Inter and Intra-Rater Reliability of Occipital Fiber Palpation

Mootz R, Jameson S, Menke MProceedings of the Fifth Annual Conservative Health Science Research ConferenceOct 1986: 37-9

DeJarnette has correlated the development of nodules within suboccipital fibers with specific segmental levels of spinal dysfunction. These fibers appear to be near the aponeurosis of the cervical musculature where it attaches to the occiput. He further hypothesizes that these nodules may result from prolonged golgi tendon organ stimulation and various reflex mechanisms resulting from cervical, thoracic and lumbar subluxations. A small scale pilot study was undertaken to descriptively assess the agreement between two chiropractic student interns with one another and themselves. While the results could not support clear intra and inter examiner reliability two specific suggestions for this finding were presented: (1) Clearly the practitioner with greater experience had significantly greater intra examiner reliability, and (2) In an actual SOT practice, the most clinically significant fiber is selected based on a variety of findings, these additional clues were not permitted in our study in an attempt to maximize blinding of the examiners

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