Biomechanics.
Interexaminer motion palpation studies generally assess agreement on the spinal level of hypomobility, but infrequently report the direction or side of restriction.
The better reliability seen in our study compared with most previous motion palpation studies is not attributable to any improvements to the end-feel palpatory method, nor do they confirm a better method for identifying the most appropriate spinal site of care.
Respondents reported they AA/O perform a number of tests for the lumbopelvic spine, including static palpation (99.1%), joint play (96.3%), straight leg raise (95.3%), ranges of motion (95.3%), PSIS joint challenge (91.4%), motion palpation (86.9%), gait analysis (85%), Kemp's (82.2%), crossed straight leg raise (79.2%), and Sacral Thrust (79%).
These mainly consist of segmental joint play, static and motion palpation, ranges of motion and neurologic testing of the different spinal regions.
Search terms included "motion palpation," "spine," and "sacroiliac." A secondary search was conducted using the references cited in the first group of papers retrieved.
We also took advantage of the narrative review fromat, because our goal was to provide the chiropractic clinicians and educators easy access to virtually all the published literature on the reliability of motion palpation, with the stipulation that some of this literature is marked with obvious flaws (some of which we point out).