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.
{"title":"Vestibular Functions of Adolescents With Idiopathic Scoliosis: A Comprehensive Assessment and Comparative Study","authors":"Klára Kučerová PhD , Zuzana Balatková PhD , Kryštof Slabý MD , Michaela Rampová PhD , Ondřej Čakrt PhD","doi":"10.1016/j.jmpt.2025.09.012","DOIUrl":"10.1016/j.jmpt.2025.09.012","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to evaluate vestibular function in adolescents with idiopathic scoliosis (IS).</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>In SVV, there was no significant difference in static conditions. However, in dynamic conditions, the deviation was significantly greater in patients than in controls (<em>P</em> < .05). Posturography parameters of patients were significantly greater (<em>P</em> < .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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 1","pages":"Pages 304-310"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145426961","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 : 2025-01-01DOI: 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。
{"title":"Clinical Outcomes of a Rehabilitation Program Following Immediate Breast Reconstruction: a Retrospective Cohort Study","authors":"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","doi":"10.1016/j.jmpt.2025.10.034","DOIUrl":"10.1016/j.jmpt.2025.10.034","url":null,"abstract":"<div><h3>Objective</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 (<em>P</em> = .011; <em>P</em> = .017; <em>P</em> = .025, respectively).</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 1","pages":"Pages 568-576"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145471236","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 identify the number of repetitions needed for familiarization before the result of the craniocervical flexion test (CCFT) is stable and the best performance can be scored.
Methods
This was a cross-sectional observational study of healthy participants conducted in a research laboratory. Participants performed 12 repetitions of the CCFT with a 1-minute interval between each test. The primary outcome was the performance in CCFT. The second, fourth, fifth, seventh, and 12th repetitions of the CCFT were compared using the Friedman and Wilcoxon post hoc tests. The test repetitions to be compared were chosen based on the CCFT protocol, mean performance stability, and sequential analysis method.
Results
Thirty participants were assessed and included in the analysis (age = 21. 9 ± 4.0 years). CCFT performance analysis revealed a difference between the 2nd and the 12th tests (P < .001; r = ‒0.74). When comparing the fifth test to the seventh test, a significant improvement in performance was observed (P = .015; r = ‒0.44); however, when comparing the 7th to the 12th test, there was no difference in performance (P = .071; r = ‒0.32). In addition, test’s mean scores became stable after the 6 tests, indicating that performance was improved until the seventh test.
Conclusion
Six repetitions were needed to obtain a stable performance and full familiarization to be achieved by participants.
目的：本研究旨在确定熟悉颅颈屈曲试验（CCFT）结果稳定所需的重复次数，并对其进行最佳评分。方法：这是一项在研究实验室进行的健康参与者的横断面观察研究。参与者进行了12次CCFT重复，每次测试之间间隔1分钟。主要结果是CCFT的表现。CCFT的第二次、第四次、第五次、第七次和第十二次重复使用Friedman和Wilcoxon事后检验进行比较。根据CCFT协议、平均性能稳定性和序列分析方法选择待比较的测试重复次数。结果：30名参与者被评估并纳入分析（年龄= 21岁）。9±4.0年)。CCFT性能分析显示第2次和第12次测试之间存在差异（P < 0.001; r = -0.74）。当将第五次测试与第七次测试进行比较时，观察到性能的显着改善（P = 0.015; r = -0.44）；然而，当第7次测试与第12次测试比较时，性能没有差异（P = 0.071; r = -0.32）。此外，6次测试后，测试的平均分数趋于稳定，表明成绩在第七次测试前有所提高。结论：需要6次重复才能获得稳定的表现，并使参与者完全熟悉。
