Pub Date : 2025-07-01DOI: 10.1016/j.jmpt.2025.10.051
Vanessa Maria da Silva Alves Gomes PhD, Thaynara do Nascimento Paes Barreto MSc, Gisele da Silva Vitorino Barbosa MSc, Ana Clara Catanho Pereira BSc, Laylla Marjorye Rebouças Bezerra MSc, Geisa Guimarães de Alencar PhD, Marianna de Melo Salemi MSc, Thania Maion de Souza Melo MSc, Eduardo José Nepomuceno Montenegro PhD, Patrícia Clara Pereira dos Santos PhD, Daniella Araújo de Oliveira PhD, Gisela Rocha de Siqueira PhD
Objective
To evaluate the effects of diacutaneous fibrolysis (DF) on pain intensity and cervical range of motion in individuals with chronic nonspecific neck pain (CNPP), compared to a sham intervention.
Methods
This randomized clinical trial included 30 adults with CNPP, randomly assigned in equal numbers to the DF group (DFG) or the sham group (ShG). Both groups received a single 30-minute session. Outcomes included the Visual Analog Scale (VAS) for pain, cervical range of motion (ROM), pressure pain threshold (PPT), and the area of myofascial trigger points (MTP) in the upper trapezius muscle. Analysis of covariance (ANCOVA) was used, with baseline values as covariates. Mean differences (MD) and 95% CIs were calculated, with significance set at P < .05.
Results
DFG exhibited reduction in VAS (MD = −3.38; 95% CI: −4.22 to −2.48) and improvements in cervical ROM, including extension (MD = 11.44; 95% CI: 5.45 to 17.44), right rotation (MD = 10.68; 95% CI: 4.49 to 16.44), and left rotation (MD = 7.91; 95% CI: 4.03 to 11.78), and right lateral flexion (MD = 6.90; 95% CI: 0.29 to 10.84) and left lateral flexion (MD = 3.51; 95% CI: 0.29 to 6.73), compared to the ShG. The DFG also showed greater increases in PPT (MD = 0.73; 95% CI: 0.46 to 0.99) and reductions in the area of MTP (MD = −0.57; 95% CI: −0.89 to −0.25), in the upper trapezius.
Conclusions
A single session of DF was effective in reducing neck pain, improving cervical ROM, increasing PPT, and decreasing MTP area in the upper trapezius of adults with CNPP.
{"title":"Effects of Diacutaneous Fibrolysis on Pain and Mobility in Chronic Neck Pain: A Randomized Sham-Controlled Trial","authors":"Vanessa Maria da Silva Alves Gomes PhD, Thaynara do Nascimento Paes Barreto MSc, Gisele da Silva Vitorino Barbosa MSc, Ana Clara Catanho Pereira BSc, Laylla Marjorye Rebouças Bezerra MSc, Geisa Guimarães de Alencar PhD, Marianna de Melo Salemi MSc, Thania Maion de Souza Melo MSc, Eduardo José Nepomuceno Montenegro PhD, Patrícia Clara Pereira dos Santos PhD, Daniella Araújo de Oliveira PhD, Gisela Rocha de Siqueira PhD","doi":"10.1016/j.jmpt.2025.10.051","DOIUrl":"10.1016/j.jmpt.2025.10.051","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effects of diacutaneous fibrolysis (DF) on pain intensity and cervical range of motion in individuals with chronic nonspecific neck pain (CNPP), compared to a sham intervention.</div></div><div><h3>Methods</h3><div>This randomized clinical trial included 30 adults with CNPP, randomly assigned in equal numbers to the DF group (DFG) or the sham group (ShG). Both groups received a single 30-minute session. Outcomes included the Visual Analog Scale (VAS) for pain, cervical range of motion (ROM), pressure pain threshold (PPT), and the area of myofascial trigger points (MTP) in the upper trapezius muscle. Analysis of covariance (ANCOVA) was used, with baseline values as covariates. Mean differences (MD) and 95% CIs were calculated, with significance set at <em>P</em> < .05.