Pub Date : 2025-07-01Epub Date: 2025-11-10DOI: 10.1016/j.jmpt.2025.10.060
Maryam Hajian MD , Shahram Mohaghegh MD
Objective
The purpose of this study was to compare the dynamic balance at different knee flexion angles (maximal knee flexion angles of 30° and 45°) on a 20% negative slope.
Methods
In an observational cross-sectional study, 19 healthy male participants performed a modified Star Excursion Balance Test on a 20% negative slope, whereas the left standing knee was restricted by a knee brace in a maximum of 30° or 45° flexion.
Results
The balance scores were significantly better in 45° knee flexion compared with 30° flexion in the composite reach and also in the percentage of reach in any of the test directions.
Conclusion
On a 20% negative slope, 45° knee flexion resulted in better dynamic balance than 30° knee flexion.
{"title":"Comparison of Knee Flexion Angles for Maintaining Dynamic Balance on Negative Slopes: A Guide for Improving Postural Stability in Mountain Climbing and Downhill Walking","authors":"Maryam Hajian MD , Shahram Mohaghegh MD","doi":"10.1016/j.jmpt.2025.10.060","DOIUrl":"10.1016/j.jmpt.2025.10.060","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to compare the dynamic balance at different knee flexion angles (maximal knee flexion angles of 30° and 45°) on a 20% negative slope.</div></div><div><h3>Methods</h3><div>In an observational cross-sectional study, 19 healthy male participants performed a modified Star Excursion Balance Test on a 20% negative slope, whereas the left standing knee was restricted by a knee brace in a maximum of 30° or 45° flexion.</div></div><div><h3>Results</h3><div>The balance scores were significantly better in 45° knee flexion compared with 30° flexion in the composite reach and also in the percentage of reach in any of the test directions.</div></div><div><h3>Conclusion</h3><div>On a 20% negative slope, 45° knee flexion resulted in better dynamic balance than 30° knee flexion.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 656-661"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145489110","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 investigate the intra and inter-rater reliability, standard error of measurement (SEM) and the smallest detectable change (SDC) of the tests recommended by Osteoarthritis Research Society International (OARSI) for patients with symptomatic knee osteoarthritis (KOA).
Methods
Thirty participants with KOA were evaluated by 3 raters in 2 sessions with 1 week interval. Intra-rater and inter-rater reliability were calculated using the intraclass correlation coefficient (ICC) for the following tests: 30s Chair Stand Test (30sCST),40m Fast Paced Walk Test (40mFPWT), and 11-Step Climb Test (11-step SCT). The SEM and SDC were calculated for all the tests.
Results
The inter-rater reliability was excellent (ICC > 0.90) for the 40mFPWT, 11-step SCT and moderate reliability (ICC > 0.70) for the 30s CST. The intra-rater reliability was excellent (ICC>0.90) for the 40m FPWT, 11-step SCT and moderate (ICC > 0.70) for the 30s CST. The inter-rater SEM and SDC, respectively, were 1.2 and 3.3 for the 30s CST, 2.5 and 7.0 for the 40m FPWT, 4.5 and 12.6 for the 11-step SCT. The intra-rater SEM and SDC were calculated for all the tests.
Conclusion
The core set minimum of functional tests recommended by OARSI is reliable and demonstrates acceptable measurement error indicating they are appropriate to detect real change over assessments in individuals with knee osteoarthritis.