{"title":"Repetitions Necessary for Motor Learning of the Craniocervical Flexion Test","authors":"Nicolas Kickhofel Weisshahn PhD , Inaihá Laureano Benincá MSc , Aline Luana Ballico MSc , Marcos De Noronha PhD , Alessandro Haupenthal PhD","doi":"10.1016/j.jmpt.2025.10.011","DOIUrl":"10.1016/j.jmpt.2025.10.011","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to identify the number of repetitions needed for familiarization before the result of the craniocervical flexion test (CCFT) is stable and the best performance can be scored.</div></div><div><h3>Methods</h3><div>This was a cross-sectional observational study of healthy participants conducted in a research laboratory. Participants performed 12 repetitions of the CCFT with a 1-minute interval between each test. The primary outcome was the performance in CCFT. The second, fourth, fifth, seventh, and 12th repetitions of the CCFT were compared using the Friedman and Wilcoxon post hoc tests. The test repetitions to be compared were chosen based on the CCFT protocol, mean performance stability, and sequential analysis method.</div></div><div><h3>Results</h3><div>Thirty participants were assessed and included in the analysis (age = 21. 9 ± 4.0 years). CCFT performance analysis revealed a difference between the 2nd and the 12th tests (<em>P</em> < .001; <em>r</em> = ‒0.74). When comparing the fifth test to the seventh test, a significant improvement in performance was observed (<em>P</em> = .015; <em>r</em> = ‒0.44); however, when comparing the 7th to the 12th test, there was no difference in performance (<em>P</em> = .071; <em>r</em> = ‒0.32). In addition, test’s mean scores became stable after the 6 tests, indicating that performance was improved until the seventh test.</div></div><div><h3>Conclusion</h3><div>Six repetitions were needed to obtain a stable performance and full familiarization to be achieved by participants.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 1","pages":"Pages 523-530"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145471407","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 : 2025-01-01DOI: 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。
{"title":"Effect of Muscle Energy Technique on Pain and Disability in People With Sacroiliac Joint Dysfunction: A Systematic Review and Meta-Analysis","authors":"Aleyna Senol MSc , Nishadi N.H. Gamage MSc , Berzan Cetinkaya PhD , Ahmet Begde PhD , Joseph Agu MSc","doi":"10.1016/j.jmpt.2025.10.026","DOIUrl":"10.1016/j.jmpt.2025.10.026","url":null,"abstract":"<div><h3>Objective</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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, <em>I</em><sup>2</sup>: 87%, <em>P</em> = .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; <em>I</em><sup>2</sup>: 87%, <em>P</em> = .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; <em>I</em><sup>2</sup>: 93%, <em>P</em> = .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; <em>I</em><sup>2</sup>: 89%, <em>P</em> = .62).</div></div><div><h3>Conclusion</h3><div>This review found that MET reduced pain and disability, similar to other therapies.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 1","pages":"Pages 460-472"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145452269","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 : 2025-01-01DOI: 10.1016/j.jmpt.2025.10.010
Yo-Rong Chen PhD, LAT, ATC , Troy Hooper PhD, PT, ATC, LAT , C. Roger James PhD , Timothy J. Pendergrass PT, ScD, MS, CSOMT , Lea Gunnell MD , Larry Munger PhD, LAT, ATC
Objectives
The purpose of this study was to investigate differences in immediate effects of a warm-up and Instrument-Assisted Soft Tissue Mobilization (IASTM) treatment in patients with symptomatic plantar fasciopathy (PF) and asymptomatic groups.
Methods
Twenty five subjects with PF and 25 asymptomatic subjects were recruited. Symptomatic subjects experienced plantar heel pain greater than 3 months, heel palpation discomfort, and pain with the first-morning step. Both groups received a warm-up and IASTM. Pre- and post-treatment measurements included visual analog scale (VAS) pain scores in the PF group, stiffness at the origin and navicular levels, origin thickness, ankle and 1st metatarsal phalangeal joint (first MTPJ) weight-bearing ROM, and Foot Health Status Questionnaire (FHSQ). Two-way mixed ANOVAs determined group and intervention effects. The Wilcoxon Signed-Rank test was performed to examine PF group VAS changes, and correlations identified the association between tissue properties and clinical presentations.
