The purpose of this study was to compare the effect of adding transfer energy capacitive and resistive (TECAR) therapy to conventional therapy on patients’ symptoms of myofascial pain syndrome (MPS) in the upper trapezius.
Methods
Fifty patients with MPS in the upper trapezius were randomized into 2 groups. The intervention group received TECAR therapy (capacitive mode, 2 sessions weekly), and conventional treatment comprised of stretching exercise (9 times a day) and medication (acetaminophen and tizanidine) for 3 weeks, and the comparison group received conventional treatment (same as the intervention group) alone. The patients completed the Numeric Pain Scale, Neck Disability Index, and Shoulder Pain and Disability Index before, after, and 1 month after the treatment.
Results
All variables were significantly reduced within both groups by time and treatment separately (P < .001), while a general comparison among the groups showed a significant reduction for all variables in the intervention group compared with the comparison group (P < .05) except for shoulder disability (P = .114). Moreover, the intervention group had better results compared with the comparison group based on the minimal clinically important difference.
Conclusion
A combination of TECAR therapy, exercise, and medication substantially reduced symptom severity for patients with MPS in the upper trapezius when compared to only exercise and medication.
{"title":"Effect of Adding Transfer Energy Capacitive and Resistive Therapy to Conventional Therapy for Patients With Myofascial Pain Syndrome in Upper Trapezius: A Randomized Clinical Trial","authors":"Parisa Taheri MD, Soroush Sadri MD, Razieh Maghroori MD","doi":"10.1016/j.jcm.2023.07.002","DOIUrl":"10.1016/j.jcm.2023.07.002","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to compare the effect of adding transfer energy capacitive and resistive (TECAR) therapy to conventional therapy on patients’ symptoms of myofascial pain syndrome (MPS) in the upper trapezius.</p></div><div><h3>Methods</h3><p><span><span>Fifty patients with MPS in the upper trapezius were randomized into 2 groups. The intervention group received TECAR therapy (capacitive mode, 2 sessions weekly), and conventional treatment comprised of stretching exercise (9 times a day) and medication (acetaminophen and tizanidine) for 3 weeks, and the comparison group received conventional treatment (same as the intervention group) alone. The patients completed the Numeric Pain Scale, </span>Neck Disability Index, and </span>Shoulder Pain and Disability Index before, after, and 1 month after the treatment.</p></div><div><h3>Results</h3><p>All variables were significantly reduced within both groups by time and treatment separately (<em>P</em> < .001), while a general comparison among the groups showed a significant reduction for all variables in the intervention group compared with the comparison group (<em>P</em> < .05) except for shoulder disability (<em>P</em><span> = .114). Moreover, the intervention group had better results compared with the comparison group based on the minimal clinically important difference.</span></p></div><div><h3>Conclusion</h3><p>A combination of TECAR therapy, exercise, and medication substantially reduced symptom severity for patients with MPS in the upper trapezius when compared to only exercise and medication.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"22 4","pages":"Pages 257-264"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84966350","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}
Pub Date : 2023-09-01DOI: 10.1016/j.jcm.2023.07.003
Emma K. Berntheizel DC, Lauren J. Tollefson DC, DACBR, Charles P. Fischer DC, Eric T. Stefanowicz DC, DACBR
Objective
The purpose of this report was to describe a patient with a Pancoast tumor who presented for chiropractic care with neck and arm pain.
Clinical Features
A 52-year-old male patient with right-sided cervicothoracic pain and numbness in the right upper extremity presented to a chiropractic office for care. The patient reported an occupational history of repetitive lifting motions and overuse injuries. The patient denied history of smoking at the time of presentation.
Intervention and Outcome
Radiographic imaging revealed tracheal deviation. A chest computed tomography image demonstrated a large lesion in the apex of the right lung, suggestive of bronchogenic carcinoma. The patient was referred to an oncology clinic, where he admitted to having a 20-year history of smoking. The diagnosis of adenocarcinoma was made via biopsy, and the oncologist's evaluation confirmed the cancer to be stage IIIC. The patient received palliative care treatments, as the advanced state of his condition determined that he was not a candidate for surgical intervention.
Conclusion
Chiropractors and other first-contact health care providers must keep in mind unusual presentations masquerading as common conditions. This case demonstrates the importance of including apical lung tumors in the differential diagnosis of unilateral arm and neck pain and neurologic deficits of the upper extremity. This case demonstrates the importance of thorough follow-up on images ordered, including the ordering clinicians viewing the images themselves.
