Journal of Manipulative and Physiological Therapeutics最新文献_第7页

Evaluation of Cervical Proprioception in Type 2 Diabetes Individuals in Comparison to Healthy Individuals 2型糖尿病患者与健康人颈椎本体感觉的比较

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 Epub Date: 2025-11-06 DOI: 10.1016/j.jmpt.2025.10.042

Maryam Homafar MSc , Leila Abbasi PhD , Iman Rezaei PhD , Marzieh Mohamadi PhD , Fatemeh Jabari Fard MSc

Objective

This study aimed to assess cervical proprioception and Kinesthesia in individuals with Type 2 diabetes (T2D) compared to healthy subjects.

Methods

This observational-descriptive study was conducted using a cross-sectional approach. The study comprised 20 individuals with type 2 diabetes (10 females, 10 males, aged 40 to 65, diabetes duration ≥5 years, no prior neck issues) and 20 age- and sex-matched healthy individuals Participants underwent 3 sensorimotor tests: (1) the JPET to assess joint position sense, (2) the CCFT to evaluate the activation and endurance of deep cervical flexors, and (3) the Cervical Movement Sense Test to measure movement accuracy using a computer-based laser tracking system.

Results

The T2DM group demonstrated significantly greater joint position errors in flexion (mean ± SD: 5.01° ± 0.66), extension (6.92° ± 4.39), right rotation (6.70° ± 1.05), and left rotation (6.14° ± 2.41) compared to controls (all P < .05). In the CCFT, diabetic participants had a significantly lower cumulative performance index (58.50 ± 5.88) than healthy individuals (107.80 ± 9.07, P < .0001). The Movement Sense Test revealed significantly worse error scores in both zigzag and figure-8 patterns (eg, Zigzag/Right: −3.12 ± 2.43 in T2D vs −1.12 ± 0.76 in controls, P = .001).

Conclusion

Individuals with T2DM exhibited substantial impairments in cervical proprioception and kinesthesia, including deficits in joint position sense, deep cervical muscle activation, and movement accuracy. These impairments may contribute to balance dysfunction and increased fall risk, suggesting that early identification and targeted rehabilitation strategies may be implicated for improving postural stability in this population. While our findings support the presence of cervical sensorimotor impairments in T2DM, we acknowledge that causation cannot be established due to the cross-sectional nature of this study.

目的：本研究旨在评估2型糖尿病（T2D）患者与健康人的颈椎本体感觉和运动感。方法：本观察描述性研究采用横断面方法进行。该研究包括20名2型糖尿病患者（10名女性，10名男性，年龄40至65岁，糖尿病病程≥5年，无既往颈部问题）和20名年龄和性别匹配的健康个体，参与者进行了3项感觉运动测试：(1)JPET评估关节位置感，(2)CCFT评估颈深屈肌的激活和耐力，(3)颈椎运动感觉测试使用基于计算机的激光跟踪系统测量运动准确性。结果：T2DM组屈曲（平均±SD: 5.01°±0.66）、伸展（6.92°±4.39）、右旋（6.70°±1.05）、左旋（6.14°±2.41）关节位置误差明显大于对照组（均P < 0.05）。在CCFT中，糖尿病参与者的累积表现指数（58.50±5.88）显著低于健康者（107.80±9.07,P < 0.0001）。运动感觉测试显示，锯齿形和8字形图案的误差得分明显更差（例如，锯齿形/右：T2D组为-3.12±2.43，对照组为-1.12±0.76,P = .001）。结论：T2DM患者表现出颈椎本体感觉和运动感的严重损伤，包括关节位置感、颈深肌激活和运动准确性的缺陷。这些损伤可能导致平衡功能障碍和跌倒风险增加，提示早期识别和有针对性的康复策略可能与改善该人群的姿势稳定性有关。虽然我们的研究结果支持T2DM患者存在宫颈感觉运动障碍，但我们承认，由于本研究的横断面性质，无法确定因果关系。

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引用次数: 0

Effects of Standing Back Extension Exercise on Lumbar Erector Spinae Hemodynamics and Muscle Activity After Prolonged Lumbar Flexion 站立后伸展运动对长时间腰椎屈曲后腰竖肌脊柱血流动力学和肌肉活动的影响。

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 Epub Date: 2025-11-03 DOI: 10.1016/j.jmpt.2025.10.012

Hiroshi Ishida PhD , Tadanobu Suehiro PhD , Chiharu Kurozumi PhD

Objective

This study aimed to explore the hemodynamic effects of standing back extension exercise (SBEE) on the lumbar erector spinae (LES) after adoption of the lumbar flexion position.