{"title":"Reliability, Standard Error of Measurement, and Smallest Detectable Change of the Recommended Tests by the Osteoarthritis Research Society International in People With Knee Osteoarthritis","authors":"Rebecca Bianca Ramalho MSc, Vinicius Bianquini Viterbo Montilha PT, Natalia Aparecida Casonato MSc, Stela Marcia Mattiello PhD, Luiz Fernando Approbato Selistre PhD","doi":"10.1016/j.jmpt.2025.10.024","DOIUrl":"10.1016/j.jmpt.2025.10.024","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to investigate the intra and inter-rater reliability, standard error of measurement (SEM) and the smallest detectable change (SDC) of the tests recommended by Osteoarthritis Research Society International (OARSI) for patients with symptomatic knee osteoarthritis (KOA).</div></div><div><h3>Methods</h3><div>Thirty participants with KOA were evaluated by 3 raters in 2 sessions with 1 week interval. Intra-rater and inter-rater reliability were calculated using the intraclass correlation coefficient (ICC) for the following tests: 30s Chair Stand Test (30sCST),40m Fast Paced Walk Test (40mFPWT), and 11-Step Climb Test (11-step SCT). The SEM and SDC were calculated for all the tests.</div></div><div><h3>Results</h3><div>The inter-rater reliability was excellent (ICC > 0.90) for the 40mFPWT, 11-step SCT and moderate reliability (ICC > 0.70) for the 30s CST. The intra-rater reliability was excellent (ICC>0.90) for the 40m FPWT, 11-step SCT and moderate (ICC > 0.70) for the 30s CST. The inter-rater SEM and SDC, respectively, were 1.2 and 3.3 for the 30s CST, 2.5 and 7.0 for the 40m FPWT, 4.5 and 12.6 for the 11-step SCT. The intra-rater SEM and SDC were calculated for all the tests.</div></div><div><h3>Conclusion</h3><div>The core set minimum of functional tests recommended by OARSI is reliable and demonstrates acceptable measurement error indicating they are appropriate to detect real change over assessments in individuals with knee osteoarthritis.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 706-711"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145495781","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 : 2025-07-01Epub Date: 2025-11-12DOI: 10.1016/j.jmpt.2025.10.055
Irene Torres-Sánchez PhD , Andrea Ramírez-Zafra MSc , Elisabet Rueda-García MSc , Irene Cabrera-Martos PhD , Esther Díaz-Mohedo PhD
Objective
The aim of this study was to analyze the effects of manual therapy techniques on adults with functional constipation (FC).
Methods
Four databases (CINAHL, PubMed, Scopus and Web of Science) were searched up to May 2025. Inclusion criteria were defined following PICOS recommendations. Methodological quality was assessed with the Downs and Black scale, and the risk of bias was evaluated with the Cochrane risk of bias assessment tool. The meta-analysis was performed using RevMan 5.4 software.
Results
Fifteen randomized clinical trials with a total of 859 patients were included in the systematic review and eleven were included in the meta-analysis. Manual therapy compared to no manual therapy significantly improved constipation severity, constipation status, quality of life (QOL), defecation frequency, and defecation duration. In addition, abdominal massage compared to no manual therapy significantly improved constipation severity. Manual therapy, compared to a control intervention, significantly improved constipation severity. Manual therapy applied alone or combined with another treatment showed significant differences compared to no manual therapy.
Conclusion
Manual therapy, compared to no manual therapy, significantly improved constipation severity and status, QOL and defecation frequency and duration in adults with FC without any other pathology. In addition, abdominal massage compared to no manual therapy and manual therapy compared to a control group also significantly improved constipation severity. Similar significant differences were also found in favor of manual therapy when it was applied alone or combined with another treatment. High heterogeneity between studies affected the consistency of results, therefore these findings should be considered with caution.
目的：本研究的目的是分析手工治疗技术对成人功能性便秘（FC）的影响。方法：检索截至2025年5月的4个数据库（CINAHL、PubMed、Scopus和Web of Science）。纳入标准根据PICOS推荐定义。采用Downs和Black量表评估方法学质量，采用Cochrane偏倚风险评估工具评估偏倚风险。meta分析采用RevMan 5.4软件进行。结果：系统评价纳入15项随机临床试验，共纳入859例患者，meta分析纳入11项试验。与无手工治疗相比，手工治疗可显著改善便秘严重程度、便秘状态、生活质量（QOL）、排便频率和排便时间。此外，腹部按摩与没有手工治疗相比，明显改善便秘的严重程度。与对照组干预相比，手工疗法显著改善了便秘的严重程度。手工疗法单独应用或与另一种治疗相结合，与无手工疗法相比有显著差异。结论：与不进行手工治疗相比，手工治疗可显著改善无其他病理的成年FC患者的便秘严重程度和状态、生活质量、排便次数和持续时间。此外，腹部按摩组相比无推拿治疗组和有推拿治疗组相比便秘严重程度也有明显改善。当手工疗法单独应用或与另一种疗法联合使用时，也发现了类似的显著差异。研究之间的高度异质性影响了结果的一致性，因此这些发现应谨慎考虑。