{"title":"A Patient With Pancoast Tumor Presenting With Cervical Radiculopathy: A Case Report","authors":"Emma K. Berntheizel DC, Lauren J. Tollefson DC, DACBR, Charles P. Fischer DC, Eric T. Stefanowicz DC, DACBR","doi":"10.1016/j.jcm.2023.07.003","DOIUrl":"10.1016/j.jcm.2023.07.003","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this report was to describe a patient with a Pancoast tumor<span> who presented for chiropractic care with neck and arm pain.</span></p></div><div><h3>Clinical Features</h3><p>A 52-year-old male patient with right-sided cervicothoracic pain and numbness in the right upper extremity presented to a chiropractic office for care. The patient reported an occupational history of repetitive lifting motions and overuse injuries. The patient denied history of smoking at the time of presentation.</p></div><div><h3>Intervention and Outcome</h3><p><span>Radiographic imaging revealed tracheal deviation<span>. A chest computed tomography<span><span> image demonstrated a large lesion in the apex of the right lung, suggestive of bronchogenic carcinoma<span>. The patient was referred to an oncology clinic, where he admitted to having a 20-year history of smoking. The diagnosis of </span></span>adenocarcinoma was made via biopsy, and the oncologist's evaluation confirmed the cancer to be stage IIIC. The patient received </span></span></span>palliative care<span> treatments, as the advanced state of his condition determined that he was not a candidate for surgical intervention.</span></p></div><div><h3>Conclusion</h3><p>Chiropractors and other first-contact health care providers must keep in mind unusual presentations masquerading as common conditions. This case demonstrates the importance of including apical lung tumors in the differential diagnosis of unilateral arm and neck pain and neurologic deficits of the upper extremity. This case demonstrates the importance of thorough follow-up on images ordered, including the ordering clinicians viewing the images themselves.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"22 4","pages":"Pages 328-333"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79482288","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}
Pub Date : 2023-09-01DOI: 10.1016/j.jcm.2023.03.010
Alexandra Fiore DC, M. Owen Papuga PhD
Objective
The purpose of this case report was to describe the multimodal care of a patient with the sudden onset of truncal tremors.
Clinical Features
A 30-year-old female patient presented for chiropractic care with truncal tremors following a motor vehicle accident. Initial outcome measures included the Neck Disability Index (50%) and Oswestry Disability Index (62). The patient's truncal tremors became worse during spinal cord compression testing that included passive cervical flexion and slouched posture. The Romberg test was positive for swaying. Assessments of active range of motions of the cervical, thoracic, and lumbar spine were moderately reduced in all ranges. Case history, physical examinations, diagnostic imaging, and neurology consultations led to a diagnosis of functional truncal tremors. The patient was being concurrently managed by other health care providers. Magnetic resonance imaging studies were ordered by a neurologist and primary medical physician, which showed no structural abnormalities in brain neuroanatomy or spine.
Intervention and Outcome
The multimodal chiropractic care included whole-body vibration therapy (WBVT), spinal manipulative therapy (SMT), and acupuncture therapy. The treatment plan included 8 weekly appointments in which the patient received WBVT and SMT. During treatment weeks 2 to 6, the patient received acupuncture therapy, which occurred immediately following their treatment appointment for WBVT and SMT. The patient practiced stress reduction techniques, as advised by the neurologist, eliminated caffeine, and performed daily yoga exercises for 30 minutes. The Romberg test was negative after the third treatment. The patient was discharged after chiropractic visit 12, 95 days post-accident, as she reached maximal medical improvement. Truncal tremors were still present, but the patient described them as “barely noticeable.”
Conclusion
The patient reported improvement under a course of chiropractic care using a multimodal approach, including behavioral, pharmacological, and manual therapies. This case study suggests that WBVT, SMT, and acupuncture therapy may assist some patients with functional movement disorders.