Methods

Hemodynamics and activities of the LES were measured in 16 asymptomatic adults (8 men and 8 women; mean age, 20.3 ± 0.5 years) using near-infrared spectroscopy of oxygenated hemoglobin and myoglobin (Hb + Mb) levels and surface electromyography in resting prone and Biering-Sørensen test positions to evaluate both resting and contraction states of the LES before and after 5 minutes of adopting the lumbar flexion position. After adopting the lumbar flexion position, all participants randomly performed two 3-second repetitions of SBEE and maintained a relaxed sitting position (control [CON]) separated by at least a 1-day interval.

Results

After participants had assumed the lumbar flexion position, compared with SBEE, CON was significantly associated with more positive changes in the deoxygenated[Hb + Mb] levels in the prone position (P = .028, w = 0.76, power = 0.99). Deoxygenated[Hb + Mb] levels in the prone (P = .026, d = 0.71, power = 0.73) and Biering-Sørensen test positions (P = .036, d = 0.32, power = 0.22) were significantly lower for SBEE than for CON.

Conclusion

Compared with CON, SBEE resulted in lower deoxygenated[Hb + Mb] levels in the LES at rest and during sustained muscle contraction after participants adopted the lumbar flexion position. These results suggest that the physiological effects of using SBEE on low back pain are caused by partial ischemia of the LES due to maintaining a flexed trunk posture.

目的：探讨采用腰椎屈曲体位后，站立后伸运动（SBEE）对腰竖脊肌（LES）血流动力学的影响。方法：对16例无症状成人（男8名，女8名，平均年龄20.3±0.5岁）采用近红外光谱法测定静息俯卧位和biering - s - ørensen试验体位的氧合血红蛋白和肌红蛋白（Hb + Mb）水平和表面肌电图，评估采用腰椎屈曲体位前后5分钟LES的静息和收缩状态。采用腰椎屈曲体位后，所有参与者随机进行两次3秒的SBEE重复，并保持放松的坐姿（对照[CON]），间隔至少1天。结果：受试者采取腰椎屈曲姿势后，与SBEE相比，CON与俯卧姿势的脱氧[Hb + Mb]水平的积极变化显著相关（P = 0.028, w = 0.76，功率= 0.99）。在俯卧位（P = 0.026, d = 0.71，功率= 0.73）和biberlin - s - ørensen试验体位（P = 0.036, d = 0.32，功率= 0.22）中，SBEE组的脱氧[Hb + Mb]水平显著低于CON组。结论：与CON组相比，采用腰椎屈曲体位后，SBEE组在休息和持续肌肉收缩时的LES中脱氧[Hb + Mb]水平较CON组低。这些结果表明，使用SBEE对腰痛的生理影响是由于保持躯干屈曲姿势引起的LES局部缺血引起的。

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引用次数: 0

Cross-sectional Survey of the Evidence Implementation Environment of the Australian Chiropractic and Osteopathic Professions 澳大利亚脊骨疗法和整骨疗法专业证据实施环境的横断面调查。

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 Epub Date: 2025-11-08 DOI: 10.1016/j.jmpt.2025.10.006

Matthew J. Leach BN, BN[Hons], ND, DipClinNutr, PhD

Objective

The purpose of this study was to explore the complex environment of the Australian chiropractic and osteopathic medicine (COM) professions to ascertain their preparedness for evidence implementation (EI).

Methods

This cross-sectional study, conducted between July and November 2024, used nonprobability sampling and a comprehensive recruitment strategy to engage students, academics, clinicians, managers, directors and administrators in COM to complete the 44-item online Global Assessment of the Evidence Implementation Environment (GENIE) questionnaire.