</div></div><div><h3>Results</h3><div>DFG exhibited reduction in VAS (MD = −3.38; 95% CI: −4.22 to −2.48) and improvements in cervical ROM, including extension (MD = 11.44; 95% CI: 5.45 to 17.44), right rotation (MD = 10.68; 95% CI: 4.49 to 16.44), and left rotation (MD = 7.91; 95% CI: 4.03 to 11.78), and right lateral flexion (MD = 6.90; 95% CI: 0.29 to 10.84) and left lateral flexion (MD = 3.51; 95% CI: 0.29 to 6.73), compared to the ShG. The DFG also showed greater increases in PPT (MD = 0.73; 95% CI: 0.46 to 0.99) and reductions in the area of MTP (MD = −0.57; 95% CI: −0.89 to −0.25), in the upper trapezius.</div></div><div><h3>Conclusions</h3><div>A single session of DF was effective in reducing neck pain, improving cervical ROM, increasing PPT, and decreasing MTP area in the upper trapezius of adults with CNPP.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 778-788"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145505164","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}
The purpose of this study was to explore the immediate effects of myofascial release (MFR) of the quadriceps or hamstrings on active range of motion (ROM) of cervical flexion and extension.
Methods
Sixty healthy individuals were randomly divided into 3 groups: Group intervention 1 (GI 1) (n = 20), group intervention 2 (GI 2) (n = 20), and group control (GC) (n = 20). In the first assessment (M0), the cervical flexion and extension ROM were measured with a goniometer. MFR with a foam roller was applied on the hamstrings (GI 1) or quadriceps (GI 2) of the dominant lower limb for 3 series of 1 minute with 30 seconds rest. The GC had no intervention. Immediately after the intervention, all groups were assessed again (M1).
Results
The results showed a significant increase in the active ROM for cervical flexion in GI 1 (P = .002, rank biserial correlation = –0.821) and GI 2 (P = .001, rank biserial correlation = –1.000), as well as for cervical extension in GI 1 (P = .001, rank biserial correlation = –0.905) and GI 2 (P = .001, rank biserial correlation = –0.858). However, there were no differences in the GC active ROM of cervical flexion (P = .150) and extension (P = .376). Significant intergroup differences were observed for cervical flexion and extension when comparing GI 1 and GI 2 to GC (P = .002; P = .001, ϵ² = 0.304-0.326).
Conclusion
This study showed that applying MFR using a foam roller to the quadriceps or hamstrings increased the ROM of cervical flexion and extension in healthy individuals in the short term.
{"title":"Immediate Effects of Quadriceps or Hamstrings Myofascial Release on Cervical Active Range of Motion in Healthy Individuals: A Randomized Controlled Trial","authors":"Ricardo Cardoso PhD , Adérito Seixas MSc , Isabel Moreira-Silva PhD , Joana Azevedo MSc , Doryne Lopes BS","doi":"10.1016/j.jmpt.2025.10.038","DOIUrl":"10.1016/j.jmpt.2025.10.038","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to explore the immediate effects of myofascial release (MFR) of the quadriceps or hamstrings on active range of motion (ROM) of cervical flexion and extension.