Journal of Manipulative and Physiological Therapeutics最新文献_第9页

Effect of Aerobic Exercise on Fatigue and Quality of Life in Individuals With Fibromyalgia: A Systematic Review of Randomized Controlled Trials 有氧运动对纤维肌痛患者疲劳和生活质量的影响：一项随机对照试验的系统综述。

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 DOI: 10.1016/j.jmpt.2025.10.023

Cristiano Carvalho PhD , Patricia Gabrielli Vassão PhD , Thatiane Izabele Ribeiro Santos PT , Julia Risso Parisi PhD , Homero Garcia-Motta MSc , Ana Claudia Muniz Renno PhD

Objective

The purpose of this study was to investigate the literature for the effects of aerobic exercise on fatigue and quality of life in individuals with fibromyalgia.

Methods

The Medline/PubMed, Embase and Web of Science databases were searched for relevant articles up to February 2023. We included studies involving individuals with fibromyalgia submitted to aerobic exercise compared to a control group. The Cochrane Risk of Bias Tool was used to appraise the risk of bias, and the level of evidence was analyzed using the Grading of Recommendations, Assessment, Development, and Evaluation approach.

Results

Five articles met the inclusion criteria. The blinding of participants and personnel was insufficient in all studies. Four studies reported an adequate randomization method and 3 supplied sufficient information to assess whether allocation concealment was properly ensured. The risk of detection bias was low in 4 studies, as incomplete outcome data were sufficiently addressed. The risk of reporting bias was low in 3 studies and unclear in 2 studies. Fatigue was assessed in 3 studies; the level of evidence was very low and without effect for this outcome. All studies assessed quality of life, for which level of evidence was low and without effect.

Conclusion

The level of evidence was very low and without effect for fatigue, and low and without effect for quality of life. The AE programs did not promote any improvement in fatigue or quality of life in individuals with FM compared to the control group among studies analyzed in this review. Thus, future studies should be developed to clarify the efficacy of such treatment on these outcomes. Furthermore, there is a lack of studies with AE programs using the revised version of the FIQ (FIQR). Performance fatigue also needs to be used assessed more precisely.

目的：本研究的目的是研究有氧运动对纤维肌痛患者疲劳和生活质量的影响。方法：检索Medline/PubMed、Embase和Web of Science数据库截至2023年2月的相关文章。我们纳入了与对照组相比，纤维肌痛患者进行有氧运动的研究。使用Cochrane偏倚风险工具评估偏倚风险，并使用分级推荐、评估、发展和评价方法分析证据水平。结果：5篇文章符合纳入标准。在所有的研究中，参与者和工作人员的盲法都是不够的。4项研究报告了适当的随机化方法，3项研究提供了足够的信息来评估分配隐藏是否得到适当保证。4项研究的检测偏倚风险较低，因为不完整的结果数据得到了充分处理。3项研究报告偏倚风险较低，2项研究报告偏倚风险不明确。3项研究对疲劳进行评估；证据水平非常低，对这一结果没有影响。所有的研究都评估了生活质量，这方面的证据水平很低，没有效果。结论：证据水平很低，对疲劳无影响，对生活质量低，无影响。在本综述分析的研究中，与对照组相比，AE计划并没有促进FM患者疲劳或生活质量的改善。因此，未来的研究应该发展，以阐明这种治疗对这些结果的疗效。此外，还缺乏使用修正版FIQR （FIQR）的AE程序的研究。性能疲劳也需要更精确地评估。

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引用次数: 0

Behavioral Changes and Long-Term Cortical Thickness Alterations in Women with Fibromyalgia 纤维肌痛女性患者的行为变化和皮质厚度的长期改变

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 DOI: 10.1016/j.jmpt.2024.08.018

Paulo Gomes de Oliveria Neto BS , Lucas Rego Ramos PhD , Marcos F. DosSantos PhD

Objectives

The purpose of this study was to examine long-term brain and behavioral changes in patients with fibromyalgia (FM) compared to healthy individuals.

Methods

Data from 33 female volunteers with FM and 33 healthy controls women paired by age and school degree were used to analyze the cortical thickness from high-resolution T1-weighted magnetic resonance imaging (MRI) obtained through a 3T-MRI scanner. Additionally, the Toronto Alexithymia Scale, the Positive and Negative Affect Scale, the emotion regulation questionnaire (ERQ), and the Hamilton Depression and Anxiety rating scales were used to evaluate the behavioral changes.