Results
The intervention group showed significance in 1) reduced PF pain level (P < .001; d = 0.801), 2) increased weight-bearing 1st MTPJ (P = .039; ηp2 = 0.08) and ankle ROM (P < .001; ηp2 = 0.41) in both groups, and 3) decreased PF origin thickness between-group differences (P = .001; ηp2 = 0.20). For all subjects, 1) the higher FHSQ pain level was associated with lesser origin stiffness and greater thickness, 2) higher origin stiffness was correlated with lesser ankle ROM, and 3) greater thickness was associated with less 1st MTPJ ROM.
Conclusion
An IASTM treatment with warm-up immediately reduced PF symptoms, increased weight-bearing 1st MTPJ and ankle ROM in both groups, and decreased group differences in origin thickness.
{"title":"Immediate Effect of Instrument-Assisted Soft Tissue Mobilization Treatment in Patients with Plantar Fasciopathy and Asymptomatic Subjects","authors":"Yo-Rong Chen PhD, LAT, ATC , Troy Hooper PhD, PT, ATC, LAT , C. Roger James PhD , Timothy J. Pendergrass PT, ScD, MS, CSOMT , Lea Gunnell MD , Larry Munger PhD, LAT, ATC","doi":"10.1016/j.jmpt.2025.10.010","DOIUrl":"10.1016/j.jmpt.2025.10.010","url":null,"abstract":"<div><h3>Objectives</h3><div>The purpose of this study was to investigate differences in immediate effects of a warm-up and Instrument-Assisted Soft Tissue Mobilization (IASTM) treatment in patients with symptomatic plantar fasciopathy (PF) and asymptomatic groups.</div></div><div><h3>Methods</h3><div>Twenty five subjects with PF and 25 asymptomatic subjects were recruited. Symptomatic subjects experienced plantar heel pain greater than 3 months, heel palpation discomfort, and pain with the first-morning step. Both groups received a warm-up and IASTM. Pre- and post-treatment measurements included visual analog scale (VAS) pain scores in the PF group, stiffness at the origin and navicular levels, origin thickness, ankle and 1<sup>st</sup> metatarsal phalangeal joint (first MTPJ) weight-bearing ROM, and Foot Health Status Questionnaire (FHSQ). Two-way mixed ANOVAs determined group and intervention effects. The Wilcoxon Signed-Rank test was performed to examine PF group VAS changes, and correlations identified the association between tissue properties and clinical presentations.</div></div><div><h3>Results</h3><div>The intervention group showed significance in 1) reduced PF pain level (<em>P</em> < .001; d = 0.801), 2) increased weight-bearing 1st MTPJ (<em>P</em> = .039; η<sub>p</sub><sup>2</sup> = 0.08) and ankle ROM (<em>P</em> < .001; η<sub>p</sub><sup>2</sup> = 0.41) in both groups, and 3) decreased PF origin thickness between-group differences (<em>P</em> = .001; η<sub>p</sub><sup>2</sup> = 0.20). For all subjects, 1) the higher FHSQ pain level was associated with lesser origin stiffness and greater thickness, 2) higher origin stiffness was correlated with lesser ankle ROM, and 3) greater thickness was associated with less 1<sup>st</sup> MTPJ ROM.</div></div><div><h3>Conclusion</h3><div>An IASTM treatment with warm-up immediately reduced PF symptoms, increased weight-bearing 1st MTPJ and ankle ROM in both groups, and decreased group differences in origin thickness.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 1","pages":"Pages 337-348"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145564217","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 : 2025-01-01DOI: 10.1016/S0161-4754(25)00121-6
{"title":"Information for Readers","authors":"","doi":"10.1016/S0161-4754(25)00121-6","DOIUrl":"10.1016/S0161-4754(25)00121-6","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 1","pages":"Page A5"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145719049","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 : 2025-01-01DOI: 10.1016/j.jmpt.2025.08.001
Wren M. Burton DC, MPH , Alec L. Schielke DC , Robert J. Butler DC , David B. Huberman PhD , Matthew H. Kowalski DC , Peter M. Wayne PhD , Jeff Teraoka MD , Robert Vining DC, DHSc
Objective
The purpose of this study was to examine the relationships between low back pain (LBP) and trunk endurance (TE) in a United States Veteran population.