</div></div><div><h3>Methods</h3><div>Sixty healthy individuals were randomly divided into 3 groups: Group intervention 1 (GI 1) (<em>n</em> = 20), group intervention 2 (GI 2) (<em>n</em> = 20), and group control (GC) (<em>n</em> = 20). In the first assessment (M0), the cervical flexion and extension ROM were measured with a goniometer. MFR with a foam roller was applied on the hamstrings (GI 1) or quadriceps (GI 2) of the dominant lower limb for 3 series of 1 minute with 30 seconds rest. The GC had no intervention. Immediately after the intervention, all groups were assessed again (M1).</div></div><div><h3>Results</h3><div>The results showed a significant increase in the active ROM for cervical flexion in GI 1 (<em>P</em> = .002, rank biserial correlation = –0.821) and GI 2 (<em>P</em> = .001, rank biserial correlation = –1.000), as well as for cervical extension in GI 1 (<em>P</em> = .001, rank biserial correlation = –0.905) and GI 2 (<em>P</em> = .001, rank biserial correlation = –0.858). However, there were no differences in the GC active ROM of cervical flexion (<em>P</em> = .150) and extension (<em>P</em> = .376). Significant intergroup differences were observed for cervical flexion and extension when comparing GI 1 and GI 2 to GC (<em>P</em> = .002; <em>P</em> = .001, <em>ϵ</em>² = 0.304-0.326).</div></div><div><h3>Conclusion</h3><div>This study showed that applying MFR using a foam roller to the quadriceps or hamstrings increased the ROM of cervical flexion and extension in healthy individuals in the short term.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 927-934"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145444891","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}
Pub Date : 2025-07-01DOI: 10.1016/j.jmpt.2025.10.058
Razak M. Gyasi PhD, PD , Simon Boateng PhD , Barnabas Addai Amanfo PhD , Benedict Osei Asibey PhD , Daniel Offei PhD , Simon Mariwah PhD , André Hajek PhD , Lee Smith PhD , David R. Phillips PhD
Objective
The purpose of this population-based study was to examine whether sedentary behavior (SB) and light physical activity intensity (LPA) are associated with pain in older adults. A further aim is to investigate the psychosomatic complaints as mediators between SB and pain.
Methods
Individuals aged ≥50 from the 2018 Study on Aging, Health, and Health-seeking Behavior reported on SB and LPA using the International Physical Activity Questionnaire and pain severity using a cross-culturally validated item from the bodily pain subscale of the MOS SF-36. Multivariable logistic regression models evaluated the associations of SB and LPA with pain. Bootstrapping analyses assessed whether psychosomatic complaints mediate the association between SB and pain.
Results
Among 1201 participants (mean ± SD age = 66.1 ± 11.9 years; women = 63.3%), the prevalence of SB and pain was 21.4% and 43.0%, respectively. Compared with <8 h/d, ≥8 h/d of SB was positively associated with pain (OR = 2.42, 95% CI = 1.71-3.42). However, LPA was associated with 11% lower odds of reporting pain (OR = 0.89, 95% CI = 0.81-0.98). Self-rated health (41.2%), anxiety (23.5%), comorbidity (20.6%), functional limitations (17.6%), depression (13.2%), and sleep problems (11.8%) were associated with pain and mediated the SB-pain link.
Conclusions
The present study observed that SB and LPA were associated with pain in older adults residing in Ghana, and psychosomatic complaints were identified as potential mechanisms in the pathway between SB and pain. Managing the pain burden in old age may require shifting the 24-hour behavior from SB to LPA and addressing the inherent psychosomatic complaints.
{"title":"Sedentary Time, Light Physical Activity Intensity, and Pain Severity: Findings From the Ghana Study on Aging","authors":"Razak M. Gyasi PhD, PD , Simon Boateng PhD , Barnabas Addai Amanfo PhD , Benedict Osei Asibey PhD , Daniel Offei PhD , Simon Mariwah PhD , André Hajek PhD , Lee Smith PhD , David R. Phillips PhD","doi":"10.1016/j.jmpt.2025.10.058","DOIUrl":"10.1016/j.jmpt.2025.10.058","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this population-based study was to examine whether sedentary behavior (SB) and light physical activity intensity (LPA) are associated with pain in older adults. A further aim is to investigate the psychosomatic complaints as mediators between SB and pain.</div></div><div><h3>Methods</h3><div>Individuals aged ≥50 from the 2018 Study on Aging, Health, and Health-seeking Behavior reported on SB and LPA using the International Physical Activity Questionnaire and pain severity using a cross-culturally validated item from the bodily pain subscale of the MOS SF-36. Multivariable logistic regression models evaluated the associations of SB and LPA with pain. Bootstrapping analyses assessed whether psychosomatic complaints mediate the association between SB and pain.</div></div><div><h3>Results</h3><div>Among 1201 participants (mean ± SD age = 66.1 ± 11.9 years; women = 63.3%), the prevalence of SB and pain was 21.4% and 43.0%, respectively. Compared with <8 h/d, ≥8 h/d of SB was positively associated with pain (OR = 2.42, 95% CI = 1.71-3.42). However, LPA was associated with 11% lower odds of reporting pain (OR = 0.89, 95% CI = 0.81-0.98). Self-rated health (41.2%), anxiety (23.5%), comorbidity (20.6%), functional limitations (17.6%), depression (13.2%), and sleep problems (11.8%) were associated with pain and mediated the SB-pain link.</div></div><div><h3>Conclusions</h3><div>The present study observed that SB and LPA were associated with pain in older adults residing in Ghana, and psychosomatic complaints were identified as potential mechanisms in the pathway between SB and pain. Managing the pain burden in old age may require shifting the 24-hour behavior from SB to LPA and addressing the inherent psychosomatic complaints.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 833-843"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145504617","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}
Pub Date : 2025-07-01DOI: 10.1016/j.jmpt.2025.10.028
Samantha Pritty MS, DC , Kyle Schwartz DC , Christopher Farrell MS, DC , Jesse Anderson DC , Sheryl Walters MLS , Lindsay Rae DC
Objective
The purpose of this scoping review was to assess the literature on patient education and delivery methods utilized by chiropractors.
Methods
For this scoping review, we searched peer-reviewed and gray literature including all study designs except for commentaries and protocols, which pertained to patient education within the chiropractic setting. Studies that included pediatrics were excluded. A literature search was performed through PubMed, Index to Chiropractic Literature, CINAHL, and Cochrane Database of Systematic Reviews from journal inception to March 4, 2025. After extraction, findings were qualitatively analyzed using thematic analysis.
Results
Of 2338 articles identified, 68 studies were eligible for thematic analysis. There was heterogeneity in the content and delivery methods of patient education. More lifestyle education reported than pain education. Predominately, education was delivered by direct instruction in a multimodal treatment approach.
Conclusion
Our literature findings suggest that chiropractors are utilizing pain education in addition to other patient education topics, such as lifestyle education, ergonomics/biomechanics, diagnosis/prognosis, and self-management strategies. Patient education is performed as part of a multimodal treatment approach within the chiropractic setting, primarily through direct instruction.
目的：本综述的目的是评估关于脊医患者教育和提供方法的文献。方法：在此范围综述中，我们检索了同行评议和灰色文献，包括除评论和协议外的所有研究设计，这些研究设计与脊椎指压治疗背景下的患者教育有关。包括儿科在内的研究被排除在外。从期刊创刊到2025年3月4日，通过PubMed、Index to Chiropractic literature、CINAHL和Cochrane系统评价数据库进行文献检索。提取后，使用专题分析对结果进行定性分析。结果：在鉴定的2338篇文章中，有68篇研究符合专题分析的条件。患者教育的内容和方式存在异质性。生活方式教育多于疼痛教育。在多模式治疗方法中，教育主要是通过直接指导进行的。结论：我们的文献发现表明，脊医除了对患者进行生活方式教育、人体工程学/生物力学、诊断/预后和自我管理策略等其他教育主题外，还利用疼痛教育。患者教育是脊椎指压治疗中多模式治疗方法的一部分，主要是通过直接指导。
{"title":"Prevalence and Delivery of Pain Education Interventions in the Chiropractic Setting: a Scoping Review","authors":"Samantha Pritty MS, DC , Kyle Schwartz DC , Christopher Farrell MS, DC , Jesse Anderson DC , Sheryl Walters MLS , Lindsay Rae DC","doi":"10.1016/j.jmpt.2025.10.028","DOIUrl":"10.1016/j.jmpt.2025.10.028","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this scoping review was to assess the literature on patient education and delivery methods utilized by chiropractors.</div></div><div><h3>Methods</h3><div>For this scoping review, we searched peer-reviewed and gray literature including all study designs except for commentaries and protocols, which pertained to patient education within the chiropractic setting. Studies that included pediatrics were excluded. A literature search was performed through PubMed, Index to Chiropractic Literature, CINAHL, and Cochrane Database of Systematic Reviews from journal inception to March 4, 2025. After extraction, findings were qualitatively analyzed using thematic analysis.</div></div><div><h3>Results</h3><div>Of 2338 articles identified, 68 studies were eligible for thematic analysis. There was heterogeneity in the content and delivery methods of patient education. More lifestyle education reported than pain education. Predominately, education was delivered by direct instruction in a multimodal treatment approach.</div></div><div><h3>Conclusion</h3><div>Our literature findings suggest that chiropractors are utilizing pain education in addition to other patient education topics, such as lifestyle education, ergonomics/biomechanics, diagnosis/prognosis, and self-management strategies. Patient education is performed as part of a multimodal treatment approach within the chiropractic setting, primarily through direct instruction.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 895-903"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145540601","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}
Pub Date : 2025-07-01DOI: 10.1016/j.jmpt.2025.10.018
Kuokchon Pou BA, Qiuhong Zeng BA, Qian Chen BA, Yixuan Li BA, Lulu Cai BA, Zhen Huang BA, Yi Liao BA, Shujie Tang PhD
Objective
The aim of this study was to compare the biomechanical effects between localized and nonlocalized rotation manipulations on cervical spondylotic radiculopathy and to investigate the influence of cervical disc degeneration on the manipulations using finite element models.
Methods
In this study, 4 progressively degenerative finite element models of C3 to C7 segments were created to simulate cervical localized and nonlocalized rotation manipulations. In each model, disc degeneration was simulated at the C5 to C6 segment, a disc protrusion was assumed to be in the left posterolateral region of the C5 to C6 disc, and 2 rotation manipulations were performed on the right. Thirty nodes on the left posterolateral region of the C5 to C6 disc were selected, and the displacement and stress of the nodes, as well as the facet joint stress at the C5 to C6 level, were calculated and compared.
Results
The displacement and stress in the left posterolateral region of the disc, as well as the facet joint stress at the C5 to C6 level, were higher in localized rotation manipulation than those in nonlocalized rotation manipulation (P < .05). The displacement and stress in the left posterolateral region of the disc decreased with the severity of disc degeneration (P < .05).
Conclusion
Using finite element models, this study demonstrated that cervical spine degeneration can adversely affect the biomechanical effects of rotation manipulations, in that more severe disc degeneration may be associated with poorer biomechanical effect. However, for the same level of degeneration severity, localized rotation manipulation may be more specific than nonlocalized rotation manipulation.
