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| ID | Type | Description | Link |
|---|---|---|---|
| 2023-A00637-38 | Other Identifier | Agence nationale de sécurité du médicament et produits de santé |
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Trigger points (TP) are described as "hard, palpable nodules located within the taut bands of skeletal muscle" (Bardoni, 2022).
The aim of this study is to evaluate the reproductibility of palpation of TP between osteopaths and to compare this perception to ultrasound measures of echogenicity.
Method:
A sample of 61 patients will be included in the study. An osteopath will determine the eligibility of the study. The supraclavicular area will be mark every 2 cm to establish a grid for all evaluations.
First an osteopath will evaluate with palpation the presence of TP at every box of the grid.
A second osteopath will evaluate the same boxes and will be blinded to the result of the first osteopath.
At each step of palpation, a pain assessment will be carried out at each box. Then, the ultrasound technician will evaluate the echogeneicity of every box and will be blinded to the prior results.
The protocol will be approve by a french ethic committee.
sensitivity and specificity of osteopathic tests will be conducted in comparaison to echograph results (a binary outcomes assessing the presence of an hypoechogenicity).
The reproductibility of osteopaths' tests will be be calculated using Cohen's kappa weighted by the distance between the TPs found.
Finally, the pain reported by patients on areas with a TP defined by the osteopath, and the pain reported by patients on areas without a TP defined by the osteopath will be compared using a student test.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| osteopathic palpation | Diagnostic Test | comparaison of ultrasound caracteristics of areas with ad without TP |
| Measure | Description | Time Frame |
|---|---|---|
| sensitivity and specificity of osteopathic tests | to compare osteopath TP detection to ultrasound echogenicity | at day 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Inter examiner reproductibility of TP detection | using Cohen's kappa weighted by the distance between the TPs found. Quadratic weighting will be used. | at day 1 |
| camparison of pain reported by patient with TP detection by osteopath |
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Inclusion Criteria:
Exclusion Criteria:
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There will be 61 healthy adults The population studied will be heterogeneous with or without shoulder pain Recruitment will be based on students or patients of IdHEO Nantes osteopathy clinic on a voluntary basis.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Maxime Salmon | Contact | +332 28 07 29 28 | msalmon@idheo.com |
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on demand to m. salmon
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| ID | Term |
|---|---|
| D020069 | Shoulder Pain |
| ID | Term |
|---|---|
| D018771 | Arthralgia |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D010146 | Pain |
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using a student test between pain means in areas with and without TP
| at day 1 |
| D009461 |
| Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |