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Behavioral Changes and Long-Term Cortical Thickness Alterations in Women with Fibromyalgia. 纤维肌痛女性患者的行为变化和皮质厚度的长期改变
IF 1.2 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-10-16 DOI: 10.1016/j.jmpt.2024.08.018
Paulo Gomes de Oliveria Neto, Lucas Rego Ramos, Marcos F DosSantos

Objectives: The purpose of this study was to examine long-term brain and behavioral changes in patients with fibromyalgia (FM) compared to healthy individuals.

Methods: Data from 33 female volunteers with FM and 33 healthy controls women paired by age and school degree were used to analyze the cortical thickness from high-resolution T1-weighted magnetic resonance imaging (MRI) obtained through a 3T-MRI scanner. Additionally, the Toronto Alexithymia Scale, the Positive and Negative Affect Scale, the emotion regulation questionnaire (ERQ), and the Hamilton Depression and Anxiety rating scales were used to evaluate the behavioral changes.

Results: The findings indicate significant cortical structure differences in the right cerebral hemisphere between groups in the insular anterior cortex precentral and postcentral gyrus (P < .001). The FM group scored higher for alexithymia (P < .01), negative affect (P < .01), anxiety (P < .01), and depression (P < .01) symptoms, on the other hand, scored lower for positive affect (P < .01). No differences were found on the left cerebral hemisphere. Furthermore, there was a negative correlation between the right insular anterior cortex and Toronto Alexithymia Scale (P < .001).

Conclusion: This study showed long-term brain and behavioral changes in patients with FM, suggesting notable neurophysiological alterations associated with this chronic pain condition. It provides new insights into how FM may affect brain health and potential biomarkers for the condition.

研究目的本研究的目的是研究纤维肌痛(FM)患者与健康人相比在大脑和行为方面的长期变化:33名患有纤维肌痛的女性志愿者和33名按年龄和学校学位配对的健康对照组女性志愿者的数据被用来分析通过3T-MRI扫描仪获得的高分辨率T1加权磁共振成像(MRI)的皮层厚度。此外,还使用多伦多亚历山大量表、积极和消极情绪量表、情绪调节问卷(ERQ)以及汉密尔顿抑郁和焦虑评分量表来评估行为变化:研究结果表明,在右侧大脑半球的岛叶前部皮质前中央回和中央后回,两组间存在明显的皮质结构差异(P < .001)。调频组在情感淡漠(P < .01)、消极情绪(P < .01)、焦虑(P < .01)和抑郁(P < .01)症状方面得分较高,而在积极情绪方面得分较低(P < .01)。左侧大脑半球没有发现差异。此外,右侧岛叶前皮层与多伦多亚历山大量表(Toronto Alexithymia Scale)之间存在负相关(P < .001):这项研究显示了 FM 患者大脑和行为的长期变化,表明与这种慢性疼痛相关的神经生理学改变十分显著。它为研究调频如何影响大脑健康以及该病症的潜在生物标记物提供了新的视角。
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引用次数: 0
Predictors of Utilization Frequency of and Expenditure Amount for Chiropractic Care in U.S. Adults: A Retrospective Cohort Study. 美国成年人脊骨神经治疗使用频率和支出金额的预测因素:回顾性队列研究
IF 1.2 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-28 DOI: 10.1016/j.jmpt.2024.08.004
Baojiang Chen, Henry S Brown, David Douphrate, Jud Janak, Kelley Pettee Gabriel, Trent Peng

Objective: This study aimed to evaluate the prospective associations of baseline personal characteristics with utilization frequency and expenditure of chiropractic care in US adults (≥18 years).

Methods: Data are from the 1358 respondents to the 2014 to 2016 Medical Expenditure Panel Survey who utilized chiropractic care. Individual, familial, health-related, and behavioral factors were included as covariates in the multivariate analytic model. Poisson and multinominal logistic regressions were modeled to examine the associations between the predictors and chiropractic utilization and expenditure.

Results: The mean annual number of visits was 8.2 visits (95% confidence interval [CI]: 7.9, 8.5), with annual expenditure of $677.43 U.S. dollars (95% CI: $595.47-$759.39) and $84.84 (95% CI: $77.89-$91.78) per visit. Female sex was associated with a 19% higher number of visits (rate ratio [RR] = 1.19, 95% CI: 1.01, 1.41) than males. Publicly insured and uninsured were associated with a 44% higher (RR = 1.44, 95% CI: 1.14, 1.82) and 36% lower (RR = 0.64, 95% CI: 0.48, 0.86) visit frequency, respectively, than those privately insured. Rheumatoid arthritis was associated with 7.38 times the risk of high expenditure (95% CI: 2.61, 24.67) than medium expenditure, compared to no arthritis. Relative to physically active individuals, physical inactivity was associated with a 27% higher visit frequency (RR = 1.27, 95% CI: 1.09, 1.49) and an 82% higher risk (relative risk ratio = 1.82, 95% CI: 1.05, 3.14) of high expenditure than low expenditure.

Conclusion: This analysis found distinct usage and expenditure patterns that vary according to specific baseline predictors. Female sex, being publicly insured, having rheumatoid arthritis, and physically inactive were associated with variance in expenditure. Results from this study may help identify chiropractic patients with tendencies for higher utilization or spending and may indirectly assist in predicting patients with slower response to care.

研究目的本研究旨在评估美国成年人(≥18 岁)的基线个人特征与脊骨神经治疗使用频率和支出的前瞻性关联:数据来自2014年至2016年医疗支出小组调查中1358名使用脊骨神经治疗的受访者。个人、家庭、健康相关和行为因素作为协变量被纳入多变量分析模型。通过泊松和多项式逻辑回归模型来研究预测因素与脊骨神经治疗使用率和支出之间的关系:年平均就诊次数为8.2次(95% 置信区间[CI]:7.9, 8.5),年花费为677.43美元(95% CI:595.47-759.39美元),每次就诊花费为84.84美元(95% CI:77.89-91.78美元)。女性的就诊次数比男性高 19%(比率比 [RR] = 1.19,95% CI:1.01, 1.41)。与私人投保者相比,公共投保者和未投保者的就诊次数分别高出 44%(RR = 1.44,95% CI:1.14, 1.82)和低 36%(RR = 0.64,95% CI:0.48, 0.86)。与没有关节炎的人相比,类风湿性关节炎的高支出风险是中等支出风险的 7.38 倍(95% CI:2.61, 24.67)。与身体活跃的人相比,身体不活跃的人就诊频率高 27%(相对风险比 = 1.27,95% CI:1.09, 1.49),高支出风险比低支出高 82%(相对风险比 = 1.82,95% CI:1.05, 3.14):这项分析发现,不同的基线预测因素会导致不同的使用和支出模式。女性性别、是否有公共保险、是否患有类风湿性关节炎以及是否不运动与支出的差异有关。这项研究的结果可能有助于识别有较高使用率或支出倾向的脊骨神经科患者,并可间接帮助预测对治疗反应较慢的患者。
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引用次数: 0
National Trends in the Utilization and Expenditure of Chiropractic Care in U.S. Adults: Analysis of the 2007-2016 Medical Expenditure Panel Survey. 美国成年人脊骨神经科治疗使用和支出的全国趋势:2007-2016 年医疗支出小组调查分析》。
IF 1.2 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-27 DOI: 10.1016/j.jmpt.2024.08.005
Baojiang Chen, Henry S Brown, David Douphrate, Jud Janak, Kelley Pettee Gabriel, Trent Peng

Objective: This study aimed to examine the trends in the utilization and expenditure of chiropractic care in a representative sample of US adults, aged ≥18 years.

Methods: Serial cross-sectional data (2007-2016) from the Medical Expenditure Panel Survey (MEPS) were examined. Weighted descriptive statistics were analyzed to obtain national estimates of chiropractic utilization and expenditure, and time-series linear regression was used to assess trends over time. Socio-demographic characteristics and musculoskeletal diagnoses associated with chiropractic use were also reported.

