Journal of Manipulative and Physiological Therapeutics最新文献

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IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01

引用次数: 0

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01

引用次数: 0

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01

引用次数: 0

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01

引用次数: 0

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01

引用次数: 0

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

Pub Date : 2025-01-01

引用次数: 0

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

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

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

Hiroshi Ishida PhD , Tadanobu Suehiro PhD , Chiharu Kurozumi PhD

Objective

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

Methods

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

Results

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

Conclusion

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

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

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引用次数: 0

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

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

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

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

Objective

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

Methods

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

Results

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

Conclusion

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

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

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引用次数: 0

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

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics

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

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

Objective

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

Methods

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

Results

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

Conclusions

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

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

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引用次数: 0

Reliability and Validity of Telehealth Spinal Examination Components: A Systematic Review 远程医疗脊柱检查组件的信度和效度：系统评价。

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.2025.08.008

Frank M. Bucki DC, Victoria A. Bensel DC, MS, Clarice H. Wallert DC, MS, Brittney N. Walters DC, MS

Objective

The purpose of this study was to systematically review the literature on the reliability or validity of telehealth spine examination components.

Methods

MEDLINE database from inception to May 17, 2022. Subject headings include virtual, telerehabilitation, telehealth, telemedicine, spine, spinal, neurologic, cervical, thoracic, lumbar, back, and examination. Studies not done synchronously, lacked comparisons to in-person, involved non-spine pathologies, or lacked reliability/validity were excluded. Reliability and validity data were captured using Preferred Reporting Items for Systematic Reviews and Meta-Analyses standards. Quality and risk of bias were assessed with Quality Appraisal Tool for Studies of Diagnostic Reliability and the Scottish Intercollegiate Guidelines Network diagnostic accuracy checklist.

Results

Six studies, with sample sizes of 11 to 100, were included. In 2 studies, Quality Appraisal Tool for Studies of Diagnostic Reliability was low, and the remaining were moderate to high. Two validity studies had high Scottish Intercollegiate Guidelines Network methodologic quality. Two studies suggested high validity and/or reliability for inspection, cranial nerve testing, pain localization, range of motion, deep neck flexion endurance, Lhermitte sign, and cervical spine neuroforaminal compression. Five studies suggested reliability for inspection, lower extremity muscle testing, pain localization, straight leg raise, Sorensen test, 5 repetitive sit-to-stand test, Lasègue test, reverse Lasègue test, Adams test, and pain on heel strike and poor postural inspection reliability.

Conclusion

This review found that components of telehealth spine examinations, such as those done in physical therapy or chiropractic clinical settings, were valid or reliable and provided support for clinical use.

目的：本研究的目的是系统地回顾有关远程医疗脊柱检查组件的信度或效度的文献。方法：MEDLINE数据库自成立至2022年5月17日。主题标题包括虚拟、远程康复、远程保健、远程医疗、脊柱、脊柱、神经、颈椎、胸椎、腰椎、背部和检查。未同步进行的研究、缺乏与现场比较、涉及非脊柱病变或缺乏信度/效度的研究被排除在外。可靠性和有效性数据使用系统评价和元分析标准的首选报告项目来获取。使用诊断可靠性研究质量评价工具和苏格兰校际指南网络诊断准确性检查表评估偏倚的质量和风险。结果：纳入6项研究，样本量为11 ~ 100。在2项研究中，诊断可靠性研究的质量评价工具较低，其余研究均为中至高。两项效度研究具有较高的苏格兰校际指南网络方法学质量。两项研究表明，检查、颅神经测试、疼痛定位、活动范围、深颈屈耐力、Lhermitte体征和颈椎神经孔压迫具有高效度和/或可靠性。5项研究提示检查信度、下肢肌肉测试、疼痛定位、直腿抬高、Sorensen测试、5重复坐立测试、las测试、反向las测试、Adams测试、足跟疼痛和姿势检查信度差。结论：本综述发现，远程医疗脊柱检查的组成部分，如在物理治疗或脊椎指压临床环境中进行的检查，是有效或可靠的，并为临床应用提供了支持。

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引用次数: 0

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全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

Journal of Manipulative and Physiological Therapeutics

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