Results

The survey was completed by 157 respondents (59.2% chiropractors; 40.8% osteopaths). Overall, more than one-half of respondents believed the 34 indicators of EI preparedness in COM had been meet, although the strength of respondents’ convictions was mostly low. Respondents perceived the COM academic environment to be somewhat better prepared for EI (with 72.6% agreeing/strongly agreeing that the sector was ready for EI) relative to the clinical (70.7%) and regulatory sectors (68.1%). Notable challenges to EI were insufficient research funding, champions of evidence-based practice, evidence-based decision-support, and practitioner engagement in research and information literacy.

Conclusions

The majority of Australian COM professionals in this sample believed that key indicators of EI have been met. However, uncertainty remains about each profession’s overall readiness, with academic environments perceived to be better prepared than clinical and regulatory sectors.

目的：本研究的目的是探讨澳大利亚捏脊和整骨医学（COM）专业的复杂环境，以确定他们对证据实施（EI）的准备。方法：这项横断面研究于2024年7月至11月进行，采用非概率抽样和综合招聘策略，让COM的学生、学者、临床医生、管理人员、主任和管理人员完成44项在线证据实施环境全球评估（GENIE）问卷。结果：共有157名受访者完成调查，其中脊医占59.2%，整骨医生占40.8%。总体而言，超过一半的受访者认为COM的34项EI准备指标已经达到，尽管受访者的信念强度大多较低。受访者认为，相对于临床（70.7%）和监管部门（68.1%），COM的学术环境在某种程度上为EI做好了准备（72.6%的人同意/强烈同意该行业为EI做好了准备）。EI面临的显著挑战是研究经费不足、循证实践的拥护者、循证决策支持以及从业者参与研究和信息素养。结论：本样本中大多数澳大利亚COM专业人员认为EI的关键指标已经满足。然而，每个职业的总体准备情况仍然存在不确定性，学术环境被认为比临床和监管部门准备得更好。

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引用次数: 0

Information for Readers 读者资讯

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 Epub Date: 2025-12-12 DOI: 10.1016/S0161-4754(25)00121-6

引用次数: 0

Effect of Muscle Energy Technique on Pain and Disability in People With Sacroiliac Joint Dysfunction: A Systematic Review and Meta-Analysis 肌肉能量技术对骶髂关节功能障碍患者疼痛和残疾的影响：系统回顾和荟萃分析。

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 Epub Date: 2025-11-06 DOI: 10.1016/j.jmpt.2025.10.026

Aleyna Senol MSc , Nishadi N.H. Gamage MSc , Berzan Cetinkaya PhD , Ahmet Begde PhD , Joseph Agu MSc

Objective

The aim of this study was to compare the effects of Muscle Energy Technique (MET) with other treatments on pain and disability levels in individuals with sacroiliac joint dysfunction.

Methods

This study systematically searched 11 databases to identify relevant trials (March 2023). The Cochrane risk of bias tool was used to assess the methodological quality of studies. The quality of the evidence for comparisons was evaluated with the Grades of Recommendation, Assessment, Development, and Evaluation approach. MET was compared with other treatments regarding reducing pain as a primary outcome and disability as a secondary outcome.

Results

Seventeen randomised controlled trials involving 665 people with sacroiliac joint dysfunction were included. The results showed that MET was not statistically more effective than other treatments in reducing pain (standard mean difference [SMD]: 0.63, 95% confidence interval [CI] –0.06 to 1.31, I²: 87%, P = .07). Likewise, a meta-analysis of studies comparing MET plus any intervention with other therapies found a statistically nonsignificant difference between the 2 treatments (SMD: –0.91, 95% CI –1.83 to 0.01; I²: 87%, P = .05). Pooled data from 2 studies reported that MET was more effective than other treatments in reducing disability (SMD: 1.56, 95% CI 0.59-2.53; I²: 93%, P = .002). Nevertheless, the combination of MET with any treatment was not found to be more effective in reducing disability than the combination of other treatments with any treatment (SMD: –0.24, 95% CI –1.18 to 0.71; I²: 89%, P = .62).

