Journal of Manipulative and Physiological Therapeutics最新文献

英文中文

Effect of Functional Scapular Stabilization Training on Function and Pain in Frozen Shoulder Syndrome: A Randomized Controlled Trial 功能性肩关节稳定训练对冻肩综合征患者功能和疼痛的影响：一项随机对照试验。

IF 1.3 4区医学 Q1 Health Professions

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2023-02-01 DOI: 10.1016/j.jmpt.2023.05.008

Saloni Karnawat MPT, Karvannan Harikesavan PhD, Prem Venkatesan PhD

Objective

The purpose of this study was to determine the effect of functional scapular stabilization training compared with the standard physical therapy on function and pain in people with frozen shoulder syndrome (FSS).

Methods

In a single-blind randomized controlled trial, 86 people with FSS were randomly allocated into the intervention group (functional stabilization training [n = 43]) and control group (standard physical therapy [n = 43]) using block randomization for 12 weeks. The primary outcome measures were the Shoulder Pain and Disability Index and the numeric pain rating scale. The secondary outcome measures were range of motion (ROM), range of passive abduction, and coracoid pain test. All the outcome measures were carried out by an independent blind outcome assessor at baseline and at the end of 12 weeks.

Results

A significant group × time interaction effect was observed for the Shoulder Pain and Disability Index (95% CI, 2.95-16.74; P < .01) and the numeric pain rating scale (95% CI, 0.67-2.07; P < .01) at the end of 12 weeks. The external rotation ROM showed a statistical significance with a mean change of 7.8° and P value of <.01.

Conclusion

The present findings show that scapular functional stabilization training resulted in improvement of function, reduction in pain, and greater improvement in external rotation ROM in patients with FSS. Also, our study findings suggest the involvement of rotator interval and inferior soft-tissue structures as indicated by the coracoid pain test and range of passive abduction.

目的：本研究旨在确定功能性肩胛骨稳定训练与标准物理疗法对冻肩综合征（FSS）患者功能和疼痛的影响，86名FSS患者被随机分为干预组（功能稳定训练[n=43]）和对照组（标准物理治疗[n=44]），分组随机化12周。主要的结果测量是肩部疼痛和残疾指数以及数字疼痛评定量表。次要的结果测量是活动范围（ROM）、被动外展范围和珊瑚疼痛测试。所有结果测量均由独立的盲结果评估员在基线和12周结束时进行。结果：在12周结束时，肩部疼痛和残疾指数（95%CI，2.95-16.74；P<.01）和数字疼痛评分量表（95%CI，0.67-2.07；P<.001）观察到显著的组×时间交互作用。外旋ROM具有统计学意义，平均变化为7.8°，P值为。结论：本研究结果表明，FSS患者肩胛骨功能稳定训练可改善功能，减轻疼痛，外旋ROM有更大改善。此外，我们的研究结果表明，如珊瑚疼痛测试和被动外展范围所示，转子间隔和下部软组织结构受累。

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引用次数: 0

Effects of Postural Shifting Frequency on Perceived Musculoskeletal Discomfort During 1-Hour Sitting in Office Workers 办公人员1小时坐姿时体位转换频率对感觉肌肉骨骼不适的影响。

IF 1.3 4区医学 Q1 Health Professions

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2023-02-01 DOI: 10.1016/j.jmpt.2023.06.003

Nipaporn Akkarakittichoke PhD , Pooriput Waongenngarm PhD , Prawit Janwantanakul PhD

Objective

The purpose of this study was to evaluate the effects of postural shifting frequency on perceived musculoskeletal discomfort during 1 hour of sitting in healthy office workers.

Methods

An experimental study comparing 3 different postural shifting frequencies was conducted on 60 healthy office workers who were asked to sit for an hour. The effects of 3 postural shifts (ie, 10, 20, and 30 times/h) on discomfort, measured by Borg's CR-10 scale, were compared. A seat pressure mat was used to confirm an individual's postural shift.