Methods
Data were collected from the Veterans Affairs Palo Alto Healthcare System electronic health records (01/2019-12/2019) to identify adults aged 18-89 years presenting with nonsurgical LBP for a chiropractic consultation. Coefficient estimates, standard error, and P-values were calculated from multivariable linear regression for primary (LBP severity) and secondary (functional disability) outcomes, controlling for age, sex, and body composition.
Results
A total of 85 patients (mean age 53.6 years) were included. Trunk endurance was significantly associated with LBP severity (β: −0.042, P < .001) and Oswestry disability index (ODI) scores (β: −0.334, P < .001) suggesting that participants with greater TE (ie, longer prone bridge (plank) test time) had lower LBP severity and lower functional disability than those with poorer TE.
Conclusion
In this sample of Veterans, higher LBP severity and greater functional disability (ODI scores) were associated with reduced TE. Body mass index did not significantly influence these relationships.
目的：本研究的目的是研究美国退伍军人中腰痛（LBP）和躯干耐力（TE）之间的关系。方法：收集退伍军人事务帕洛阿尔托医疗系统电子健康记录（2019年1月1日- 2019年12月）的数据，以确定年龄在18-89岁之间的非手术性腰痛患者进行脊椎按摩咨询。在控制年龄、性别和身体组成的情况下，通过多变量线性回归计算主要（LBP严重程度）和次要（功能性残疾）结局的系数估计、标准误差和p值。结果：共纳入85例患者，平均年龄53.6岁。躯干耐力与腰痛严重程度（β: -0.042, P < .001）和Oswestry残疾指数（ODI）评分（β: -0.334, P < .001）显著相关，表明TE越高（即俯卧桥（平板）测试时间越长）的参与者的腰痛严重程度和功能残疾越低。结论：在退伍军人样本中，较高的腰痛严重程度和较大的功能残疾（ODI评分）与TE降低有关。身体质量指数对这些关系没有显著影响。
{"title":"Relationships Between Trunk Endurance, Low Back Pain Severity and Functional Disability in a United States Veteran Population: A Cross-sectional Retrospective Study","authors":"Wren M. Burton DC, MPH , Alec L. Schielke DC , Robert J. Butler DC , David B. Huberman PhD , Matthew H. Kowalski DC , Peter M. Wayne PhD , Jeff Teraoka MD , Robert Vining DC, DHSc","doi":"10.1016/j.jmpt.2025.08.001","DOIUrl":"10.1016/j.jmpt.2025.08.001","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to examine the relationships between low back pain (LBP) and trunk endurance (TE) in a United States Veteran population.</div></div><div><h3>Methods</h3><div>Data were collected from the Veterans Affairs Palo Alto Healthcare System electronic health records (01/2019-12/2019) to identify adults aged 18-89 years presenting with nonsurgical LBP for a chiropractic consultation. Coefficient estimates, standard error, and <em>P</em>-values were calculated from multivariable linear regression for primary (LBP severity) and secondary (functional disability) outcomes, controlling for age, sex, and body composition.</div></div><div><h3>Results</h3><div>A total of 85 patients (mean age 53.6 years) were included. Trunk endurance was significantly associated with LBP severity (β: −0.042, <em>P</em> < .001) and Oswestry disability index (ODI) scores (β: −0.334, <em>P</em> < .001) suggesting that participants with greater TE (ie, longer prone bridge (plank) test time) had lower LBP severity and lower functional disability than those with poorer TE.</div></div><div><h3>Conclusion</h3><div>In this sample of Veterans, higher LBP severity and greater functional disability (ODI scores) were associated with reduced TE. Body mass index did not significantly influence these relationships.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 1","pages":"Pages 129-136"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186153","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 : 2025-01-01DOI: 10.1016/j.jmpt.2025.10.009
Andrea Tavares Dantas PhD , Mannaly Braga MSc , Gabriel Barreto PhD , Lorena Melo PhD , Camilla Fonseca BSc , Maíra Lima BSc , Tiago Siqueira de Sousa BSc , Maria das Graças Rodrigues de Araújo PhD , Katia Monte-Silva PhD
Objectives
The purpose of this study was to compare the immediate and long-term effects of repetitive transcranial magnetic stimulation (rTMS) and manual therapy (MT), alone or combined, on knee osteoarthritis (KOA) pain.
