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Immediate Effects of a Single Session of Cervical Spine Manipulation on Cervical Movement Patterns in People With Nonspecific Neck Pain: A Randomized Controlled Trial 单次颈椎推拿对非特异性颈痛患者颈椎运动模式的直接影响:一项随机对照试验
IF 1.3 4区 医学 Q1 Health Professions Pub Date : 2023-01-01 DOI: 10.1016/j.jmpt.2023.05.006
Pilar Serra-Añó PT, PhD , William Venegas PhD , Alvaro Page PhD , Marta Inglés de la Torre PT, PhD , Marta Aguilar-Rodríguez PT, PhD , Gemma Espí-López PT, PhD

Objective

The aim of the present study was to assess the immediate effects of a single session of cervical spine manipulation on cervical movement patterns, disability, and the patient's perceived improvement in people with nonspecific neck pain.

Methods

A single-blinded, randomized, sham-controlled trial was carried out at a biomechanics institute. Fifty participants diagnosed with acute and chronic nonspecific neck pain (minimum duration of the symptoms being 1 month) were randomized to an experimental group (EG, n = 25) or a sham-control group (CG, n = 25, 23 of whom completed the study). EG received a single cervical spine manipulation session; CG received a single placebo intervention. Both groups received manipulation or sham from the same physiotherapist. Main outcome measures were neck kinematics (ie, range of motion and movement harmony) during cyclic movements, self-reported neck disability, and impression of change assessed before and 5 minutes after treatment.

Results

The EG showed no significant improvements (P > .05) in any of the studied biomechanical variables, except for right-side bending and left rotation, in which we found a range of motion significant mean difference of 1.97° and 1.95°, respectively (P < .05). The CG showed enhanced harmonic motion during flexion (P < .05). Both groups showed a significant decrease in self-reported neck disability after treatment (P < .05), and EG participants perceived a significantly larger improvement after manipulation compared with the CG (P < .05).

Conclusions

A single session of cervical manipulation provided by a physiotherapist had no impact on cervical motion during cyclic movements, but rather induced self-reported perceived improvement in neck disability and impression of change after treatment in people with nonspecific neck pain.

目的:本研究的目的是评估单次颈椎推拿对非特异性颈痛患者颈椎运动模式、残疾和患者感知改善的直接影响。方法在某生物力学研究所进行单盲、随机、假对照试验。50名被诊断为急性和慢性非特异性颈部疼痛的参与者(症状持续时间最短为1个月)被随机分为实验组(n = 25)或假对照组(CG, n = 25,其中23人完成了研究)。EG接受单次颈椎推拿;CG接受单一安慰剂干预。两组均接受同一理疗师的手法治疗或假治疗。主要结果测量是循环运动期间的颈部运动学(即运动范围和运动和谐),自我报告的颈部残疾,以及治疗前和治疗后5分钟评估的变化印象。结果EG无明显改善(P >.05)在任何研究的生物力学变量中,除了右侧弯曲和左侧旋转,我们发现运动范围的平均差异分别为1.97°和1.95°(P <. 05)。CG在屈曲过程中谐波运动增强(P <. 05)。两组患者治疗后自我报告的颈部残疾均显著减少(P <.05),与CG相比,EG参与者在操作后感知到更大的改善(P <. 05)。结论物理治疗师提供的单次颈椎推拿对循环运动中的颈椎运动没有影响,但会诱导非特异性颈部疼痛患者自我报告的颈部残疾改善和治疗后的改变印象。
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引用次数: 0
Future Research by the Australian Chiropractic Profession: Analysis of Comments and Suggestions From a Nationwide Survey of Academics and Practitioners 澳大利亚脊骨按摩专业的未来研究:来自全国学者和从业者调查的意见和建议分析
IF 1.3 4区 医学 Q1 Health Professions Pub Date : 2023-01-01 DOI: 10.1016/j.jmpt.2023.05.004
Lyndon G. Amorin-Woods MPH , Beau L. Woods MPH , Benjamin L. Mullings PhD , Dein Vindigni PhD , Barrett E. Losco MPA

Objective

The purpose of this study was to identify and compare the research priorities of Australian practicing chiropractors and academics across listed research domains and to seek their views on existing chiropractic research strategies. Concurrent objectives were to gain insight into the perspectives on characteristics of research and solicit ideas and suggestions for future research from both groups.

