Journal of chiropractic medicine最新文献

{"title":"The Impact of Ankle Mobilization Techniques on Static Stability in Individuals With Acute Inversion Ankle Sprain: A Randomized Clinical Trial","authors":"Cyrus Taghizadeh Delkhoush PhD ,&nbsp;Parisa Arzani PhD ,&nbsp;Majid Mirmohammadkhani PhD ,&nbsp;Rasool Bagheri PhD ,&nbsp;Adeleh Norouzi MSc","doi":"10.1016/j.jcm.2024.08.002","DOIUrl":"10.1016/j.jcm.2024.08.002","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of the study was to compare the impact of the mobilization techniques and mobilization with movement techniques on static balance in individuals with acute inversion ankle sprain.</div></div><div><h3>Methods</h3><div>Volunteers with acute inversion ankle sprain (<em>N</em> = 40) were equally and randomly assigned to 2 groups. Participants in intervention group I received the Mulligan mobilization with movement techniques, whereas participants in intervention group II underwent the Maitland mobilization techniques. Each participant received the intervention every other day for 2 consecutive weeks. To assess static balance, participants assumed a single-leg stance on the affected leg at the center of a force plate with eyes open or closed plate for 20 seconds. The displacement, velocity, and area of the center of pressure were recorded 1 day before and after the intervention.</div></div><div><h3>Results</h3><div>The velocity of the center of pressure in the anterior-posterior direction was significantly reduced only in group I during eyes open (<em>P</em> = .043) and closed (<em>P</em> = .004). However, the displacement of the center of pressure in the anterior-posterior direction was significantly decreased in both group I (<em>P</em> = .024) and group II (<em>P</em> = .028) with eyes open. No significant changes were found in the area of the center of pressure in either group during eyes open or closed (<em>P</em> &gt; .053).</div></div><div><h3>Conclusions</h3><div>Both Mulligan's and Maitland's approaches significantly improved sway displacement. For the individuals with acute inversion ankle sprain who were included in this study, the Mulligan technique were more effective in improving static balance indicators compared to the Maitland technique.</div></div><div><h3>Clinical Trial</h3><div>The study was then registered in the Iranian Registry of Clinical Trials (17/02/2019) (IRCT20190108042292N2).</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 4","pages":"Pages 153-161"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142961057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Retrospective Analysis of 190 Patients With Scoliosis Referred to a Private Australian Clinical Advisory Service Between 2017 and 2020","authors":"Sean Austin-Candler MChiro ,&nbsp;Justine Carson MChiro ,&nbsp;Robert Cheung MChiro ,&nbsp;William Vuong MChiro ,&nbsp;Alex Boakes MChiro ,&nbsp;Roger M. Engel PhD ,&nbsp;Petra L. Graham PhD ,&nbsp;Jeb McAviney MPainMed ,&nbsp;Benjamin Thomas Brown PhD","doi":"10.1016/j.jcm.2024.08.003","DOIUrl":"10.1016/j.jcm.2024.08.003","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to describe the demographic and clinical characteristics of patients with scoliosis from Australian primary care practices.</div></div><div><h3>Methods</h3><div>A retrospective review of 190 patient records from August 2017 to April 2020 from a private Australian clinical advisory service database was performed. Deidentified demographic and clinical data were collated and analyzed, along with information regarding the referring practitioners and any accompanying clinical or paraclinical information. Numerical data were summarized with median and IQR, while categorical data were summarized with counts and percentages. Salient qualitative data from the advisory service records were also collated, coded, and summarized.