Pub Date : 2025-01-01DOI: 10.1016/j.jcm.2025.09.004
Ivan Medina-Porqueres PT, RN, MSc , Pablo Martin-Garcia RN , Sofia Sanz-De Diego RN , Marcelo Reyes-Eldblom MD , Rafael Mondragon-Cortes BSc , Daniel Rosado-Velazquez MD , Abel Gomez-Caceres MD
Objective
The purpose of this case report is to describe the management of a professional soccer player with a knee Posterior Cruciate Ligament (PCL) tear using platelet-rich plasma (PRP) injections.
Clinical Features
A case of magnetic resonance imaging (MRI) confirmed type II injury of PCL with correlated physical signs of PCL insufficiency in a 21-year-old, white, professional soccer player is reported herein.
Intervention and Outcome
A PRP regimen was administered intra-articularly in 3 applications at weekly intervals to the affected knee. Follow-up assessment showed complete, pain-free ROM, a clinically normal joint, and complete ligament healing after PRP. The healing was supported by magnetic resonance imaging performed 48 months after the treatment.
Conclusion
This is the first reported case of a PCL type II injury in a professional soccer player with an isolated PRP application. This case expands the treatment options for PCL injuries and highlights another potential effect of PRP within the field of regenerative medicine.
{"title":"Platelet Rich-Plasma in MRI-Confirmed Tear of Posterior Cruciate Ligament: 4-Year Follow-up Case Report","authors":"Ivan Medina-Porqueres PT, RN, MSc , Pablo Martin-Garcia RN , Sofia Sanz-De Diego RN , Marcelo Reyes-Eldblom MD , Rafael Mondragon-Cortes BSc , Daniel Rosado-Velazquez MD , Abel Gomez-Caceres MD","doi":"10.1016/j.jcm.2025.09.004","DOIUrl":"10.1016/j.jcm.2025.09.004","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case report is to describe the management of a professional soccer player with a knee Posterior Cruciate Ligament (PCL) tear using platelet-rich plasma (PRP) injections.</div></div><div><h3>Clinical Features</h3><div>A case of magnetic resonance imaging (MRI) confirmed type II injury of PCL with correlated physical signs of PCL insufficiency in a 21-year-old, white, professional soccer player is reported herein.</div></div><div><h3>Intervention and Outcome</h3><div>A PRP regimen was administered intra-articularly in 3 applications at weekly intervals to the affected knee. Follow-up assessment showed complete, pain-free ROM, a clinically normal joint, and complete ligament healing after PRP. The healing was supported by magnetic resonance imaging performed 48 months after the treatment.</div></div><div><h3>Conclusion</h3><div>This is the first reported case of a PCL type II injury in a professional soccer player with an isolated PRP application. This case expands the treatment options for PCL injuries and highlights another potential effect of PRP within the field of regenerative medicine.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 487-491"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694762","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}
This study aimed to measure muscle activity during seated trunk strength training using resistance-wheeled training equipment at different resistance levels.
Methods
The participants were 19 healthy males. Resistance-wheeled training equipment, such as the small vehicle used in this study, had a mechanical braking function that locked the wheels and unlocked the brakes while only pressing downward with a constant force. The subjects moved the equipment forward and backward on a desk with an unlocked brake status. The participants performed under 3 conditions; (1) unlocked with no force, (2) unlocked with low force, and (3) unlocked with high force.
Results
Muscle activity increased significantly with increasing locked strength in the deltoid posterior, internal and external oblique, rectus abdominis, erector spinae thorax, and lumbar muscles. Some muscles reached over 50% of the maximum voluntary contraction when unlocked with a high force.
Conclusion
The muscle activity measured during trunk training that exceeded 50% of the maximum voluntary activation level corresponds to be sufficiently high for strength training and the activity level required for muscle hypertrophy. We believe that this research equipment may be a useful seated trunk strength training device.