Results

Postural shifting frequency of 10 to 30 times/h had significant effects on perceived discomfort in the neck, shoulder, and upper and lower back during 1-hour sitting. At the neck and shoulder, a postural shifting frequency of 30 times/h significantly reduced perceived discomfort compared to a postural shifting frequency of 10 times/h during 1-hour sitting. At the upper and lower back, a postural shifting frequency of 20 to 30 times/h significantly reduced perceived discomfort compared to a postural shifting frequency of 10 times/h.

Conclusion

Postural shifts of 30 times/h provided buffering effects on perceived musculoskeletal discomfort at the neck, shoulder, and upper and lower back.

目的：本研究的目的是评估健康上班族在坐姿1小时内姿势转换频率对感知肌肉骨骼不适的影响。方法：对60名健康的办公室工作人员进行了一项实验研究，比较了3种不同的姿势转换频率，并要求他们坐一个小时。通过Borg的CR-10量表测量，比较了3种姿势变化（即10、20和30次/h）对不适的影响。使用座椅压力垫来确认个人的姿势变化。结果：在1小时的坐姿中，10至30次/h的体位转换频率对颈部、肩部、上背部和下背部的不适感有显著影响。在颈部和肩部，与1小时坐姿中10次/小时的姿势转换频率相比，30次/小时姿势转换频率显著减少了感知到的不适。在上背部和下背部，与10次/h的姿势转换频率相比，20至30次/h的体位转换频率显著降低了感知到的不适。

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引用次数: 0

Inside front cover Editorial board 封面内侧编委会

IF 1.3 4区医学 Q1 Health Professions

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2023-02-01 DOI: 10.1016/S0161-4754(23)00068-4

引用次数: 0

Comparison of Manual Therapy Technique to Therapeutic Exercise in the Treatment of Patients With Subacromial Impingement Syndrome: A Randomized Clinical Trial 手法治疗与治疗性运动治疗肩峰下撞击综合征的比较：一项随机临床试验。

IF 1.3 4区医学 Q1 Health Professions

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2023-02-01 DOI: 10.1016/j.jmpt.2023.06.002

Zeynab Azin MSc , Fahimeh Kamali PhD , Nasrin Salehi Dehno PhD , Sara Abolahrari-Shirazi PhD

Objective

The purpose of this study was to compare the effects of manual therapy to therapeutic exercise on shoulder pain, disability, and range of motion (ROM) in patients with subacromial impingement syndrome (SAIS).

Methods

Sixty patients with SAIS were randomly assigned into the manual therapy (MT) and therapeutic exercise (TE) groups. Patients in the MT group were treated with joint mobilization, which was applied to the glenohumeral, acromioclavicular, sternoclavicular and scapulothoracic joints, and trigger point (TrP) inactivation using ischemic compression. Patients in the TE group performed therapeutic exercises. Shoulder pain, disability and active ROM (elevation, external rotation, and internal rotation) were assessed by the visual analog scale, the Shoulder Pain and Disability Index, and a goniometer, respectively. The outcomes were measured at baseline, after the intervention, and 1 month after the intervention.

Results

After the treatment, both groups had significant improvements in shoulder pain, disability, and ROM (P < .05). The MT group experienced a greater reduction in shoulder pain than the TE group (P < .001). However, in disability and ROM, both groups exhibited similar improvements in post-treatment and follow-up periods.

Conclusion

Both MT and TE were effective in improving shoulder pain, disability, and ROM in patients with SAIS. Greater improvement in shoulder pain was observed in the MT group.