Methods

This study used a mixed-method research design to collect data using an online survey portal. Australian chiropractic academics (n = 220) and practicing chiropractors who were also members of a nationally representative, practice-based research network database (n = 1680) were invited to participate. Data were collected (February 19, 2019, to May 24, 2019). The free-text data were analyzed primarily via semantic coding and verbatim referential units in cases where the category was an exact match for the textual data. Content analyses of the qualitative data were presented in a tabulated and narrative manner as identified domains. Selected representative examples were provided verbatim.

Results

The response rate for the survey was 44% for full-time equivalent academics, 8% for casuals and part-time chiropractic academics, and 21.5% for Australian Chiropractic Research Network database chiropractic practitioners. Open-text data comprised a narrower focus on musculoskeletal (MSK) conditions and opposition or reservations by academics and some practitioners toward the research agenda of those espousing traditional concepts and terminology. Comments from both groups illustrate the strongly held views that characterize divergent factions of the chiropractic profession. Some practitioners were highly critical of the narrow focus and epistemological paradigm of Australian university-based research, while others were strongly supportive of the traditional focus of the Australian Spinal Research Foundation. Australian academics at the 4 university-based programs held the view that MSK and spinal pain, for which some evidence already exists, should be the priority of future research, building on what is known. Practitioners believed that future research should be directed toward expanded areas such as basic science, younger populations, and non-MSK conditions. Respondents were sharply divided on attitudes toward traditional chiropractic terminology, concepts, and philosophy and the utility of future research on these topics.

Conclusion

Our qualitative findings suggest there is a division in the Australian chiropractic profession regarding research direction and priorities. This divide exists between academics and researchers and within field practitioners. This study highlights the attitudes, opinions, and perceptions of important stakeholder groups, which should be considered by decision-makers when formulating research policy, str

目的本研究的目的是确定和比较澳大利亚执业脊医和学者在列出的研究领域的研究重点,并寻求他们对现有脊医研究策略的看法。同时的目标是深入了解研究特征的观点,并征求两组对未来研究的想法和建议。方法本研究采用混合方法研究设计,使用在线调查门户网站收集数据。澳大利亚的脊椎指压治疗师学者(n = 220)和执业的脊椎指压治疗师,他们也是一个具有全国代表性的、基于实践的研究网络数据库的成员(n = 1680)被邀请参加。数据采集时间为2019年2月19日至2019年5月24日。在类别与文本数据完全匹配的情况下,主要通过语义编码和逐字参考单位对自由文本数据进行分析。定性数据的内容分析以表格和叙述的方式作为识别域呈现。逐字逐句地提供了选定的有代表性的例子。结果调查的回复率:全职同等学历的学者为44%,业余和兼职脊医学者为8%,澳大利亚脊医研究网络数据库脊医从业者为21.5%。开放文本数据包括对肌肉骨骼(MSK)条件的狭隘关注,以及学术界和一些从业者对那些支持传统概念和术语的研究议程的反对或保留意见。来自两组的评论说明了强烈持有的观点,这些观点是脊椎指压治疗专业不同派别的特征。一些从业者对澳大利亚以大学为基础的研究的狭隘焦点和认识论范式持高度批评态度,而另一些人则强烈支持澳大利亚脊柱研究基金会的传统焦点。这4个大学项目的澳大利亚学者认为,MSK和脊柱疼痛之间的关系,已经有了一些证据,应该是未来研究的重点,建立在已知的基础上。从业人员认为,未来的研究应该指向更广泛的领域,如基础科学、年轻人群和非msk条件。受访者对传统脊椎指压疗法的术语、概念和哲学的态度以及对这些主题的未来研究的效用存在严重分歧。结论我们的定性研究结果表明,澳大利亚捏脊专业在研究方向和重点方面存在分歧。这种分歧存在于学术界和研究人员之间,以及领域内的从业者之间。本研究强调了重要利益相关者群体的态度、意见和看法,决策者在制定研究政策、战略和资助优先次序时应该考虑这些问题。
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引用次数: 0
Information for Readers 读者资讯
IF 1.3 4区 医学 Q1 Health Professions Pub Date : 2023-01-01 DOI: 10.1016/S0161-4754(23)00060-X
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引用次数: 0
TOC TOC
IF 1.3 4区 医学 Q1 Health Professions Pub Date : 2023-01-01 DOI: 10.1016/S0161-4754(23)00059-3
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引用次数: 0
Effect of Aerobic Exercise on the Levels of Pain, Quality of Life, and Alexithymia in Alexithymic Individuals With Chronic Pain: A Single-Blinded Randomized Controlled Trial 有氧运动对慢性疼痛患者述情障碍患者疼痛水平、生活质量和述情障碍的影响:一项单盲随机对照试验
IF 1.3 4区 医学 Q1 Health Professions Pub Date : 2022-11-01 DOI: 10.1016/j.jmpt.2023.04.007
Mustafa Savas Torlak PhD, Bayram Sonmez Unuvar PhD, Hasan Gercek MsD