Results: A statistically significantly increasing trend was observed for the number of adults receiving chiropractic care (p < .05), number of visits (p < .05) and utilization rate (P < .05) from 2007 to 2016. A similar trend was not found for chiropractic expenditure during this period (P > .05). The mean number of visits was 8.3 visits per year, with a mean expenditure of $86.94 USD per visit and $721.43 USD per person per year. Mean age of adult chiropractic users each year ranged between 48.6 and 51.2 years old, and users were primarily female (56.3%-60.4%), White persons (90.1%-93.5%), and privately insured (77.3%-82.8%). The most prevalent musculoskeletal diagnoses associated with chiropractic use were low back conditions (45.4%-58.1%), inflammatory/degenerative disc or joint conditions (21.2%-26.8%) and head and neck complaints (9.8%-13.7%).

Conclusion: The findings showed statistically significant increasing trends for the number of adult chiropractic users, the number of visits, and percent utilization of chiropractic care from 2007 to 2016. Conversely, we found a statistically null trend for the total annual expenditure on chiropractic care during the same time period. Findings from this analysis imply that, while chiropractic care appears to be growing, it may still be under-utilized, and more efforts should be devoted to ensuring sustained growth and a larger role in the management of musculoskeletal health.

研究目的本研究旨在对年龄≥18岁的美国成年人进行代表性抽样调查,以了解脊骨神经治疗的使用和支出趋势:方法:研究了来自医疗支出面板调查(MEPS)的连续横截面数据(2007-2016年)。对加权描述性统计进行分析,以获得脊骨神经治疗利用率和支出的全国估计值,并使用时间序列线性回归评估随时间变化的趋势。同时还报告了与脊骨神经治疗使用相关的社会人口特征和肌肉骨骼诊断:从2007年到2016年,接受脊骨神经治疗的成年人数量(P < .05)、就诊次数(P < .05)和使用率(P < .05)均呈明显的统计学增长趋势。在此期间,脊骨神经治疗支出未发现类似趋势(P > .05)。平均就诊次数为每年8.3次,每次平均花费86.94美元,每人每年平均花费721.43美元。每年接受脊骨神经科治疗的成年患者平均年龄在 48.6 岁至 51.2 岁之间,主要为女性(56.3%-60.4%)、白人(90.1%-93.5%)和私人投保者(77.3%-82.8%)。与脊骨神经科治疗相关的最常见肌肉骨骼疾病诊断为腰背疾病(45.4%-58.1%)、椎间盘或关节炎症/退行性病变(21.2%-26.8%)以及头颈部不适(9.8%-13.7%):研究结果表明,从2007年到2016年,成人脊骨神经治疗使用者的数量、就诊次数和脊骨神经治疗使用率在统计学上呈显著增长趋势。与此相反,我们发现同期脊骨神经治疗的年度总支出在统计学上呈负增长趋势。这一分析结果表明,虽然脊骨神经治疗似乎在不断增长,但可能仍未得到充分利用,因此应加大力度确保其持续增长,并在肌肉骨骼健康管理中发挥更大作用。
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引用次数: 0
Influence of Physical Characteristics of Obstacles on the Locomotor Pattern of Older Adults at Higher Risk of Falling 障碍物的物理特征对跌倒风险较高的老年人运动模式的影响
IF 1.2 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-07-01 DOI: 10.1016/j.jmpt.2024.09.002
Juliana Amaral Da Silva MS, Gabriela Vigorito Magalhães MS, Milena Razuk PhD, Natalia Madalena Rinaldi PhD

Objective

This study aimed to investigate the locomotor behavior of older adults with and without a history of falls as they avoided obstacles with different physical characteristics.

Methods

Twenty-one older adults participated in this study. The group was divided into higher risk of falling (n = 10) and lower risk of falling (n = 11). The following conditions were carried out: (1) walking and avoiding a solid obstacle and (2) walking and avoiding a fragile obstacle.

Results

Older adults at higher risk of falling had worse performance during the obstacle approach phase. Both groups performed worse when avoiding the fragile obstacle than when avoiding the solid obstacle. Older adults at higher risk of falling had their feet closer when avoiding the obstacle, and both groups raised their limbs higher to avoid a fragile obstacle. Older adults at higher risk of falling were closer to obstacles after avoiding them.

