• Medicine · Nov 2022

    Abdominal examination using pressure pain threshold algometer reflecting clinical characteristics of complementary and alternative medicine in Korea: A systematic review and a brief proposal.

    • Yohwan Kim and Kyuseok Kim.
    • Kyung Hee University College of Korean Medicine, Kyung Hee University Medical Center, Seoul, Republic of Korea.
    • Medicine (Baltimore). 2022 Nov 18; 101 (46): e31417e31417.

    BackgroundA review was conducted to determine a pressure algometry measurement during abdominal examination that reflects clinical settings of traditional Korean medicine.MethodsAfter reviewing the previous studies, we have proposed a reference index, common posture and method for performing pressure algometry during abdominal examination. Keyword search using eight databases was performed. To identify the characteristics of pressure algometry during abdominal examination, keywords (e.g., abdomen, abdominal examination) were searched in national Korean databases, including Korean studies Information System (KISS), Research Information Sharing Service (RISS), and Oriental Medicine Advanced Searching Integrated System (OASIS). To examine the methods of measuring pressure pain threshold (PPT) with validity and reliability, combination keywords (e.g., PPT, pressure algometry, pressure pain, validity, reliability) were searched in Pubmed, Cochrane library, Google scholar, Ovid Embase, and China Knowledge Resource Integrated Database (CNKI).ResultsA total of 652 articles were identified, and 22 relevant articles were included. The following main indices are proposed as a standardized pressure algometry method during abdominal examination: unit of measurements, measuring tools, target locations, pressure area, pressure rate, posture of patients, and evaluators. Based on the results of the review combined with clinical practice, useful indices for pressure algometer during abdominal examination were derived (target location: CV 12, unit of measurement: MPa, pressure area: 4 cm2, pressure rate: 0.098 MPa/s, posture of patient: supine position, number, and intervals of measurement: three consecutive measurements at intervals of 30 seconds, 5 minutes rest prior to commencement). Postures and method sequence of pressure algometry during abdominal examination are also proposed.ConclusionsUsing standardized indices, postures and method for abdominal examination in clinical settings will help make objective assessments.Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…