Methods
In this single session, double-blind, randomized, and controlled clinical trial, 36 KOA patients were randomly assigned to a single session of real rTMS (rTMS; n = 12), sham rTMS paired with MT (sham rTMS/MT; n = 12), or real rTMS paired with MT (rTMS/MT; n = 12). Pain intensity, pain sensitivity, range of motion, and functional mobility were assessed before (T0) and immediately after the session (T1). Pain intensity was also assessed at follow-ups of five (T2), 15 (T3), and 30 days (T4). Physical disability was assessed in T0 and T2.
Results
Pain intensity decreased in rTMS and sham rTMS/MT at T1. The reduction was greater in rTMS than in sham rTMS/MT at T1 (Cohen's d = 0.95, P = .03) and T2 (Cohen's d = 2.57, P = .39) but not at T3 (P = .41) and T4 (P = .75). rTMS with MT resulted in less pain reduction than rTMS alone (Cohen's d = 0.75, P = .04). The groups presented no differences in pain sensitivity, range of motion, or functional mobility. rTMS presented lower physical disability than sham rTMS/MT at T2 (P = .04).
Conclusions
Manual therapy applied immediately after rTMS impaired the analgesic effect of brain stimulation and showed that a single session of rTMS was enough to reduce pain intensity in participants with KOA.
目的：本研究的目的是比较重复经颅磁刺激（rTMS）和手工疗法（MT），单独或联合，对膝骨关节炎（KOA）疼痛的近期和长期效果。方法：在这项单期、双盲、随机对照的临床试验中，36例KOA患者被随机分配到单期真实rTMS （rTMS, n = 12）、假rTMS联合MT（假rTMS/MT， n = 12）或真实rTMS联合MT （rTMS/MT, n = 12）。在治疗前（T0）和治疗后（T1）分别评估疼痛强度、疼痛敏感性、活动范围和功能活动能力。在随访5天（T2）、15天（T3）和30天（T4）时评估疼痛强度。在T0和T2评估身体残疾。结果：T1时，rTMS组和假rTMS/MT组疼痛强度降低。在T1 （Cohen’s d = 0.95, P = 0.03）和T2 （Cohen’s d = 2.57, P = 0.39）时，rTMS组比假rTMS/MT组减少更多，但在T3 （P = 0.41）和T4 （P = 0.75）时则没有。rTMS联合MT的疼痛减轻效果小于单独rTMS （Cohen’s d = 0.75, P = 0.04）。两组在疼痛敏感性、活动范围或功能活动度方面没有差异。在T2时，rTMS较sham rTMS/MT出现更低的肢体残疾（P = 0.04）。结论：在rTMS后立即进行的手工治疗削弱了脑刺激的镇痛作用，并表明单次rTMS足以减轻KOA参与者的疼痛强度。
{"title":"Effect of Manual Therapy and Transcranial Magnetic Stimulation on Pain in Knee Osteoarthritis: A Randomized Clinical Trial","authors":"Andrea Tavares Dantas PhD , Mannaly Braga MSc , Gabriel Barreto PhD , Lorena Melo PhD , Camilla Fonseca BSc , Maíra Lima BSc , Tiago Siqueira de Sousa BSc , Maria das Graças Rodrigues de Araújo PhD , Katia Monte-Silva PhD","doi":"10.1016/j.jmpt.2025.10.009","DOIUrl":"10.1016/j.jmpt.2025.10.009","url":null,"abstract":"<div><h3>Objectives</h3><div>The purpose of this study was to compare the immediate and long-term effects of repetitive transcranial magnetic stimulation (rTMS) and manual therapy (MT), alone or combined, on knee osteoarthritis (KOA) pain.</div></div><div><h3>Methods</h3><div>In this single session, double-blind, randomized, and controlled clinical trial, 36 KOA patients were randomly assigned to a single session of real rTMS (rTMS; n = 12), sham rTMS paired with MT (sham rTMS/MT; n = 12), or real rTMS paired with MT (rTMS/MT; n = 12). Pain intensity, pain sensitivity, range of motion, and functional mobility were assessed before (T0) and immediately after the session (T1). Pain intensity was also assessed at follow-ups of five (T2), 15 (T3), and 30 days (T4). Physical disability was assessed in T0 and T2.</div></div><div><h3>Results</h3><div>Pain intensity decreased in rTMS and sham rTMS/MT at T1. The reduction was greater in rTMS than in sham rTMS/MT at T1 (Cohen's d = 0.95, <em>P</em> = .03) and T2 (Cohen's d = 2.57, <em>P</em> = .39) but not at T3 (<em>P</em> = .41) and T4 (<em>P</em> = .75). rTMS with MT resulted in less pain reduction than rTMS alone (Cohen's d = 0.75, <em>P</em> = .04). The groups presented no differences in pain sensitivity, range of motion, or functional mobility. rTMS presented lower physical disability than sham rTMS/MT at T2 (<em>P</em> = .04).</div></div><div><h3>Conclusions</h3><div>Manual therapy applied immediately after rTMS impaired the analgesic effect of brain stimulation and showed that a single session of rTMS was enough to reduce pain intensity in participants with KOA.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 1","pages":"Pages 311-318"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145437999","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 : 2025-01-01DOI: 10.1016/j.jmpt.2025.10.003