{"title":"Comparison of the Biomechanical Effects of Cervical Localized and Nonlocalized Rotation Manipulations on Cervical Spondylotic Radiculopathy: A Finite Element Study","authors":"Kuokchon Pou BA, Qiuhong Zeng BA, Qian Chen BA, Yixuan Li BA, Lulu Cai BA, Zhen Huang BA, Yi Liao BA, Shujie Tang PhD","doi":"10.1016/j.jmpt.2025.10.018","DOIUrl":"10.1016/j.jmpt.2025.10.018","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to compare the biomechanical effects between localized and nonlocalized rotation manipulations on cervical spondylotic radiculopathy and to investigate the influence of cervical disc degeneration on the manipulations using finite element models.</div></div><div><h3>Methods</h3><div>In this study, 4 progressively degenerative finite element models of C3 to C7 segments were created to simulate cervical localized and nonlocalized rotation manipulations. In each model, disc degeneration was simulated at the C5 to C6 segment, a disc protrusion was assumed to be in the left posterolateral region of the C5 to C6 disc, and 2 rotation manipulations were performed on the right. Thirty nodes on the left posterolateral region of the C5 to C6 disc were selected, and the displacement and stress of the nodes, as well as the facet joint stress at the C5 to C6 level, were calculated and compared.</div></div><div><h3>Results</h3><div>The displacement and stress in the left posterolateral region of the disc, as well as the facet joint stress at the C5 to C6 level, were higher in localized rotation manipulation than those in nonlocalized rotation manipulation (<em>P</em> < .05). The displacement and stress in the left posterolateral region of the disc decreased with the severity of disc degeneration (<em>P</em> < .05).</div></div><div><h3>Conclusion</h3><div>Using finite element models, this study demonstrated that cervical spine degeneration can adversely affect the biomechanical effects of rotation manipulations, in that more severe disc degeneration may be associated with poorer biomechanical effect. However, for the same level of degeneration severity, localized rotation manipulation may be more specific than nonlocalized rotation manipulation.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 914-926"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145549729","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}
Pub Date : 2025-07-01DOI: 10.1016/j.jmpt.2025.10.027
Deeksha Devadiga BPT , Rajasekar Sannasi PhD , Prajna D. Rao MPT , Hareesh H. Keshavmurthy BPT , Jan Dommerholt DPT , Shine Thomas MPT
Objective
The purpose of this study was to determine the association between trigger points (TrPs) in the sternocleidomastoid (SCM) and upper trapezius (UT) muscles and primary headaches.
Methods
A total of 60 participants (25 males and 35 females) were included in this cross-sectional study and divided into 2 groups based on the presence or absence of a primary headache, as determined by the Headache Impact Test. Both the bilateral SCM and UT muscles were palpated to assess the presence of TrPs.
Results
The results showed a significant association between TrPs in the SCM and headaches (right SCM: χ2 value = 6.696, P < .010, phi [φ] = 0.334; left SCM: χ2 value = 8.076, P < .004, phi [φ] = 0.367). The UT TrPs did not show a strong association with headaches (right UT: χ2 value = 2.857, P < .091, phi [φ] = 0.218; left UT: χ2 value = 3.455, P < .063, phi [φ] = 0.240).
Conclusion
There was a strong association between SCM TrPs and symptomatic headaches and a weak association between UT TrPs and symptomatic headaches.
{"title":"Association Between Sternocleidomastoid and Upper Trapezius Muscle Trigger Points and Headaches: A Cross-Sectional Study","authors":"Deeksha Devadiga BPT , Rajasekar Sannasi PhD , Prajna D. Rao MPT , Hareesh H. Keshavmurthy BPT , Jan Dommerholt DPT , Shine Thomas MPT","doi":"10.1016/j.jmpt.2025.10.027","DOIUrl":"10.1016/j.jmpt.2025.10.027","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to determine the association between trigger points (TrPs) in the sternocleidomastoid (SCM) and upper trapezius (UT) muscles and primary headaches.</div></div><div><h3>Methods</h3><div>A total of 60 participants (25 males and 35 females) were included in this cross-sectional study and divided into 2 groups based on the presence or absence of a primary headache, as determined by the Headache Impact Test. Both the bilateral SCM and UT muscles were palpated to assess the presence of TrPs.</div></div><div><h3>Results</h3><div>The results showed a significant association between TrPs in the SCM and headaches (right SCM: χ<sup>2</sup> value = 6.696, <em>P</em> < .010, phi [φ] = 0.334; left SCM: χ<sup>2</sup> value = 8.076, <em>P</em> < .004, phi [φ] = 0.367). The UT TrPs did not show a strong association with headaches (right UT: χ<sup>2</sup> value = 2.857, <em>P</em> < .091, phi [φ] = 0.218; left UT: χ<sup>2</sup> value = 3.455, <em>P</em> < .063, phi [φ] = 0.240).</div></div><div><h3>Conclusion</h3><div>There was a strong association between SCM TrPs and symptomatic headaches and a weak association between UT TrPs and symptomatic headaches.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 683-688"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145489074","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}
Pub Date : 2025-07-01DOI: 10.1016/S0161-4754(25)00129-0
{"title":"Inside front cover Editorial board","authors":"","doi":"10.1016/S0161-4754(25)00129-0","DOIUrl":"10.1016/S0161-4754(25)00129-0","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Page IFC"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145789641","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}
This study aimed to assess the reliability and construct validity of the Turkish version of the Atroshi–Lyrén 6-Item carpal tunnel syndrome (CTS) Symptoms Scale (A–L Scale-Tr) and to examine its associations with patient-reported outcome measures, including the Boston Carpal Tunnel Questionnaire (BCTQ) and Quick Disability of the Arm, Shoulder and Hand (QuickDASH).