Conclusion

This review found that MET reduced pain and disability, similar to other therapies.

目的：本研究的目的是比较肌肉能量技术（MET）与其他治疗方法对骶髂关节功能障碍患者疼痛和残疾水平的影响。方法：本研究系统检索11个数据库，检索相关试验（2023年3月）。使用Cochrane偏倚风险工具评估研究的方法学质量。比较证据的质量用推荐、评估、发展和评价的分级方法进行评价。将MET与其他治疗方法进行比较，将减轻疼痛作为主要结果，将残疾作为次要结果。结果：纳入17项随机对照试验，涉及665例骶髂关节功能障碍患者。结果显示MET在减轻疼痛方面并不比其他治疗更有效（标准平均差[SMD]: 0.63, 95%可信区间[CI] -0.06 ~ 1.31, I2: 87%, P = .07）。同样，meta分析比较MET加任何干预与其他治疗的研究发现，两种治疗之间的差异无统计学意义（SMD: -0.91, 95% CI -1.83至0.01;I2: 87%, P = 0.05）。来自2项研究的汇总数据报道MET在减少残疾方面比其他治疗更有效（SMD: 1.56, 95% CI 0.59-2.53; I2: 93%, P = 0.002）。然而，MET与任何治疗相结合并没有发现在减少残疾方面比其他治疗与任何治疗相结合更有效（SMD: -0.24, 95% CI -1.18至0.71;I2: 89%, P = 0.62）。结论：本综述发现MET与其他治疗方法相似，可减轻疼痛和残疾。

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引用次数: 0

Impact of Acupressure on Pain, Functional Status, and Quality of Life in Individuals With Knee Osteoarthritis 穴位按压对膝关节骨关节炎患者疼痛、功能状态和生活质量的影响。

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 Epub Date: 2025-10-07 DOI: 10.1016/j.jmpt.2025.09.001

Tugba Aydemir RN, PhD , Rabiye Çirpan RN, PhD , Pınar Tekinsoy Kartin RN, PhD

Objective

The purpose of this study was to ascertain the impact of acupressure on pain perception, functional status, and overall quality of life in individuals afflicted with knee OA.

Methods

The research was executed as an experimental study employing both pre- and post-test assessments, featuring a control group. Ninety participants were divided into 2 groups: acupressure and control. The acupressure intervention was administered twice weekly, once daily, for a duration of 4 weeks, totaling eight sessions. It adhered to the guidelines for acupuncture application as outlined by the researcher, targeting 6 specific acupuncture points. Data were collected both before and after the acupressure sessions, utilizing assessment tools such as the Visual Analogue Scale (VAS), the 36-Item Short-Form Health Survey (SF-36), and the Western Ontario and McMaster University Osteoarthritis Index (WOMAC).

Results

The study was conducted with a total of 90 participants, comprising 45 individuals in the acupressure group (comprising 88.9% females, with a mean age of 62.88 ± 9.55 years) and 45 individuals in the control group (also comprising 88.9% females, with a mean age of 58.93 ± 10.19 years). Before the acupressure intervention, the acupressure group exhibited higher scores in pain, stiffness, and physical function compared to the control group. Nevertheless, after the interventions, a noteworthy enhancement was detected in the VAS scores, WOMAC scores, and SF-36 scores within the acupressure group (P < .001).

Conclusion

In conclusion, acupressure was found to reduce pain severity and enhance the functional status and quality of life in patients diagnosed with knee OA.

Trial Registration

ClinicalTrials.gov, ID: NCT05238350.