Behiç Turhan MSc , Özgül Öztürk PhD
Objectives
The purpose of this study was to explore the effect of wobble board-based exergame training on static and dynamic balance ability, functionality, and fear of movement in individuals with functional ankle instability (FAI).
Methods
Forty individuals with FAI were randomized into 2 groups. The exercise group (EG) (n = 20) received wobble board-based exergame training 3 times a week for 4 weeks, while control group (CG) (n = 20) had no intervention but continued their usual activities. Measurements included Star Excursion Balance Test (SEBT), Foot and Ankle Ability Measure (FAAM), Fear Avoidance Beliefs Questionnaire, Short Form-12, perceived treatment effect, time-in-balance, and foot lift test.
Results
Significant group-by-time interactions were detected for time-in-balance (P < .031), foot lift (P = .046), and fear of movement (P = .035) in favor of the EG. Both groups displayed improvements in FAAM scores without a significant difference between the groups (P > .05). The EG did not display superior results in SEBT despite significant within-group improvements after 4-week intervention (P > .05).
Conclusions
This study found that wobble board-based exergame training improved static balance and reduced fear of movement in individuals with FAI in the short term.
{"title":"Short-term Results of Wobble Board-Based Exergame Training on Balance, Functionality, and Fear of Movement in Individuals with Ankle Instability: A Randomized Trial","authors":"Behiç Turhan MSc , Özgül Öztürk PhD","doi":"10.1016/j.jmpt.2025.10.003","DOIUrl":"10.1016/j.jmpt.2025.10.003","url":null,"abstract":"<div><h3>Objectives</h3><div>The purpose of this study was to explore the effect of wobble board-based exergame training on static and dynamic balance ability, functionality, and fear of movement in individuals with functional ankle instability (FAI).</div></div><div><h3>Methods</h3><div>Forty individuals with FAI were randomized into 2 groups. The exercise group (EG) (n = 20) received wobble board-based exergame training 3 times a week for 4 weeks, while control group (CG) (n = 20) had no intervention but continued their usual activities. Measurements included Star Excursion Balance Test (SEBT), Foot and Ankle Ability Measure (FAAM), Fear Avoidance Beliefs Questionnaire, Short Form-12, perceived treatment effect, time-in-balance, and foot lift test.</div></div><div><h3>Results</h3><div>Significant group-by-time interactions were detected for time-in-balance (<em>P</em> < .031), foot lift (<em>P</em> = .046), and fear of movement (<em>P</em> = .035) in favor of the EG. Both groups displayed improvements in FAAM scores without a significant difference between the groups (<em>P</em> > .05). The EG did not display superior results in SEBT despite significant within-group improvements after 4-week intervention (<em>P</em> > .05).</div></div><div><h3>Conclusions</h3><div>This study found that wobble board-based exergame training improved static balance and reduced fear of movement in individuals with FAI in the short term.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 1","pages":"Pages 349-356"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145438137","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 : 2025-01-01DOI: 10.1016/j.jmpt.2025.10.019
Kunmu Zhang MM , Zhaocong Zhang MM , Yikai Li MD, PhD , Jingbo Xue MD , Zhun Xu MD, PhD
Objective
The objective of this study was to investigate the stresses and displacements of the sacroiliac joint as well as ligament strains under 3 conditions of manipulation of hip and knee flexion (MHKF).