{"title":"Multimodal Care of a Patient With Functional Movement Disorders Following a Motor Vehicle Accident: A Case Report","authors":"Alexandra Fiore DC, M. Owen Papuga PhD","doi":"10.1016/j.jcm.2023.03.010","DOIUrl":"10.1016/j.jcm.2023.03.010","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this case report was to describe the multimodal care of a patient with the sudden onset of truncal tremors.</p></div><div><h3>Clinical Features</h3><p><span><span>A 30-year-old female patient presented for chiropractic care with truncal tremors following a motor vehicle accident. Initial outcome measures included the </span>Neck Disability Index (50%) and </span>Oswestry Disability Index<span><span><span><span> (62). The patient's truncal tremors became worse during spinal cord compression testing that included passive cervical flexion and slouched posture. The </span>Romberg test<span> was positive for swaying. Assessments of active range of motions of the cervical, thoracic, and lumbar spine were moderately reduced in all ranges. Case history, physical examinations, diagnostic imaging, and neurology<span> consultations led to a diagnosis of functional truncal tremors. The patient was being concurrently managed by other health care providers. Magnetic resonance imaging studies were ordered by a </span></span></span>neurologist and primary medical physician, which showed no structural abnormalities in brain </span>neuroanatomy or spine.</span></p></div><div><h3>Intervention and Outcome</h3><p>The multimodal chiropractic care included whole-body vibration therapy (WBVT), spinal manipulative therapy<span><span> (SMT), and acupuncture therapy. The </span>treatment plan included 8 weekly appointments in which the patient received WBVT and SMT. During treatment weeks 2 to 6, the patient received acupuncture therapy, which occurred immediately following their treatment appointment for WBVT and SMT. The patient practiced stress reduction techniques, as advised by the neurologist, eliminated caffeine, and performed daily yoga exercises for 30 minutes. The Romberg test was negative after the third treatment. The patient was discharged after chiropractic visit 12, 95 days post-accident, as she reached maximal medical improvement. Truncal tremors were still present, but the patient described them as “barely noticeable.”</span></p></div><div><h3>Conclusion</h3><p>The patient reported improvement under a course of chiropractic care using a multimodal approach, including behavioral, pharmacological, and manual therapies. This case study suggests that WBVT, SMT, and acupuncture therapy may assist some patients with functional movement disorders.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"22 3","pages":"Pages 239-245"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10461147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10120544","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}
Pub Date : 2023-09-01DOI: 10.1016/j.jcm.2023.04.002
Fatemeh Falahati Nezhad MS , Aliyeh Daryabor PhD , Mohsen Abedi PhD , Joseph H. Smith PhD
Objective
The purpose of this study was to review the literature on the effect of dynamic neuromuscular stabilization (DNS)/Vojta on respiratory complications of neuromuscular diseases.
Methods
The search strategy was conducted, based on the population, intervention, comparison, and outcome method, in the PubMed, Embase, ISI Web of Knowledge, ProQuest, and Scopus databases from inception to August 2021. The quality assessment of included papers was performed through the Physiotherapy Evidence Database scale. A narrative analysis was performed since a meta-analysis could not be conducted.
Results
A total of 7 papers were chosen for the final assessment. All studies, except 1, evaluated individuals with neurological disease. Three studies evaluated Vojta therapy effects, and 4 studies evaluated DNS effects on respiratory parameters. Although the studies had limitations in their methodology according to the Physiotherapy Evidence Database scale, 4 were identified as level 1 evidence. None of the studies reported any adverse effects of Vojta therapy or DNS on respiratory parameters. However, not enough clinical trials were found to examine the effect of DNS on respiratory disease.
Conclusion
Although the studies were weak in internal and external validity, this review suggests that Vojta therapy and DNS may influence respiratory parameters, such as blood gases, diaphragm movements, and functional respiratory parameters, in patients with neuromuscular diseases.
目的综述动态神经肌肉稳定(DNS)/Vojta治疗神经肌肉疾病呼吸并发症的相关文献。方法采用人群法、干预法、比较法和结果法，从研究开始至2021年8月在PubMed、Embase、ISI Web of Knowledge、ProQuest和Scopus数据库中进行检索。通过物理治疗证据数据库量表对纳入的论文进行质量评估。由于无法进行元分析，因此进行了叙述分析。结果共有7篇论文入选最终评审。除1项研究外，所有研究都评估了患有神经系统疾病的个体。3项研究评估Vojta治疗效果，4项研究评估DNS对呼吸参数的影响。尽管根据物理治疗证据数据库量表，这些研究在方法上存在局限性，但有4项研究被确定为一级证据。没有研究报告Vojta治疗或DNS对呼吸参数有任何不良影响。然而，没有足够的临床试验来检验DNS对呼吸系统疾病的影响。结论虽然这些研究的内部和外部有效性较弱，但本综述提示Vojta治疗和DNS可能影响神经肌肉疾病患者的呼吸参数，如血气、膈肌运动和功能性呼吸参数。
{"title":"Effect of Dynamic Neuromuscular Stabilization and Vojta Therapy on Respiratory Complications in Neuromuscular Diseases: A Literature Review","authors":"Fatemeh Falahati Nezhad MS , Aliyeh Daryabor PhD , Mohsen Abedi PhD , Joseph H. Smith PhD","doi":"10.1016/j.jcm.2023.04.002","DOIUrl":"10.1016/j.jcm.2023.04.002","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to review the literature on the effect of dynamic neuromuscular stabilization (DNS)/Vojta on respiratory complications of neuromuscular diseases.</p></div><div><h3>Methods</h3><p><span><span>The search strategy was conducted, based on the population, intervention, comparison, and outcome method, in the PubMed, Embase, ISI Web of Knowledge, ProQuest, and </span>Scopus databases from inception to August 2021. The quality assessment of included papers was performed through the </span>Physiotherapy Evidence Database scale. A narrative analysis was performed since a meta-analysis could not be conducted.</p></div><div><h3>Results</h3><p><span>A total of 7 papers were chosen for the final assessment. All studies, except 1, evaluated individuals with neurological disease. Three studies evaluated Vojta therapy effects, and 4 studies evaluated DNS effects on respiratory parameters. Although the studies had limitations in their methodology according to the Physiotherapy Evidence Database scale, 4 were identified as level 1 evidence. None of the studies reported any adverse effects of Vojta therapy or DNS on respiratory parameters. However, not enough </span>clinical trials<span> were found to examine the effect of DNS on respiratory disease.</span></p></div><div><h3>Conclusion</h3><p><span>Although the studies were weak in internal and external validity, this review suggests that Vojta therapy and DNS may influence respiratory parameters, such as blood gases, diaphragm movements, and functional respiratory parameters, </span>in patients with neuromuscular diseases.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"22 3","pages":"Pages 212-221"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10461149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10120547","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}
Pub Date : 2023-09-01DOI: 10.1016/j.jcm.2023.03.008
David E. Hopper DC , Gregory Cramer DC, PhD
Objective
The purpose of this case study was to describe the use of chiropractic care in the treatment of obstructive sleep apnea (OSA).
