The Objective Way to Perform Skeletal Alignment Evaluations
The PALM combines the ease and proprioceptive advantages of palpation with the objectivity and reliability of caliper and inclinometer measurements.
The caliper determines the distance in centimeters between the two palpating fingers.
The inclinometer determines the inclination in degrees between the two palpating fingers.
A unique slide rule calculator gives you the height discrepancy between the two landmarks palpated in both centimeters and inches.
A Typical Use: Differentiating between a Functional and a Structural Short Leg. The PALM will help you differentiate what part of the leg length inequality is structural and what part is functional.
Measurement of the iliac crest heights in the standing position determines if there is a relative height difference.
Measurement of the iliac crest's relative heights in the seated position removes height discrepancies due to lower extremity asymmetrics.
Other Uses: Determining height discrepancies at landmarks. The PALM allows you to determine skeletal asymmetry and then locate the point of asymmetry by making measurements at various landmarks like: Medial Malleoli, Fibular Heads, AC Joints, Mastoid Processes, Gluteal Folds
One of three types of palpation tips can be selected depending on the shape and location of landmarks.
Pointed tips for palpation of visual landmarks or marks applied to the skin.
L tips for palpation of bony ledges.
O tips for palpation of landmarks directly with finger tips.