Conclusion

For the participants in this study, the physical characteristics of the obstacle did not interfere with the locomotor performance of older adults during obstacle avoidance. This study found that older adults at higher risk of falls modulated their locomotor pattern before avoiding the obstacles, presenting lower velocity, shorter step length, and greater step width compared with older adults at lower risk of falling.
研究目的本研究旨在调查有跌倒史和无跌倒史的老年人在避开具有不同物理特征的障碍物时的运动行为:21 名老年人参与了这项研究。方法:21 名老年人参加了此次研究,他们被分为跌倒风险较高(10 人)和跌倒风险较低(11 人)两组。实验条件如下(1) 步行并避开坚固的障碍物;(2) 步行并避开易碎的障碍物:结果:跌倒风险较高的老年人在接近障碍物阶段的表现较差。两组人在避开易碎障碍物时的表现都比避开坚固障碍物时差。摔倒风险较高的老年人在避开障碍物时双脚距离较近,两组人在避开易碎障碍物时四肢都抬得较高。跌倒风险较高的老年人在避开障碍物后更靠近障碍物:对于本研究的参与者来说,障碍物的物理特征并不会干扰老年人在避开障碍物时的运动表现。本研究发现,与跌倒风险较低的老年人相比,跌倒风险较高的老年人在避开障碍物之前会调节其运动模式,表现出较低的速度、较短的步长和较大的步幅。
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引用次数: 0
Effect of Foot Position on Ankle Muscle Activity During Wobble Board Training in Individuals With Chronic Ankle Instability 慢性踝关节不稳患者在进行摇摆板训练时足部位置对踝关节肌肉活动的影响
IF 1.2 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-07-01 DOI: 10.1016/j.jmpt.2024.09.007
Jung-Hoon Choi MS , Heon-Seock Cynn PhD , Seung-Min Baik PhD , Seok-Hyun Kim MS

Objective

The purpose of this study was to compare the effects of foot positioning on muscle activities of the peroneus longus (PL), medial gastrocnemius (MG), and tibialis anterior (TA)/PL ratio in individuals with chronic ankle instabilities (CAI) during wobble board training.

Methods

Thirty individuals with CAI were included, and statistical significance of PL and MG muscle activities was determined using 1-way repeated measures analysis of variance alongside TA/PL activity ratio at the university research laboratory. The participants performed the wobble board training in 3 different foot positions: medial from the centerline of the wobble board (WBT-M), middle from the centerline of the wobble board, and lateral from the centerline of the wobble board (WBT-L). Peroneus longus, MG, and TA muscle activities were measured using surface electromyography.

Results

Peroneus longus activity was significantly higher in the WBT-L position than in the other 2 positions, and it was significantly higher in the middle from the centerline of the wobble board than in the WBT-M position. Medial gastrocnemius activity was significantly greater in the WBT-L position than in the other 2 positions. Tibialis anterior/PL ratio was higher in the WBT-M position than in the other 2 positions.