Clinical Features
A 42-year-old man with obesity presented for chiropractic care. He had OSA and was seeking a way to reduce snoring. The patient had a previous diagnosis of OSA and had been using a continuous positive airway pressure machine for over 5 years. The patient was a mouth breather, exhibiting poor oral and spinal posture.
Intervention and Outcome
The patient was treated for 90 days, which included chiropractic manipulation, orofacial myofunctional therapy exercises, nutritional modification, postural/ergonomic correction, and regular exercise. After a course of care, there was a drop in his apnea-hypopnea index from 55.4 events per hour to 3.4 events per hour. The patient lost 40 pounds, with an 8% reduction in body fat and an 8-point drop in his body mass index.
Conclusion
This patient's sleep apnea and other health outcomes improved under a course of a combination of chiropractic adjustments, orofacial myofunctional therapy, nutritional modification, postural/ergonomic correction, and exercise.
{"title":"Conservative Treatment Using Chiropractic Care and Orofacial Myofunctional Therapy for Obstructive Sleep Apnea: A Case Report","authors":"David E. Hopper DC , Gregory Cramer DC, PhD","doi":"10.1016/j.jcm.2023.03.008","DOIUrl":"10.1016/j.jcm.2023.03.008","url":null,"abstract":"<div><h3>Objective</h3><p><span><span>The purpose of this case study was to describe the use of chiropractic care in the </span>treatment of </span>obstructive sleep apnea (OSA).</p></div><div><h3>Clinical Features</h3><p>A 42-year-old man with obesity presented for chiropractic care. He had OSA and was seeking a way to reduce snoring. The patient had a previous diagnosis of OSA and had been using a continuous positive airway pressure machine for over 5 years. The patient was a mouth breather, exhibiting poor oral and spinal posture.</p></div><div><h3>Intervention and Outcome</h3><p><span>The patient was treated for 90 days, which included chiropractic manipulation, orofacial myofunctional therapy exercises, nutritional modification, postural/ergonomic correction, and regular exercise. After a course of care, there was a drop in his apnea-hypopnea index from 55.4 events per hour to 3.4 events per hour. The patient lost 40 pounds, with an 8% reduction in body fat and an 8-point drop in his </span>body mass index.</p></div><div><h3>Conclusion</h3><p>This patient's sleep apnea and other health outcomes improved under a course of a combination of chiropractic adjustments, orofacial myofunctional therapy, nutritional modification, postural/ergonomic correction, and exercise.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"22 3","pages":"Pages 234-238"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10461150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10175900","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}
Pub Date : 2023-09-01DOI: 10.1016/j.jcm.2023.03.006
Brett R. Martin DC, MSAc, MPH, Jade Woodruff DC
Objective
The purpose of this case report was to describe a multimodal approach for the treatment of premenstrual syndrome (PMS).
Clinical Features
A 36-year-old nulliparous woman presented to a free clinic for veterans and their spouses. She received a PMS diagnosis at age 18. She was previously prescribed hormonal birth control and nonsteroidal anti-inflammatory drugs, which minimally affected her condition. She stopped using conventional medicine therapies at age 27. Laboratory results showed that her progesterone was below 0.5 ng/mL. Her symptom score was 50 out of 60 on the Treatment Strategies for PMS assessment tool. During her menses, she experienced low back pain and stiffness, bloating, swelling, weight gain, breast tenderness, swelling, and pain, and she felt overwhelmed and stressed.