目的：比较手法治疗和运动治疗对肩峰下撞击综合征（SAIS）患者肩痛、残疾和活动范围（ROM）的影响。方法：将60例SAIS患者随机分为手法治疗组（MT）和运动治疗组（TE）。MT组患者接受关节松动术治疗，关节松动术应用于肩关节、肩锁关节、胸锁关节和肩胸关节，触发点（TrP）使用缺血性压迫失活。TE组的患者进行了治疗性锻炼。肩部疼痛、残疾和活动ROM（抬高、外旋和内旋）分别通过视觉模拟量表、肩部疼痛和残疾指数以及角度计进行评估。在基线、干预后和干预后1个月测量结果。结果：治疗后，两组的肩部疼痛、残疾和ROM均有显著改善（P<.05）。MT组的肩部痛苦减轻程度高于TE组（P<.001）。然而，在残疾和ROM方面，两组在治疗后和随访期都表现出相似的改善。结论：MT和TE均能有效改善SAIS患者的肩痛、残疾和ROM。在MT组中观察到肩部疼痛有更大的改善。

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引用次数: 0

TOC TOC

IF 1.3 4区医学 Q1 Health Professions

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2023-02-01 DOI: 10.1016/S0161-4754(23)00069-6

引用次数: 0

Western Massage Therapies in the Management of Neck Pain: A Systematic Review 西医按摩治疗颈部疼痛:系统综述

IF 1.3 4区医学 Q1 Health Professions

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2023-01-01 DOI: 10.1016/j.jmpt.2023.05.003

Oguzhan Mete PhD, PT , Derya Ozer Kaya PhD, PT , Merve Keskin PT , Seyda Toprak Celenay PhD, PT

Objective

The purpose of this review was to compare types of Western massage therapy (MT) to other therapies, placebo, and no-treatment controls in neck pain (NP) in randomized and nonrandomized clinical trials.

Methods

An electronic, systematic search was performed in 7 English and 2 Turkish databases (PubMed, Web of Science, Scopus, Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, SPORTDiscus, Physiotherapy Evidence-Based Database, ULAKBIM National Medical Database, and the Reference Directory of Turkey). The search terms “NP” and “massage” were used. Studies published between January 2012 and July 2021 were searched. Methodological quality was evaluated with Downs and Black Scale and version 2 of the Cochrane risk-of-bias tool.

Results

A total of 932 articles were identified; 8 of them were eligible. The Downs and Black score ranged from 15 to 26 points. Two studies were rated as “fair,” 3 studies as “good,” and 3 studies as “excellent.” According to version 2 of the Cochrane risk-of-bias tool, 3 studies had a low risk of bias, 3 studies had some concerns, and 2 studies had a high risk of bias. Fair evidence found that myofascial release therapy improved pain intensity and pain threshold compared to no intervention in the short term. Excellent evidence found that connective tissue massage with exercise improved pain intensity and pain threshold compared to exercise alone in the short term. No Western MTs were superior to other active therapies according to short-term and immediate effects.

Conclusion

This review suggests that Western MTs (myofascial release therapy and connective tissue massage) may improve NP, but studies are limited. This review showed that Western MTs were not superior to other active therapies for improving NP. The reviewed studies reported only immediate and short-term effects of Western MT; thus, high-quality randomized clinical trials investigating the long-term effects of Western MT are needed.

目的:本综述的目的是在随机和非随机临床试验中比较西医按摩疗法(MT)与其他疗法、安慰剂和无治疗对照的颈部疼痛(NP)。方法对7个英文数据库和2个土耳其语数据库(PubMed、Web of Science、Scopus、Cochrane Central Register of Controlled Trials、Cumulative Index to Nursing and Allied Health Literature、SPORTDiscus、Physiotherapy Evidence-Based Database、ULAKBIM National Medical Database、and Reference Directory of Turkey)进行电子系统检索。搜索词为“NP”和“按摩”。检索了2012年1月至2021年7月间发表的研究。采用Downs和Black量表及Cochrane第2版偏倚风险评估工具评估方法学质量。结果共鉴定出932篇;其中8人符合条件。唐斯和布莱克的得分在15到26分之间。两项研究被评为“一般”，3项研究被评为“良好”，3项研究被评为“优秀”。根据Cochrane风险偏倚工具第2版，3项研究有低偏倚风险，3项研究有一些担忧，2项研究有高偏倚风险。公平的证据表明，肌筋膜释放疗法在短期内改善了疼痛强度和疼痛阈值。有充分的证据表明，与单独运动相比，结缔组织按摩在短期内可以改善疼痛强度和疼痛阈值。根据短期和即时效果，没有西方MTs优于其他积极疗法。结论本综述提示西方MTs(肌筋膜释放疗法和结缔组织按摩)可能改善NP，但研究有限。本综述显示西医治疗在改善NP方面并不优于其他积极疗法。所回顾的研究仅报告了西方MT的即时和短期效果;因此，需要进行高质量的随机临床试验来调查西方MT的长期效果。

