• Login
    View Item 
    •   Research Bank Home
    • Unitec Institute of Technology
    • Study Areas
    • Osteopathy
    • Osteopathy Dissertations and Theses
    • View Item
    •   Research Bank Home
    • Unitec Institute of Technology
    • Study Areas
    • Osteopathy
    • Osteopathy Dissertations and Theses
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    The development of a palpation-based clinical assessment of breathing motion : a nominal group technique approach

    Petch, Kirstie Ann

    Thumbnail
    Share
    View fulltext online
    MOst_2018_Kirstie Petch_1413501_Final Research.pdf (1.059Mb)
    Date
    2018
    Citation:
    Petch, K.A. (2018). The development of a palpation-based clinical assessment of breathing motion: A nominal group technique approach. An unpublished thesis submitted in partial fulfilment of the requirements for the degree of Master of Osteopathy. Unitec of Technology, Auckland, New Zealand.
    Permanent link to Research Bank record:
    https://hdl.handle.net/10652/4501
    Abstract
    BACKGROUND: Dysfunctional breathing appears to be widely prevalent within the general population, negatively impacting the health of patients. Several palpation-based assessments of breathing have been described but associated research is subject to criticism. AIMS: To develop a palpation-based assessment of breathing motion, and to develop a simple notation format for clinical recording. METHODS: A Nominal Group Technique was employed. Nine participants (6 osteopaths, 3 physiotherapists) with an established interest in breathing assessment and management were recruited, and attended two group meetings. Group discussions pivoted around key questions (hand-hold, patient position, a combination of the two, and notation format). Participants individually ranked generated ideas in order of importance and the findings were collated. The generated assessment and notation was framed at the level of new graduates so the items considered most important in the palpatory based assessment of breathing should able to be performed regardless of clinical experience. RESULTS: The highest ranked handhold was the Hi-Lo, the highest ranked position was seated, and the highest ranked combination of handhold and patient position was ‘Seated – Upper ribs (over the shoulder to clavicle)’. “Cueing” of the patient and their breathing was a topic that arose during the course of discussion. The notation format that was developed consisted of listed items, with the Hi-Lo considered the most important of these. Consensus on how the notation should be marked was not reached. CONCLUSIONS: The main outcome of the study is a consensus-based description of what participants considered most important in the manual assessment of breathing, ranking ‘Hi-Lo’, ‘seated’ and ‘seated – upper ribs (over shoulder to clavicle)’ as the most important items in their respective categories.
    Keywords:
    breathing, dysfunctional breathing (DB), physical examination, palpation, nominal group technique (NGT), osteopathy, physiotherapy
    ANZSRC Field of Research:
    110499 Complementary and Alternative Medicine not elsewhere classified
    Degree:
    Master of Osteopathy, Unitec Institute of Technology
    Supervisors:
    Moran, Robert; Bacon, Catherine
    Copyright Holder:
    Author

    Copyright Notice:
    All rights reserved
    Rights:
    This digital work is protected by copyright. It may be consulted by you, provided you comply with the provisions of the Act and the following conditions of use. These documents or images may be used for research or private study purposes. Whether they can be used for any other purpose depends upon the Copyright Notice above. You will recognise the author's and publishers rights and give due acknowledgement where appropriate.
    Metadata
    Show detailed record
    This item appears in
    • Osteopathy Dissertations and Theses [208]

    Te Pūkenga

    Research Bank is part of Te Pūkenga - New Zealand Institute of Skills and Technology

    • About Te Pūkenga
    • Privacy Notice

    Copyright ©2022 Te Pūkenga

    Usage

    Downloads, last 12 months
    35
     
     

    Usage Statistics

    For this itemFor the Research Bank

    Share

    About

    About Research BankContact us

    Help for authors  

    How to add research

    Register for updates  

    LoginRegister

    Browse Research Bank  

    EverywhereInstitutionsStudy AreaAuthorDateSubjectTitleType of researchSupervisorCollaboratorThis CollectionStudy AreaAuthorDateSubjectTitleType of researchSupervisorCollaborator

    Te Pūkenga

    Research Bank is part of Te Pūkenga - New Zealand Institute of Skills and Technology

    • About Te Pūkenga
    • Privacy Notice

    Copyright ©2022 Te Pūkenga