</div></div><div><h3>Results</h3><div>Patients were aged between 3 and 87 years; the majority (71%) of patients were female, with a median age of 16 years (IQR, 13; range, 3-87 years). The most common type of spinal deformity seen in the sample was scoliosis (92%), with hyperkyphosis (7%) and other deformity (1%) making up the remaining cases. There was a wide variety of scoliosis presentations; however, curves were commonly (45%) located in the thoracic region of the spine. Observed scoliosis cases were of moderate severity with a median Cobb angle measuring 26.5° (IQR, 20°). Reports of pain were in the lower trunk/pelvis (46%), the middle trunk (16%), or throughout multiple bodily regions (27%). Alterations in normal spinal anatomy (eg, hemivertebrae) were common (55% of cases). The majority (86%) of patient cases came from chiropractors, whereas 9% were from osteopaths, 4% from physiotherapists, and 1% from other types of practitioners (eg, medical practitioners).</div></div><div><h3>Conclusion</h3><div>The findings from this study suggest that patients presenting to practitioners in primary care settings in Australia present with a range of scoliosis and related spinal deformity presentations.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 4","pages":"Pages 171-177"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11701887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caffeine Responsiveness Before and After Pilates Training in Healthy Older Adults","authors":"Alisson Henrique Marinho PhD ,&nbsp;Gleyce Maria dos Santos Cavalcante MS ,&nbsp;Maria da Glória David Silva Costa MS ,&nbsp;Amandio Aristides Rihan Geraldes PhD ,&nbsp;Gustavo Gomes de Araujo PhD","doi":"10.1016/j.jcm.2024.08.008","DOIUrl":"10.1016/j.jcm.2024.08.008","url":null,"abstract":"<div><h3>Objective</h3><div>The study aimed to assess responsiveness to the effects of acute caffeine intake after 8 weeks of Pilates intervention in healthy older adults.</div></div><div><h3>Methods</h3><div>Fifteen healthy older adults performed physical performance regarding daily practice, strength, and balance tests after ingestion of acute 5 mg/kg of caffeine or placebo before and after Pilates training.</div></div><div><h3>Results</h3><div>The caffeine intake reduced, regardless of Pilates training, the time in 10-m walk test (before placebo vs caffeine, 6.48 ± 0.70 vs 6.51 ± 0.82 seconds; after placebo vs caffeine, 5.84 ± 0.70 vs 5.48 ± 0.61 seconds; <em>P</em> = .008; η_p² = 0.404) and timed up and go test (before placebo vs caffeine, 26.30 ± 1.82 vs 24.37 ± 2.12 seconds; after placebo vs caffeine, 22.96 ± 2.36 vs 22.49 ± 2.27 seconds; <em>P</em> = .002; η_p² = 0.517) compared with the placebo. Participants were not less responsive to caffeine intake in the 10-m walk test (ΔPre vs ΔPost, −0.33 ± 0.66 vs −0.36 ± 0.53 seconds; <em>P</em> = .888), but they were less responsive for the timed up and go test (ΔPre vs ΔPost, −1.92 ± 2.06 vs −0.47 ± 1.15 seconds; <em>P</em> = 0.030) after Pilates intervention. There were no differences for the sit-to-stand test, rising from the floor, dress and undress T-shirt, handgrip strength, and balance variables.</div></div><div><h3>Conclusion</h3><div>Although the caffeine improved on the 10-m walk test and timed up and go test performance, healthy older adults were less responsive to caffeine after Pilates training only for performance on the timed up and go test.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 4","pages":"Pages 178-185"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142961037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Critical Evaluation of the 2016 SOSORT Clinical Guidelines on the Detection and Clinical Management of Adolescent Idiopathic Scoliosis Using the AGREE II Tool: A Chiropractic Perspective","authors":"Isabelle Pagé DC, MSc, PhD ,&nbsp;Marie-Joëlle Doré BSc, DC ,&nbsp;Chantale Doucet DC, MSc","doi":"10.1016/j.jcm.2024.08.001","DOIUrl":"10.1016/j.jcm.2024.08.001","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study is to assess the methodological quality of the 2016 Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) guidelines for the detection and management of adolescent idiopathic scoliosis.</div></div><div><h3>Methods</h3><div>A diverse group of experts, including practicing chiropractors, chiropractors with a Diplomate by the American Chiropractic Board of Radiology, chiropractors with PhD degrees, and chiropractors involved in teaching within chiropractic programs was invited to participate in the study. Experts independently evaluated the guidelines using the Appraisal of Guidelines for Research and Evaluation II tool. Individual scaled scores were calculated for each item and the 6 domains, with methodological quality considered good if the score was equal to or greater than 70%.