Journal of Manipulative and Physiological Therapeutics最新文献

英文中文

Chronic Neck Pain Influence on Oculomotor Performance During Near Point Convergence and Fitts’s Tasks: a cross-sectional study 慢性颈部疼痛对近点收敛和Fitts任务中动眼肌运动表现的影响：一项横断面研究。

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 DOI: 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.

目的：本研究的目的是量化肌肉骨骼功能障碍对动眼肌运动表现的影响，通过比较慢性颈部疼痛参与者的动眼肌运动收敛和意志凝视表现。方法：12例慢性颈部疼痛患者与12例无症状患者年龄/性别匹配。所有参与者都在中立、躯干向右旋转和躯干向左旋转的位置完成了一系列的测试。使用皇家空军直尺测量近点收敛（NPC），收敛不足（CI）测量。使用动眼力菲茨定律任务评估动眼力表现。问卷资料包括颈部失能指数（NDI）和CI症状调查（CISS）。结果：在中立和左旋位置颈部疼痛的参与者中，鼻咽癌的发生率显著降低。两组在更远的振幅目标的移动时间增加。症状组对较短振幅目标的反应时间增加，表明运动规划挑战。CISS与NPC得分之间以及CISS与NDI得分之间存在显著相关性，表明CISS得分与收敛性能缺陷相关。NDI评分越高，CISS评分越高，与CI症状增加相关。结论：鼻咽癌组间差异显著，提示有症状的被试与无症状的被试相比在控制眼球会聚运动方面存在困难。症状组的反应时间较长，困难指数振幅较短。CISS评分与NPC和NDI评分之间分别存在相关性，为CI与颈部残疾之间的关系提供了证据。

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引用次数: 0

Intrarater and Interrater Reliability of Scapulothoracic and Glenohumeral Strength Measurements by the Belt-Stabilized Handheld Dynamometer in Individuals With Subacromial Pain Syndrome 肩峰下疼痛综合征患者肩胛骨和肱骨关节力量测量的腕带稳定手持式测力仪的内部和内部可靠性。

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 DOI: 10.1016/j.jmpt.2025.10.004

Guilherme A.P. Custódio PT , Camila F. Gobatto PT , Jaqueline Martins PT, MSc , Érik C. Terroni PT , Anamaria S. de Oliveira PT, PhD

Objective

The purpose of this study was to evaluate the intrarater and interrater reliability of glenohumeral and scapulothoracic muscle strength measured in individuals with chronic, unilateral subacromial pain syndrome.

Methods

Fifty individuals with shoulder pain were evaluated in 2 sessions using a belt-stabilized handheld dynamometer (HHD) for maximum isometric strength of the glenohumeral flexion, extension, abduction, lateral and medial rotation, and elevation, protraction, retraction, and retraction with scapular depression. Reliability was determined using the intraclass correlation coefficient (ICC_2,3) with the standard error of measurement (SEM), the minimal detectable change (MDC), and a percentage of average strength (%SEM and %MDC).

Results

The values of intraclass correlation coefficient, SEM, and %SEM for glenohumeral muscles ranged from 0.93 to 0.98, 1 kg, and 7% to 14%, respectively, and for scapulothoracic muscles from 0.90 to 0.98, 2 to 4 kg, and 10% to 17%, respectively. The MDC and %MDC values ranged from 2 to 4 kg and 19% to 38% for glenohumeral muscles and 4 to 11 kg and 27% to 47% for scapulothoracic muscles, respectively.

Conclusion

Belt-stabilized handheld dynamometer demonstrated excellent reliability to measure scapulothoracic and glenohumeral muscle strength in patients with chronic, unilateral subacromial pain syndrome. Guidelines for correct positioning and measurement of the strength of the shoulder complex along with their clinical viability are presented.

目的：本研究的目的是评估慢性单侧肩峰下疼痛综合征患者肩胛和肩胛胸肌力量测量的椎内和椎间可靠性。方法：50例肩关节疼痛患者分2期使用带稳定手持式测力仪（HHD）评估肩关节屈曲、伸展、外展、外侧和内侧旋转以及肩胛骨凹陷的抬高、拉伸、收缩和收缩的最大等距强度。采用类内相关系数（ICC2,3）与测量标准误差（SEM）、最小可检测变化（MDC）和平均强度百分比（%SEM和%MDC）确定信度。结果：肩胛肱肌的类内相关系数、SEM和%SEM值分别为0.93 ~ 0.98、1 kg和7% ~ 14%，肩胛胸肌的类内相关系数、SEM和%SEM值分别为0.90 ~ 0.98、2 ~ 4 kg和10% ~ 17%。MDC和%MDC值分别为2 ~ 4kg和19% ~ 38%的盂肱肌和4 ~ 11kg和27% ~ 47%的肩胛骨胸肌。结论：带稳定手持式测力仪在测量慢性单侧肩峰下疼痛综合征患者的肩胛胸肌和肩胛肱肌力量方面表现出极好的可靠性。指导正确定位和测量肩膀复合体的力量以及他们的临床可行性提出。

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引用次数: 0

Acupuncture as Adjuvant Therapy for Hypertension in the Elderly: A Network Meta-Analysis 针灸辅助治疗老年人高血压：网络荟萃分析。

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 DOI: 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。

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引用次数: 0

Effect of Base of Support and Foot Positioning on Posture Evaluated Using the Postural Analysis Software: An Exploratory Study 用姿势分析软件评价支撑点和足部定位对姿势的影响：一项探索性研究。

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 DOI: 10.1016/j.jmpt.2025.10.005

Elizabeth A. Ferreira PhD , Daniel V. Kolisch BPT , Daniela F. Carro MSc , Leda T.Y. Da Silveira PhD , João Simão De Melo-Neto PhD , Patrícia Driusso PhD , Adriana C. Lunardi PhD

Objectives

The purpose of this study was to evaluate the changes in posture with 2 different bases of support for static posture.