Objective

This study aimed to investigate the effects of aerobic exercise on pain, degree of alexithymia, and quality of life in individuals with alexithymia and chronic pain.

Methods

A total of 40 participants who scored 61 or higher on the Toronto Alexithymia Scale-20 (TAS-20) were included in the study. The sample was subdivided into 2 groups using a computerized randomization program: an aerobic exercise group (n = 20) and a control group (n = 20). Participants in the aerobic exercise group underwent a 30-minute jogging protocol at 60% to 90% of maximum heart rate 3 days per week for 8 weeks under the supervision of a physiotherapist. Participants in the control group continued their daily physical activities. Outcome measures were the TAS-20, visual analog scale, Graded Chronic Pain Scale, and 36-Item Short Form Health Survey.

Results

There was no statistically significant difference between the demographics of the 2 groups (P > .05). There was a statistically significant improvement in TAS-20, Graded Chronic Pain Scale, visual analog scale, and 36-Item Short Form Health Survey scores of the participants in the aerobic exercise group compared to the control group (P ˂ .05).

Conclusion

Aerobic exercise had a positive effect on pain, quality of life, and degree of alexithymia in individuals with alexithymia and chronic pain.

目的探讨有氧运动对慢性疼痛伴述情障碍患者疼痛、述情障碍程度和生活质量的影响。方法选取多伦多述情障碍量表-20 (TAS-20)总分61分及以上的40名受试者作为研究对象。使用计算机随机化程序将样本再分为两组:有氧运动组(n = 20)和对照组(n = 20)。有氧运动组的参与者在物理治疗师的监督下,每周3天以最大心率的60%至90%慢跑30分钟,持续8周。对照组的参与者继续他们的日常体育活动。结果测量为TAS-20、视觉模拟量表、分级慢性疼痛量表和36项简短健康调查。结果两组患者人口统计学差异无统计学意义(P >. 05)。与对照组相比,有氧运动组的参与者在TAS-20、慢性疼痛分级量表、视觉模拟量表和36项简短健康调查得分上有统计学上显著的改善(P值小于0.05)。结论有氧运动对慢性疼痛伴述情障碍患者的疼痛、生活质量和述情障碍程度有积极影响。
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引用次数: 0
Patient Characteristics and Clinical Outcomes Associated With Conservative Treatment for Spine Pain in Women Experiencing Socioeconomic Challenges 经历社会经济挑战的女性脊柱疼痛保守治疗的患者特征和临床结果
IF 1.3 4区 医学 Q1 Health Professions Pub Date : 2022-11-01 DOI: 10.1016/j.jmpt.2023.04.001
Sophie Morham , Amber Reichardt , Audrey Toth DC , Gerald Olin DC , Katherine Pohlman DC, PhD , Steven R. Passmore DC, PhD

Objective

The purpose of this study was to describe patient demographics and pain changes for women over the course of care in a chiropractic program.

Methods

We performed a retrospective cross-sectional analysis of a prospective quality assurance database from the Mount Carmel Clinic (MCC) in Winnipeg, Manitoba, Canada. Pain scores were reported on an 11-point Numeric Rating Scale. Baseline and discharge Numeric Rating Scale scores were compared for each spinal and extremity region through Wilcoxon signed rank tests to determine if clinically meaningful or statistically significant differences were present.

Results

The sample population attained was 348 primarily middle-aged (mean = 43.0, SD = 14.96) women with obesity (body mass index = 31.3 kg/m2, SD = 7.89) referred to the MCC chiropractic program by their primary care physician (65.2%) for an average of 15.6 (SD = 18.49) treatments. Clinically meaningful median baseline to discharge changes in pain by spine region were observed (Cervical = −2, Thoracic = −2, Lumbar = −3, Sacroiliac = −3), each of which yielded statistical significance (P < .001).