{"title":"Effects of Manual Therapy on Patients with Functional Constipation: Systematic Review and Meta-analysis of Randomized Clinical Trials","authors":"Irene Torres-Sánchez PhD , Andrea Ramírez-Zafra MSc , Elisabet Rueda-García MSc , Irene Cabrera-Martos PhD , Esther Díaz-Mohedo PhD","doi":"10.1016/j.jmpt.2025.10.055","DOIUrl":"10.1016/j.jmpt.2025.10.055","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to analyze the effects of manual therapy techniques on adults with functional constipation (FC).</div></div><div><h3>Methods</h3><div>Four databases (CINAHL, PubMed, Scopus and Web of Science) were searched up to May 2025. Inclusion criteria were defined following PICOS recommendations. Methodological quality was assessed with the Downs and Black scale, and the risk of bias was evaluated with the Cochrane risk of bias assessment tool. The meta-analysis was performed using RevMan 5.4 software.</div></div><div><h3>Results</h3><div>Fifteen randomized clinical trials with a total of 859 patients were included in the systematic review and eleven were included in the meta-analysis. Manual therapy compared to no manual therapy significantly improved constipation severity, constipation status, quality of life (QOL), defecation frequency, and defecation duration. In addition, abdominal massage compared to no manual therapy significantly improved constipation severity. Manual therapy, compared to a control intervention, significantly improved constipation severity. Manual therapy applied alone or combined with another treatment showed significant differences compared to no manual therapy.</div></div><div><h3>Conclusion</h3><div>Manual therapy, compared to no manual therapy, significantly improved constipation severity and status, QOL and defecation frequency and duration in adults with FC without any other pathology. In addition, abdominal massage compared to no manual therapy and manual therapy compared to a control group also significantly improved constipation severity. Similar significant differences were also found in favor of manual therapy when it was applied alone or combined with another treatment. High heterogeneity between studies affected the consistency of results, therefore these findings should be considered with caution.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 712-723"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145495762","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 : 2025-07-01Epub Date: 2025-11-12DOI: 10.1016/j.jmpt.2025.10.015
Júlia Lacet Silva Ferreira MSc , Silvana Cristina de Araújo Pereira Venceslau MSc , Ronny Marcos de Morais PT , Rayanne Kethleen do Nascimento Silva MSc , Heleodório Honorato dos Santos PhD , José Jamacy de Almeida Ferreira PhD , Palloma Rodrigues de Andrade PhD
Objective
This study aimed to compare short-term effects of low-level laser therapy and far-infrared radiation on pain intensity, pressure-induced pain, and skin temperature of the trapezius muscle of individuals with subacute and chronic neck pain.
Methods
A randomized, sham-controlled, superiority clinical trial with 3 parallel arms and blind evaluator was performed. Ninety-one individuals were treated with phototherapy for subacute and chronic neck pain. Pain intensity was assessed using visual analog scale. Pressure-induced pain was assessed using a pressure dynamometer. Skin temperature of the trapezius region was evaluated with infrared thermography. Individuals were evaluated before (T0), immediately after (T1), 10 minutes (T2), 20 minutes (T3), and 48 hours (T4) after 1 session of phototherapy. Individuals were randomly allocated into 3 groups: (1) laser therapy (GLAS), punctual laser application (808 nm, 0.5 J/cm², power of 10 mW); (2) infrared (GINF), application at 30 cm and incidence angle of 90° for 30 minutes; (3) sham (GSHAM), simulated punctual laser. Mixed linear models were performed using group, time, and group-versus-time interaction, considering a first-order automatic covariance matrix.
Results
Pain intensity reduced in intragroup analysis among all evaluation times (P < .05), but not intergroup. Pressure-induced pain was not altered. There was increased skin temperature with infrared at T1 and T2 compared with laser therapy and sham (P < .05).
Conclusions
A single application of low-level or infrared laser therapy was not effective in the short term for subacute and chronic neck pain and did not change skin temperature in trapezius region.
