Evidence map›Paper›PMID 23449758›Full record

ArticleJournal of chiropractic medicine2012

Interexaminer reliability of the Johnston and Friedman percussion scan of the thoracic spine: secondary data analysis using modified methods.

Robert Cooperstein

Open access · bronzeAbstract read
In one paragraph

Article in Journal of chiropractic medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Robert CoopersteinProfessor, Coordinator of Research and Technique, Palmer Center for Chiropractic Research, Palmer Chiropractic College West, San Jose, CA.
Palmer College of Chiropractic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose of this study is to perform a secondary analysis using modified methods of previously reported data to analyze the amount of examiner concordance in the Johnston and Friedman percussion scan of the most fixated spinal level.

methodA 2001 study evaluated interexaminer reliability of the percussive method of Johnston and Friedman for detecting altered segmental mobility (somatic dysfunction, spinal/segmental dysfunction, or chiropractic subluxation) in the thoracic spine. The original reported level of agreement using the κ statistic for discrete measures was only 0.07, judged "slight." The data were reformatted to permit recalculating the degree of interexaminer agreement using the intraclass correlation coefficient statistic, which uses continuous analysis, unlike κ that performs discrete analysis. Following an initial calculation, the data were modified to reflect the caudally increasing vertebral height of the thoracic vertebrae.

resultsThe reformatted and modified data, intraclass correlation coefficient (2,1) = 0.253 (0.100,0.482), showed the findings as "poor," which is better interexaminer agreement for percussion motion palpation than the original reported κ value judged as "slight."

conclusionsReanalyzing the data using an alternative statistical method showed greater interexaminer reliability than was originally reported. This secondary analysis demonstrates how study results may vary depending on the experimental design and statistical methods chosen for analysis.

Indexed as

ArticularBiomechanicsChiropracticPalpationPercussionRange of motionReproducibility of results

Identifiers

PMID23449758
PMCPMC3437346
OpenAlexW1963992404

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.