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引用次数: 0

Immediate Effects of Mulligan Mobilization on Elbow Proprioception in Healthy Individuals: A Randomized Placebo-Controlled Single-Blind Study Mulligan活动对健康个体肘关节本体感觉的直接影响:一项随机安慰剂对照单盲研究

IF 1.3 4区医学 Q1 Health Professions

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2023-01-01 DOI: 10.1016/j.jmpt.2023.05.001

Kevser Sevik Kacmaz PT, MSc , Bayram Unver PhD, PT

Objective

The aim of this study was to investigate the immediate effects of Mulligan's mobilization with movement (MWM) on elbow proprioception.

Methods

The study included 26 participants in the intervention group and 30 participants in the control group. The intervention group received MWM, while the control group received a sham application. Proprioception was assessed with joint position sense error at baseline, immediately after mobilization, and 30 minutes after mobilization with 70° and 110° of elbow flexion. The hypothesis of interest was the group × time interaction.

Results

At 110° of elbow flexion, group × time interaction was significant (F[2, 108] = 11.48, P = .001). In the paired comparisons, there was a statistically significant difference in favor of the control group in the first measurement (P = .003). No difference was detected in other time points (P = 1.00). At 70° of elbow flexion, there was no significant difference between the time point × group interaction (F[2, 108] = 1.37, P = .10). Therefore, no pairwise comparison was made.

Conclusion

In this study of healthy participants, no immediate difference was found between MWM and sham application on elbow proprioception.

目的探讨Mulligan's mobilewith movement (MWM)对肘关节本体感觉的直接影响。方法干预组26例，对照组30例。干预组接受MWM，对照组接受假应用。以关节位置感觉误差在基线、活动后立即和活动后30分钟进行本体感觉评估，肘关节屈曲70°和110°。感兴趣的假设是组×时间相互作用。结果肘关节屈曲110°时，组×时间交互作用显著(F[2,108] = 11.48, P = .001)。在配对比较中，第一次测量中，对照组的优势有统计学意义(P = 0.003)。其他时间点差异无统计学意义(P = 1.00)。在肘关节屈曲70°时，时间点与组间交互作用无显著差异(F[2,108] = 1.37, P = .10)。因此，没有进行两两比较。结论在健康受试者中，MWM与假应用在肘关节本体感受上无直接差异。

{"title":"Immediate Effects of Mulligan Mobilization on Elbow Proprioception in Healthy Individuals: A Randomized Placebo-Controlled Single-Blind Study","authors":"Kevser Sevik Kacmaz PT, MSc , Bayram Unver PhD, PT","doi":"10.1016/j.jmpt.2023.05.001","DOIUrl":"10.1016/j.jmpt.2023.05.001","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this study was to investigate the immediate effects of Mulligan's mobilization with movement (MWM) on elbow proprioception.</p></div><div><h3>Methods</h3><p>The study included 26 participants in the intervention group and 30 participants in the control group. The intervention group received MWM, while the control group received a sham application. Proprioception was assessed with joint position sense error at baseline, immediately after mobilization, and 30 minutes after mobilization with 70° and 110° of elbow flexion. The hypothesis of interest was the group × time interaction.</p></div><div><h3>Results</h3><p>At 110° of elbow flexion, group × time interaction was significant (F[2, 108] = 11.48, <em>P</em> = .001). In the paired comparisons, there was a statistically significant difference in favor of the control group in the first measurement (<em>P</em> = .003). No difference was detected in other time points (<em>P</em> = 1.00). At 70° of elbow flexion, there was no significant difference between the time point × group interaction (F[2, 108] = 1.37, <em>P</em> = .10). Therefore, no pairwise comparison was made.</p></div><div><h3>Conclusion</h3><p>In this study of healthy participants, no immediate difference was found between MWM and sham application on elbow proprioception.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9923837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Inside front cover Editorial board 内页封面编辑委员会

