Characterising Therapist Perception of Tissue Response during Soft Tissue Palpation of Lymphoedema

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Title Characterising Therapist Perception of Tissue Response during Soft Tissue Palpation of Lymphoedema
Author Roser, Michelle; Tuttle, Neil Alan; Laakso, Liisa
Publication Title 8th Australasian Lymphology Association Conference (ALA2010). Reflections of the Past, Inspirations for the Future
Year Published 2010
Place of publication Melbourne
Publisher Australasian Lymphology Association
Abstract In the clinical setting, reliable information about the characteristics of lymphoedematous tissue is required for diagnostic classification and treatment monitoring. Currently there is no universally standardised or accessible clinical method for measuring lymphoedematous tissue changes, so a combination of instrumented or observational measures (including volumetric, tissue compliance, fluid dynamics and fibrosis measures) and manual assessment (palpation) are usually adopted. Palpation has long been an important element of gaining information about the presence or extent of skin and soft tissue changes in lymphoedema. However, little is known about how the therapist gathers and interprets the information from their palpation. The aims of this study are to gain an understanding of: (1) the techniques therapists use to palpate lymphoedematous tissue; and (2) how the therapists perceive and interpret their palpation findings. Preliminary observations indicate that experienced therapists vary their palpation for different patient characteristics and filter the information perceived during manual assessment to derive their interpretation of soft tissue characteristics. The process appears to be automatic, and therapists have difficulty verbalising responses to questions regarding the practical techniques that guide decision making during palpation assessment. Qualitative data from semi-structured interviews conducted with physiotherapists experienced in manual assessment of lymphoedema will be presented in relation to the study aims. Information from this study will contribute to knowledge in the field of manual palpation examination which may aid in further development of diagnostic tools and methods.
Peer Reviewed No
Published Yes
Publisher URI http://lymphology.asn.au/new/index.php
Alternative URI http://lymphology.asn.au/new/documents/SE-08_Roser.pdf
Copyright Statement Copyright remains with the authors 2010. The attached file is reproduced here in accordance with the copyright policy of the publisher. For information about this conference please refer to the conference's website or contact the authors.
Conference name 8th Australasian Lymphology Association Conference (ALA2010)
Location Melbourne
Date From 2010-05-27
Date To 2010-05-29
URI http://hdl.handle.net/10072/38128
Date Accessioned 2011-02-14
Language en_AU
Research Centre Centre for Musculoskeletal Research; Griffith Health Institute
Faculty Griffith Health Faculty
Subject Complementary and Alternative Medicine
Publication Type Conference Publications (Full Written Paper - Non-Refereed)
Publication Type Code e2

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