Results

The findings indicate significant cortical structure differences in the right cerebral hemisphere between groups in the insular anterior cortex precentral and postcentral gyrus (P < .001). The FM group scored higher for alexithymia (P < .01), negative affect (P < .01), anxiety (P < .01), and depression (P < .01) symptoms, on the other hand, scored lower for positive affect (P < .01). No differences were found on the left cerebral hemisphere. Furthermore, there was a negative correlation between the right insular anterior cortex and Toronto Alexithymia Scale (P < .001).

Conclusion

This study showed long-term brain and behavioral changes in patients with FM, suggesting notable neurophysiological alterations associated with this chronic pain condition. It provides new insights into how FM may affect brain health and potential biomarkers for the condition.

研究目的本研究的目的是研究纤维肌痛（FM）患者与健康人相比在大脑和行为方面的长期变化：33名患有纤维肌痛的女性志愿者和33名按年龄和学校学位配对的健康对照组女性志愿者的数据被用来分析通过3T-MRI扫描仪获得的高分辨率T1加权磁共振成像（MRI）的皮层厚度。此外，还使用多伦多亚历山大量表、积极和消极情绪量表、情绪调节问卷（ERQ）以及汉密尔顿抑郁和焦虑评分量表来评估行为变化：研究结果表明，在右侧大脑半球的岛叶前部皮质前中央回和中央后回，两组间存在明显的皮质结构差异（P < .001）。调频组在情感淡漠（P < .01）、消极情绪（P < .01）、焦虑（P < .01）和抑郁（P < .01）症状方面得分较高，而在积极情绪方面得分较低（P < .01）。左侧大脑半球没有发现差异。此外，右侧岛叶前皮层与多伦多亚历山大量表（Toronto Alexithymia Scale）之间存在负相关（P < .001）：这项研究显示了 FM 患者大脑和行为的长期变化，表明与这种慢性疼痛相关的神经生理学改变十分显著。它为研究调频如何影响大脑健康以及该病症的潜在生物标记物提供了新的视角。

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引用次数: 0

Effect of Spinal Manipulation on Eye and Head Movement Performance in Participants With Chronic Neck Pain: An Observational Study 一项观察性研究：脊柱操作对慢性颈痛患者眼和头部运动表现的影响。

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 DOI: 10.1016/j.jmpt.2025.08.006

Geoffrey M. Gelley DC, PhD , Steven R. Passmore DC, PhD , Cheryl M. Glazebrook MSc (PT), PhD , Brian J. MacNeil PhD

Objective

The aim of this study was to determine the immediate effects of spinal manipulation (SM) on motor performance of eye and head movement tasks in symptomatic and asymptomatic participants with chronic neck pain.

Methods

This observational study utilized a between and within group analyses to assess the effects of cervical SM in symptomatic (n = 20) and asymptomatic (n = 20) groups. Participants performed goal-directed eye and head movement tasks before and after cervical SM, to identify changes in eye and head motor performance. Eye and head movement time (MT) was analyzed as a primary outcome. Secondary outcomes included eye and head peak velocity and time to peak velocity.

Results

During the eye movement task, there was no significant effect of SM on MT. During the head movement task, there was a significant SM by group interaction for MT and significant effect of SM on MT during the amplitude and width conditions within the symptomatic group indicating that head MTs were reduced in both analyses.

Conclusion

There was no effect of SM on eye MTs. However, the significant effect of SM on head MT provides evidence for changes in head control following SM. Given the SM targeted the cervical spine, the changes in MT were only present for head movements, we propose the observed changes may result from both neuromuscular and sensorimotor adaptations following SM.

