Journal of Manipulative and Physiological Therapeutics最新文献

英文中文

Characteristics of Chiropractic Patients in the Veterans Health Administration During the COVID-19 Pandemic: A Cross-Sectional Analysis COVID-19大流行期间退伍军人卫生管理局捏脊患者的特征:横断面分析

IF 1.3 4区医学 Q1 Health Professions

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2022-11-01 DOI: 10.1016/j.jmpt.2023.04.002

Gregory R. Roytman DC , Kei-Hoi Cheung PhD , Harini Bathulapalli MPH , Christine M. Goertz DC, PhD , Cynthia R. Long PhD, PStat , Anthony J. Lisi DC

Objective

The purpose of this study was to determine whether patient characteristics were associated with face-to-face (F2F) and telehealth visits for those receiving chiropractic care for musculoskeletal conditions in the US Veterans Health Administration (VHA) during the COVID-19 pandemic.

Methods

A retrospective cross-sectional analysis of all patients (veterans, dependents, and spouses) who received chiropractic care nationwide at the VHA from March 1, 2020, to February 28, 2021, was performed. Patients were allocated into 1 of the following 3 groups: only telehealth visits, only F2F visits, and combined F2F and telehealth visits. Patient characteristics included age, sex, race, ethnicity, marital status, and Charlson Comorbidity Index. Multinomial logistic regression estimated associations of these variables with visit type.

Results

The total number of unique patients seen by chiropractors between March 2020 and February 2021 was 62 658. Key findings were that patients of non-White race and Hispanic or Latino ethnicity were more likely to attend telehealth-only visits (Black [odds ratio 1.20, 95% confidence interval {1.10-1.31}], other races [1.36 {1.16-1.59}], and Hispanic or Latino [1.35 {1.20-1.52}]) and combination telehealth and F2F care (Black [1.32 {1.25-1.40}], other races [1.37 {1.23-1.52}], and Hispanic or Latino [1.63 {1.51-1.76}]). Patients younger than 40 years of age were more likely to choose telehealth visits ([1.13 {1.02-1.26}], 66-75 years [1.17 {1.01-1.35}], and >75 years [1.26 {1.06-1.51}] vs those 40-55 years of age). Sex, visit frequency, and Charlson Comorbidity Index showed significant relationships as well, while marital status did not.

Conclusion

During the COVID-19 pandemic, VHA patients with musculoskeletal complaints using chiropractic telehealth were more ethnically and racially diverse than those using F2F care alone.

目的本研究的目的是确定在COVID-19大流行期间，在美国退伍军人健康管理局(VHA)接受肌肉骨骼疾病按摩治疗的患者的患者特征是否与面对面(F2F)和远程医疗访问相关。方法对2020年3月1日至2021年2月28日在VHA全国范围内接受捏脊治疗的所有患者(退伍军人、家属和配偶)进行回顾性横断面分析。患者被分配到以下3组中的1组:仅远程医疗访问，仅F2F访问和F2F和远程医疗访问相结合。患者特征包括年龄、性别、种族、民族、婚姻状况和Charlson合并症指数。多项逻辑回归估计了这些变量与访问类型的关联。结果2020年3月至2021年2月期间，脊医接待的独特患者总数为62 658人。主要发现是，非白人和西班牙裔或拉丁裔患者更有可能参加仅远程医疗的就诊(黑人[优势比1.20,95%可信区间{1.10-1.31}]，其他种族[1.36{1.16-1.59}]，西班牙裔或拉丁裔[1.35{1.20-1.52}])，以及远程医疗和F2F联合护理(黑人[1.32{1.25-1.40}]，其他种族[1.37{1.23-1.52}]，西班牙裔或拉丁裔[1.63{1.51-1.76}])。年龄小于40岁的患者更倾向于选择远程就诊([1.13{1.02-1.26}]、66-75岁的患者[1.17{1.01-1.35}]、75岁的患者[1.26{1.06-1.51}]、40-55岁的患者)。性别、就诊频率和Charlson共病指数也有显著关系，而婚姻状况无显著关系。结论在2019冠状病毒病大流行期间，使用脊医远程医疗的VHA肌肉骨骼疾病患者比单独使用F2F医疗的患者更具民族和种族多样性。