Conclusion

This retrospective analysis found that the MCC chiropractic program serves middle-aged women with obesity experiencing socioeconomic challenges. Pain reductions were reported, regardless of the region of complaint, temporally associated with a course of chiropractic care.

目的本研究的目的是描述患者的人口统计和疼痛的变化,妇女在护理过程中的脊椎指压治疗方案。方法:我们对来自加拿大马尼托巴省温尼伯的卡梅尔山诊所(Mount Carmel Clinic, MCC)的前瞻性质量保证数据库进行回顾性横断面分析。疼痛评分采用11分数字评定量表。通过Wilcoxon签名秩检验比较每个脊柱和四肢区域的基线和出院数字评定量表得分,以确定是否存在临床意义或统计学显著差异。结果样本人群为348名肥胖女性(体重指数= 31.3 kg/m2, SD = 7.89),主要为中年(平均= 43.0,SD = 14.96),由初级保健医生(65.2%)进行MCC捏脊椎病治疗,平均治疗15.6次(SD = 18.49)。观察不同脊柱区域疼痛中位基线至出院时变化的临床意义(颈椎= - 2,胸椎= - 2,腰椎= - 3,骶髂= - 3),均有统计学意义(P <措施)。结论:本回顾性分析发现,MCC捏脊项目服务于面临社会经济挑战的中年肥胖妇女。据报道,疼痛减轻,无论投诉的区域,暂时与一个疗程的捏脊护理有关。
{"title":"Patient Characteristics and Clinical Outcomes Associated With Conservative Treatment for Spine Pain in Women Experiencing Socioeconomic Challenges","authors":"Sophie Morham ,&nbsp;Amber Reichardt ,&nbsp;Audrey Toth DC ,&nbsp;Gerald Olin DC ,&nbsp;Katherine Pohlman DC, PhD ,&nbsp;Steven R. Passmore DC, PhD","doi":"10.1016/j.jmpt.2023.04.001","DOIUrl":"10.1016/j.jmpt.2023.04.001","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to describe patient demographics and pain changes for women over the course of care in a chiropractic program.</p></div><div><h3>Methods</h3><p>We performed a retrospective cross-sectional analysis of a prospective quality assurance database from the Mount Carmel Clinic (MCC) in Winnipeg, Manitoba, Canada. Pain scores were reported on an 11-point Numeric Rating Scale. Baseline and discharge Numeric Rating Scale scores were compared for each spinal and extremity region through Wilcoxon signed rank tests to determine if clinically meaningful or statistically significant differences were present.</p></div><div><h3>Results</h3><p>The sample population attained was 348 primarily middle-aged (mean = 43.0, SD = 14.96) women with obesity (body mass index = 31.3 kg/m<sup>2</sup>, SD = 7.89) referred to the MCC chiropractic program by their primary care physician (65.2%) for an average of 15.6 (SD = 18.49) treatments. Clinically meaningful median baseline to discharge changes in pain by spine region were observed (Cervical = −2, Thoracic = −2, Lumbar = −3, Sacroiliac = −3), each of which yielded statistical significance (<em>P</em> &lt; .001).</p></div><div><h3>Conclusion</h3><p>This retrospective analysis found that the MCC chiropractic program serves middle-aged women with obesity experiencing socioeconomic challenges. Pain reductions were reported, regardless of the region of complaint, temporally associated with a course of chiropractic care.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0161475423000131/pdfft?md5=e98e2d86174dbf77211dd886dc70ed7a&pid=1-s2.0-S0161475423000131-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9834555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Discrepant Perceptions of Biopsychosocial and Active Care Recommendations Between Doctors of Chiropractic and Midlife and Older Adult Patients: A Descriptive Survey 捏脊医生与中老年患者对生物心理社会和积极护理建议的不同看法:一项描述性调查
IF 1.3 4区 医学 Q1 Health Professions Pub Date : 2022-11-01 DOI: 10.1016/j.jmpt.2023.04.003
Anna-Marie L. Ziegler MM, DC , Stacie A. Salsbury PhD, RN , Michele Maiers DC, MPH, PhD

Objective

The purpose of this study was to assess perceptions about the inclusion of biopsychosocial and active care recommendations during chiropractic clinical encounters between doctors of chiropractic (DCs) and their midlife and older adult patients and to identify whether there were any discrepancies between their recollections.