目的：本研究的目的是确定脊柱操作（SM）对有症状和无症状的慢性颈部疼痛参与者的眼和头部运动任务的直接影响。方法：本观察性研究采用组间和组内分析来评估有症状组（n = 20）和无症状组（n = 20）宫颈SM的效果。参与者在颈椎SM前后分别执行了目标导向的眼睛和头部运动任务，以确定眼睛和头部运动表现的变化。眼头部运动时间（MT）作为主要观察指标进行分析。次要结果包括眼和头的峰值速度和到达峰值速度的时间。结果：在眼动任务中，SM对MT没有显著的影响。在头部运动任务中，组间相互作用对MT有显著的SM，在症状组的振幅和宽度条件下，SM对MT有显著的影响，表明两种分析中头部MT都减少了。结论：SM对眼睛MT没有影响，但对头部MT有显著影响，为SM后头部控制的改变提供了证据。鉴于SM针对的是颈椎，MT的变化只出现在头部运动中，我们认为观察到的变化可能是SM后神经肌肉和感觉运动适应的结果。

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引用次数: 0

Diaphragm Muscle Thickness in 4 Different Positions in Patients With Low Back Pain Compared to Healthy Individuals: An Ultrasound Imaging Study 4种不同体位下腰痛患者膈肌厚度与健康个体的比较：超声成像研究

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 DOI: 10.1016/j.jmpt.2025.09.015

Bahar Shaghayegh Fard MSc , Mohammad Taghi Karimi PhD , Mohsen Raseghi PhD

Objective

This study aimed to investigate the changes in the thickness of the diaphragm muscle during 4 different postures in individuals with and without chronic low back pain (LBP) using transcostal rehabilitative ultrasound imaging.

Method

This cross-sectional study was conducted on 56 participants, including 28 patients with nonspecific chronic LBP (14 males and 14 females) and 28 individuals without LBP (14 males and 14 females), aged 20 to 45 years. Diaphragm thickness and diaphragm thickness fraction (DTF) of the right hemidiaphragm were assessed via B-mode ultrasound in supine, sitting, standing, and straight leg raised (SLR) positions in different respiratory phases, including inspiration, expiration, and deep inspiration.

Results

In each group, diaphragm thickness was found to be different among supine, SLR, sitting, and standing positions in all respiratory phases (P < .001). The difference in diaphragm thickness between the LBP and non-LBP groups was more obvious in the SLR position (P = .035). Moreover, groups differed significantly in DTF in SLR, sitting, and standing positions (P < .001).

Conclusion

Increased load on the lumbar region caused by elevating the lower limb and posing more upright postures resulted in a thicker diaphragm. Based on the results, the SLR position reflected the differences in diaphragm thickness between the study groups more efficiently than other positions, which might be attributed to impaired load transfer through the lumbopelvic region in individuals with back pain. Furthermore, DTF seemed to be more sensitive compared to the thickness measurement for the identification of differences between patients with LBP and healthy individuals.

目的：利用经肋康复超声成像技术，探讨慢性腰痛患者和非慢性腰痛患者在4种不同体位时膈肌厚度的变化。方法：对56名参与者进行横断面研究，包括28名非特异性慢性下腰痛患者（男性14名，女性14名）和28名非下腰痛患者（男性14名，女性14名），年龄20 - 45岁。在吸气、呼气、深吸气等不同呼吸期，分别采用仰卧位、坐位、站立位和直腿抬高位（SLR），通过b超评估右半膈膜厚度和膈膜厚度分数（DTF）。结果：各组各呼吸期仰卧位、单卧位、坐位、站立位膈膜厚度差异有统计学意义（P < 0.001）。LBP组与非LBP组膈膜厚度在SLR部位差异更明显（P = 0.035）。各组单反、坐位、站位DTF差异有统计学意义（P < 0.001）。结论：下肢抬高和直立姿势增加腰椎负荷可导致膈肌增厚。基于结果，SLR体位比其他体位更有效地反映了研究组之间横膈膜厚度的差异，这可能归因于背痛患者通过腰骨盆区域的负荷转移受损。此外，与厚度测量相比，DTF在识别LBP患者与健康个体之间的差异方面似乎更敏感。

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引用次数: 0

Cognitive Patterns and Psychological Distress as Predictors of Disability Related to Chronic Neck and Low Back Pain: A Cross-Sectional Study 认知模式和心理困扰作为慢性颈部和腰痛相关残疾的预测因素：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 DOI: 10.1016/j.jmpt.2025.10.032

Geisa Guimarães de Alencar PhD , Thaynara do Nascimento Paes Barreto MSc , Gisele da Silva Vitorino Barbosa MSc , Débora dos Santos Silva MSc , Raúl Alexandre Nunes da Silva Oliveira PhD , Maria das Graças Rodrigues de Araújo PhD , Tania Fernandes Campos PhD , Gisela Rocha de Siqueira PhD

Objective

The purpose of this study was to assess the association of disability with cognitive patterns (pain catastrophizing and kinesiophobia) and psychological distress (anxiety and depressive symptoms) in individuals with chronic neck (CNP) and low back pain (CLBP).