{"title":"Single Application of Low-Level or Infrared Laser Therapy Not Effective in the Short Term for Neck Pain: A Randomized Controlled Clinical Trial","authors":"Júlia Lacet Silva Ferreira MSc , Silvana Cristina de Araújo Pereira Venceslau MSc , Ronny Marcos de Morais PT , Rayanne Kethleen do Nascimento Silva MSc , Heleodório Honorato dos Santos PhD , José Jamacy de Almeida Ferreira PhD , Palloma Rodrigues de Andrade PhD","doi":"10.1016/j.jmpt.2025.10.015","DOIUrl":"10.1016/j.jmpt.2025.10.015","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to compare short-term effects of low-level laser therapy and far-infrared radiation on pain intensity, pressure-induced pain, and skin temperature of the trapezius muscle of individuals with subacute and chronic neck pain.</div></div><div><h3>Methods</h3><div>A randomized, sham-controlled, superiority clinical trial with 3 parallel arms and blind evaluator was performed. Ninety-one individuals were treated with phototherapy for subacute and chronic neck pain. Pain intensity was assessed using visual analog scale. Pressure-induced pain was assessed using a pressure dynamometer. Skin temperature of the trapezius region was evaluated with infrared thermography. Individuals were evaluated before (T0), immediately after (T1), 10 minutes (T2), 20 minutes (T3), and 48 hours (T4) after 1 session of phototherapy. Individuals were randomly allocated into 3 groups: (1) laser therapy (GLAS), punctual laser application (808 nm, 0.5 J/cm², power of 10 mW); (2) infrared (GINF), application at 30 cm and incidence angle of 90° for 30 minutes; (3) sham (GSHAM), simulated punctual laser. Mixed linear models were performed using group, time, and group-versus-time interaction, considering a first-order automatic covariance matrix.</div></div><div><h3>Results</h3><div>Pain intensity reduced in intragroup analysis among all evaluation times (<em>P</em> < .05), but not intergroup. Pressure-induced pain was not altered. There was increased skin temperature with infrared at T1 and T2 compared with laser therapy and sham (<em>P</em> < .05).</div></div><div><h3>Conclusions</h3><div>A single application of low-level or infrared laser therapy was not effective in the short term for subacute and chronic neck pain and did not change skin temperature in trapezius region.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 742-749"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145495796","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 : 2025-07-01Epub Date: 2025-11-12DOI: 10.1016/j.jmpt.2025.10.022
Paula Fernanda Sávio Ribeiro MSc , Adriane A. Alves MSc , Marcos Amaral de Noronha PhD , Luiz Fernando Approbato Selistre PhD
Objective
The purpose of this systematic review was to determine the effect of manual therapy techniques on pain processing in individuals with knee osteoarthritis (KOA).
Methods
: We conducted a comprehensive search across electronic databases through June 2023, including CENTRAL, Medline, Embase, CINAHL, and PEDro. Only randomized controlled trials were considered, and methodological quality was evaluated using the Physiotherapy Evidence Database (PEDro) scale.
Results
Four studies met the inclusion criteria and underwent full reading and critical analysis. The methodological quality of these studies was rated from good to excellent. Two of 4 studies showed favorable results for manual therapy. Pain processing was assessed using pressure pain threshold, but the results of the included studies were inconclusive, failing to demonstrate a significant change in pressure pain threshold due to manual therapy techniques.
Conclusion
The limited number of studies and substantial variation in techniques used may have contributed to the lack of positive outcomes and therefore the findings are limited. No studies investigated alternative forms of pain processing beyond pressure pain threshold.
{"title":"Effect of Manual Therapy on Pain Processing in People With Knee Osteoarthritis:A Systematic Review","authors":"Paula Fernanda Sávio Ribeiro MSc , Adriane A. Alves MSc , Marcos Amaral de Noronha PhD , Luiz Fernando Approbato Selistre PhD","doi":"10.1016/j.jmpt.2025.10.022","DOIUrl":"10.1016/j.jmpt.2025.10.022","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this systematic review was to determine the effect of manual therapy techniques on pain processing in individuals with knee osteoarthritis (KOA).</div></div><div><h3>Methods</h3><div><strong>:</strong> We conducted a comprehensive search across electronic databases through June 2023, including CENTRAL, Medline, Embase, CINAHL, and PEDro. Only randomized controlled trials were considered, and methodological quality was evaluated using the Physiotherapy Evidence Database (PEDro) scale.</div></div><div><h3>Results</h3><div>Four studies met the inclusion criteria and underwent full reading and critical analysis. The methodological quality of these studies was rated from good to excellent. Two of 4 studies showed favorable results for manual therapy. Pain processing was assessed using pressure pain threshold, but the results of the included studies were inconclusive, failing to demonstrate a significant change in pressure pain threshold due to manual therapy techniques.</div></div><div><h3>Conclusion</h3><div>The limited number of studies and substantial variation in techniques used may have contributed to the lack of positive outcomes and therefore the findings are limited. No studies investigated alternative forms of pain processing beyond pressure pain threshold.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 724-732"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145495705","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 : 2025-07-01Epub Date: 2025-11-29DOI: 10.1016/j.jmpt.2025.11.002
Carla Vanti PT, MSc , Silvano Ferrari PT , Francesco Marinelli PhD , Giulia Cappello PT , Vincenzo Corvasce PT , Francesco Girardi PT , Andrew A. Guccione MSPT, MSc, PhD , Paolo Pillastrini PT, MSc
Objective
This study aimed to examine the responsiveness of bridge maneuvers in subjects with low back pain (LBP) with respect to these outcomes.