目的：本研究的目的是确定指压对膝关节OA患者疼痛感知、功能状态和整体生活质量的影响。方法：本研究采用实验研究，采用测试前和测试后评估，并设有对照组。90名受试者分为穴位按压组和对照组。穴位按摩干预每周2次，每日1次，持续4周，共8次。它遵循研究者概述的针灸应用指南，针对6个特定的穴位。利用视觉模拟量表（VAS）、36项简短健康调查（SF-36）和西安大略和麦克马斯特大学骨关节炎指数（WOMAC）等评估工具，在穴位按压之前和之后收集数据。结果：共纳入90例受试者，其中穴位按压组45例（女性占88.9%，平均年龄62.88±9.55岁），对照组45例（女性占88.9%，平均年龄58.93±10.19岁）。在穴位按压干预前，穴位按压组在疼痛、僵硬和身体功能方面的得分高于对照组。然而，干预后，穴位按压组VAS评分、WOMAC评分和SF-36评分显著增强（P < 0.001）。结论：穴位按压可减轻膝关节OA患者的疼痛程度，改善患者的功能状态和生活质量。试验注册：ClinicalTrials.gov, ID: NCT05238350。

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引用次数: 0

Association of Cognitive Impairment and Spinal Pain in the Older Adult Population in the United States: A Cross-Sectional Study 美国老年人认知障碍和脊柱疼痛的关联：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 Epub Date: 2025-09-11 DOI: 10.1016/j.jmpt.2025.07.001

Haiou Yang PhD , Scott Haldeman DC, MD, PhD , Eric L. Hurwitz DC, PhD , Patricia A. Tavares DC , Bart N. Green DC, MSEd, PhD , Hannah Dale MChiro , Katie de Luca MChiro, PhD

Objective

The objective of this study was to explore the association between cognitive impairment and spinal pain in the older population in the United States.

Methods

We undertook a secondary analysis of cross-sectional data from the 1999 to 2000 and 2001 to 2002 National Health and Nutrition Examination Survey. The pooled data included a representative sample (n = 2975) of older adults (aged 60-85 years) in the United States. Cognitive impairment was assessed through the Digit Symbol Substitution Test. Spinal pain was defined with a multisite definition, including both nonspecific low back pain and neck pain present in the past 3 months. To account for the complex sampling design, logistic regression was performed using Taylor linearized variance estimation to compute weighted measures of associations.

Results

For older adults with spinal pain, the proportion of cognitive impairment increased with age, from 32.64% in the 60 to 64 age group to 93.83% in the 80 to 84 age group, which was also statistically significantly higher than the general population group and the group without spinal pain (P < .001). After controlling for demographic characteristics, socioeconomic status, and general health status, older adults with spinal pain had significantly increased odds of cognitive impairment (odds ratio 1.76, 95% confidence interval: 1.12, 2.79). Vulnerable subgroups (older, female, and less education) were identified.

Conclusion

There was a significant association between cognitive impairment and spinal pain in the older adult population in the United States. Within this population, there were vulnerable subgroups for which spinal pain and cognitive impairment had a greater impact, namely people who are older, female, and those with less education.

目的：本研究的目的是探讨美国老年人认知障碍和脊柱疼痛之间的关系。方法：对1999 ~ 2000年和2001 ~ 2002年全国健康与营养调查的横断面数据进行二次分析。汇总数据包括美国老年人（60-85岁）的代表性样本（n = 2975）。通过数字符号替代测试评估认知障碍。脊柱疼痛的定义是多部位的，包括过去3个月内出现的非特异性腰痛和颈部疼痛。为了解释复杂的抽样设计，使用泰勒线性化方差估计进行逻辑回归来计算关联的加权度量。结果：老年脊柱痛患者认知功能障碍比例随年龄增长而增加，从60 ~ 64岁年龄组的32.64%增加到80 ~ 84岁年龄组的93.83%，也明显高于普通人群和无脊柱痛组（P < 0.001）。在控制了人口统计学特征、社会经济地位和一般健康状况后，患有脊柱疼痛的老年人认知功能障碍的几率显著增加（优势比1.76,95%可信区间：1.12,2.79）。确定了弱势亚群体（老年人、女性和受教育程度较低）。结论：在美国老年人中，认知障碍和脊柱疼痛之间存在显著关联。在这一人群中，有一些易受伤害的亚群，他们的脊柱疼痛和认知障碍有更大的影响，即老年人、女性和受教育程度较低的人。

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引用次数: 0

Clinical Outcomes of a Rehabilitation Program Following Immediate Breast Reconstruction: a Retrospective Cohort Study 即刻乳房重建后康复计划的临床结果：一项回顾性队列研究。

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 Epub Date: 2025-11-08 DOI: 10.1016/j.jmpt.2025.10.034

Natália C. Campos MSc , Marcela P. Pinto e Silva PhD , Bárbara V. Sarmento MSc , Bruno Mazuquin , Luis O.Z. Sarian , Maria T.P. Amaral PhD , Mariana M.O. Sunemi PhD

Objective

The aim of this study was to assess the occurrence of shoulder range of motion deficiency, wound healing problems, and vascular-related complications in women who underwent a rehabilitation program after immediate breast reconstruction for breast cancer.