Methods

This cross-sectional study included 150 individuals with CNP (n = 75) and CLBP (n = 75) who answered a personal assessment form, the Neck Disability Index, the Oswestry Disability Index, the Pain Catastrophizing Scale, the Tampa Scale of Kinesiophobia, the Beck Anxiety Inventory, the Beck Depression Inventory-II, and the visual analog scale (pain intensity). A multiple linear regression analysis was used to assess whether the independent variables were predictors of disability (P < .05).

Results

In individuals with CNP, pain catastrophizing (β = 0.5), kinesiophobia (β = 0.2), and anxiety symptoms (β = 0.3) served as predictors of disability (R² = 0.79; Adjusted R² = 0.78; F (3.71) = 90.6; P < .001). In individuals with CLBP, pain catastrophizing (β = 0.4) and pain intensity (β = 0.4) were predictors of disability (R² = 0.51; Adjusted R² = 0.50; F (2.72) = 34.4; P < .001).

Conclusion

Disability related to CNP and CLBP had different predictors, except for pain catastrophizing, which was associated with both. These findings suggest that cognitive patterns (ie, pain catastrophizing and kinesiophobia) and psychological distress (ie, anxiety symptoms) should be considered during CNP and CLBP rehabilitation and further investigated by health professionals.

目的：本研究的目的是评估慢性颈部（CNP）和腰痛（CLBP）患者的残疾与认知模式（疼痛灾难化和运动恐惧症）和心理困扰（焦虑和抑郁症状）的关系。方法：本横断面研究纳入150例CNP （n = 75）和CLBP （n = 75）患者，他们填写了个人评估表、颈部残疾指数、Oswestry残疾指数、疼痛灾难化量表、坦帕运动恐惧症量表、贝克焦虑量表、贝克抑郁量表- ii和视觉模拟量表（疼痛强度）。采用多元线性回归分析评估自变量是否为致残的预测因子（P < 0.05）。结果：在CNP患者中，疼痛灾难化（β = 0.5）、运动恐惧症（β = 0.2）和焦虑症状（β = 0.3）是残疾的预测因子(R²= 0.79；调整后R²= 0.78;F (3.71) = 90.6；P < 0.001)。在CLBP患者中，疼痛灾变（β = 0.4）和疼痛强度（β = 0.4）是残疾的预测因子(R²= 0.51；调整后R²= 0.50;F (2.72) = 34.4；P < 0.001)。结论：与CNP和CLBP相关的残疾有不同的预测因子，但疼痛灾难化与两者相关。这些发现表明，认知模式（如疼痛灾难化和运动恐惧症）和心理困扰（如焦虑症状）应在CNP和CLBP康复期间予以考虑，并由卫生专业人员进一步调查。

{"title":"Cognitive Patterns and Psychological Distress as Predictors of Disability Related to Chronic Neck and Low Back Pain: A Cross-Sectional Study","authors":"Geisa Guimarães de Alencar PhD , Thaynara do Nascimento Paes Barreto MSc , Gisele da Silva Vitorino Barbosa MSc , Débora dos Santos Silva MSc , Raúl Alexandre Nunes da Silva Oliveira PhD , Maria das Graças Rodrigues de Araújo PhD , Tania Fernandes Campos PhD , Gisela Rocha de Siqueira PhD","doi":"10.1016/j.jmpt.2025.10.032","DOIUrl":"10.1016/j.jmpt.2025.10.032","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to assess the association of disability with cognitive patterns (pain catastrophizing and kinesiophobia) and psychological distress (anxiety and depressive symptoms) in individuals with chronic neck (CNP) and low back pain (CLBP).</div></div><div><h3>Methods</h3><div>This cross-sectional study included 150 individuals with CNP (<em>n</em> = 75) and CLBP (<em>n</em> = 75) who answered a personal assessment form, the Neck Disability Index, the Oswestry Disability Index, the Pain Catastrophizing Scale, the Tampa Scale of Kinesiophobia, the Beck Anxiety Inventory, the Beck Depression Inventory-II, and the visual analog scale (pain intensity). A multiple linear regression analysis was used to assess whether the independent variables were predictors of disability (<em>P</em> < .05).</div></div><div><h3>Results</h3><div>In individuals with CNP, pain catastrophizing (<em>β</em> = 0.5), kinesiophobia (<em>β</em> = 0.2), and anxiety symptoms (<em>β</em> = 0.3) served as predictors of disability (<em>R</em>² = 0.79; Adjusted <em>R</em>² = 0.78; <em>F</em> (3.71) = 90.6; <em>P</em> < .001). In individuals with CLBP, pain catastrophizing (<em>β</em> = 0.4) and pain intensity (<em>β</em> = 0.4) were predictors of disability (<em>R</em>² = 0.51; Adjusted <em>R</em>² = 0.50; <em>F</em> (2.72) = 34.4; <em>P</em> < .001).</div></div><div><h3>Conclusion</h3><div>Disability related to CNP and CLBP had different predictors, except for pain catastrophizing, which was associated with both. These findings suggest that cognitive patterns (ie, pain catastrophizing and kinesiophobia) and psychological distress (ie, anxiety symptoms) should be considered during CNP and CLBP rehabilitation and further investigated by health professionals.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 1","pages":"Pages 385-394"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145444912","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