{"title":"Trunk Muscle Activity During Seated Strength Exercise With Resistance Wheeled Training Equipment","authors":"Shinya Ogaya PhD, Aoi Uchida BS, Rena Yamamoto BS, Ryosuke Momose BS, Shiuba Kudo BS","doi":"10.1016/j.jcm.2025.08.013","DOIUrl":"10.1016/j.jcm.2025.08.013","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to measure muscle activity during seated trunk strength training using resistance-wheeled training equipment at different resistance levels.</div></div><div><h3>Methods</h3><div>The participants were 19 healthy males. Resistance-wheeled training equipment, such as the small vehicle used in this study, had a mechanical braking function that locked the wheels and unlocked the brakes while only pressing downward with a constant force. The subjects moved the equipment forward and backward on a desk with an unlocked brake status. The participants performed under 3 conditions; (1) unlocked with no force, (2) unlocked with low force, and (3) unlocked with high force.</div></div><div><h3>Results</h3><div>Muscle activity increased significantly with increasing locked strength in the deltoid posterior, internal and external oblique, rectus abdominis, erector spinae thorax, and lumbar muscles. Some muscles reached over 50% of the maximum voluntary contraction when unlocked with a high force.</div></div><div><h3>Conclusion</h3><div>The muscle activity measured during trunk training that exceeded 50% of the maximum voluntary activation level corresponds to be sufficiently high for strength training and the activity level required for muscle hypertrophy. We believe that this research equipment may be a useful seated trunk strength training device.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 62-67"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694891","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 purpose of this study was to identify the point and lifetime prevalence of low back pain (LBP) among dressage riders and identify riding-related variables that may precipitate LBP.
Methods
A cross-sectional, exploratory, quantitative study was conducted using an online questionnaire. One hundred dressage riders competing at preliminary and higher levels were recruited at the South African Equestrian Federation’s registered shows. Frequencies and descriptive statistics were performed on each question in addition to cross-tabulations for associations between variables or differences between riding practices and experiences.
Results
Participants were between the ages of 18 and 66 years. The questionnaire identified that 71% of participants reported point prevalence of LBP and 56% reported lifetime prevalence of LBP. Spearman ρ correlations showed positive correlations between how often participants believed their LBP was horse riding–related and how often they experienced LBP while competing/riding (r[75] = 0.46, P = .00) and how often their pain got worse with competing/riding (r[75] = 0.49, P = .00) and negative correlations with the number of hours spent in sitting trot and an increase in LBP (r[75] = −0.13, P = .28) and the number of hours spent cantering and an increase in LBP (r[75] = −0.19, P = .94).
Conclusion
This study reports point and lifetime prevalence of LBP among competitive dressage riders in South Africa. Training/riding-specific horse gaits were associated with LBP in dressage riders.
目的：本研究的目的是确定盛装舞步骑手腰痛（LBP）的时点和终生患病率，并确定可能导致腰痛的骑行相关变量。方法采用在线问卷进行横断面、探索性、定量研究。100名盛装舞步选手在南非马术联合会的注册比赛中参加初级和更高级别的比赛。对每个问题进行频率和描述性统计，并对变量之间的关联或骑乘练习和经验之间的差异进行交叉表。结果研究对象年龄在18 ~ 66岁之间。问卷显示71%的参与者报告了LBP的点患病率，56%的参与者报告了LBP的终生患病率。斯皮尔曼ρ的相关性显示出频率之间的正向关系参与者认为他们的枸杞多糖是马riding-related和他们经历了枸杞多糖而竞争/骑(r [75] = 0.46, P =美元)以及经常与竞争/骑他们的疼痛变得更糟(r [75] = 0.49, P =美元)和负相关性的时间坐在小跑,增加枸杞多糖(r[75] =−0.13,P =陈霞)和时间奔跑的数量和增加枸杞多糖(r[75] =−0.19,P =总收入)。结论：本研究报告了南非竞技盛装舞步运动员腰痛的时点和终生患病率。训练/骑马特有的步态与盛装舞步骑手的LBP有关。