Methods

We analyzed data from 145 women. The rehabilitation program lasted 4 to 8 weeks and consisted of verbal and written guidance regarding limb care and daily activities in the immediate postoperative period and after medical clearance, group, or individual active exercise sessions. Wound healing problems and vascular-related complications and shoulder range of motion were evaluated at the end of the program.

Results

Patients’ mean age was 48.7 (SD = 10.9) years old. The mean time between surgery and first rehabilitation session was 38.32 (SD = 23.2) days, and the mean number of face-to-face sessions was 6.1 (SD = 2.3). The most common complication was scar adherence (20.6%). Shoulder range of motion restrictions were associated with the type of reconstruction (autologous tissue + implant), scar adherence, dehiscence, and axillary web syndrome (P = .011; P = .017; P = .025, respectively).

Conclusion

Rehabilitation following breast reconstruction did not increase the risk of complications. Restrictions to the shoulder range of motion were associated with scar adherence, axillary web syndrome, and breast reconstruction using a combination of implants and autologous tissue.

目的：本研究的目的是评估乳腺癌患者在立即乳房重建后接受康复计划的女性肩关节活动度不足、伤口愈合问题和血管相关并发症的发生情况。方法：我们分析了145名妇女的资料。康复计划持续4至8周，包括口头和书面指导，关于肢体护理和术后立即的日常活动，以及在医疗许可后，团体或个人积极锻炼。在项目结束时评估伤口愈合问题、血管相关并发症和肩部活动范围。结果：患者平均年龄48.7岁（SD = 10.9）。手术至首次康复的平均时间为38.32 （SD = 23.2）天，平均面对面治疗次数为6.1 （SD = 2.3）天。最常见的并发症是疤痕粘附（20.6%）。肩关节活动范围受限与重建类型（自体组织+植入物）、疤痕粘附、裂开和腋窝蹼综合征相关（P = 0.011; P = 0.017; P = 0.025）。结论：乳房再造术后的康复治疗不会增加并发症的发生风险。肩关节活动范围受限与疤痕粘附、腋窝蹼综合征以及使用植入物和自体组织联合进行乳房重建有关。

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引用次数: 0

Efficacy of Integrated Neuromuscular Inhibition Versus Postisometric Relaxation Technique on Rhomboid Latent Myofascial Trigger Points: A Randomized Clinical Trial 综合神经肌肉抑制与测后松弛技术对菱形潜伏肌筋膜触发点的疗效：一项随机临床试验。

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 Epub Date: 2025-10-08 DOI: 10.1016/j.jmpt.2025.09.006

Aliaa M. Elabd PhD, PT , Omar M. Elabd PhD, PT , Waleed T. Mansour PhD, PT , Radwa F. Hammam PhD, PT

Objective

The purpose of this study was to compare the efficacy of the Integrated Neuromuscular Inhibition Technique (INIT) and postisometric relaxation (PIR) techniques on rhomboid muscle latent trigger points (LTrPs).

Methods

Seventy-five patients with rhomboid muscle LTrPs were randomly divided into 3 groups and treated for 4 weeks: group A (control): conventional treatment (infrared radiation, ultrasonic therapy, and transcutaneous electrical nerve stimulation); group B: PIR with conventional treatment; and group C: INIT with conventional treatment. Pre- and post-treatment measurements were taken for shoulder pain and disability, neck pain intensity, neck disability, and pressure pain threshold (PPT) at 3 spots on each side. A 2-way MANOVA was used for data analysis.