Methods
A pelvis-femur finite element model was established. Three MHKFs were applied to the model, which involved 3 states of the hip joint. The 3 states were as follows – MHKF-F1: the hip was flexed to 155° and abducted to 35°; MHKF-F2: the hip was flexed to 155° and placed at neutral place; MHKF-F3: the hip was flexed to 155° and intorted to 35°. The stresses and displacements of the sacroiliac joint were calculated, and ligament strains were analyzed.
Results
Under 3 MHKFs, the maximum stresses on the pelvis produced by MHKF-F1, F2, and F3 were 154.1, 123.4, and 180.3 MPa, respectively. The maximum stresses on the sacroiliac joint produced by MHKF-F1, F2, and F3 were 3.9, 3.3, and 2.8 MPa, respectively. The sacroiliac joint displacements were all less than 0.252 mm under the 3 MHKFs. MHKF-F1 produced the largest displacement. Different levels of ligament strain were observed, and the greatest ligament strains were caused by MHKF-F3.
Conclusions
Three MHKFs produced different degrees of stress in the pelvis and sacroiliac joint. Three MHKFs could produce small sacroiliac joint displacements. However, they could produce different levels of ligament strains, and MHKF-F3 produced the greatest ligament strain.
{"title":"Finite Element Analysis of the Biomechanical Effects of Manipulations of Hip and Knee Flexion on the Sacroiliac Joint","authors":"Kunmu Zhang MM , Zhaocong Zhang MM , Yikai Li MD, PhD , Jingbo Xue MD , Zhun Xu MD, PhD","doi":"10.1016/j.jmpt.2025.10.019","DOIUrl":"10.1016/j.jmpt.2025.10.019","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study was to investigate the stresses and displacements of the sacroiliac joint as well as ligament strains under 3 conditions of manipulation of hip and knee flexion (MHKF).</div></div><div><h3>Methods</h3><div>A pelvis-femur finite element model was established. Three MHKFs were applied to the model, which involved 3 states of the hip joint. The 3 states were as follows – MHKF-F1: the hip was flexed to 155° and abducted to 35°; MHKF-F2: the hip was flexed to 155° and placed at neutral place; MHKF-F3: the hip was flexed to 155° and intorted to 35°. The stresses and displacements of the sacroiliac joint were calculated, and ligament strains were analyzed.</div></div><div><h3>Results</h3><div>Under 3 MHKFs, the maximum stresses on the pelvis produced by MHKF-F1, F2, and F3 were 154.1, 123.4, and 180.3 MPa, respectively. The maximum stresses on the sacroiliac joint produced by MHKF-F1, F2, and F3 were 3.9, 3.3, and 2.8 MPa, respectively. The sacroiliac joint displacements were all less than 0.252 mm under the 3 MHKFs. MHKF-F1 produced the largest displacement. Different levels of ligament strain were observed, and the greatest ligament strains were caused by MHKF-F3.</div></div><div><h3>Conclusions</h3><div>Three MHKFs produced different degrees of stress in the pelvis and sacroiliac joint. Three MHKFs could produce small sacroiliac joint displacements. However, they could produce different levels of ligament strains, and MHKF-F3 produced the greatest ligament strain.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 1","pages":"Pages 513-522"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145458621","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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