Methods

This descriptive cross-sectional survey was part of a mixed-methods research project designed to gather information about the role of electronic health interventions for midlife and older adults who use chiropractic care. For this study, a convenience sample of 29 DCs and 48 chiropractic patients aged 50 years and older from 2 metropolitan areas in the United States completed online surveys between December 2020 and May 2021. The survey matched questions about components of chiropractic care discussed by patients and providers over 12 months. We used descriptive statistics to explore congruence in perceptions between groups and qualitative content analysis to describe DC perceptions of working with this population.

Results

Doctors of chiropractic and patients agreed (>90%) that pain management was the top reason midlife and older adults seek chiropractic care, yet differed in their prioritization of maintenance/wellness care, physical function/rehabilitation, and injury treatment as care drivers. While DCs reported frequent discussions about psychosocial recommendations, fewer patients reported talking about treatment goals (51%), self-care (43%), stress reduction (33%), or the impact of psychosocial factors (23%) and beliefs/attitudes (33%) on spinal health. Patients reported varied recollections about discussing activity limitations (2%) and exercise promotion (68%), being taught exercises (48%), or reassessing exercise progress (29%), which differed from higher levels reported by DCs. Qualitative themes from DCs included psychosocial considerations in patient education, importance of exercise/movement, role of chiropractic in lifestyle changes, and reimbursement limitations for older patients.

Conclusion

Doctors of chiropractic and their patients reported discrepant perceptions about biopsychosocial and active care recommendations during clinical encounters. Patients reported modest emphasis on exercise promotion and limited discussion on self-care, stress reduction, and psychosocial factors related to spine health compared to the recollections of DCs who reported frequent discussions of these topics.