IF 1.3 4区医学 Q1 Health Professions

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2023-01-01 DOI: 10.1016/S0161-4754(23)00058-1

引用次数: 0

Effect of Core Stabilization Exercises on Pain, Functional Disability, and Quality of Life in Pregnant Women With Lumbar and Pelvic Girdle Pain: A Randomized Controlled Trial 核心稳定训练对腰骨盆疼痛孕妇疼痛、功能障碍和生活质量的影响:一项随机对照试验

IF 1.3 4区医学 Q1 Health Professions

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2023-01-01 DOI: 10.1016/j.jmpt.2023.05.005

Hamed Mamipour MSc, PT , Samira Farazmehr MSc, PT , Hossein Negahban PhD, PT , Salman Nazary-Moghadam PhD, PT , Farideh Dehghan-Manshadi PhD, PT , Mozhdeh Navi Nezhad MSc , Sarah Jafari MSc, PT , Masoumeh Sharifzadeh MSc

Objective

The purpose of this study was to assess the effect of adding core stability to usual care for pregnant women with lumbar and pelvic girdle (LPG) pain.

Methods

This was a repeated-measures design randomized controlled trial with blinded outcome assessors. Thirty-five pregnant women with LPG pain were recruited from prenatal health care providers. They were allocated to 2 study groups to receive either usual prenatal care (control group, n = 17) or usual care with core stability exercises focusing on the pelvic floor muscles and deep abdominal muscles (exercise group, n = 18) for 10 weeks. The visual analog scale, score on the Oswestry Disability Index, and the World Health Organization's Quality of Life Brief Version (WHOQOL-BREF) were evaluated with analysis of variance at pre-intervention, post-intervention, at the end of pregnancy, and 6 weeks after childbirth.

Results

There was a statistically significant interaction of group and time for all outcome measures except for the Social category (P = .18) in the WHOQOL-BREF questionnaire. The analysis of the group within time showed that mean scores in the exercise group were substantially improved at the post-intervention, end of pregnancy, and 6-week follow-up evaluation, except in the Environment category (end of pregnancy: P = .36; 6-week follow-up: P = .75) in the WHOQOL-BREF questionnaire.

Conclusion

The results of this study indicate that the addition of core stability exercises was more effective than the usual care alone in pain relief, improving disability, and quality of life of pregnant women with LPG pain.

目的本研究的目的是评估在常规护理中增加核心稳定性对腰和骨盆带(LPG)疼痛孕妇的影响。方法采用重复测量设计的随机对照试验，采用盲法评价结果。从产前保健提供者处招募了35名患有液化石油气疼痛的孕妇。她们被分为2个研究组，接受常规产前护理(对照组，n = 17)或常规护理，并进行以骨盆底肌肉和深腹肌为重点的核心稳定性锻炼(锻炼组，n = 18)，为期10周。在干预前、干预后、妊娠结束时和分娩后6周对视觉模拟量表、Oswestry残疾指数评分和世界卫生组织生活质量简要版本(WHOQOL-BREF)进行方差分析。结果在WHOQOL-BREF问卷中，除社会类别外，各组与时间之间存在显著的交互作用(P = 0.18)。组内时间分析显示，运动组在干预后、妊娠结束和6周随访评估时的平均得分均有显著提高，但环境类别除外(妊娠结束:P = 0.36;WHOQOL-BREF问卷6周随访:P = .75)。结论与常规护理相比，增加核心稳定性训练在缓解妊娠LPG疼痛、改善残疾和改善生活质量方面更有效。