Intervention and Outcome
Traditional Chinese medicine acupuncture was administered in conjunction with 100 mg of coenzyme Q10 (ubiquinol) and a B-100 complex once a day and 400 mg of magnesium citrate, 1000 mg of flaxseed oil (Linum usitatissimum), and 1000 mg of turmeric (Curcuma longa) twice a day. Five days before the onset of her menstrual period, she was to ingest a B-100 complex twice a day and 400 mg of magnesium citrate, 1000 mg of flaxseed oil, and 1000 mg of turmeric 3 times a day. Mindfulness meditation was encouraged twice a day for 10 minutes to reduce stress. After 12 treatments over 3 months, her symptom score decreased to 18 out of 60 and remained below 20 for an additional 32 weeks.
Conclusion
This patient with PMS symptoms positively responded to a multimodal approach using traditional Chinese medicine–style acupuncture, dietary supplements, and mindfulness meditation.
{"title":"Management of a Patient With Premenstrual Syndrome Using Acupuncture, Supplements, and Meditation: A Case Report","authors":"Brett R. Martin DC, MSAc, MPH, Jade Woodruff DC","doi":"10.1016/j.jcm.2023.03.006","DOIUrl":"10.1016/j.jcm.2023.03.006","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this case report was to describe a multimodal approach for the treatment<span> of premenstrual syndrome (PMS).</span></p></div><div><h3>Clinical Features</h3><p><span><span>A 36-year-old nulliparous<span> woman presented to a free clinic for veterans and their spouses. She received a PMS diagnosis at age 18. She was previously prescribed hormonal birth control and nonsteroidal anti-inflammatory drugs, which minimally affected her condition. She stopped using conventional medicine therapies at age 27. Laboratory results showed that her </span></span>progesterone was below 0.5 ng/mL. Her symptom score was 50 out of 60 on the Treatment Strategies for PMS assessment tool. During her menses, she experienced low back pain and stiffness, bloating, swelling, weight gain, </span>breast tenderness, swelling, and pain, and she felt overwhelmed and stressed.</p></div><div><h3>Intervention and Outcome</h3><p><span>Traditional Chinese medicine<span><span> acupuncture<span> was administered in conjunction with 100 mg of coenzyme Q10 (ubiquinol) and a B-100 complex once a day and 400 mg of </span></span>magnesium citrate, 1000 mg of flaxseed oil (</span></span><em>Linum usitatissimum</em>), and 1000 mg of turmeric (<em>Curcuma longa</em><span>) twice a day. Five days before the onset of her menstrual period<span>, she was to ingest a B-100 complex twice a day and 400 mg of magnesium citrate, 1000 mg of flaxseed oil, and 1000 mg of turmeric 3 times a day. Mindfulness meditation was encouraged twice a day for 10 minutes to reduce stress. After 12 treatments over 3 months, her symptom score decreased to 18 out of 60 and remained below 20 for an additional 32 weeks.</span></span></p></div><div><h3>Conclusion</h3><p>This patient with PMS symptoms positively responded to a multimodal approach using traditional Chinese medicine–style acupuncture, dietary supplements, and mindfulness meditation.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"22 3","pages":"Pages 222-229"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10461168/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10475374","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}
Pub Date : 2023-06-14DOI: 10.1016/j.jcm.2023.04.006
Nuaima Tariq MPT, Zainy Khan MPT, Zubia Veqar PhD
Objective
This systematic review aimed to investigate the effect of whole-body vibration (WBV) on balance or proprioception for patients with nonspecific chronic low back pain (NSCLBP).
Methods
A comprehensive search was conducted using 5 databases—PubMed, Web of Science, Cochrane Library, Science Direct, and Physiotherapy Evidence Database—from inception to January 2022. Randomized clinical trials that examined the efficacy of WBV on balance or proprioception in patients with NSCLBP were incorporated. The methodological quality of each included study was assessed using the Physiotherapy Evidence Database scale.
Results
Our search strategy yielded 5309 articles, of which 7 published randomized clinical trials (313 patients) met the inclusion criteria. Three of the 4 included studies that investigated balance reported significant improvements after WBV, of which 2 were of high methodological quality. The remaining 3 studies investigating proprioception also showed significant improvements after WBV intervention.
Conclusion
Although some studies seem to provide promising results regarding the efficacy of WBV or WBV combined with exercise in improving balance and proprioception in patients with NSCLBP, at present, no definite conclusions can be drawn due to article heterogeneity and lack of clinical trials.