Methods
One hundred and thirty-nine patients with subacute and chronic LBP participated in a physical therapy program averaging 7.46 sessions of supervised exercises and home exercises to improve lumbar stability. At the beginning of the program and after the last session, participants completed the Oswestry Disability Index (ODI-I) and the Pain Numerical Rating Scale (NRS), and performed Supine Bridge test (SBT), Right Side Bridge Test (RBT), Left Side Bridge Test (LBT), and Prone Bridge Test (PBT). Global perception of effectiveness was measured with a 7-point Global Perceived Effect Questionnaire.
Results
The optimal cutoff points were approximately 38.5 seconds for the Prone Bridge Test (PBT), (44% sensitivity; 78% specificity), 29.5 seconds for the RBT (55% sensitivity; 67% specificity), and 142 seconds for the SBT (45% sensitivity; 67% specificity). The areas under curves ranged from 0.56 (SBT) to 0.61 (PBT and RBT). Low to moderate significant relationships (p < .01) among bridge maneuvers, pain and disability (−0.23 to −0.39) and high correlations among each bridge maneuver and each other (0.69-0.81) emerged.
Conclusion
Although bridge maneuvers were responsive to changes in lumbar stability and correlated significantly with pain and disability, these measures were not sufficiently sensitive or specific at baseline to predict these outcomes.
{"title":"Bridge Maneuvers in Low Back Pain: Assessment of Internal and External Responsiveness","authors":"Carla Vanti PT, MSc , Silvano Ferrari PT , Francesco Marinelli PhD , Giulia Cappello PT , Vincenzo Corvasce PT , Francesco Girardi PT , Andrew A. Guccione MSPT, MSc, PhD , Paolo Pillastrini PT, MSc","doi":"10.1016/j.jmpt.2025.11.002","DOIUrl":"10.1016/j.jmpt.2025.11.002","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to examine the responsiveness of bridge maneuvers in subjects with low back pain (LBP) with respect to these outcomes.</div></div><div><h3>Methods</h3><div>One hundred and thirty-nine patients with subacute and chronic LBP participated in a physical therapy program averaging 7.46 sessions of supervised exercises and home exercises to improve lumbar stability. At the beginning of the program and after the last session, participants completed the Oswestry Disability Index (ODI-I) and the Pain Numerical Rating Scale (NRS), and performed Supine Bridge test (SBT), Right Side Bridge Test (RBT), Left Side Bridge Test (LBT), and Prone Bridge Test (PBT). Global perception of effectiveness was measured with a 7-point Global Perceived Effect Questionnaire.</div></div><div><h3>Results</h3><div>The optimal cutoff points were approximately 38.5 seconds for the Prone Bridge Test (PBT), (44% sensitivity; 78% specificity), 29.5 seconds for the RBT (55% sensitivity; 67% specificity), and 142 seconds for the SBT (45% sensitivity; 67% specificity). The areas under curves ranged from 0.56 (SBT) to 0.61 (PBT and RBT). Low to moderate significant relationships (<em>p</em> < .01) among bridge maneuvers, pain and disability (−0.23 to −0.39) and high correlations among each bridge maneuver and each other (0.69-0.81) emerged.</div></div><div><h3>Conclusion</h3><div>Although bridge maneuvers were responsive to changes in lumbar stability and correlated significantly with pain and disability, these measures were not sufficiently sensitive or specific at baseline to predict these outcomes.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 956-966"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145634505","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 establish the effect of core stabilization exercises applied face-to-face (FTF) and with telerehabilitation (TR) on core muscle thickness, functional capacity, back-related performance, and quality of life in asymptomatic individuals.
Method
In this randomized trial, 54 asymptomatic individuals were included in the study. FTF and TR groups performed core stabilization exercises 3 days a week for 8 weeks. Core muscle thickness was assessed by ultrasound imaging; functional capacity was assessed with repetitive side reaching, overhead lifting, and overhead working tests; back performance was assessed with the back performance scale (BPS); and quality of life was assessed with the SF-36 questionnaire.