</div></div><div><h3>Results</h3><div>The 19 experts, including 6 clinicians, 4 chiropractic radiologists, 6 researchers, and 3 lecturers, represented Canada (<em>n</em> = 3), United states (<em>n</em> = 4), France (<em>n</em> = 2), Australia (<em>n</em> = 1), United Kingdom (<em>n</em> = 1), Switzerland (<em>n</em> = 1), Sweden (<em>n</em> = 3), Denmark (<em>n</em> = 2), China (<em>n</em> = 1), and Côte d'Ivoire (<em>n</em> = 1). Domain scaled scores ranged from 38% to 90%. The 4 items of the applicability domain scored between 26% and 45%. The experts made suggestions for improving the applicability of the guidelines’ recommendations.</div></div><div><h3>Conclusion</h3><div>The methodological quality of the 2016 SOSORT clinical practice guidelines was deemed good. However, strategies should be devised to improve their applicability. This could be achieved by involving a more diverse representation of healthcare professions in the development of future guidelines.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 4","pages":"Pages 162-170"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11701840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142961046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation and Evaluation of a 10-Week Kettlebell Training Load Distribution on Strength and Aerobic Capacity in Recreationally Trained Women","authors":"Carla Zimerer PhD ,&nbsp;Sabrina Pereira Alves MSc ,&nbsp;Raquel Casagrande Khéde MS ,&nbsp;Weverton Rufo-Tavares MSc ,&nbsp;Luciana Carletti PhD ,&nbsp;Rodrigo Luiz Vancini PhD ,&nbsp;Anselmo José Perez PhD ,&nbsp;Richard Diego Leite Leite PhD","doi":"10.1016/j.jcm.2024.08.011","DOIUrl":"10.1016/j.jcm.2024.08.011","url":null,"abstract":"<div><h3>Objective</h3><div>: The purpose of this study was to characterize the dynamic distribution of training loads in a kettlebell program and evaluate its effects on muscle strength and aerobic capacity.</div></div><div><h3>Methods</h3><div>Fourteen recreationally active women with no kettlebell training experience (age: 25.86 ± 5.35 years; V̇O₂max = 35.14 ± 5.58 mL/kg/min; body mass = 62.13 ± 13.40 kg; height = 164.75 ± 5.77 cm; body mass index = 22.68 ± 3.99 kg/m²) completed a 10-week kettlebell training program. The kettlebell training program was divided into three phases: Phase I (2 weeks), phase II (4 weeks), and Phase III (4 weeks). Maximum muscle strength (1RM) and aerobic fitness (V̇O₂max) measurements were performed before (Pre) and after (Post) training. The external and internal loads were represented by the session's total volume and perceived exertion method.</div></div><div><h3>Results</h3><div>An increase in maximum strength (<em>P</em> &lt; .001; <em>∆</em>% = 23.73; effect size = 0.87) and V̇O₂max (<em>P</em> = .004; <em>∆</em>% = 9.63; effect size = 0.57) was observed when comparing Pre and Post measurements. There was an increase in total volume when phases I and II (<em>P</em> &lt; .001), phases I and III (<em>P</em> &lt; .001), and phases II and III (<em>P</em> &lt; .001) of the training were compared. The internal load values increased significantly between phases I and II (<em>P</em> &lt; .001). However, there was no difference when comparing phases II and III (<em>P</em> = .796).</div></div><div><h3>Conclusion</h3><div>The total volume increases during the training phases, and the training load was similar in phases II and III. Furthermore, were observed higher V̇O₂max and strength (1 RM load) values.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 4","pages":"Pages 186-196"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142961050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-Administered Traction as an Adjunct in the Chiropractic Treatment of Low Back Pain: A Case Report","authors":"Dana Muligano DC ,&nbsp;Andrew Serlin JD, DC ,&nbsp;Tessaundra Sidden BS, ND ,&nbsp;Gregory D. Cramer DC, PhD","doi":"10.1016/j.jcm.2024.08.005","DOIUrl":"10.1016/j.jcm.2024.08.005","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case report is to describe self-administered lumbar traction as a component of the treatment of a patient with low back pain (LBP).