目的本研究的目的是评估捏脊医生和他们的中老年患者在捏脊临床接触中对包括生物心理社会和积极护理建议的看法,并确定他们的回忆之间是否存在差异。方法本描述性横断面调查是一项混合方法研究项目的一部分,该项目旨在收集电子健康干预对使用脊椎指压治疗的中年和老年人的作用的信息。在这项研究中,在2020年12月至2021年5月期间,来自美国两个大都市地区的29名dc和48名50岁及以上的脊椎指压治疗患者完成了在线调查。这项调查与病人和医生在过去12个月里讨论的关于脊椎指压治疗组成部分的问题相匹配。我们使用描述性统计来探索群体之间感知的一致性,并使用定性内容分析来描述DC对与该人群合作的感知。结果捏脊医生和患者(90%)一致认为疼痛管理是中老年人寻求捏脊护理的首要原因,但在护理驱动因素中,他们对维持/健康护理、身体功能/康复和损伤治疗的优先级存在差异。虽然dc报告经常讨论社会心理建议,但较少患者报告谈论治疗目标(51%)、自我保健(43%)、减压(33%)或社会心理因素(23%)和信仰/态度(33%)对脊柱健康的影响。患者报告了关于讨论活动限制(2%)和运动促进(68%)、被教导运动(48%)或重新评估运动进展(29%)的不同回忆,这与DCs报告的较高水平不同。来自dc的定性主题包括患者教育中的社会心理因素、锻炼/运动的重要性、脊骨疗法在生活方式改变中的作用以及老年患者的报销限制。结论在临床接触中,捏脊医生和患者对生物心理社会和积极护理建议的看法存在差异。与报告频繁讨论这些话题的临床医生的回忆相比,患者报告对运动促进的重视程度不高,对自我保健、减轻压力和与脊柱健康相关的社会心理因素的讨论有限。
{"title":"Discrepant Perceptions of Biopsychosocial and Active Care Recommendations Between Doctors of Chiropractic and Midlife and Older Adult Patients: A Descriptive Survey","authors":"Anna-Marie L. Ziegler MM, DC ,&nbsp;Stacie A. Salsbury PhD, RN ,&nbsp;Michele Maiers DC, MPH, PhD","doi":"10.1016/j.jmpt.2023.04.003","DOIUrl":"10.1016/j.jmpt.2023.04.003","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to assess perceptions about the inclusion of biopsychosocial and active care recommendations during chiropractic clinical encounters between doctors of chiropractic (DCs) and their midlife and older adult patients and to identify whether there were any discrepancies between their recollections.</p></div><div><h3>Methods</h3><p>This descriptive cross-sectional survey was part of a mixed-methods research project designed to gather information about the role of electronic health interventions for midlife and older adults who use chiropractic care. For this study, a convenience sample of 29 DCs and 48 chiropractic patients aged 50 years and older from 2 metropolitan areas in the United States completed online surveys between December 2020 and May 2021. The survey matched questions about components of chiropractic care discussed by patients and providers over 12 months. We used descriptive statistics to explore congruence in perceptions between groups and qualitative content analysis to describe DC perceptions of working with this population.</p></div><div><h3>Results</h3><p>Doctors of chiropractic and patients agreed (&gt;90%) that pain management was the top reason midlife and older adults seek chiropractic care, yet differed in their prioritization of maintenance/wellness care, physical function/rehabilitation, and injury treatment as care drivers. While DCs reported frequent discussions about psychosocial recommendations, fewer patients reported talking about treatment goals (51%), self-care (43%), stress reduction (33%), or the impact of psychosocial factors (23%) and beliefs/attitudes (33%) on spinal health. Patients reported varied recollections about discussing activity limitations (2%) and exercise promotion (68%), being taught exercises (48%), or reassessing exercise progress (29%), which differed from higher levels reported by DCs. Qualitative themes from DCs included psychosocial considerations in patient education, importance of exercise/movement, role of chiropractic in lifestyle changes, and reimbursement limitations for older patients.</p></div><div><h3>Conclusion</h3><p>Doctors of chiropractic and their patients reported discrepant perceptions about biopsychosocial and active care recommendations during clinical encounters. Patients reported modest emphasis on exercise promotion and limited discussion on self-care, stress reduction, and psychosocial factors related to spine health compared to the recollections of DCs who reported frequent discussions of these topics.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0161475423000143/pdfft?md5=e50fb362c5b92e23dc0f85355243f2f4&pid=1-s2.0-S0161475423000143-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9834583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Information for Readers 读者资讯
IF 1.3 4区 医学 Q1 Health Professions Pub Date : 2022-11-01 DOI: 10.1016/S0161-4754(23)00043-X
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引用次数: 0
Associations Between Gluteus Medius Trigger Points With Hip Passive Range of Movement and Muscle Strength in Adults With Chronic Nonspecific Low Back Pain: A Cross-Sectional Study 成年慢性非特异性腰痛患者臀中肌触发点与髋关节被动活动范围和肌力之间的关系:一项横断面研究
IF 1.3 4区 医学 Q1 Health Professions Pub Date : 2022-11-01 DOI: 10.1016/j.jmpt.2023.03.001
Marianne Carroll MHSc , Richard Ellis PhD , Susan Kohut MHSc , Nick Garrett PhD , César Fernández-de-las-Peñas PhD

Objective

The purpose of this study was to investigate whether there is a relationship between gluteus medius trigger points with hip passive range of motion and hip muscle strength in people with chronic nonspecific low back pain (LBP).

Methods

This was a cross-sectional, blinded study that took place in 2 rural communities in New Zealand. Assessments were carried out in physiotherapy clinics in these towns. A total of 42 participants over 18 years old experiencing chronic nonspecific LBP were recruited. After meeting inclusion criteria, participants completed the following 3 questionnaires: Numerical Pain Rating Scale, Oswestry Disability Index, and Tampa Scale of Kinesiophobia. The primary researcher (a physiotherapist) assessed each participant's bilateral hip passive range of movement (using an inclinometer) and muscle strength (using a dynamometer). Following this, a blinded trigger point assessor examined the gluteus medius muscles for the presence of active and latent trigger points.

Results

General linear modeling using univariate analysis revealed that there was a positive association between hip strength and trigger point status (P =.03 left internal rotation, P =.04 right internal rotation, and P =.02 right abduction). Participants with no trigger points showed higher strength values (eg, right internal rotation standard error: 0.64), and those with trigger points showed lower strength. Overall, muscles exhibiting latent trigger points were the weakest (eg, right internal rotation standard error: 0.67).

Conclusion

The presence of active or latent gluteus medius trigger points was associated with hip weakness in adults with chronic nonspecific LBP. There was no association between gluteus medius trigger points and hip passive range of movement.