Results
Following the core stabilization exercise program, the thickness of the right and left Transversus Abdominis muscles—measured at rest and during contraction and the thickness of the Internal Oblique muscle increased in both groups; however, the increases in Transversus Abdominis thickness at both resting and during contraction, were significantly greater in the FTF group compared with the TR group (P < .005). The improvement in the overhead working test (P = .02, effect size [ES] = 0.33) and back performance scale (BPS) score (P = .00, ES = 0.39) was greater in the FTF group compared with the TR group.
Conclusion
Core stabilization exercises provided improvements in core muscle thickness, functional capacity, back-related performance, and quality of life in asymptomatic individuals. Improvements in these parameters might inform future research investigating the prevention of low back pain with therapeutic exercise. In addition, this study demonstrated that core stabilization exercises can be implemented via TR as an alternative to FTF interventions.
{"title":"Effect of Telerehabilitation-Based and Face-to-Face Core Stabilization Exercises on Core Muscle Thickness and Functional Capacity in Asymptomatic Individuals: A Randomized Trial","authors":"Yasemin Özel Aslıyüce PT, MSc , MerveKaşıkcı MSc , Erkan Demirci MD , Egemen Turhan MD , Özlem Ülger PT, PhD","doi":"10.1016/j.jmpt.2025.10.044","DOIUrl":"10.1016/j.jmpt.2025.10.044","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to establish the effect of core stabilization exercises applied face-to-face (FTF) and with telerehabilitation (TR) on core muscle thickness, functional capacity, back-related performance, and quality of life in asymptomatic individuals.</div></div><div><h3>Method</h3><div>In this randomized trial, 54 asymptomatic individuals were included in the study. FTF and TR groups performed core stabilization exercises 3 days a week for 8 weeks. Core muscle thickness was assessed by ultrasound imaging; functional capacity was assessed with repetitive side reaching, overhead lifting, and overhead working tests; back performance was assessed with the back performance scale (BPS); and quality of life was assessed with the SF-36 questionnaire.</div></div><div><h3>Results</h3><div>Following the core stabilization exercise program, the thickness of the right and left Transversus Abdominis muscles—measured at rest and during contraction and the thickness of the Internal Oblique muscle increased in both groups; however, the increases in Transversus Abdominis thickness at both resting and during contraction, were significantly greater in the FTF group compared with the TR group (<em>P</em> < .005). The improvement in the overhead working test (<em>P</em> = .02, effect size [ES] = 0.33) and back performance scale (BPS) score (<em>P</em> = .00, ES = 0.39) was greater in the FTF group compared with the TR group.</div></div><div><h3>Conclusion</h3><div>Core stabilization exercises provided improvements in core muscle thickness, functional capacity, back-related performance, and quality of life in asymptomatic individuals. Improvements in these parameters might inform future research investigating the prevention of low back pain with therapeutic exercise. In addition, this study demonstrated that core stabilization exercises can be implemented via TR as an alternative to FTF interventions.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 820-832"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145505105","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 : 2025-07-01Epub Date: 2025-12-19DOI: 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}
Pub Date : 2025-01-01Epub Date: 2025-09-26DOI: 10.1016/j.jmpt.2025.08.005
Michayla M. Esteves MSc , Brian MacNeil PhD , Ganesh Tailor MSc , Cheryl M. Glazebrook PhD , Michael G. Johnson MD, FRCSC , Steven R. Passmore DC, PhD
Objective
The purpose of this study was to quantify the influence of musculoskeletal dysfunction on oculomotor performance by evaluating oculomotor convergence and volitional gaze performance in participants with chronic neck pain compared with controls.
Methods
Twelve participants with chronic neck pain were age/sex matched to 12 asymptomatic participants. All participants completed a series of tests in neutral, trunk rotated right, and trunk rotated left positions. A Royal Air Force ruler was used to measure near point convergence (NPC), a convergence insufficiency (CI) measurement. Oculomotor performance was assessed using an oculomotor Fitts’s Law task. Questionnaire data included the neck disability index (NDI) and CI symptom survey (CISS).
