Accuracy of Medial Tibiofemoral Joint Space Palpation Among Second-Year Doctor of Physical Therapy Students Using Ultrasound Verification: An Observational Study

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dc.contributor.authorSavage, Nathan J.en_US
dc.contributor.authorLinnear, Bell- Kierraen_US
dc.contributor.authorHeston, Danielen_US
dc.contributor.authorSmith, Paulen_US
dc.contributor.authorSparks, Kaitlynen_US
dc.contributor.authorWard, Lanceen_US
dc.date.accessioned2024-09-24T08:22:56Z
dc.date.available2024-09-24T08:22:56Z
dc.date.issued2023-06
dc.description.abstractBackground: Palpation skills are universally taught in physical therapy education programs worldwide. Accurate palpation is necessary for diagnosis and to guide interventional approaches. The primary purpose of this investigation was to measure ultrasonographic-confirmed palpation accuracy of the medial tibiofemoral joint space among second-year Doctor of Physical Therapy students examining participants with characteristics representative of patients seen in clinical practice.Methods: Five second-year Doctor of Physical Therapy students served as examiners. Thirty-six participants contributed 67 knees for examination. The primary outcome was ultrasonographic-confirmed palpation accuracy, and the secondary outcomes evaluated the association between palpation accuracy and participant characteristics. Results: Pooled examiner accuracy was 39%. Chi-Square analyses revealed no association between pooled examiner palpation accuracy and BMI category (x2=1.46, p=0.48), age category (x2=0.21, p=0.65), sex (x2=1.47, p=0.23), skin tone (x2=0.06, p=0.81), or side of the examined knee (x2=0.27, p=0.61). Individual examiner palpation accuracy ranged from 14% to 75%, revealing a significant difference across examiners (x2=15.0, p=0.005). Two examiners had a combined accuracy of 64%, while the remaining 3 had a combined accuracy of 24%. Chi-Square analyses revealed no association between "successful" vs "unsuccessful" examiners and BMI category (x2=3.54, p=0.17), age category (x2=1.39, p=0.24), sex (x2=4.22, p=0.04), skin tone (x2=0.001, p=0.97), or side of the examined knee (x2=0.08, p=0.77). Conclusion: This investigation provides original data of ultrasonographic-confirmed palpation accuracy among second-year Doctor of Physical Therapy students examining participants with characteristics representative of patients seen in clinical practice. Results may help inform instructional approaches and curricular design in physical therapy education.en_US
dc.identifier.affiliationsAssistant Professor, Department of Physical Therapy, Winston-Salem State University, Winston-Salem, USAen_US
dc.identifier.affiliationsDepartment of Physical Therapy, Winston-Salem State University, Winston-Salem, USAen_US
dc.identifier.affiliationsDepartment of Physical Therapy, Winston-Salem State University, Winston-Salem, USAen_US
dc.identifier.affiliationsDepartment of Physical Therapy, Winston-Salem State University, Winston-Salem, USAen_US
dc.identifier.affiliationsDepartment of Physical Therapy, Winston-Salem State University, Winston-Salem, USAen_US
dc.identifier.affiliationsDepartment of Physical Therapy, Winston-Salem State University, Winston-Salem, USA.en_US
dc.identifier.citationSavage Nathan J., Bell-Linnear Kierra -, Heston Daniel, Smith Paul, Sparks Kaitlyn, Ward Lance . Accuracy of Medial Tibiofemoral Joint Space Palpation Among Second-Year Doctor of Physical Therapy Students Using Ultrasound Verification: An Observational Study. International Journal of Physiotherapy. 2023 Apr; 10(2): 47-53en_US
dc.identifier.issn2349-5987
dc.identifier.issn2348-8336
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/231146
dc.languageenen_US
dc.publisherInternational Journal of Physiotherapyen_US
dc.relation.issuenumber2en_US
dc.relation.volume10en_US
dc.source.urihttps://doi.org/10.15621/ijphy/2023/v10i2/1323en_US
dc.subjectUltrasound imagingen_US
dc.subjectPalpationen_US
dc.subjectTibiofemoral jointen_US
dc.subjectOrthopedic examinationen_US
dc.subjectPhysical therapy education.en_US
dc.titleAccuracy of Medial Tibiofemoral Joint Space Palpation Among Second-Year Doctor of Physical Therapy Students Using Ultrasound Verification: An Observational Studyen_US
dc.typeJournal Articleen_US
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