Conclusion

The findings of this study showed that WBT-L increased PL muscle activity by >70% of the maximal voluntary isometric contraction without increasing TA/PL ratio in individuals with CAI.
研究目的本研究的目的是比较慢性踝关节不稳定(CAI)患者在进行摇摆板训练时,足部定位对腓肠肌(PL)、内侧腓肠肌(MG)肌肉活动以及胫骨前肌(TA)/PL比值的影响:方法:纳入 30 名 CAI 患者,在大学研究实验室使用单因素重复测量方差分析确定 PL 和 MG 肌肉活动与 TA/PL 活动比率的统计学意义。参与者以三种不同的脚部姿势进行摇摆板训练:从摇摆板中心线向内侧(WBT-M)、从摇摆板中心线向中间(WBT-M)和从摇摆板中心线向外侧(WBT-L)。用表面肌电图测量了腓肠肌、MG 和 TA 肌肉的活动:结果:WBT-L姿势下的腓肠肌活动明显高于其他两种姿势下的腓肠肌活动,而从摇摆板中心线开始的中间姿势下的腓肠肌活动明显高于WBT-M姿势下的腓肠肌活动。WBT-L姿势下的腓肠肌内侧活动明显高于其他两种姿势。WBT-M姿势下的胫骨前/PL比率高于其他两种姿势:本研究结果表明,WBT-L 体位可使 CAI 患者的 PL 肌肉活动增加最大自主等长收缩量的 70% 以上,但不会增加 TA/PL 比值。
{"title":"Effect of Foot Position on Ankle Muscle Activity During Wobble Board Training in Individuals With Chronic Ankle Instability","authors":"Jung-Hoon Choi MS ,&nbsp;Heon-Seock Cynn PhD ,&nbsp;Seung-Min Baik PhD ,&nbsp;Seok-Hyun Kim MS","doi":"10.1016/j.jmpt.2024.09.007","DOIUrl":"10.1016/j.jmpt.2024.09.007","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to compare the effects of foot positioning on muscle activities of the peroneus longus (PL), medial gastrocnemius (MG), and tibialis anterior (TA)/PL ratio in individuals with chronic ankle instabilities (CAI) during wobble board training.</div></div><div><h3>Methods</h3><div>Thirty individuals with CAI were included, and statistical significance of PL and MG muscle activities was determined using 1-way repeated measures analysis of variance alongside TA/PL activity ratio at the university research laboratory. The participants performed the wobble board training in 3 different foot positions: medial from the centerline of the wobble board (WBT-M), middle from the centerline of the wobble board, and lateral from the centerline of the wobble board (WBT-L). Peroneus longus, MG, and TA muscle activities were measured using surface electromyography.</div></div><div><h3>Results</h3><div>Peroneus longus activity was significantly higher in the WBT-L position than in the other 2 positions, and it was significantly higher in the middle from the centerline of the wobble board than in the WBT-M position. Medial gastrocnemius activity was significantly greater in the WBT-L position than in the other 2 positions. Tibialis anterior/PL ratio was higher in the WBT-M position than in the other 2 positions.</div></div><div><h3>Conclusion</h3><div>The findings of this study showed that WBT-L increased PL muscle activity by &gt;70% of the maximal voluntary isometric contraction without increasing TA/PL ratio in individuals with CAI.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"47 5","pages":"Pages 134-141"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Photobiomodulation Therapy Effects at Different Stages of the Dystrophic Phenotype: A Histomorphometric Study 光生物调节疗法对不同阶段肌营养不良表型的影响:组织形态计量学研究。
IF 1.2 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-07-01 DOI: 10.1016/j.jmpt.2024.09.008
Caroline Covatti PhD, Daniela Sayuri Mizobuti PhD, Guilherme Luiz da Rocha PhD, Heloina Nathalliê Mariano da Silva PhD, Elaine Minatel PhD

Objective

The purpose of this study was to evaluate the effects of photobiomodulation therapy (PBMT) on the gastrocnemius muscle of X-linked muscular dystrophy (mdx) mice.

Methods

The study used an experimental model of Duchenne muscular dystrophy, at 3 stages of degeneration/regeneration of muscle fibers: an acute stage (14-28 days old), acute and stabilized stages (14-42 days old), and a stabilized stage (28-42 days old). Photobiomodulation therapy (also known as low-level light therapy) at 0.6 J was applied 3 times per week to the dystrophic gastrocnemius muscle of mdx mice at ages 14 to 28, 14 to 42, and 28 to 42 days. After the treatment period, the gastrocnemius muscle was collected, and cryosections were prepared for histopathologic analysis.

Results

In all 3 stages evaluated, a significant reduction was observed in immunoglobulin G uptake by muscle fibers, the inflammatory area, macrophage infiltration, the reactive dihydroethidium area, and the number of autofluorescent lipofuscin granules in the gastrocnemius muscle of mdx mice after PBMT.