</div></div><div><h3>Clinical Features</h3><div>A 41-year-old male chiropractic student presented with an exacerbation of intermittent LBP of approximately 2 years duration. Pain intensity was 4 to 8/10 on a verbal pain scale the day after exertion and 10 on the Patient Reported Outcomes Measurement Information System (PROMIS) 3a. Pain interference was 15 on the PROMIS-8a. The Oswestry Disability Index was 30%. Radiographs showed mild bilateral arthritic changes throughout the lumbar spine and sacroiliac joints. Diagnoses of acute exacerbation of recurrent, mechanical low back pain with thoracic and lumbar segmental dysfunction, lumbosacral spondylosis without myelopathy, and bilateral sacroiliac joint arthritis were made.</div></div><div><h3>Intervention and Outcomes</h3><div>The student received 14 treatments over 5 weeks consisting of spinal manipulation and therapeutic exercises in conjunction with clinician-supervised, self-administered traction. After 14 treatments, the patient was discharged, reporting resolution of LBP (pain intensity [PROMIS-3a] = 4; pain interference [PROMIS-8a] = 8; Oswestry 2%; and increased range of motion). Pain resolution remained for more than 2 years without additional treatment (pain intensity = 3; pain interference = 8; Oswestry 0%; continued increased range of motion).</div></div><div><h3>Conclusion</h3><div>The patient reported long-term benefit from a course of spinal manipulation and therapeutic exercises in conjunction with novel self-administered traction with flexion.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 4","pages":"Pages 205-214"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142961053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chiropractic Care for a Posterior Tibialis Tendon Tear in a Transgender Male Athlete with Gender-Affirming Hormone Therapy","authors":"Faith Truthan BS,&nbsp;Noah Hass BS,&nbsp;Aidan O'Brien DC,&nbsp;Mark Hewitt DC,&nbsp;Daniel Haun DC,&nbsp;Norman Kettner DC, DACBR","doi":"10.1016/j.jcm.2024.08.009","DOIUrl":"10.1016/j.jcm.2024.08.009","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case study was to report the management of a patient with posterior tibialis tendon injury concurrent with gender-affirming hormone therapy (GAHT).</div></div><div><h3>Clinical Features</h3><div>A 31-year-old transgender male presented to a chiropractic clinic with spontaneous, right medial foot pain following running that day. Medical history revealed bilateral congenital pes planus and intramuscular administration of testosterone for 8 years. Physical examination revealed swelling and tenderness around the medial and lateral malleoli and anterior ankle and along the medial longitudinal arch. Plantarflexion and dorsiflexion strength measured 4 out of 5. An 8 out of 10 pain level affected weight-bearing activities and sleep. Lower extremity functional scale measured 81% disability. Multimodal imaging was used in the patient's workup. Diagnostic ultrasound revealed a grade 2 tear of the posterior tibialis tendon adjacent to the medial malleolus along with additional sites of tendinosis. Referral to orthopedist and subsequent magnetic resonance imaging of the right foot and ankle confirmed the diagnosis of grade 2 tear in the posterior tibialis tendon.</div></div><div><h3>Intervention and Outcome</h3><div>The patient elected chiropractic care following the surgical recommendation. Nonpharmacologic management included neuromuscular re-education using whole body vibration therapy, therapeutic exercise, and ankle mortise joint mobilizations. The patient's clinical status improved, and the lower extremity functional scale measured 27% disability.</div></div><div><h3>Conclusion</h3><div>Although the patient was 31 years old, GAHT is recognized as a risk factor for tendinosis in older adults. An improved understanding of the correlation between tendinosis and GAHT could optimize patient outcomes and clarify the role of musculoskeletal rehabilitation for treatment.