The Brazilian Portuguese Version of the Measure of Intermittent and Constant Osteoarthritis Pain for Individuals With Hip Osteoarthritis: Translation, Cross-Cultural Adaptation, and Measurement Properties 髋部骨关节炎患者间歇性和持续性骨关节炎疼痛测量的巴西葡萄牙语版本：翻译、跨文化适应和测量特性。

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 DOI: 10.1016/j.jmpt.2025.09.009

Aron Charles Barbosa da Silva MSc , Gabriela Nascimento de Santana MSc , Inaê Silva Santos MSc , Patrícia Gabrielle dos Santos PT , Adriano Rodrigues de Oliveira Ph.D , Almir Vieira Dibai Filho Ph.D , Cid André Fidelis de Paula Gomes Ph.D

Objective

The purpose of this study was to translate, cross-culturally adapt, and validate the Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP) hip into Brazilian Portuguese in individuals with hip osteoarthritis (OA).

Methods

One hundred thirty individuals with hip OA participated in the study, 30 in stage 1, transcultural translation and adaptation, and 100 in stage 2, structural validity. Convergent validity was assessed using the Spearman correlation by applying the Numeric Rating Pain Scale (NRPS), the Hip Dysfunction and Osteoarthritis Outcome Score (HOOS), and the Short Form 36 Health Survey (SF-36). The internal structure was evaluated by exploratory and confirmatory factor analysis with the fit indices chi-square/degrees of freedom (DF), Root Mean Square Error of Approximation (RMSEA), Standardized Root Mean Square Residual (SRMR), Comparative Fit Index (CFI), Tucker Lewis Index (TLI), and floor and ceiling effects. Of the 100 participants, a subsample of 50 was used to assess test-retest reliability using the intra-class correlation coefficient (ICC), standard error of measurement (SEM), minimum detectable change (MDC), and internal consistency by Cronbach’s alpha (α).

Results

the ICOAP hip showed adequate values for all fit indices: chi-square/GL = 1.05; CFI = 1.00; TLI = 1.00; RMSEA (90% CI) = 0.024 (0.000 to 0.073); SRMR = 0.031. The reliability analysis presented excellent test-retest reliability and internal consistency values >0.90. Regarding convergent validity, correlations >0.50 were found between the ICOAP hip constant pain and HOOS, SF-36, and the NRPS.

Conclusion

The ICOAP hip in Brazilian Portuguese presents acceptable psychometric properties, supporting its use in individuals with hip OA.