Conclusion

The results demonstrated that low-level light therapy, when applied during or after the acute phase of the degeneration/regeneration muscle process, improves the pathological histomorphologic features in dystrophic muscle. Based on these results, PBMT appears to be a promising therapy for dystrophinopathies, warranting further research in humans to verify its efficacy.
研究目的本研究的目的是评估光生物调节疗法(PBMT)对 X 连锁肌营养不良症(mdx)小鼠腓肠肌的影响:研究使用了杜氏肌营养不良症的实验模型,该模型处于肌纤维退化/再生的三个阶段:急性期(14-28 天)、急性期和稳定期(14-42 天)以及稳定期(28-42 天)。在 mdx 小鼠 14 至 28 天、14 至 42 天和 28 至 42 天时,每周对其萎缩性腓肠肌进行 3 次 0.6 焦耳的光生物调节疗法(又称低强度光疗法)。治疗期结束后,收集腓肠肌并制备冷冻切片进行组织病理学分析:结果:在所有 3 个评估阶段中,均观察到 PBMT 治疗后 mdx 小鼠腓肠肌肌纤维对免疫球蛋白 G 的摄取、炎症面积、巨噬细胞浸润、反应性二氢乙二胺面积和自发荧光脂褐质颗粒数量显著减少:结果表明,在肌肉变性/再生过程的急性期或之后使用低强度光疗法,可改善萎缩性肌肉的病理组织形态学特征。基于这些结果,低强度光疗法似乎是一种治疗肌营养不良症的有前途的疗法,值得在人体中进一步研究以验证其疗效。
{"title":"Photobiomodulation Therapy Effects at Different Stages of the Dystrophic Phenotype: A Histomorphometric Study","authors":"Caroline Covatti PhD,&nbsp;Daniela Sayuri Mizobuti PhD,&nbsp;Guilherme Luiz da Rocha PhD,&nbsp;Heloina Nathalliê Mariano da Silva PhD,&nbsp;Elaine Minatel PhD","doi":"10.1016/j.jmpt.2024.09.008","DOIUrl":"10.1016/j.jmpt.2024.09.008","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to evaluate the effects of photobiomodulation therapy (PBMT) on the gastrocnemius muscle of X-linked muscular dystrophy (mdx) mice.</div></div><div><h3>Methods</h3><div>The study used an experimental model of Duchenne muscular dystrophy, at 3 stages of degeneration/regeneration of muscle fibers: an acute stage (14-28 days old), acute and stabilized stages (14-42 days old), and a stabilized stage (28-42 days old). Photobiomodulation therapy (also known as low-level light therapy) at 0.6 J was applied 3 times per week to the dystrophic gastrocnemius muscle of mdx mice at ages 14 to 28, 14 to 42, and 28 to 42 days. After the treatment period, the gastrocnemius muscle was collected, and cryosections were prepared for histopathologic analysis.</div></div><div><h3>Results</h3><div>In all 3 stages evaluated, a significant reduction was observed in immunoglobulin G uptake by muscle fibers, the inflammatory area, macrophage infiltration, the reactive dihydroethidium area, and the number of autofluorescent lipofuscin granules in the gastrocnemius muscle of mdx mice after PBMT.</div></div><div><h3>Conclusion</h3><div>The results demonstrated that low-level light therapy, when applied during or after the acute phase of the degeneration/regeneration muscle process, improves the pathological histomorphologic features in dystrophic muscle. Based on these results, PBMT appears to be a promising therapy for dystrophinopathies, warranting further research in humans to verify its efficacy.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"47 5","pages":"Pages 142-154"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
TOC
IF 1.2 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-07-01 DOI: 10.1016/S0161-4754(24)00117-9
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引用次数: 0
Inside front cover Editorial board
IF 1.2 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-07-01 DOI: 10.1016/S0161-4754(24)00116-7
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引用次数: 0
Information for Readers
IF 1.2 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-07-01 DOI: 10.1016/S0161-4754(24)00118-0
{"title":"Information for Readers","authors":"","doi":"10.1016/S0161-4754(24)00118-0","DOIUrl":"10.1016/S0161-4754(24)00118-0","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"47 5","pages":"Page A2"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143102367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Heel Rise Test Accuracy in the Assessment of the Functional Capacity of Individuals With Peripheral Arterial Disease 足跟上升测试在评估外周动脉疾病患者功能能力中的准确性
IF 1.2 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-07-01 DOI: 10.1016/j.jmpt.2024.09.001
Anna Karolina M.L. Oliveira MSc , Victor R. Neves PhD , Patrícia F. Trevizan PhD , Rafael D.B. Oliveira PT , Danielle Aparecida Gomes Pereira PhD

Objective

The purpose of this study was to evaluate the accuracy of heel rise test (HRT) for assessing the functional capacity (FC) of individuals with peripheral arterial disease (PAD) and determine the best sensitivity cutoff point to stratify individuals with worse FC.