目的探讨全身振动(WBV)对非特异性慢性腰痛(NSCLBP)患者平衡或本体感觉的影响。方法综合检索pubmed、Web of Science、Cochrane Library、Science Direct、Physiotherapy Evidence database 5个数据库，检索时间自成立至2022年1月。纳入随机临床试验，检查WBV对NSCLBP患者平衡或本体感觉的疗效。每个纳入研究的方法学质量使用物理治疗证据数据库量表进行评估。结果共纳入5309篇文献，其中7篇已发表的随机临床试验(313例)符合纳入标准。纳入的4项研究中，有3项研究报告了WBV后平衡性的显著改善，其中2项研究的方法学质量很高。其余3项关于本体感觉的研究也显示了WBV干预后本体感觉的显著改善。结论虽然一些研究似乎提供了令人鼓舞的结果，关于WBV或WBV联合运动改善NSCLBP患者平衡和本体感觉的效果，但目前由于文章异质性和缺乏临床试验，无法得出明确的结论。
{"title":"Effect of Whole-Body Vibration on Balance or Proprioception in Nonspecific Chronic Low Back Pain: A Systematic Review","authors":"Nuaima Tariq MPT, Zainy Khan MPT, Zubia Veqar PhD","doi":"10.1016/j.jcm.2023.04.006","DOIUrl":"10.1016/j.jcm.2023.04.006","url":null,"abstract":"<div><h3>Objective</h3><p>This systematic review<span> aimed to investigate the effect of whole-body vibration (WBV) on balance or proprioception for patients with nonspecific chronic low back pain (NSCLBP).</span></p></div><div><h3>Methods</h3><p><span>A comprehensive search was conducted using 5 databases—PubMed, Web of Science, Cochrane Library, Science Direct, and Physiotherapy Evidence Database—from inception to January 2022. Randomized </span>clinical trials<span><span> that examined the efficacy of WBV on balance or proprioception in patients with NSCLBP were incorporated. The methodological quality of each included study was assessed using the </span>Physiotherapy Evidence Database scale.</span></p></div><div><h3>Results</h3><p>Our search strategy yielded 5309 articles, of which 7 published randomized clinical trials (313 patients) met the inclusion criteria. Three of the 4 included studies that investigated balance reported significant improvements after WBV, of which 2 were of high methodological quality. The remaining 3 studies investigating proprioception also showed significant improvements after WBV intervention.</p></div><div><h3>Conclusion</h3><p>Although some studies seem to provide promising results regarding the efficacy of WBV or WBV combined with exercise in improving balance and proprioception in patients with NSCLBP, at present, no definite conclusions can be drawn due to article heterogeneity and lack of clinical trials.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"22 4","pages":"Pages 284-293"},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76712353","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}
The aim of this systematic review and meta-analysis was to determine the therapeutic efficacy of extracorporeal shock wave therapy (ESWT) for Achilles tendinopathy.
Methods
We searched PubMed, EBSCOHost, Ovid, and Embase for randomized controlled trials. Databases were searched from their inception until the last entry (July 16, 2022). The methodological quality of the randomized controlled trials was rated with the Physiotherapy Evidence Database scale. For continuous data, we presented the mean difference (D) and 95% confidence interval (CI). Heterogeneity was assessed with I2 statistics. The random effects model was applied for the pooled effect estimates. The quality of evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation tool.
Results
The very-low-quality evidence suggested that ESWT was no more effective in decreasing pain than any other conservative treatment (D: –0.8; 95% CI: –3.15, 1.56; P > .5; I² = 85.62%). No significant differences were found between the ESWT and control groups on the pooled Victorian Institute of Sport Assessment-Achilles scores (D: 5.74; 95% CI: –15.02, 26.51; P = .58; I2 = 92.28%), but the quality of evidence was very low.
Conclusion
At present, the quality of the evidence is low; thus, the therapeutic efficacy of ESWT for Achilles tendinopathy is inconclusive.
