AI Article Synopsis
- A study examined how reliable chiropractors are at interpreting cervical paraspinal thermographic scans for spinal manipulation.
- Researchers involving 17 experienced chiropractors found fair overall reliability (k=0.43) in classifying thermographic findings but good agreement for full patterns (k=0.73) and poor for partial categories (k=0.05-0.22).
- The findings suggest that while some thermographic classifications are consistent among examiners, there's a need for more research to assess their usefulness in clinical decision-making.
Article Abstract
Introduction: A few spinal manipulation techniques use paraspinal surface thermography as an examination tool that informs clinical-decision making; however, inter-examiner reliability of this interpretation has not been reported. The purpose of this study was to report inter-examiner reliability for classifying cervical paraspinal thermographic findings.
Methods: Seventeen doctors of chiropractic self-reporting a minimum of 2 years of experience using thermography classified thermographic scans into categories (full pattern, partial +, partial, partial -, and adaptation). Kappa statistics (k) were calculated to determine inter-examiner reliability.
Results: Overall inter-examiner reliability was fair (k=0.43). There was good agreement for identifying full pattern (k=0.73) and fair agreement for adaptation (k=0.55). Poor agreement was noted in partial categories (k=0.05-0.22).
Conclusion: Inter-examiner reliability demonstrated fair to good agreement for identifying comparable (full pattern) and disparate (adaptation) thermographic findings; agreement was poor for those with moderate similarity (partial). Further research is needed to determine whether thermographic findings should be used in clinical decision-making for spinal manipulation.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4486995 | PMC |
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