Methods

This retrospective methodological study included adults of both sexes diagnosed with PAD and intermittent claudication. Individuals performed the HRT (number of plantar flexions, execution time, and execution rate were recorded) and the incremental shuttle walking test (distance walked was recorded). The accuracy analysis and the determination of the sensitivity of the HRT in assessing FC were performed by the receiver operating characteristic curve based on the following incremental shuttle walking test cutoff point: 380 meters. Alpha was set at 5%.

Results

In this study, 120 individuals were included (64 ± 9.65 years). The number of plantar flexions showed better accuracy for FC assessment (area under the curve, 0.78; 95% CI, 0.65-0.90). The best sensitivity cutoff to stratify the individuals with the worst FC was 63 plantar flexions (sensitivity, 0.952; specificity, 0.562).

Conclusion

The HRT showed good accuracy, adequate sensitivity, and acceptable specificity in assessing the FC of individuals with PAD. The best sensitivity cutoff point to stratify individuals with worse FC was 63 plantar flexions.
研究目的本研究旨在评估足跟站立试验(HRT)在评估外周动脉疾病(PAD)患者功能能力(FC)方面的准确性,并确定最佳灵敏度临界点,以对功能能力较差的患者进行分层:这项回顾性方法学研究包括被诊断患有 PAD 和间歇性跛行的成年男女。受试者进行了HRT(记录跖屈次数、执行时间和执行率)和增量穿梭步行测试(记录步行距离)。根据以下增量穿梭步行测试临界点:380 米,通过接收器操作特征曲线对 HRT 评估 FC 的准确性和灵敏度进行了分析。α设定为5%:本研究共纳入 120 人(64 ± 9.65 岁)。跖屈次数对 FC 评估的准确性更高(曲线下面积,0.78;95% CI,0.65-0.90)。对 FC 最差者进行分层的最佳灵敏度临界值为 63 个跖屈(灵敏度为 0.952;特异度为 0.562):结论:HRT 在评估 PAD 患者的 FC 方面具有良好的准确性、足够的灵敏度和可接受的特异性。对 FC 较差的患者进行分层的最佳灵敏度临界点是跖屈63次。
{"title":"Heel Rise Test Accuracy in the Assessment of the Functional Capacity of Individuals With Peripheral Arterial Disease","authors":"Anna Karolina M.L. Oliveira MSc ,&nbsp;Victor R. Neves PhD ,&nbsp;Patrícia F. Trevizan PhD ,&nbsp;Rafael D.B. Oliveira PT ,&nbsp;Danielle Aparecida Gomes Pereira PhD","doi":"10.1016/j.jmpt.2024.09.001","DOIUrl":"10.1016/j.jmpt.2024.09.001","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to evaluate the accuracy of heel rise test (HRT) for assessing the functional capacity (FC) of individuals with peripheral arterial disease (PAD) and determine the best sensitivity cutoff point to stratify individuals with worse FC.</div></div><div><h3>Methods</h3><div>This retrospective methodological study included adults of both sexes diagnosed with PAD and intermittent claudication. Individuals performed the HRT (number of plantar flexions, execution time, and execution rate were recorded) and the incremental shuttle walking test (distance walked was recorded). The accuracy analysis and the determination of the sensitivity of the HRT in assessing FC were performed by the receiver operating characteristic curve based on the following incremental shuttle walking test cutoff point: 380 meters. Alpha was set at 5%.</div></div><div><h3>Results</h3><div>In this study, 120 individuals were included (64 ± 9.65 years). The number of plantar flexions showed better accuracy for FC assessment (area under the curve, 0.78; 95% CI, 0.65-0.90). The best sensitivity cutoff to stratify the individuals with the worst FC was 63 plantar flexions (sensitivity, 0.952; specificity, 0.562).</div></div><div><h3>Conclusion</h3><div>The HRT showed good accuracy, adequate sensitivity, and acceptable specificity in assessing the FC of individuals with PAD. The best sensitivity cutoff point to stratify individuals with worse FC was 63 plantar flexions.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"47 5","pages":"Pages 107-113"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Manipulative and Physiological Therapeutics
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