目的本系统综述和荟萃分析的目的是确定体外冲击波疗法(ESWT)治疗跟腱病的疗效。方法检索PubMed、EBSCOHost、Ovid和Embase进行随机对照试验。数据库从创建到最后一个条目(2022年7月16日)进行搜索。随机对照试验的方法学质量用物理治疗证据数据库量表评定。对于连续数据，我们给出了均值差(D)和95%置信区间(CI)。采用I2统计量评估异质性。采用随机效应模型对合并效应进行估计。使用推荐分级、评估、发展和评价工具评估证据的质量。结果极低质量的证据表明，ESWT在减轻疼痛方面并不比任何其他保守治疗更有效(D: -0.8;95% ci: -3.15, 1.56;P比;5;i²= 85.62%)。ESWT组与对照组在victoria Institute of Sport Assessment-Achilles总分上无显著差异(D: 5.74;95% ci: -15.02, 26.51;p = .58;I2 = 92.28%)，但证据质量很低。结论目前证据质量较低;因此，ESWT对跟腱病的治疗效果尚无定论。
{"title":"The Efficacy of Extracorporeal Shock Wave Therapy as a Monotherapy for Achilles Tendinopathy: A Systematic Review and Meta-Analysis","authors":"Magdalena Stania PhD , Jitka Malá PhD , Daria Chmielewska PhD","doi":"10.1016/j.jcm.2023.04.003","DOIUrl":"10.1016/j.jcm.2023.04.003","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this systematic review<span><span> and meta-analysis was to determine the therapeutic efficacy of extracorporeal shock wave therapy (ESWT) for </span>Achilles tendinopathy.</span></p></div><div><h3>Methods</h3><p><span><span>We searched PubMed, EBSCOHost, Ovid, and Embase<span> for randomized controlled trials. Databases were searched from their inception until the last entry (July 16, 2022). The methodological quality of the randomized controlled trials was rated with the </span></span>Physiotherapy Evidence Database scale. For continuous data, we presented the mean difference (D) and 95% confidence interval (CI). Heterogeneity was assessed with </span><em>I<sup>2</sup></em> statistics. The random effects model was applied for the pooled effect estimates. The quality of evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation tool.</p></div><div><h3>Results</h3><p>The very-low-quality evidence suggested that ESWT was no more effective in decreasing pain than any other conservative treatment (D: –0.8; 95% CI: –3.15, 1.56; <em>P</em> > .5; <em>I²</em> = 85.62%). No significant differences were found between the ESWT and control groups on the pooled Victorian Institute of Sport Assessment-Achilles scores (D: 5.74; 95% CI: –15.02, 26.51; <em>P</em> = .58; I<sup>2</sup> = 92.28%), but the quality of evidence was very low.</p></div><div><h3>Conclusion</h3><p>At present, the quality of the evidence is low; thus, the therapeutic efficacy of ESWT for Achilles tendinopathy is inconclusive.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"22 4","pages":"Pages 294-301"},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73653722","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}
Pub Date : 2023-06-01DOI: 10.1016/j.jcm.2023.03.003
Rikiya Shirato OT, PhD , Ren Shimanuki OT , Towa Shoji OT , Masaki Mugikura OT
Objective
The objective of this study was to identify effective stimulus time by quantifying the inhibitory effects of focal muscle vibration (FMV) on maximal grip strength and muscle activities of the wrist and extrinsic finger flexors.
Methods
A randomized repeated-measures design was used in this study. A total of 22 healthy volunteers (mean age, 20.9 years) participated. An FMV of 86 Hz was applied to the anterior surface of the distal forearm under the following 3 conditions: no FMV (control), 5-minute FMV, and 10-minute FMV. Maximal grip strength was measured before and after FMV. The muscle activities of the flexor digitorum superficialis, flexor digitorum profundus (FDP), and flexor carpi ulnaris were simultaneously recorded using surface electromyography. Discomfort and complications following FMV were also assessed.
Results
Compared with the control group, a significant decrease in muscle activity was observed in both the flexor digitorum superficialis and flexor carpi ulnaris after 5 and 10 minutes of FMV. In contrast, there was no significant decrease in the maximal grip strength or FDP muscle activity after either FMV condition. The discomfort was significantly higher immediately after both FMV conditions than in the control group, but it decreased 15 minutes after FMV, indicating no significant difference among the 3 conditions. Redness and/or swelling were observed in 13.6% and 36.3% of the participants after 5 and 10 minutes of FMV, respectively.
Conclusion
Five-minute FMV to the distal forearm could be a useful therapeutic method with few complications. However, the FMV in this area alone was not sufficient to suppress the muscle activity of the FDP located in the deep layer.
