Development of a patient-report pressure algometer for the quantification of abdominal examination

Background: Abdominal examination (AE), one of the primary diagnostic tools used in traditional Korean medicine (TKM), has a limitation of being subjective due to depending on individual practitioner's experience. Therefore, we devised a novel patient-report pressure algometer (PA) and performe...

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Autores principales: Seok-Jae Ko, Keun Ho Kim, Sang Hun Lee, Mi Hong Yim, Jae-Woo Park
Formato: article
Lenguaje:EN
Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/00b0394ed37d4341b42ebbf45ae93df8
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spelling oai:doaj.org-article:00b0394ed37d4341b42ebbf45ae93df82021-11-28T04:31:34ZDevelopment of a patient-report pressure algometer for the quantification of abdominal examination2213-422010.1016/j.imr.2021.100742https://doaj.org/article/00b0394ed37d4341b42ebbf45ae93df82021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2213422021000299https://doaj.org/toc/2213-4220Background: Abdominal examination (AE), one of the primary diagnostic tools used in traditional Korean medicine (TKM), has a limitation of being subjective due to depending on individual practitioner's experience. Therefore, we devised a novel patient-report pressure algometer (PA) and performed a clinical trial to investigate its validity. Methods: In total, 44 participants with functional dyspepsia and 44 healthy participants completed the study. The participants were allocated into one of two groups according to the existence of abdominal stiffness at 5 acupoints or abdominal tenderness at 12 acupoints diagnosed by TKM doctors. The pressure depth and pressure pain threshold (PPT) were evaluated using the PA at the same acupoints. We assessed the validity (sensitivity and specificity) of PA and calculated the area under the curve (AUC) and optimal cutoff value of the test variables (pressure depth and PPT) to criterion standards (abdominal stiffness and tenderness). Results: Pressure depth and PPT assessed by PA showed high sensitivity and specificity in diagnosing abdominal stiffness and tenderness. The validity at CV-14 of diagnosing abdominal tenderness with PPT by PA had a sensitivity of 73.1%, specificity of 77.8%, and an AUC of 0.807 with a P value of < 0.001. Conclusion: This study may provide evidence of standardization and quantification of AE through PA.Seok-Jae KoKeun Ho KimSang Hun LeeMi Hong YimJae-Woo ParkElsevierarticleAlgometerQuantificationAbdominal examinationPressure pain thresholdMiscellaneous systems and treatmentsRZ409.7-999ENIntegrative Medicine Research, Vol 10, Iss 4, Pp 100742- (2021)
institution DOAJ
collection DOAJ
language EN
topic Algometer
Quantification
Abdominal examination
Pressure pain threshold
Miscellaneous systems and treatments
RZ409.7-999
spellingShingle Algometer
Quantification
Abdominal examination
Pressure pain threshold
Miscellaneous systems and treatments
RZ409.7-999
Seok-Jae Ko
Keun Ho Kim
Sang Hun Lee
Mi Hong Yim
Jae-Woo Park
Development of a patient-report pressure algometer for the quantification of abdominal examination
description Background: Abdominal examination (AE), one of the primary diagnostic tools used in traditional Korean medicine (TKM), has a limitation of being subjective due to depending on individual practitioner's experience. Therefore, we devised a novel patient-report pressure algometer (PA) and performed a clinical trial to investigate its validity. Methods: In total, 44 participants with functional dyspepsia and 44 healthy participants completed the study. The participants were allocated into one of two groups according to the existence of abdominal stiffness at 5 acupoints or abdominal tenderness at 12 acupoints diagnosed by TKM doctors. The pressure depth and pressure pain threshold (PPT) were evaluated using the PA at the same acupoints. We assessed the validity (sensitivity and specificity) of PA and calculated the area under the curve (AUC) and optimal cutoff value of the test variables (pressure depth and PPT) to criterion standards (abdominal stiffness and tenderness). Results: Pressure depth and PPT assessed by PA showed high sensitivity and specificity in diagnosing abdominal stiffness and tenderness. The validity at CV-14 of diagnosing abdominal tenderness with PPT by PA had a sensitivity of 73.1%, specificity of 77.8%, and an AUC of 0.807 with a P value of < 0.001. Conclusion: This study may provide evidence of standardization and quantification of AE through PA.
format article
author Seok-Jae Ko
Keun Ho Kim
Sang Hun Lee
Mi Hong Yim
Jae-Woo Park
author_facet Seok-Jae Ko
Keun Ho Kim
Sang Hun Lee
Mi Hong Yim
Jae-Woo Park
author_sort Seok-Jae Ko
title Development of a patient-report pressure algometer for the quantification of abdominal examination
title_short Development of a patient-report pressure algometer for the quantification of abdominal examination
title_full Development of a patient-report pressure algometer for the quantification of abdominal examination
title_fullStr Development of a patient-report pressure algometer for the quantification of abdominal examination
title_full_unstemmed Development of a patient-report pressure algometer for the quantification of abdominal examination
title_sort development of a patient-report pressure algometer for the quantification of abdominal examination
publisher Elsevier
publishDate 2021
url https://doaj.org/article/00b0394ed37d4341b42ebbf45ae93df8
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