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- Title
Development of the Quantitative Indicator of Abdominal Examination for Clinical Application: A Pilot Study.
- Authors
Ko, Seok-Jae; Lee, Hyunju; Kim, Seul-Ki; Kim, Minji; Kim, Jinsung; Lee, Beom-Joon; Park, Jae-Woo
- Abstract
Objectives: Abdominal examination (AE) is the evaluation of the status of illness by examining the abdominal region in traditional Korean medicine (TKM). Although AE is currently considered an important diagnostic method in TKM, owing to its clinical usage, no studies have been conducted to objectively assess its accuracy and develop standards. Design: Twelve healthy subjects and 21 patients with functional dyspepsia have participated in this study. The patients were classified into epigastric discomfort group ( n=11) and epigastric discomfort with tenderness group ( n=10) according to the clinical diagnosis by AE. After evaluating the subjective epigastric discomfort in all subjects, two independent clinicians measured the pressure pain threshold (PPT) two times at an acupoint (CV 14) using an algometer. We then assessed the interrater and intrarater reliability of the PPT measurements and evaluated the validity (sensitivity and specificity) via a receiver operating characteristic plot and optimal cutoff value. Results: The results of the interrater reliability test showed a very strong correlation (correlation coefficient range: 0.82-0.91). The results of intrarater reliability test also showed a higher than average correlation (intraclass correlation coefficient: 0.58-0.70). The optimal cutoff value of PPT in the epigastric area was 1.8 kg/cm2 with 100% sensitivity and 54.54% specificity. Conclusions: PPT measurements in the epigastric area with an algometer demonstrated high reliability and validity for AE, which makes this approach potentially useful in clinical applications as a new quantitative measurement in TKM.
- Subjects
SOUTH Korea; INDIGESTION diagnosis; PHYSICAL diagnosis; EVALUATION research; TRADITIONAL medicine; RECEIVER operating characteristic curves; DATA analysis; T-test (Statistics); BODY mass index; ABDOMINAL pain; ALGOMETRY; RESEARCH evaluation; VISUAL analog scale; KRUSKAL-Wallis Test; FISHER exact test; PROBABILITY theory; PAIN threshold; MANN Whitney U Test; DESCRIPTIVE statistics; INDIGESTION; ALTERNATIVE medicine; INTRACLASS correlation; ONE-way analysis of variance; STATISTICS; MEDICAL equipment reliability; DATA analysis software; INTER-observer reliability; SENSITIVITY &; specificity (Statistics)
- Publication
Journal of Alternative & Complementary Medicine, 2015, Vol 21, Issue 6, p358
- ISSN
1075-5535
- Publication type
Journal Article
- DOI
10.1089/acm.2014.0185