Results

Group C experienced significantly lower shoulder pain and disability than A and B and less neck pain intensity than A. Both groups, B and C, had significantly higher PPT for the upper and lower right points than A. PPT for the right middle, upper, and lower left points was higher in Group C than in A or B. Group C had a higher PPT of the middle-left point than A. There were significant changes in all outcomes within all groups (P < .05), except that the control group showed no significant alterations in PPT measurements.

Conclusions

Both approaches help treat rhomboids and muscle LTrPs when combined with conventional treatment, even though INIT may be more successful than PIR.

目的：比较综合神经肌肉抑制技术（INIT）和测量后松弛技术（PIR）对菱形肌潜在触发点（LTrPs）的影响。方法：将75例菱形肌ltps患者随机分为3组，治疗4周：A组（对照组）：常规治疗（红外辐射、超声治疗、经皮神经电刺激）；B组：PIR联合常规治疗；C组：INIT +常规治疗。治疗前和治疗后分别在每侧3个点测量肩部疼痛和残疾、颈部疼痛强度、颈部残疾和压痛阈值（PPT）。采用双因素方差分析进行数据分析。结果:肩膀疼痛和残疾C组经历了显著低于A和B和颈部疼痛强度低于A组,B和C,显著提高PPT了上部和下部的分比A . PPT的中间,上层,左下角点是在C组高于A或B, C组有一个PPT中左点高于A在所有组内的所有结果有显著变化(P < . 05),除了对照组的PPT测量没有明显的变化。结论：两种方法联合常规治疗都有助于治疗菱形和肌肉ltps，尽管INIT可能比PIR更成功。

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引用次数: 0

Vestibular Functions of Adolescents With Idiopathic Scoliosis: A Comprehensive Assessment and Comparative Study 青少年特发性脊柱侧凸前庭功能的综合评估与比较研究。

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 Epub Date: 2025-11-02 DOI: 10.1016/j.jmpt.2025.09.012

Klára Kučerová PhD , Zuzana Balatková PhD , Kryštof Slabý MD , Michaela Rampová PhD , Ondřej Čakrt PhD

Objective

The purpose of this study was to evaluate vestibular function in adolescents with idiopathic scoliosis (IS).

Methods

We examined 20 patients with IS and 20 healthy controls. The examination involved assessment of the perception of subjective visual vertical (SVV) in static and dynamic conditions, posturography (6 conditions: eyes open/closed, firm/foam surface, tandem stand), and vestibular evoked myogenic potential (VEMP) testing. Results of the tests were compared between the groups.

Results

In SVV, there was no significant difference in static conditions. However, in dynamic conditions, the deviation was significantly greater in patients than in controls (P < .05). Posturography parameters of patients were significantly greater (P < .05) when standing on a foam surface with eyes open. In this condition, patients had greater center of foot pressure sway area and sway velocity. The patients and controls also differed in terms of sway path, sway velocity, and maximal amplitude in the medial-lateral direction. In VEMP testing, 38% of patients with IS had an abnormal response.

Conclusions

This study showed greater variations in dynamic SVV, greater values of posturography parameters, and some abnormal VEMP responses in patients with IS. It is not yet known if vestibular rehabilitation can improve these abnormal functions.

目的：本研究的目的是评估青少年特发性脊柱侧凸（IS）的前庭功能。方法：选取20例IS患者和20例健康对照。检查包括静态和动态条件下主观视觉垂直感（SVV）的评估、体位术（6种条件：睁眼/闭眼、硬面/泡沫面、串联站立）和前庭诱发肌电位（VEMP）测试。对两组试验结果进行比较。结果：SVV在静态条件下无显著性差异。然而，在动态条件下，患者的偏差明显大于对照组（P < 0.05）。睁眼站在泡沫表面时，体位学参数显著高于对照组（P < 0.05）。在这种情况下，患者有较大的足压中心摆动面积和摆动速度。患者和对照组在中外侧方向的摇摆路径、摇摆速度和最大振幅方面也存在差异。在VEMP测试中，38%的IS患者有异常反应。结论：本研究显示IS患者动态SVV变化较大，体位照相参数值较大，VEMP反应异常。目前尚不清楚前庭康复是否能改善这些异常功能。

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