{"title":"Effect of Core Stabilization Exercises on Pain, Functional Disability, and Quality of Life in Pregnant Women With Lumbar and Pelvic Girdle Pain: A Randomized Controlled Trial","authors":"Hamed Mamipour MSc, PT , Samira Farazmehr MSc, PT , Hossein Negahban PhD, PT , Salman Nazary-Moghadam PhD, PT , Farideh Dehghan-Manshadi PhD, PT , Mozhdeh Navi Nezhad MSc , Sarah Jafari MSc, PT , Masoumeh Sharifzadeh MSc","doi":"10.1016/j.jmpt.2023.05.005","DOIUrl":"10.1016/j.jmpt.2023.05.005","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to assess the effect of adding core stability to usual care for pregnant women with lumbar and pelvic girdle (LPG) pain.</p></div><div><h3>Methods</h3><p>This was a repeated-measures design randomized controlled trial<span><span> with blinded outcome assessors. Thirty-five pregnant women with LPG pain were recruited from prenatal health<span> care providers. They were allocated to 2 study groups to receive either usual prenatal care (control group, n = 17) or usual care with core stability exercises focusing on the pelvic floor<span> muscles and deep abdominal muscles (exercise group, n = 18) for 10 weeks. The visual analog scale, score on the </span></span></span>Oswestry Disability Index<span>, and the World Health Organization's Quality of Life Brief Version (WHOQOL-BREF) were evaluated with analysis of variance at pre-intervention, post-intervention, at the end of pregnancy, and 6 weeks after childbirth.</span></span></p></div><div><h3>Results</h3><p>There was a statistically significant interaction of group and time for all outcome measures except for the Social category (<em>P</em> = .18) in the WHOQOL-BREF questionnaire. The analysis of the group within time showed that mean scores in the exercise group were substantially improved at the post-intervention, end of pregnancy, and 6-week follow-up evaluation, except in the Environment category (end of pregnancy: <em>P</em> = .36; 6-week follow-up: <em>P</em> = .75) in the WHOQOL-BREF questionnaire.</p></div><div><h3>Conclusion</h3><p>The results of this study indicate that the addition of core stability exercises was more effective than the usual care alone in pain relief, improving disability, and quality of life of pregnant women with LPG pain.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10281307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of the Dynamic Postural Control During Lifting and Lowering an External Load in Low Back Pain: A Cross-Sectional Study 一项横断面研究:腰痛患者在提升和降低外负荷时动态姿势控制的比较

IF 1.3 4区医学 Q1 Health Professions

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2023-01-01 DOI: 10.1016/j.jmpt.2023.05.002

Majid Shahbazi PhD , Javad Sarrafzadeh PhD , Ismail Ebrahimi Takamjani PhD , Saeed Akhlaghi PhD , Hossein Negahban PhD

Objective

This study aimed to compare dynamic postural control between individuals with and without chronic low back pain (LBP) through load lifting and lowering.

Methods

This cross-sectional study included 52 male patients with chronic LBP (age: 33.37 ± 9.23 years) and 20 healthy male individuals (age: 31.75 ± 7.43 years). The postural control parameters were measured using a force plate system. The participants were instructed to stand barefoot (hip-width apart) on the force plate and lift a box (10% of the weight of the participants) from the waist height to overhead and then lower it from overhead to waist height. The interaction between the groups and tasks was determined using a 2-way repeated-measures analysis of variance.

Results

There was no significant interaction between the groups and tasks. Regardless of the groups, postural control parameters including amplitude (P = .001) and velocity (P < .001) in anterior-posterior (AP) direction, phase plane in medial-lateral (ML) direction (P = .001), phase plane in AP-ML direction (P = .001), and the mean total velocity (P < .001) were lesser during the lowering compared with lifting. The results indicated that, regardless of the tasks, the postural control parameters including velocity (P = .004) and phase plane in AP direction (P = .004), velocity in ML direction (P < .001), phase plane (AP-ML) (P = .028), and mean total velocity (P = .001) in LBP were lesser compared with the normal group.