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引用次数: 0

Effect of Whole-Body Vibration Exercise on Hamstrings-to-Quadriceps Ratio, Walking Performance, and Postural Control in Children With Hemiparetic Cerebral Palsy: A Randomized Controlled Trial 一项随机对照试验:全身振动运动对偏瘫性脑瘫儿童腿筋与股四头肌比例、行走表现和姿势控制的影响

IF 1.3 4区医学 Q1 Health Professions

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2022-11-01 DOI: 10.1016/j.jmpt.2023.04.011

Rania G. Hegazy PT, MSc, PhD , Amr A. Abdel-aziem PT, MSc, PhD

Objective

The purpose of this study was to investigate the effect of whole-body vibration (WBV) exercises combined with traditional physiotherapy on the hamstrings-to-quadriceps (H:Q) ratio, walking ability, and control of posture in children with hemiparetic cerebral palsy (CP).

Methods

A total of 34 children with spastic hemiparetic CP (boys and girls) participated in this 2-arm, parallel, randomized controlled trial. The inclusion criteria were spasticity ranging from 1 to 1+, gross level skills (I and II), at least 1 meter tall, standing alone, and walking forward and backward. They were randomly allocated to the control group (traditional physiotherapy) and study group and were treated by the same physiotherapy program combined with WBV training (3 times per week for 2 successive months). Quadriceps and hamstring muscle strength, walking performance, and postural control were evaluated before and after intervention by a blinded assessor.

Results

The post-intervention values of the hamstring and quadriceps muscle force, gross motor function, and stability indices of the 2 groups were higher than the pre-values (P < .05). In addition, the post-values of the study group were higher than those of the control group (P < .05). Regarding the H:Q ratio, there was no significant difference between pre-values or the post-values of both groups (P = .948 and P = .397, respectively). There were no significant differences between the pre- and post-values of each group (P = .500 and P = .195, respectively).

Conclusion

Eight weeks of WBV training combined with traditional physiotherapy was more effective than traditional physiotherapy alone in improving walking ability and postural control. Furthermore, the combined intervention strengthened the quadriceps and hamstring muscles, with no change in the H:Q ratio in children with hemiparetic CP.

目的探讨全身振动(WBV)运动结合传统物理疗法对偏瘫性脑瘫(CP)患儿腿筋/股四头肌(H:Q)比、行走能力和姿势控制的影响。方法34例痉挛性偏瘫性脑瘫患儿(男、女均有)参加了两组平行、随机对照试验。入选标准为痉挛程度1 ~ 1+，总水平技能(I和II)，身高至少1米，独立站立，前后行走。随机分为对照组(传统物理治疗)和研究组，采用相同的物理治疗方案结合WBV训练(每周3次，连续2个月)。干预前后由盲法评估者评估股四头肌和腘绳肌力量、行走表现和姿势控制。结果干预后两组患者腘绳肌、股四头肌肌力、大运动功能及稳定性指标均高于干预前(P <. 05)。此外，研究组的后值高于对照组(P <. 05)。H:Q比值，两组前值和后值无显著差异(P = .948和P = .397)。各组术前、后值差异无统计学意义(P = 0.500、P = 0.195)。结论8周WBV训练联合传统物理治疗在改善行走能力和体位控制方面比单纯传统物理治疗更有效。此外，联合干预增强了股四头肌和腘绳肌，偏瘫性CP患儿的H:Q比没有变化。

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引用次数: 0

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

IF 1.3 4区医学 Q1 Health Professions

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2022-11-01 DOI: 10.1016/S0161-4754(23)00041-6

引用次数: 0

TOC 技术选择委员会

IF 1.3 4区医学 Q1 Health Professions

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2022-11-01 DOI: 10.1016/S0161-4754(23)00042-8

引用次数: 0

Barriers to the Engagement of Complementary and Integrative Health Providers in Public Health Responses to COVID-19: Recommendations From a Multidisciplinary Expert Panel 辅助和综合卫生服务提供者参与COVID-19公共卫生应对的障碍:多学科专家小组的建议

IF 1.3 4区医学 Q1 Health Professions

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2022-10-01 DOI: 10.1016/j.jmpt.2023.04.009

Margaret D. Whitley PhD, MPH , Ian D. Coulter PhD , Raheleh Khorsan PhD , Patricia M. Herman ND, PhD

Objective

The purpose of this project was to explore barriers to the involvement of complementary and integrative health (CIH) providers in the public health response to COVID-19 and potential solutions for future involvement in public health crises.