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 4","pages":"Pages 197-204"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142961043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translation, Cross-Cultural Adaptation, Reliability, and Validity of the Persian Version of the Neck Outcome Score Questionnaire in Iranian Patients With Nonspecific Neck Pain","authors":"Mohammad Reza Tehrani PhD, PT ,&nbsp;Seyed Ramin Dabiri MD ,&nbsp;Afsaneh Zeinalzadeh PhD, PT ,&nbsp;Hamed Mami-Pour MS, PT ,&nbsp;Salman Nazary-Moghadam PhD, PT","doi":"10.1016/j.jcm.2024.08.004","DOIUrl":"10.1016/j.jcm.2024.08.004","url":null,"abstract":"<div><h3>Objective</h3><div>The primary purpose of this study was to translate and culturally adapt the neck outcome score (NOOS) questionnaire into Persian language and investigate its reliability and validity.</div></div><div><h3>Methods</h3><div>The NOOS questionnaire was translated into Persian language and culturally adapted according to American Academy of Orthopaedic Surgeons guidelines. One hundred four patients with nonspecific neck pain were requested to complete the Persian version of the NOOS questionnaire, 36-item short form survey (SF-36), and neck disability index (NDI) questionnaire. The 95 patients of them were requested to fulfill the Persian version of NOOS again, with 3 to 5 days interval. The internal consistency and test-retest reliability were assessed using Cronbach's α and intraclass correlation coefficient, respectively. The construct validity was assessed by testing the hypothesis of correlations between NOOS subscales, SF-36 subscales, and NDI, and pain was measured using visual analog scale.</div></div><div><h3>Results</h3><div>One hundred four patients with nonspecific neck pain participated in validity studies and 95 patients agreed to participate in reliability studies. Floor/ceiling effects were not observed. Cronbach's α values of the subscale ranged between 0.60 and 0.89. The intraclass correlation coefficient measures of the NOOS subscales ranging between 0.81 and 0.95. The correlation coefficient between NOOS subscales and SF-36 subscales ranged between 0.11 and 0.72. The correlation coefficient between NOOS subscale scores and NDI questionnaire ranged between 0.33 and 0.61. The correlation coefficient between NOOS subscale scores, and pain (visual analog scale) ranged between 0.31 and 0.66.</div></div><div><h3>Conclusion</h3><div>This study showed that the Persian version of the NOOS questionnaire was a reliable and valid instrument to assess patients’ perception of their neck-related problems in Iranian patients with nonspecific neck pain.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 3","pages":"Pages 127-135"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Craniosacral Therapy and Myofascial Relaxation Techniques in People with Migraine Headache: A Randomized Controlled Study","authors":"Ayça Araci PhD ,&nbsp;Ahmet Özşimşek PhD ,&nbsp;Burak Yuluğ MS ,&nbsp;Ertan Karaçay MS","doi":"10.1016/j.jcm.2024.08.010","DOIUrl":"10.1016/j.jcm.2024.08.010","url":null,"abstract":"<div><h3>Objective</h3><div>The primary objective of this study was to investigate the impact of myofascial release and craniosacral therapy on the quality of life, pain levels, and range of motion (ROM) in patients with chronic migraine headaches. The secondary aim of this study was to develop a migraine treatment protocol using current craniosacral techniques.</div></div><div><h3>Methods</h3><div>Patients with chronic migraine in the Neurology Department of ALKU Hospital were randomly allocated to 3 therapy groups: (1) Craniosacral Treatment Craniosacral Techniques (CST) + Medical Treatment (MT) (CST group) (<em>n</em> = 24), (2) myofascial treatment (MFT) (<em>n</em> = 24) + MT (MFT group), and (3) MT (control group) only (<em>n</em> = 26). Visual Analog Scale (VAS) for pain, FONSECA for temporomandibular disorder symptom intensity, 24 Hours Quality of Life Questionnaire Scales for quality of life, and Migraine Disability Assessment Score for impairment, Goniometer for Cervical ROM were used for the disability level. Follow-up scores were collected 4 times: at pretreatment (T0), immediately post-treatment (T1), 1 month (T2), and 3 months after treatment ended (T3).