目的：本研究的目的是翻译，跨文化适应，并验证间歇性和持续性骨关节炎疼痛（ICOAP）髋关节测量到巴西葡萄牙语与髋关节骨关节炎（OA）个体。方法：130例髋部骨性关节炎患者参与研究，其中30例在第一阶段进行跨文化翻译和适应，100例在第二阶段进行结构效度。收敛效度采用Spearman相关性，通过应用数值评定疼痛量表（NRPS）、髋关节功能障碍和骨关节炎结局评分（HOOS）和短表36健康调查（SF-36）来评估。利用拟合指标卡方/自由度（DF）、近似均方根误差（RMSEA）、标准化均方根残差（SRMR）、比较拟合指数（CFI）、Tucker Lewis指数（TLI）以及地板和天花板效应，通过探索性和验证性因子分析对内部结构进行评价。在100名参与者中，使用50个子样本使用类内相关系数（ICC），测量标准误差（SEM），最小可检测变化（MDC）和Cronbach's alpha （α）的内部一致性来评估重测信度。结果：ICOAP髋关节各拟合指标均符合要求：卡方/GL = 1.05；Cfi = 1.00；Tli = 1.00；RMSEA (90% CI) = 0.024 (0.000 ~ 0.073)；SRMR = 0.031。信度分析结果表明，重测信度和内部一致性值均为>0.90。关于收敛效度，ICOAP髋部持续疼痛与HOOS、SF-36和NRPS之间的相关性为bb0 0.50。结论：巴西葡萄牙人的ICOAP髋关节具有可接受的心理测量特性，支持其在髋关节OA患者中的应用。

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引用次数: 0

Differences in 3-dimensional Spinal Angles During Thoracic Axial Rotation in the Sitting Position Between Thoracic Kyphosis Groups 胸后凸组坐姿胸椎轴向旋转时脊柱三维角度的差异。

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 DOI: 10.1016/j.jmpt.2025.09.014

Sun-shil Shin PhD, Won-gyu Yoo PhD

Objective

The purpose of this study was to investigate the effects of thoracic spine angle during trunk rotation on the relative rotation angles of the lumbar and pelvic regions, as well as coupled motions.

Methods

Twenty-two young asymptomatic volunteers stood in a comfortable upright posture for 5 seconds, with inertial measurement units attached at the T1, T7, T12, L3, and S2 levels. Participants were divided into kyphotic thoracic (40° ≤ T1–T12 < 50°) and normal thoracic (40° < T1–T12) groups based on measurements taken during standing. Participants performed trunk axial rotation while sitting, and the Eulerian angles were measured at the T1, T7, T12, L3, L5, and S2 levels.

Results

The rotation angles at the T1 (right side, P = .023; left side, P = .035) and S2 (right side, P = .037; left side, P = .015) levels were greater in the kyphotic thoracic compared to the normal thoracic group.

Conclusions

In asymptomatic participants with slight thoracic kyphosis, trunk axial rotation was affected by thoracic curvature.

目的：探讨躯干旋转时胸椎角度对腰椎和骨盆区域相对旋转角度以及耦合运动的影响。方法：22名无症状青年志愿者以舒适的直立姿势站立5秒，在T1、T7、T12、L3和S2水平连接惯性测量单元。根据站立时的测量结果，将参与者分为胸后凸组（40°≤T1-T12 < 50°）和正常胸后凸组（40°< T1-T12）。受试者坐着时进行躯干轴向旋转，并测量T1、T7、T12、L3、L5和S2水平的欧拉角。结果：胸后凸组T1（右侧，P = 0.023；左侧，P = 0.035）和S2（右侧，P = 0.037；左侧，P = 0.015）水平的旋转角度大于胸正常组。结论：在无症状的轻度胸后凸患者中，躯干轴向旋转受到胸曲度的影响。

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引用次数: 0

Association Between Symptoms and Health Outcomes in Chronic Whiplash-Associated Disorders: a Series of Mediation Analyses 慢性鞭伤相关疾病的症状与健康结果之间的关联：一系列中介分析

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 DOI: 10.1016/j.jmpt.2025.10.008

Lisa L. Jasper PT, PhD , Pat Fonstad PT , Ashley D. Smith PT, PhD

Objective

The purpose of this study was to investigate the relationship between symptoms across body systems and health outcomes in individuals with chronic whiplash-associated disorders (WADs).

Methods

A cross-sectional study was conducted at a multidisciplinary chronic pain center in Calgary, Canada, between October 2019 and December 2021. Participants with a history of WAD completed questionnaires assessing pre-existing symptoms across bodily systems and related health outcomes. Mediation analyses evaluated the associations between symptom profiles and health outcomes, as well the role of pain cognitions.

Results

Of 305 participants in the registry database, 238 were eligible. The majority reported symptoms from 2 or more body systems, especially neurological, gastrointestinal, and psychological symptoms. Participants demonstrated moderate-to-severe pain and disability, with low physical health-related quality of life. While multiple symptoms correlated with worse health outcomes, mediation analyses revealed pain cognitions primarily influenced these associations, except for eye-related symptoms, which directly correlated with pain and disability.