Methods

An expert panel of 10 people, which included doctors of chiropractic, naturopathic doctors, public health practitioners, and researchers from the United States, was convened for a day-long online panel discussion. Facilitators asked panelists how CIH practitioners could contribute and be mobilized. We summarized themes and recommendations from the discussion.

Results

Despite their skills and resources, few CIH providers participated in public health efforts like testing and contact tracing during the COVID-19 pandemic. Panelists described that CIH professionals may not have participated in those efforts due to the CIH providers possibly not having sufficient public health training and limited contact with public health professionals, as well as policy and financial challenges during the pandemic. Panelists proposed solutions to these barriers, including more public health training, stronger formal relationships between CIH and public health organizations, and improved financial support for both CIH care and public health efforts.

Conclusion

Through an expert panel discussion, we identified barriers that hindered the involvement of CIH providers in the public health response to the COVID-19 pandemic. During future pandemics in the United States, public health planners should recognize CIH providers as part of the existing labor resource, with clinical expertise and community-level connections that can be called upon in a crisis. During future events, CIH professional leaders should be more proactive in seeking out a supportive role and sharing their knowledge, skills, and expertise.

目的本项目旨在探讨辅助和综合卫生(CIH)提供者参与COVID-19公共卫生应对的障碍，以及未来参与公共卫生危机的潜在解决方案。方法由10人组成的专家小组，包括脊椎指压疗法医生、自然疗法医生、公共卫生从业人员和来自美国的研究人员，召开了为期一天的在线小组讨论。主持人向小组成员询问CIH从业者如何贡献和动员。我们总结了讨论的主题和建议。结果尽管拥有技能和资源，但在COVID-19大流行期间，很少有CIH提供者参与公共卫生工作，如检测和接触者追踪。小组成员指出，卫生保健专业人员可能没有参与这些努力，原因是卫生保健提供者可能没有接受足够的公共卫生培训，与公共卫生专业人员的接触有限，以及大流行期间面临的政策和财政挑战。小组成员提出了解决这些障碍的办法，包括更多的公共卫生培训，加强CIH与公共卫生组织之间的正式关系，以及改善对CIH护理和公共卫生工作的财政支持。通过专家小组讨论，我们确定了阻碍CIH提供者参与COVID-19大流行公共卫生应对的障碍。在美国未来的大流行期间，公共卫生规划者应该将CIH提供者视为现有劳动力资源的一部分，他们具有临床专业知识和社区层面的联系，可以在危机中调用。在未来的活动中，CIH的专业领导者应该更积极主动地寻求支持角色，分享他们的知识、技能和专业知识。

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引用次数: 2

Bilateral Asymmetrical Limb Proprioceptive Neuromuscular Facilitation Effects on Pain, Multifidus Activity, Range of Motion, and Disability in Low Back Pain: A Randomized Controlled Trial 双侧不对称肢体本体感觉神经肌肉促进对腰痛疼痛、多裂肌活动、运动范围和残疾的影响:一项随机对照试验

IF 1.3 4区医学 Q1 Health Professions

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2022-10-01 DOI: 10.1016/j.jmpt.2023.04.005

Aftab Ahmed Mirza Baig MS , Basit Ansari PhD

Objective

The purpose of this study was to determine the effects of bilateral asymmetrical limb proprioceptive neuromuscular facilitation (PNF) pattern exercises on lumbar multifidus (LM) activity, pain, disability, and lumbar range of motions (ROMs) compared to Swiss ball exercises in patients with chronic low back pain (CLBP).