Methods
A forward-backward translation procedure was performed following international guidelines. Sixty-two patients with unilateral CTS were invited to complete the A–L Scale-Tr. The test-retest reliability, convergent, and discriminant validity were evaluated.
Results
The A–L Scale-Tr revealed high values of internal consistency (Cronbach’s alpha = 0.854), and test-retest reliability (ICC = 0.96, 95% CI = 0.93-0.98). In the A–L Scale-Tr the factor structure was found optimal and explained 58.39% of the variance. The validity analysis showed strong correlation with night pain (r = 0.821), moderate correlation with BCTQ Symptoms Severity Scale (r = 0.564) and BCTQ Functional Status Scale (r = 0.453), QuickDASH (r = 0.474), pain at rest (r = 0.557), and pain at activity (r = 0.497) (P < .001).
Conclusions
It was found that the A–L Scale-Tr has good reliability and construct validity for symptom severity assessment in CTS. The A–L scale will be useful to clinicians and researchers in Turkish patients.
{"title":"Reliability and Validity of the Turkish Version of the Atroshi–Lyrén 6-Item CTS Symptoms Scale in Unilateral Carpal Tunnel Syndrome","authors":"Abdurrahman Tanhan PhD, PT , Tülay Çevik Saldıran PhD, PT , İlke Kara Öz MSc, PT , Berra Özberk Pamuk MD","doi":"10.1016/j.jmpt.2025.10.049","DOIUrl":"10.1016/j.jmpt.2025.10.049","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to assess the reliability and construct validity of the Turkish version of the Atroshi–Lyrén 6-Item carpal tunnel syndrome (CTS) Symptoms Scale (A–L Scale-Tr) and to examine its associations with patient-reported outcome measures, including the Boston Carpal Tunnel Questionnaire (BCTQ) and Quick Disability of the Arm, Shoulder and Hand <strong>(</strong>QuickDASH).</div></div><div><h3>Methods</h3><div>A forward-backward translation procedure was performed following international guidelines. Sixty-two patients with unilateral CTS were invited to complete the A–L Scale-Tr. The test-retest reliability, convergent, and discriminant validity were evaluated.</div></div><div><h3>Results</h3><div>The A–L Scale-Tr revealed high values of internal consistency (Cronbach’s alpha = 0.854), and test-retest reliability (ICC = 0.96, 95% CI = 0.93-0.98). In the A–L Scale-Tr the factor structure was found optimal and explained 58.39% of the variance. The validity analysis showed strong correlation with night pain (r = 0.821), moderate correlation with BCTQ Symptoms Severity Scale (r = 0.564) and BCTQ Functional Status Scale (r = 0.453), QuickDASH (r = 0.474), pain at rest (r = 0.557), and pain at activity (r = 0.497) (<em>P</em> < .001).</div></div><div><h3>Conclusions</h3><div>It was found that the A–L Scale-Tr has good reliability and construct validity for symptom severity assessment in CTS. The A–L scale will be useful to clinicians and researchers in Turkish patients.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 844-852"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145505085","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}
Pub Date : 2025-07-01DOI: 10.1016/j.jmpt.2025.10.025
Salah Eid Ahmed MSc , Ayman Shfei PhD , Soheir Rezkalla PhD , Alshaymaa Shaaban Abd El-Azeim PhD
Objective
The purpose of this study was to examine the effect of adding cervical stability training (CST) to a battery of treatment modalities on somatosensory evoked potential (SSEP) in patients with forward head (FHP) and chronic mechanical neck pain (CMNP).