Methods

In this exploratory study, participants were photographed in a standing position from anterior, posterior, and lateral views, in both spontaneous standing base of support (SBoS) (feet in a freely adopted position) and closed feet base of support (CBoS) (feet held together). Styrofoam markers were attached to 32 anatomical reference points, and posture assessment was conducted using software (PAS/SAPO). The area of each base of support (BoS) and the deviation of the center of gravity (CG) from the reference point within the BoS were measured. Comparisons between CBoS and SBoS postures were performed using paired t-tests.

Results

One hundred and seven participants (81 women) and 856 photographs were evaluated. Average age was 25.65 ± 2.83 years and body mass index was 22.4 ± 2.8 kg/m². Alignment of the right and left lower limbs showed a difference in the frontal view; however, no differences were found in the posterior view. In the left lateral view, differences were noted in the hip angle (trunk and thigh), horizontal alignment of the pelvis, and knee angle. In the SBoS, the BoS area was greater, with a smaller deviation from the CG compared to the CBoS.

Conclusion

This study found that foot positioning can influence the alignment of lower limbs, pelvis, base of support, and balance, without affecting trunk postural assessment.

目的：本研究的目的是评估两种不同的支撑基础的静态姿势的变化。方法：在这项探索性研究中，参与者从前、后、侧三个角度拍摄站立姿势的照片，包括自发站立支撑点（SBoS）（脚处于自由选择的位置）和封闭支撑点（CBoS）（脚保持在一起）。将聚苯乙烯泡沫标记贴在32个解剖学参考点上，使用PAS/SAPO软件进行姿势评估。测量了各支撑点（BoS）的面积和支撑点内重心与参考点的偏差。cbo和sbo姿势的比较采用配对t检验。结果：107名参与者（81名女性）和856张照片被评估。平均年龄25.65±2.83岁，体重指数22.4±2.8 kg/m²。右下肢和左下肢的对齐显示出正面视图的差异；然而，在后视图中没有发现差异。在左侧侧位图中，观察到髋关节角度（躯干和大腿）、骨盆水平对齐和膝关节角度的差异。在sbo中，与cbo相比，BoS面积更大，与CG的偏差较小。结论：本研究发现足部定位可以影响下肢、骨盆、支撑基础和平衡的对齐，但不影响躯干姿势评估。

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引用次数: 0

Influence of Obesity on Outcomes of Traction Therapy for Women With Chronic Low Back Pain: An Observational Study 肥胖对女性慢性腰痛牵引治疗结果的影响：一项观察性研究

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 DOI: 10.1016/j.jmpt.2025.10.036

Marzena Ratajczak PhD , Michał Wendt PhD , Damian Skrypnik PhD , Krzysztof Kusy PhD , Małgorzata Waszak PhD

Objective

This study aimed to determine whether obesity influences the effects of traction therapy on pain, disability, lumbar mobility, and the biomechanical and viscoelastic properties (BVPs) of tissues in the lumbar region in women with low back pain (LBP).

Methods

Women aged 34 to 50 years with chronic LBP and obesity (n = 26) or normal body weight (bw; n = 17) underwent 20 traction therapy sessions. LBP (on a visual analog scale), Oswestry Disability Index, BVPs, lumbar spine mobility, and trunk tissue fat were assessed before and then 3 days and 3 months after therapy. Two-way repeated measures ANOVAs were used.

Results

Pain and disability were significantly decreased (P < .01) and anterior lumbar flexion was increased (P < .05) after treatment and maintained at this level for 3 months in both women with obesity and normal body mass index (BMI). However, while stiffness was only reduced in women with normal BMI after treatment (P < .05), this effect was not maintained at follow-up. The mobility in posterior and lateral flexions and rotations did not change. All BVPs correlated with trunk tissue fat content (P < .01).

Conclusion

The outcomes of traction therapy with continuous mode at a force of 25% to 30% of the patient’s bw were not different for women with BMI ≥ 30 and <25 kg/m². Only the effect on muscle stiffness seems to be more beneficial for women without obesity. However, myotonometric results are strongly related to trunk fat content, subject to a potential measurement error in women with obesity.

目的：本研究旨在确定肥胖是否会影响牵引治疗对腰痛（LBP）女性疼痛、残疾、腰椎活动以及腰区组织的生物力学和粘弹性特性（BVPs）的影响。方法：34 ~ 50岁慢性腰痛合并肥胖（n = 26）或体重正常（n = 17）的女性接受20次牵引治疗。在治疗前、治疗后3天和治疗后3个月分别评估腰压（视觉模拟量表）、Oswestry残疾指数、bvp、腰椎活动度和躯干组织脂肪。采用双向重复测量方差分析。结果：治疗后，肥胖和体重指数（BMI）正常的女性疼痛和残疾明显减少（P < 0.01），腰椎前屈度增加（P < 0.05），并维持在该水平3个月。然而，虽然治疗后仅在BMI正常的女性中僵硬度降低（P < 0.05），但在随访中并未维持这种效果。后侧屈曲和旋转的活动度没有改变。bvp均与躯干组织脂肪含量相关（P < 0.01）。结论：对于BMI≥30和2的女性，持续模式下25% ~ 30%体重的牵引治疗效果无显著差异。只有对肌肉僵硬的影响似乎对没有肥胖的女性更有益。然而，肌肉测量结果与躯干脂肪含量密切相关，肥胖女性可能存在测量误差。

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IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01

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IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01

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IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

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IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

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IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

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