Methods

A randomized controlled trial was conducted at the Sindh Institute of Physical Medicine and Rehabilitation, Karachi, Pakistan, between March 2020 and January 2021. A sample size of 150 patients with CLBP was randomized into 2 groups. Participants in the intervention group (n = 75) received bilateral asymmetrical limb PNF, while the comparison group (n = 75) received Swiss ball exercises. The scores of the visual analog scale, Oswestry Disability Index, Modified-Modified Schober's test, and percentage of the maximum voluntary contractions of LM (%MVC LM) through surface electromyography were recorded before and after 15 sessions of exercises. The Wilcoxon signed rank and Mann-Whitney U tests were employed for within-group and between-group comparisons of all outcomes, respectively. The considered level of significance was 0.05. The trial was registered with ClinicalTrials.gov (NCT04206137).

Results

Pain (in sitting, standing, and walking), disability on the Oswestry Disability Index, and left side %MVC LM were significantly improved (P < .001) in the PNF group compared to the comparison group except for right side %MVC LM and ROMs on the Modified-Modified Schober's test (P > .05).

Conclusion

Bilateral asymmetrical limb PNF exercises showed improvement in pain, disability, and LM activity of patients with CLBP more than those who used Swiss ball exercises.

目的本研究的目的是确定双侧不对称肢体本体感觉神经肌肉促进(PNF)模式运动对慢性腰痛(CLBP)患者腰椎多裂肌(LM)活动、疼痛、残疾和腰椎活动范围(ROMs)的影响，并与瑞士球运动进行比较。方法于2020年3月至2021年1月在巴基斯坦卡拉奇信德省物理医学与康复研究所进行随机对照试验。150例CLBP患者随机分为两组。干预组(n = 75)接受双侧不对称肢体PNF训练，对照组(n = 75)接受瑞士球训练。记录15组运动前后的视觉模拟量表、Oswestry残疾指数、修正-修正Schober测验得分和表面肌电图最大自主收缩百分比(%MVC LM)。所有结果的组内和组间比较分别采用Wilcoxon符号秩检验和Mann-Whitney U检验。考虑的显著性水平为0.05。该试验已在ClinicalTrials.gov注册(NCT04206137)。结果西班牙(坐、站、行)、Oswestry残疾指数残疾、左侧%MVC LM明显改善(P <.001)在PNF组与对照组相比，除了右侧%MVC LM和ROMs在修正-修正Schober检验(P >. 05)。结论双侧不对称肢体PNF运动比瑞士球运动更能改善CLBP患者的疼痛、残疾和LM活动。

{"title":"Bilateral Asymmetrical Limb Proprioceptive Neuromuscular Facilitation Effects on Pain, Multifidus Activity, Range of Motion, and Disability in Low Back Pain: A Randomized Controlled Trial","authors":"Aftab Ahmed Mirza Baig MS , Basit Ansari PhD","doi":"10.1016/j.jmpt.2023.04.005","DOIUrl":"10.1016/j.jmpt.2023.04.005","url":null,"abstract":"<div><h3>Objective</h3><p><span>The purpose of this study was to determine the effects of bilateral asymmetrical limb proprioceptive neuromuscular facilitation (PNF) pattern exercises on lumbar multifidus (LM) activity, pain, disability, and lumbar range of motions (ROMs) compared to Swiss ball exercises </span>in patients with chronic low back pain (CLBP).</p></div><div><h3>Methods</h3><p><span>A randomized controlled trial<span><span><span> was conducted at the Sindh Institute of Physical Medicine and Rehabilitation, Karachi, Pakistan, between March 2020 and January 2021. A sample size of 150 patients with CLBP was randomized into 2 groups. Participants in the intervention group (n = 75) received bilateral asymmetrical limb PNF, while the comparison group (n = 75) received Swiss ball exercises. The scores of the visual analog scale, </span>Oswestry Disability Index, Modified-Modified Schober's test, and percentage of the maximum voluntary contractions of LM (%MVC LM) through </span>surface electromyography were recorded before and after 15 sessions of exercises. The Wilcoxon signed rank and Mann-Whitney </span></span><em>U</em> tests were employed for within-group and between-group comparisons of all outcomes, respectively. The considered level of significance was 0.05. The trial was registered with ClinicalTrials.gov (NCT04206137).</p></div><div><h3>Results</h3><p>Pain (in sitting, standing, and walking), disability on the Oswestry Disability Index, and left side %MVC LM were significantly improved (<em>P</em> < .001) in the PNF group compared to the comparison group except for right side %MVC LM and ROMs on the Modified-Modified Schober's test (<em>P</em> > .05).</p></div><div><h3>Conclusion</h3><p>Bilateral asymmetrical limb PNF exercises showed improvement in pain, disability, and LM activity of patients with CLBP more than those who used Swiss ball exercises.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10172681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Information for Readers 读者资讯