Conclusion

The study highlights that chronic WAD is characterized by a complex symptom profile across various bodily systems. Although a broader symptom profile is linked to poorer health outcomes, the effects are often mediated by pain cognitions. Notably, prior health conditions did not adversely impact outcomes, suggesting a need for targeted interventions focusing on cognitive aspects in patients with chronic WAD.

目的：本研究的目的是探讨慢性鞭扭伤相关疾病（WADs）患者全身系统症状与健康结局之间的关系。方法：于2019年10月至2021年12月在加拿大卡尔加里的一家多学科慢性疼痛中心进行横断面研究。有WAD病史的参与者完成了评估身体系统先前症状和相关健康结果的问卷。调解分析评估症状概况和健康结果之间的联系，以及疼痛认知的作用。结果：在注册数据库的305名参与者中，238人符合条件。大多数报告的症状来自2个或更多的身体系统，特别是神经、胃肠和心理症状。参与者表现出中度至重度疼痛和残疾，身体健康相关生活质量较低。虽然多种症状与较差的健康结果相关，但中介分析显示，除了与疼痛和残疾直接相关的眼睛相关症状外，疼痛认知主要影响这些关联。结论：该研究强调慢性WAD的特点是各种身体系统的复杂症状。尽管更广泛的症状与较差的健康结果有关，但其影响通常是由疼痛认知介导的。值得注意的是，先前的健康状况没有对结果产生不利影响，这表明需要对慢性WAD患者的认知方面进行有针对性的干预。

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引用次数: 0

Relationship Between Lower Extremity Limb Alignment with Postural Balance and Physical Performance in Chronic Low Back Pain 慢性腰痛患者下肢姿势平衡与身体机能的关系。

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 DOI: 10.1016/j.jmpt.2025.10.020

Berna Yalçın McS, PT , Yıldız Erdoğanoğlu PhD, PT , Pınar Doruk Analan MD , Ismail Murad Pepe MD

Objective

The purpose of this study was to investigate the relationship between lower extremity alignment, postural control, and physical performance in patients with chronic low back pain.

Methods

Sixty patients with chronic low back pain, aged between 18 to 65 years, were included in the study. Alignment of the lower extremities of patients was evaluated as mechanical distal femoral angle, medial proximal tibial angle, mechanical tibiofemoral angle, joint line convergence angle, anatomical tibiofibular angle, anatomical-mechanical angle, anatomical lateral distal femoral angle, and Q angle. Other variables included the numeric pain scale, static balance, one-leg stand, dynamic balance, the star excursion balance test, and the physical performance evaluation test battery.

Results

A moderately strong correlation was found between dominant lower extremity anatomical tibiofibular angle and anteromedial, medial, and posterolateral dynamic balance measurements of the patients, and between Q angles and dominant lower extremity anteromedial measurements. A moderately strong correlation was found between the patients’ anatomical-mechanical angle and the sock test, roll-up, and fingertip-to-floor test. A moderately strong correlation was found between the Q angle and the sock test, pick-up, and fingertip-to-floor test (P < .05).

Conclusions

Altered lower extremity alignment of the patients in this study was found to be related to their postural balance and physical performance.

目的：本研究的目的是探讨慢性腰痛患者下肢直线、姿势控制和身体机能之间的关系。方法：60例慢性腰痛患者，年龄18 ~ 65岁。评估患者下肢对线为机械股骨远端角、内侧胫骨近端角、机械胫股角、关节线收敛角、解剖胫腓骨角、解剖-机械角、解剖-股骨远端外侧角和Q角。其他变量包括数字疼痛量表、静态平衡、单腿站立、动态平衡、星偏移平衡测试和物理性能评估测试电池。结果：下肢胫腓优势解剖角与患者的前内侧、内侧和后外侧动态平衡测量值之间，以及Q角与下肢前内侧优势测量值之间存在中等强的相关性。患者的解剖-力学角度与袜子测试、卷腹测试和指尖到地板测试之间存在中等强度的相关性。发现Q角与袜子测试、捡起和指尖到地板测试之间存在中等强度的相关性（P < 0.05）。结论：在本研究中发现，患者的下肢对齐改变与他们的姿势平衡和身体表现有关。

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

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01 DOI: 10.1016/S0161-4754(25)00094-6

引用次数: 0