Results
A significant reduction in NPC was found in participants with neck pain for the neutral and rotated left positions. Movement time increased for targets at farther amplitudes for both groups. Reaction time increased for targets at shorter amplitudes for the symptomatic group, indicating motor planning challenges. Significant correlations were found between CISS and NPC scores, as well as between CISS and NDI scores, indicating CISS scores are associated with convergence performance deficits. Greater NDI scores related to larger CISS scores, correlating to increased CI symptoms.
Conclusion
Significant differences between groups were found for NPC suggesting that symptomatic participants have difficulties controlling convergent eye movements compared with asymptomatic participants. Reaction time was found to be longer for index of difficulty at a shorter amplitude for the symptomatic group. Correlations between CISS scores with NPC and NDI scores respectively were found, providing evidence of a relationship between CI and neck disability.
{"title":"Chronic Neck Pain Influence on Oculomotor Performance During Near Point Convergence and Fitts’s Tasks: a cross-sectional study","authors":"Michayla M. Esteves MSc , Brian MacNeil PhD , Ganesh Tailor MSc , Cheryl M. Glazebrook PhD , Michael G. Johnson MD, FRCSC , Steven R. Passmore DC, PhD","doi":"10.1016/j.jmpt.2025.08.005","DOIUrl":"10.1016/j.jmpt.2025.08.005","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to quantify the influence of musculoskeletal dysfunction on oculomotor performance by evaluating oculomotor convergence and volitional gaze performance in participants with chronic neck pain compared with controls.</div></div><div><h3>Methods</h3><div>Twelve participants with chronic neck pain were age/sex matched to 12 asymptomatic participants. All participants completed a series of tests in neutral, trunk rotated right, and trunk rotated left positions. A Royal Air Force ruler was used to measure near point convergence (NPC), a convergence insufficiency (CI) measurement. Oculomotor performance was assessed using an oculomotor Fitts’s Law task. Questionnaire data included the neck disability index (NDI) and CI symptom survey (CISS).</div></div><div><h3>Results</h3><div>A significant reduction in NPC was found in participants with neck pain for the neutral and rotated left positions. Movement time increased for targets at farther amplitudes for both groups. Reaction time increased for targets at shorter amplitudes for the symptomatic group, indicating motor planning challenges. Significant correlations were found between CISS and NPC scores, as well as between CISS and NDI scores, indicating CISS scores are associated with convergence performance deficits. Greater NDI scores related to larger CISS scores, correlating to increased CI symptoms.</div></div><div><h3>Conclusion</h3><div>Significant differences between groups were found for NPC suggesting that symptomatic participants have difficulties controlling convergent eye movements compared with asymptomatic participants. Reaction time was found to be longer for index of difficulty at a shorter amplitude for the symptomatic group. Correlations between CISS scores with NPC and NDI scores respectively were found, providing evidence of a relationship between CI and neck disability.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 1","pages":"Pages 119-128"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149320","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 : 2025-01-01Epub Date: 2025-11-06DOI: 10.1016/j.jmpt.2025.10.061
Huiqi Lv MD , Ming Li MD , Hong Liu MD , Yucheng Zhong MD , Hao Wen MD , Xiang Wang MD
Objective
The purpose of this study was to evaluate the effectiveness and safety of acupuncture as adjuvant therapy for hypertension in elderly patients.
Methods
We conducted a systematic review and network meta-analysis to assess the effects of acupuncture as adjuvant therapy for hypertension in the elderly. Databases searched included the Cochrane Library, PubMed, Embase, Web of Science, and the China National Knowledge Infrastructure database from their inception to March 1, 2025. The primary outcome was the mean change in blood pressure, while the secondary outcome was safety, evaluated by the incidence of adverse reactions.
Results
A total of 24 studies (3044 participants) were included. For systolic blood pressure (SBP), acupuncture combined with calcium antagonists demonstrated significantly greater efficacy compared to calcium antagonists alone, auricular acupressure plus calcium antagonists, auricular acupressure alone, acupuncture plus ACE inhibitors, auricular acupressure plus ACE inhibitors, ACE inhibitors alone, acupuncture alone, electroacupuncture, and angiotensin II (mean difference [MD]: 10.71; 17.86; 13.48; 16.47; 19.84; 25.8; 28.25; 36.34; and 27.23, respectively). For diastolic blood pressure (DBP), acupuncture combined with calcium antagonists was significantly more effective than auricular acupressure alone, calcium antagonists alone, electroacupuncture, acupuncture alone, angiotensin II, acupuncture plus ACE inhibitors (MD: 26.32; 17.48; 32.43; 29.56; 22.66; 29.18; 31.75; 24.27; and 25.61, respectively). Based on ranking probabilities, acupuncture combined with calcium antagonists may be the most effective and safe treatment for hypertension in the elderly.