IF 1.3 4区医学 Q1 Health Professions

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2022-10-01 DOI: 10.1016/S0161-4754(23)00035-0

引用次数: 0

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

IF 1.3 4区医学 Q1 Health Professions

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2022-10-01 DOI: 10.1016/S0161-4754(23)00033-7

引用次数: 0

Increased Hippocampal Glucocorticoid Receptor Expression and Reduced Anxiety-Like Behavior Following Tuina in a Rat Model With Allergic Airway Inflammation 在变应性气道炎症大鼠模型中，按摩后海马糖皮质激素受体表达增加和焦虑样行为减少

IF 1.3 4区医学 Q1 Health Professions

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2022-10-01 DOI: 10.1016/j.jmpt.2023.04.008

YaPing Liu MD , LiYue Cao MD , Jing Liu MD , ZhongYuan Zhang MD , Pu Fan MD , Yan Zhu MD , ShuYing Zhang MD , Yun Gu MD , Qian Li MD , Ying Xiong PhD

Objective

This study aimed to explore the influence mechanism of Tuina on anxiety-like behavior in immature rats with allergic airway inflammation (AAI).

Methods

A total of 27 Sprague-Dawley male rats (aged ∼5 weeks) were divided randomly into control, AAI, and AAI with Tuina groups (9 rats per group). The anxiety-like behavior was assessed by an open field test and elevated plus-maze test. Allergic airway inflammation was assessed based on the pathological score of the lung, plasma ovalbumin-specific immunoglobulin E, interleukin 4, interleukin 5, and tumor necrosis factor-alpha levels. Glucocorticoid receptor (GR) messenger RNA and protein expression in the hippocampus and lung were detected by polymerase chain reaction and immunohistochemistry, respectively. Meanwhile, corticotropin-releasing hormone (CRH) messenger RNA in the hypothalamus, the plasma levels of adrenocorticotropic hormone and corticosterone were also determined respectively by polymerase chain reaction and enzyme-linked immunosorbent assay for hypothalamic-pituitary-adrenal axis (HPA) function.

Results

The AAI group had obvious anxiety-like behavior and hyperactive HPA axis, along with decreased GR expression in the hippocampus and lung. Following Tuina, AAI and the anxiety-like behavior were efficiently reduced, and the hyperactivity of HPA axis was efficiently inhibited, along with enhanced GR expression in the hippocampus and lung.

Conclusion

Glucocorticoid receptor expression in the hippocampus and lung was enhanced, and anxiety-like behavior was reduced following Tuina in rats with AAI.

目的探讨推拿对未成熟变应性气道炎症(AAI)大鼠焦虑样行为的影响机制。方法选取27只年龄在5周龄的雄性sd - dawley大鼠，随机分为对照组、AAI组和AAI加推拿组，每组9只。焦虑样行为通过开放场测试和升高+迷宫测试进行评估。根据肺病理评分、血浆卵清蛋白特异性免疫球蛋白E、白细胞介素4、白细胞介素5和肿瘤坏死因子- α水平评估过敏性气道炎症。采用聚合酶链反应和免疫组织化学分别检测海马和肺组织中糖皮质激素受体(GR)信使RNA和蛋白的表达。同时，采用下丘脑-垂体-肾上腺轴(HPA)功能聚合酶链反应和酶联免疫吸附法分别检测下丘脑促肾上腺皮质激素释放激素(CRH)信使RNA、血浆促肾上腺皮质激素和皮质酮水平。结果AAI组大鼠表现出明显的焦虑样行为，HPA轴异常活跃，海马和肺GR表达降低。经推拿后，大鼠AAI和类焦虑行为有效降低，HPA轴的过动性得到有效抑制，海马和肺中GR表达增强。结论AAI大鼠经推拿后海马和肺中糖皮质激素受体表达增强，焦虑样行为减少。