目的探讨慢性非特异性腰痛(LBP)患者臀中肌触发点与髋关节被动活动度和髋关节肌力之间是否存在关系。方法:这是一项横断面、盲法研究,在新西兰的两个农村社区进行。在这些城镇的理疗诊所进行了评估。共招募了42名18岁以上的慢性非特异性LBP患者。在满足纳入标准后,参与者完成以下3份问卷:数值疼痛评定量表、Oswestry残疾指数和坦帕运动恐惧症量表。主要研究人员(一名物理治疗师)评估每位参与者的双侧髋关节被动活动范围(使用倾斜仪)和肌肉力量(使用测力仪)。在此之后,一个盲法触发点评估者检查臀中肌是否存在活跃和潜在的触发点。结果使用单变量分析的一般线性模型显示髋关节力量和触发点状态之间存在正相关(P =。03左内旋,P =。04右内旋,P =。02右外展)。没有触发点的参与者表现出更高的强度值(例如,右内旋标准误差:0.64),而有触发点的参与者表现出更低的强度。总的来说,表现出潜在触发点的肌肉是最弱的(例如,右内旋标准误差:0.67)。结论成年慢性非特异性腰痛患者存在活跃或潜伏的臀中肌触发点与髋关节无力有关。臀中肌触发点与髋关节被动活动范围无关联。
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引用次数: 0
Application of Feedback Type on Performance of Abdominal Drawing-In Maneuver in Healthy Adults: A Quasi-Experimental Study of Motor Control and Motor Learning 反馈式在健康成人腹部收腹动作中的应用:运动控制与运动学习的准实验研究
IF 1.3 4区 医学 Q1 Health Professions Pub Date : 2022-11-01 DOI: 10.1016/j.jmpt.2023.04.004
Farhad Haeri PT, DPT, Dennis Torre PT, PhD

Objective

The aim of this study was to compare the effects of verbal, tactile-verbal, and visual feedback on muscle activation of the lumbar stabilizers relative to extremity movers during an abdominal drawing-in maneuver when feedback is withheld.

Methods

This quasi-experimental study equally divided 54 healthy adults into 3 feedback groups (verbal, tactile-verbal, and visual) who trained twice per week over a 4-week period to perform supine abdominal drawing-in maneuvers. The percentage of maximum voluntary isometric contraction of rectus abdominis, multifidus (MF), erector spinae, and hamstrings (HS) as an outcome measure was acquired using surface electromyography. A 2-way factorial analysis of variance with bootstrapping allowed for comparison of post-pre difference scores across the interaction of feedback and muscle groups.

Results

Hamstring activation decreased in those receiving tactile-verbal feedback relative to an increase in participants given visual feedback. Furthermore, when using verbal feedback, HS activity increased relative to a decline in rectus abdominis, and when presenting visual feedback, HS activity increased relative to a decrease in MF. However, no post-pre changes were seen across muscles with tactile-verbal feedback.

Conclusion

Although tactile-verbal feedback did not increase MF recruitment, it produced less HS activity than visual feedback. Undesirable HS recruitment may reflect boredom or feedback dependency.

目的:本研究的目的是比较语言、触觉-语言和视觉反馈对腹部收缩操作中相对于四肢运动者的腰椎稳定器肌肉激活的影响。方法将54名健康成人平均分为3个反馈组(口头、触觉-口头和视觉),每周训练2次,为期4周。腹直肌、多裂肌(MF)、竖脊肌和腘绳肌(HS)的最大自愿等长收缩百分比作为结果测量方法,采用表面肌电图获得。采用自举法对方差进行双向析因分析,可以比较反馈和肌肉群相互作用后的前差异得分。结果接受触觉-语言反馈的参与者的shamstring激活减少,而给予视觉反馈的参与者的shamstring激活增加。此外,当使用口头反馈时,HS活动相对于腹直肌的下降而增加,当提供视觉反馈时,HS活动相对于MF的下降而增加。然而,在触觉-语言反馈的肌肉中没有观察到前后的变化。结论触觉-言语反馈虽然没有增加MF的募集,但产生的HS活性低于视觉反馈。不受欢迎的HS招聘可能反映出无聊或反馈依赖。
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引用次数: 0
期刊
Journal of Manipulative and Physiological Therapeutics
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