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dc.contributor.authorPetch, Kirstie Ann
dc.date.accessioned2019-01-29T01:13:38Z
dc.date.available2019-01-29T01:13:38Z
dc.date.issued2018
dc.identifier.urihttps://hdl.handle.net/10652/4501
dc.description.abstractBACKGROUND: 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.en_NZ
dc.language.isoenen_NZ
dc.rightsAll rights reserveden_NZ
dc.subjectbreathingen_NZ
dc.subjectdysfunctional breathing (DB)en_NZ
dc.subjectphysical examinationen_NZ
dc.subjectpalpationen_NZ
dc.subjectnominal group technique (NGT)en_NZ
dc.subjectosteopathyen_NZ
dc.subjectphysiotherapyen_NZ
dc.titleThe development of a palpation-based clinical assessment of breathing motion : a nominal group technique approachen_NZ
dc.typeMasters Thesisen_NZ
dc.rights.holderAuthoren_NZ
thesis.degree.nameMaster of Osteopathyen_NZ
thesis.degree.levelMastersen_NZ
thesis.degree.grantorUnitec Institute of Technologyen_NZ
dc.subject.marsden110499 Complementary and Alternative Medicine not elsewhere classifieden_NZ
dc.identifier.bibliographicCitationPetch, 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.en_NZ
unitec.pages78en_NZ
dc.contributor.affiliationUnitec Institute of Technologyen_NZ
unitec.advisor.principalMoran, Robert
unitec.advisor.associatedBacon, Catherine
unitec.institution.studyareaOsteopathy
dc.identifier.wikidataQ112937847


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