{"title":"Increased Hippocampal Glucocorticoid Receptor Expression and Reduced Anxiety-Like Behavior Following Tuina in a Rat Model With Allergic Airway Inflammation","authors":"YaPing Liu MD , LiYue Cao MD , Jing Liu MD , ZhongYuan Zhang MD , Pu Fan MD , Yan Zhu MD , ShuYing Zhang MD , Yun Gu MD , Qian Li MD , Ying Xiong PhD","doi":"10.1016/j.jmpt.2023.04.008","DOIUrl":"10.1016/j.jmpt.2023.04.008","url":null,"abstract":"<div><h3>Objective</h3><p><span>This study aimed to explore the influence mechanism of Tuina on anxiety-like behavior in immature rats with </span>allergic airway inflammation (AAI).</p></div><div><h3>Methods</h3><p><span><span>A total of 27 Sprague-Dawley male rats (aged ∼5 weeks) were divided randomly into control, AAI, and AAI with Tuina groups (9 rats per group). The anxiety-like behavior was assessed by an open field test and elevated plus-maze test. Allergic airway inflammation was assessed based on the pathological score of the lung, plasma ovalbumin-specific immunoglobulin E, interleukin 4<span>, interleukin 5, and tumor necrosis factor-alpha levels. </span></span>Glucocorticoid receptor<span><span> (GR) messenger RNA and protein expression in the </span>hippocampus<span><span> and lung were detected by polymerase chain reaction and </span>immunohistochemistry, respectively. Meanwhile, corticotropin-releasing hormone (CRH) messenger RNA in the </span></span></span>hypothalamus<span>, the plasma levels of adrenocorticotropic hormone and corticosterone were also determined respectively by polymerase chain reaction and enzyme-linked immunosorbent assay for hypothalamic-pituitary-adrenal axis (HPA) function.</span></p></div><div><h3>Results</h3><p>The AAI group had obvious anxiety-like behavior and hyperactive HPA axis, along with decreased GR expression in the hippocampus and lung. Following Tuina, AAI and the anxiety-like behavior were efficiently reduced, and the hyperactivity of HPA axis was efficiently inhibited, along with enhanced GR expression in the hippocampus and lung.</p></div><div><h3>Conclusion</h3><p>Glucocorticoid receptor expression in the hippocampus and lung was enhanced, and anxiety-like behavior was reduced following Tuina in rats with AAI.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10154915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analysis of Spin in the Reporting of Studies on Electroanalgesia for Musculoskeletal Pain 电镇痛治疗肌肉骨骼疼痛研究报告中的旋转分析

IF 1.3 4区医学 Q1 Health Professions

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2022-10-01 DOI: 10.1016/j.jmpt.2023.04.006

Amanda K.S. Batista, Francilene L. Matias MS, Cristina K.T.T. Mendes PhD, José J.A. Ferreira PhD, Palloma R. Andrade PhD, Valéria M.A. de Oliveira PhD

Objective

The purpose of this study was to analyze the quality of reporting and presence of spin in abstracts of randomized clinical trials (RCTs) on the use of electroanalgesia for musculoskeletal pain.

Methods

The Physiotherapy Evidence Database (PEDro) was searched from 2010 to June 2021. Inclusion criteria were RCTs using electroanalgesia in individuals with musculoskeletal pain, written in any language, comparing 2 or more groups, and with pain as 1 of the outcomes. Two blinded, independent, and calibrated evaluators (Gwet's AC1 agreement analysis) performed eligibility and data extraction. General characteristics, report of outcomes, quality of reporting (Consolidated Standards of Reporting Trials for Abstracts [CONSORT-A]), and spin analysis (7-item spin checklist and spin analysis per section) were extracted from abstracts.

Results

Of 989 studies selected, 173 abstracts were analyzed after screening and eligibility criteria. Mean risk of bias on the PEDro scale was 6.02 ± 1.6 points. Most abstracts did not report significant differences for primary (51.4%) and secondary (63%) outcomes. Mean quality of reporting was 5.10 ± 2.4 points in the CONSORT-A, and spin was 2.97 ± 1.7. Abstracts had at least 1 type of spin (93%), and the conclusion presented the greatest number of spin types. More than 50% of abstracts recommended an intervention without significant differences between groups.