{"title":"Inhibitory Effects of Prolonged Focal Muscle Vibration on Maximal Grip Strength and Muscle Activity of Wrist and Extrinsic Finger Flexor Muscles","authors":"Rikiya Shirato OT, PhD , Ren Shimanuki OT , Towa Shoji OT , Masaki Mugikura OT","doi":"10.1016/j.jcm.2023.03.003","DOIUrl":"10.1016/j.jcm.2023.03.003","url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this study was to identify effective stimulus time by quantifying the inhibitory effects of focal muscle vibration (FMV) on maximal grip strength and muscle activities of the wrist and extrinsic finger flexors.</p></div><div><h3>Methods</h3><p>A randomized repeated-measures design was used in this study. A total of 22 healthy volunteers (mean age, 20.9 years) participated. An FMV of 86 Hz was applied to the anterior surface of the distal forearm under the following 3 conditions: no FMV (control), 5-minute FMV, and 10-minute FMV. Maximal grip strength was measured before and after FMV. The muscle activities of the flexor digitorum<span><span> superficialis, flexor digitorum profundus (FDP), and flexor carpi ulnaris were simultaneously recorded using </span>surface electromyography. Discomfort and complications following FMV were also assessed.</span></p></div><div><h3>Results</h3><p>Compared with the control group, a significant decrease in muscle activity was observed in both the flexor digitorum superficialis and flexor carpi ulnaris after 5 and 10 minutes of FMV. In contrast, there was no significant decrease in the maximal grip strength or FDP muscle activity after either FMV condition. The discomfort was significantly higher immediately after both FMV conditions than in the control group, but it decreased 15 minutes after FMV, indicating no significant difference among the 3 conditions. Redness and/or swelling were observed in 13.6% and 36.3% of the participants after 5 and 10 minutes of FMV, respectively.</p></div><div><h3>Conclusion</h3><p>Five-minute FMV to the distal forearm could be a useful therapeutic method with few complications. However, the FMV in this area alone was not sufficient to suppress the muscle activity of the FDP located in the deep layer.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"22 2","pages":"Pages 107-115"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10280089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9702574","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}
We describe a protocol to evaluate the effectiveness of transfer energy capacitive and resistive (TECAR) therapy on shoulder passive range of motion, shoulder pain, and disability index in patients with adhesive capsulitis.
Methods
This study will be a double-blinded randomized clinical trial with a 1-month follow-up. For the purpose of this research, 30 patients with a 3-month history of shoulder pain and disability diagnosed as adhesive capsulitis will be selected and then randomized into 2 groups, including conventional physiotherapy consisting of electrophysical modalities and therapeutic exercises, which will be given to the control group. In the intervention group, after conventional physiotherapy, 10 minutes of TECAR therapy in resistive mode will be applied on both the anterior and inferior aspects of the shoulder joint. Outcome measures will be related to shoulder passive range of abduction, flexion, and external rotation that will be measured using a digital inclinometer, as well as shoulder pain and disability index that will be assessed by the validated questionnaire. Assessment will be done at baseline, 1 day after the intervention, and by passing 1 month.
Results
The statistical analysis will describe within-group and between-group comparisons; the findings will be illustrated in tables and charts.
Conclusion
Given the reason that the effectiveness of TECAR therapy has not been widely evaluated in adhesive capsulitis, the findings of this pilot study would provide baseline information on the effectiveness and complications of this treatment method and possibly propose a more appropriate protocol for patients with adhesive capsulitis.
{"title":"Effect of Transfer Energy Capacitive and Resistive Therapy on Shoulder Pain, Disability, and Range of Motion in Patients With Adhesive Capsulitis: A Study Protocol for a Randomized Controlled Trial","authors":"Maryam Raeisi MSc , Hosein Kouhzad Mohammadi PhD , Mojtaba Heshmatipour MSc , Mohammad Javad Tarrahi PhD , Navid Taheri PhD","doi":"10.1016/j.jcm.2022.04.006","DOIUrl":"10.1016/j.jcm.2022.04.006","url":null,"abstract":"<div><h3>Objective</h3><p>We describe a protocol to evaluate the effectiveness of transfer energy capacitive and resistive (TECAR) therapy on shoulder passive range of motion, shoulder pain, and disability index in patients<span> with adhesive capsulitis.</span></p></div><div><h3>Methods</h3><p><span>This study will be a double-blinded randomized clinical trial<span> with a 1-month follow-up. For the purpose of this research, 30 patients with a 3-month history of shoulder pain and disability diagnosed as adhesive capsulitis will be selected and then randomized into 2 groups, including conventional physiotherapy consisting of electrophysical modalities and therapeutic exercises<span>, which will be given to the control group. In the intervention group, after conventional physiotherapy, 10 minutes of TECAR therapy in resistive mode will be applied on both the anterior and inferior aspects of the shoulder joint. Outcome measures will be related to shoulder passive range of abduction, flexion, and external rotation that will be measured using a digital inclinometer, as well as </span></span></span>shoulder pain and disability index that will be assessed by the validated questionnaire. Assessment will be done at baseline, 1 day after the intervention, and by passing 1 month.</p></div><div><h3>Results</h3><p>The statistical analysis will describe within-group and between-group comparisons; the findings will be illustrated in tables and charts.</p></div><div><h3>Conclusion</h3><p>Given the reason that the effectiveness of TECAR therapy has not been widely evaluated in adhesive capsulitis, the findings of this pilot study would provide baseline information on the effectiveness and complications of this treatment method and possibly propose a more appropriate protocol for patients with adhesive capsulitis.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"22 2","pages":"Pages 116-122"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10280083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9710263","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}
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