Lawrence DJ, Structured abstracts and JMPT , Journal of
Manipulative and Physiological Therapeutics 1992;15:
77-82
See following sample abstract:
Sample Structured Abstract for Review Articles (Including Meta-Analysis)
Hestbaek L, Leboeuf-Yde C. Are chiropractic tests for the
lumbo-pelvic spine reliable and valid? A systematic critical literature
review. J Manipulative Physiol Ther 2000 May;23(4):258-75
OBJECTIVE: To systematically review the peer-reviewed literature about
the reliability and validity of chiropractic tests used to determine
the need for spinal manipulative therapy of the lumbo-pelvic spine,
taking into account the quality of the studies. DATA SOURCES: The
CHIROLARS database was searched for the years 1976 to 1995 with the
following index terms: "chiropractic tests," "chiropractic adjusting
technique," "motion palpation," "movement palpation," "leg length,"
"applied kinesiology," and "sacrooccipital technique." In addition, a
manual search was performed at the libraries of the Nordic Institute of
Chiropractic and Clinical Biomechanics, Odense, Denmark, and the
Anglo-European College of Chiropractic, Bournemouth, United Kingdom.
STUDY SELECTION: Studies pertaining to intraexaminer reliability,
interexaminer reliability, and/or validity of chiropractic evaluation
of the lumbo-pelvic spine were included. DATA EXTRACTION: Data quality
were assessed independently by the two reviewers, with a quality score
based on predefined methodologic criteria. Results of the studies were
then evaluated in relation to quality. DATA SYNTHESIS: None of the
tests studied had been sufficiently evaluated in relation to
reliability and validity. Only tests for palpation for pain had
consistently acceptable results. Motion palpation of the lumbar spine
might be valid but showed poor reliability, whereas motion palpation of
the sacroiliac joints seemed to be slightly reliable but was not shown
to be valid. Measures of leg-length inequality seemed to correlate with
radiographic measurements but consensus on method and interpretation is
lacking. For the sacrooccipital technique, some evidence favors the
validity of the arm-fossa test but the rest of the test regimen remains
poorly documented. Documentation of applied kinesiology was not
available. Palpation for muscle tension, palpation for misalignment,
and visual inspection were either undocumented, unreliable, or not
valid. CONCLUSION: The detection of the manipulative lesion in the
lumbo-pelvic spine depends on valid and reliable tests. Because such
tests have not been established, the presence of the manipulative
lesion remains hypothetical. Great effort is needed to develop,
establish, and enforce valid and reliable test procedures.
MeSH Terms: Chiropractic/methods, Evaluation Studies, Female,
Human, Lumbar Vertebrae, Lumbosacral Region, Male, Manipulation,
Spinal/methods, Observer Variation, Reproducibility of Results,
Sensitivity and Specificity, Spinal Diseases/therapy, Spinal
Diseases/diagnosis.