</div></div><div><h3>Results</h3><div>Changes were found in T0 to T1 treatment results, VAS, and ROM angles between the groups. In intragroup evaluations, 24 Hours Quality of Life Questionnaire changes were observed only in the CST group at T0 to T1 to T2 periods (<em>P</em> = .011) while Migraine Disability Assessment Score scores were significantly changed in all groups. Significant changes were also observed in both VAS scores and FONSECA scores of the CST and MFT groups whereas VAS scores decreased significantly, especially in the T0 to T1 to T2 to T3 periods (<em>P</em> &lt; .05). In the evaluation of FONSECA scores both within and between groups, it was observed that the most significant decrease was in the T2 period and there was a difference between the groups (<em>P</em> = .015).</div></div><div><h3>Conclusion</h3><div>For the participants in this study, CST and MFT techniques reduced migraine headache, temporomandibular disorder level, drug consumption, and functional disability levels, and increased cervical region ROM. These results suggest that CST techniques could be considered in migraine treatment as one of the clinical practical applications within the framework of a certain protocol.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 3","pages":"Pages 114-126"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Abdominal Muscle Thickness Changes During Abdominal Hollowing Maneuver in Different Positions Using a Sphygmomanometer for People With Chronic Low Back Pain","authors":"Cyrus Taghizadeh Delkhoush PT PhD ,&nbsp;Rasool Bagheri PT, PhD ,&nbsp;Mona Ramezani PT MSc ,&nbsp;Mahdieh Ghasemian PT MSc ,&nbsp;Mehrnaz Inanloo PT BSc ,&nbsp;Seyed Abolfazl Tohidast PhD ,&nbsp;Mohammad Reza Pourahmadi PT PhD ,&nbsp;Mahmoud Akbari PT PhD","doi":"10.1016/j.jcm.2024.05.002","DOIUrl":"10.1016/j.jcm.2024.05.002","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this present investigation was to compare changes in transverse abdominis (TrA) thickness in a functional position with those in a less functional but more supportive posture and to determine which posture showed greater changes in TrA thickness between rest and during abdominal drawing-in maneuver (ADIM) relative to external oblique (EO) and internal oblique (IO) muscles.</div></div><div><h3>Methods</h3><div><span>Thirty adult participants with chronic low back pain were included in this observational study. The abdominal muscle thickness was measured in the supine, crook lying, prone, quadruped, sitting, side bridge, and standing poitions on a tilt board using </span>ultrasonography<span><span><span>. The mean of abdominal muscle thickness changes was measured during ADIM, and a sphygmomanometer was used in the </span>supine position<span> under the lumbar spine and in the </span></span>prone position<span> under the abdominal wall. Transverse abdominis, EO, and IO muscle thickness changes during all tasks were normalized according to the supine rest position.</span></span></div></div><div><h3>Results</h3><div>Transverse abdominis muscle thickness changes were increased in the quadruped and sitting positions compared with other positions (<em>P</em> &lt; .05). Results demonstrated increased EO muscle thickness changes in the prone position compared with other positions (<em>P</em> &lt; .05). Internal oblique muscle thickness changes were not significant during different positions (<em>P</em> &gt; .05). However, the IO muscle thickness was higher in all positions compared with TrA and EO muscle.</div></div><div><h3>Conclusion</h3><div>Our study revealed that participants with chronic low back pain exhibited increased TrA muscle activity in the sitting position on a gym ball and in the quadruped position compared with during leg tasks. However, the EO muscle thickness changes were increased during an ADIM with a sphygmomanometer under the abdomen.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 3","pages":"Pages 102-113"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141697537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}