Methods
Sixty patients with FHP and CMNP were randomized into 2 groups: Group A (study group) was subjected to CST and a battery of treatment modalities, whereas Group B (traditional group) underwent a battery of treatment modalities alone. Treatment was applied 3 sessions per week for 8 successive weeks. The primary outcomes were SSEP and craniovertebral angle (CVA). The secondary outcomes were visual analog scale for pain intensity, Neck Disability Index Arabic version for functional disability, an endurance test for neck flexor and extensor muscles, craniocervical flexion test for deep cervical flexor muscles activation, lateral radiographs using the posterior tangent method for cervical lordotic curvatures, and a phone application clinometer for cervical range of motion.
Results
The findings demonstrated short-term statistically significant differences (P < .05) at posttreatment between the study and traditional treatment groups in favor of the study group. The mean difference and 95% CI between both groups in SSEP and CVA = 1.83 (1.63, 2.03) and 7.37 (6.49, 8.25), respectively.
Conclusion
For patients with chronic neck pain, CST exercises plus a battery of treatment modalities exhibited a greater effect on primary and secondary outcomes than the battery of treatment modalities alone.
{"title":"Effect of Including Cervical Stability Training with Treatment Modalities for Patients with Forward Head Posture and Chronic Neck Pain: a Randomized Trial","authors":"Salah Eid Ahmed MSc , Ayman Shfei PhD , Soheir Rezkalla PhD , Alshaymaa Shaaban Abd El-Azeim PhD","doi":"10.1016/j.jmpt.2025.10.025","DOIUrl":"10.1016/j.jmpt.2025.10.025","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to examine the effect of adding cervical stability training (CST) to a battery of treatment modalities on somatosensory evoked potential (SSEP) in patients with forward head (FHP) and chronic mechanical neck pain (CMNP).</div></div><div><h3>Methods</h3><div>Sixty patients with FHP and CMNP were randomized into 2 groups: Group A (study group) was subjected to CST and a battery of treatment modalities, whereas Group B (traditional group) underwent a battery of treatment modalities alone. Treatment was applied 3 sessions per week for 8 successive weeks. The primary outcomes were SSEP and craniovertebral angle (CVA). The secondary outcomes were visual analog scale for pain intensity, Neck Disability Index Arabic version for functional disability, an endurance test for neck flexor and extensor muscles, craniocervical flexion test for deep cervical flexor muscles activation, lateral radiographs using the posterior tangent method for cervical lordotic curvatures, and a phone application clinometer for cervical range of motion.</div></div><div><h3>Results</h3><div>The findings demonstrated short-term statistically significant differences (<em>P</em> < .05) at posttreatment between the study and traditional treatment groups in favor of the study group. The mean difference and 95% CI between both groups in SSEP and CVA = 1.83 (1.63, 2.03) and 7.37 (6.49, 8.25), respectively.</div></div><div><h3>Conclusion</h3><div>For patients with chronic neck pain, CST exercises plus a battery of treatment modalities exhibited a greater effect on primary and secondary outcomes than the battery of treatment modalities alone.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 882-894"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145530637","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}
Pub Date : 2025-07-01DOI: 10.1016/S0161-4754(25)00130-7
{"title":"TOC","authors":"","doi":"10.1016/S0161-4754(25)00130-7","DOIUrl":"10.1016/S0161-4754(25)00130-7","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages A1-A3"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145789643","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}
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