Conclusion

Different tasks affected postural control differently in patients with LBP and healthy individuals. Moreover, postural control was more challenged during the load-lowering than the load-lifting task. This may have been a result of a stiffening strategy. It may be that the load-lowering task might be considered as a more influential factor for the postural control strategy. These results may provide a novel understanding of selecting the rehabilitation programs for postural control disorders in patients.

目的本研究旨在比较慢性腰痛患者和非慢性腰痛患者通过负重升降的动态姿势控制。方法选取52例男性慢性腰痛患者(年龄:33.37±9.23岁)和20例健康男性(年龄:31.75±7.43岁)进行横断面研究。采用力板系统测量体位控制参数。参与者被要求赤脚站在测力板上(与臀部同宽)，将一个箱子(参与者体重的10%)从腰高抬到头顶，然后从头顶把箱子放低到腰高。使用双向重复测量方差分析确定组和任务之间的相互作用。结果各组与任务间无显著交互作用。无论何种组，姿势控制参数包括振幅(P = .001)和速度(P <.001)，中外侧(ML)方向相平面(P = .001)， AP-ML方向相平面(P = .001)，平均总速度(P <.001)下降时较上升时较少。结果表明:无论何种任务，体位控制参数包括速度(P = 0.004)、AP方向的相平面(P = 0.004)、ML方向的速度(P <.001)、相平面(AP-ML) (P = .028)、平均总流速(P = .001)均低于正常组。结论不同任务对腰痛患者和健康人姿势控制的影响不同。此外，姿势控制在降负荷任务中比在升负荷任务中更有挑战性。这可能是一种强硬策略的结果。这可能是负载降低任务可以被认为是一个更有影响的因素，姿态控制策略。这些结果可能为选择姿势控制障碍患者的康复方案提供新的理解。

{"title":"Comparison of the Dynamic Postural Control During Lifting and Lowering an External Load in Low Back Pain: A Cross-Sectional Study","authors":"Majid Shahbazi PhD , Javad Sarrafzadeh PhD , Ismail Ebrahimi Takamjani PhD , Saeed Akhlaghi PhD , Hossein Negahban PhD","doi":"10.1016/j.jmpt.2023.05.002","DOIUrl":"10.1016/j.jmpt.2023.05.002","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to compare dynamic postural control between individuals with and without chronic low back pain (LBP) through load lifting and lowering.</p></div><div><h3>Methods</h3><p>This cross-sectional study included 52 male patients with chronic LBP (age: 33.37 ± 9.23 years) and 20 healthy male individuals (age: 31.75 ± 7.43 years). The postural control parameters were measured using a force plate system. The participants were instructed to stand barefoot (hip-width apart) on the force plate and lift a box (10% of the weight of the participants) from the waist height to overhead and then lower it from overhead to waist height. The interaction between the groups and tasks was determined using a 2-way repeated-measures analysis of variance.</p></div><div><h3>Results</h3><p>There was no significant interaction between the groups and tasks. Regardless of the groups, postural control parameters including amplitude (<em>P</em> = .001) and velocity (<em>P</em> < .001) in anterior-posterior (AP) direction, phase plane in medial-lateral (ML) direction (<em>P</em> = .001), phase plane in AP-ML direction (<em>P</em> = .001), and the mean total velocity (<em>P</em> < .001) were lesser during the lowering compared with lifting. The results indicated that, regardless of the tasks, the postural control parameters including velocity (<em>P</em> = .004) and phase plane in AP direction (<em>P</em> = .004), velocity in ML direction (<em>P</em> < .001), phase plane (AP-ML) (<em>P</em> = .028), and mean total velocity (<em>P</em> = .001) in LBP were lesser compared with the normal group.</p></div><div><h3>Conclusion</h3><p>Different tasks affected postural control differently in patients with LBP and healthy individuals. Moreover, postural control was more challenged during the load-lowering than the load-lifting task. This may have been a result of a stiffening strategy. It may be that the load-lowering task might be considered as a more influential factor for the postural control strategy. These results may provide a novel understanding of selecting the rehabilitation programs for postural control disorders in patients.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10299357","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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