Conclusions
Current evidence suggests that acupuncture as adjuvant therapy could be effective and safe for elderly patients with hypertension, with the combination of acupuncture and calcium antagonists potentially being the optimal choice. However, due to potential biases, results should be interpreted cautiously.
目的：评价针刺辅助治疗老年高血压的有效性和安全性。方法：我们通过系统回顾和网络荟萃分析来评估针灸作为辅助治疗老年人高血压的效果。检索的数据库包括Cochrane Library、PubMed、Embase、Web of Science和中国国家知识基础设施数据库，检索时间从建立到2025年3月1日。主要终点是血压的平均变化，而次要终点是安全性，通过不良反应的发生率来评估。结果：共纳入24项研究（3044名受试者）。对于收缩压（SBP），针灸联合钙拮抗剂比单独使用钙拮抗剂、耳穴压联合钙拮抗剂、单独使用耳穴压、针灸联合ACE抑制剂、单独使用耳穴压联合ACE抑制剂、单独使用ACE抑制剂、单独使用针灸、电针和血管紧张素II (mean difference [MD]: 10.71、17.86、13.48、16.47、19.84、25.8、28.25、36.34；分别是27.23)。对于舒张压（DBP），针刺联合钙拮抗剂明显优于单独耳压、单独钙拮抗剂、电针、单独针刺、血管紧张素II、针刺加ACE抑制剂（MD分别为26.32、17.48、32.43、29.56、22.66、29.18、31.75、24.27、25.61）。基于排序概率，针灸联合钙拮抗剂可能是老年人高血压最有效、最安全的治疗方法。结论：目前的证据表明，针灸作为辅助治疗老年高血压患者是有效和安全的，针刺联合钙拮抗剂可能是最佳选择。然而，由于潜在的偏差，结果应谨慎解释。
{"title":"Acupuncture as Adjuvant Therapy for Hypertension in the Elderly: A Network Meta-Analysis","authors":"Huiqi Lv MD , Ming Li MD , Hong Liu MD , Yucheng Zhong MD , Hao Wen MD , Xiang Wang MD","doi":"10.1016/j.jmpt.2025.10.061","DOIUrl":"10.1016/j.jmpt.2025.10.061","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to evaluate the effectiveness and safety of acupuncture as adjuvant therapy for hypertension in elderly patients.</div></div><div><h3>Methods</h3><div>We conducted a systematic review and network meta-analysis to assess the effects of acupuncture as adjuvant therapy for hypertension in the elderly. Databases searched included the Cochrane Library, PubMed, Embase, Web of Science, and the China National Knowledge Infrastructure database from their inception to March 1, 2025. The primary outcome was the mean change in blood pressure, while the secondary outcome was safety, evaluated by the incidence of adverse reactions.</div></div><div><h3>Results</h3><div>A total of 24 studies (3044 participants) were included. For systolic blood pressure (SBP), acupuncture combined with calcium antagonists demonstrated significantly greater efficacy compared to calcium antagonists alone, auricular acupressure plus calcium antagonists, auricular acupressure alone, acupuncture plus ACE inhibitors, auricular acupressure plus ACE inhibitors, ACE inhibitors alone, acupuncture alone, electroacupuncture, and angiotensin II (mean difference [MD]: 10.71; 17.86; 13.48; 16.47; 19.84; 25.8; 28.25; 36.34; and 27.23, respectively). For diastolic blood pressure (DBP), acupuncture combined with calcium antagonists was significantly more effective than auricular acupressure alone, calcium antagonists alone, electroacupuncture, acupuncture alone, angiotensin II, acupuncture plus ACE inhibitors (MD: 26.32; 17.48; 32.43; 29.56; 22.66; 29.18; 31.75; 24.27; and 25.61, respectively). Based on ranking probabilities, acupuncture combined with calcium antagonists may be the most effective and safe treatment for hypertension in the elderly.</div></div><div><h3>Conclusions</h3><div>Current evidence suggests that acupuncture as adjuvant therapy could be effective and safe for elderly patients with hypertension, with the combination of acupuncture and calcium antagonists potentially being the optimal choice. However, due to potential biases, results should be interpreted cautiously.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 1","pages":"Pages 473-482"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145452259","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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