Conclusion

This study found that the majority of RCT abstracts on electroanalgesia for musculoskeletal conditions in our sample had a moderate to high risk of bias, incomplete or missing information, and some type of spin. We recommend that health care providers who use electroanalgesia and the scientific community be aware of spin in published studies.

目的分析电镇痛治疗肌肉骨骼疼痛的随机临床试验(RCTs)摘要的报道质量和自旋的存在。方法检索2010年至2021年6月物理治疗证据数据库(PEDro)。纳入标准是在肌肉骨骼疼痛患者中使用电镇痛的随机对照试验，以任何语言书写，比较2组或更多组，并将疼痛作为结果之一。两个盲法、独立和校准的评估者(Gwet的AC1一致性分析)进行了合格性和数据提取。从摘要中提取一般特征、结果报告、报告质量(摘要试验报告综合标准[conj - a])和自旋分析(7项自旋检查表和每节自旋分析)。结果989项研究中，173篇摘要经过筛选和入选标准分析。PEDro量表的平均偏倚风险为6.02±1.6分。大多数摘要未报告主要(51.4%)和次要(63%)结局的显著差异。报告质量平均为5.10±2.4分，spin为2.97±1.7分。摘要至少有1种自旋类型(93%)，其中结论自旋类型最多。超过50%的摘要推荐干预，组间无显著差异。本研究发现，在我们的样本中，大多数关于电镇痛治疗肌肉骨骼疾病的RCT摘要存在中等到高度的偏倚风险，信息不完整或缺失，以及某种类型的旋转。我们建议使用电镇痛的卫生保健提供者和科学界意识到已发表的研究中的旋转。

{"title":"Analysis of Spin in the Reporting of Studies on Electroanalgesia for Musculoskeletal Pain","authors":"Amanda K.S. Batista, Francilene L. Matias MS, Cristina K.T.T. Mendes PhD, José J.A. Ferreira PhD, Palloma R. Andrade PhD, Valéria M.A. de Oliveira PhD","doi":"10.1016/j.jmpt.2023.04.006","DOIUrl":"10.1016/j.jmpt.2023.04.006","url":null,"abstract":"<div><h3>Objective</h3><p><span>The purpose of this study was to analyze the quality of reporting and presence of spin in abstracts of randomized clinical trials (RCTs) on the use of </span>electroanalgesia<span> for musculoskeletal pain.</span></p></div><div><h3>Methods</h3><p>The Physiotherapy Evidence Database (PEDro) was searched from 2010 to June 2021. Inclusion criteria were RCTs using electroanalgesia in individuals with musculoskeletal pain, written in any language, comparing 2 or more groups, and with pain as 1 of the outcomes. Two blinded, independent, and calibrated evaluators (Gwet's AC1 agreement analysis) performed eligibility and data extraction. General characteristics, report of outcomes, quality of reporting (Consolidated Standards of Reporting Trials for Abstracts [CONSORT-A]), and spin analysis (7-item spin checklist and spin analysis per section) were extracted from abstracts.</p></div><div><h3>Results</h3><p>Of 989 studies selected, 173 abstracts were analyzed after screening and eligibility criteria. Mean risk of bias on the PEDro scale was 6.02 ± 1.6 points. Most abstracts did not report significant differences for primary (51.4%) and secondary (63%) outcomes. Mean quality of reporting was 5.10 ± 2.4 points in the CONSORT-A, and spin was 2.97 ± 1.7. Abstracts had at least 1 type of spin (93%), and the conclusion presented the greatest number of spin types. More than 50% of abstracts recommended an intervention without significant differences between groups.</p></div><div><h3>Conclusion</h3><p>This study found that the majority of RCT abstracts on electroanalgesia for musculoskeletal conditions in our sample had a moderate to high risk of bias, incomplete or missing information, and some type of spin. We recommend that health care providers who use electroanalgesia and the scientific community be aware of spin in published studies.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9788684","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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