{"title":"Prevalence of Low Back Pain in Competitive Dressage Riders: A Cross-Sectional Study","authors":"Dirkie M. Landman MTech Chiropractic, Ashleigh Handley MHSc Chiropractic, Cynthia Peterson RN, DC, DACBR, MMedEd","doi":"10.1016/j.jcm.2025.08.012","DOIUrl":"10.1016/j.jcm.2025.08.012","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to identify the point and lifetime prevalence of low back pain (LBP) among dressage riders and identify riding-related variables that may precipitate LBP.</div></div><div><h3>Methods</h3><div>A cross-sectional, exploratory, quantitative study was conducted using an online questionnaire. One hundred dressage riders competing at preliminary and higher levels were recruited at the South African Equestrian Federation’s registered shows. Frequencies and descriptive statistics were performed on each question in addition to cross-tabulations for associations between variables or differences between riding practices and experiences.</div></div><div><h3>Results</h3><div>Participants were between the ages of 18 and 66 years. The questionnaire identified that 71% of participants reported point prevalence of LBP and 56% reported lifetime prevalence of LBP. Spearman ρ correlations showed positive correlations between how often participants believed their LBP was horse riding–related and how often they experienced LBP while competing/riding (r[75] = 0.46, <em>P</em> = .00) and how often their pain got worse with competing/riding (r[75] = 0.49, <em>P</em> = .00) and negative correlations with the number of hours spent in sitting trot and an increase in LBP (r[75] = −0.13, <em>P</em> = .28) and the number of hours spent cantering and an increase in LBP (r[75] = −0.19, <em>P</em> = .94).</div></div><div><h3>Conclusion</h3><div>This study reports point and lifetime prevalence of LBP among competitive dressage riders in South Africa. Training/riding-specific horse gaits were associated with LBP in dressage riders.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 84-91"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694894","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}
This study aimed to examine the reliability and agreement of goniometric measurements in assessing the range of motion (ROM) within the shoulder joint utilizing a 3D marker-based motion analysis system.
Methods
The study comprised 30 healthy volunteers and 35 patients diagnosed with unilateral restricted shoulder range of motion (ROM). Agreement analysis was conducted using Bland–Altman methods, while intra- and interobserver reliability for flexion, abduction, internal rotation, and external rotation measurements was assessed using the Intraclass Correlation Coefficient (ICC).
Results
When goniometric measurements were compared with the 3D method, ICC values in the patient group were found to be 0.85 for flexion, 0.81 for abduction, 0.80 for external rotation, and 0.74 for internal rotation. In healthy individuals, the values were found to be 0.80, 0.90, 0.56, and 0.69. Additionally, all measurements fell within acceptable limits of agreement, with no significant differences in measurement biases, except for internal rotation.
Conclusion
This study highlights that the goniometer exhibited higher reliability when assessing movements with larger ROM, particularly within heterogeneous groups like those with injured shoulders. However, its reliability decreased when used in homogeneous groups, such as healthy individuals, especially when evaluating movements with narrower ROM, such as rotations. These findings emphasize the need for a nuanced interpretation of results in clinical and research settings when assessing shoulder joint mobility.
{"title":"Goniometric and 3D Motion Analysis in Shoulder ROM Assessment: A Reliability and Agreement Study Comparing Patients With Restricted Shoulder Range of Motion to Healthy Subjects","authors":"Sezen Karaşin MSc , Yılmaz Yıldırım MSc , Kadriye Tombak PhD , İlhan Sezer MD , Özkan Köse MD , Umut Özsoy PhD","doi":"10.1016/j.jcm.2025.08.015","DOIUrl":"10.1016/j.jcm.2025.08.015","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to examine the reliability and agreement of goniometric measurements in assessing the range of motion (ROM) within the shoulder joint utilizing a 3D marker-based motion analysis system.</div></div><div><h3>Methods</h3><div>The study comprised 30 healthy volunteers and 35 patients diagnosed with unilateral restricted shoulder range of motion (ROM). Agreement analysis was conducted using Bland–Altman methods, while intra- and interobserver reliability for flexion, abduction, internal rotation, and external rotation measurements was assessed using the Intraclass Correlation Coefficient (ICC).</div></div><div><h3>Results</h3><div>When goniometric measurements were compared with the 3D method, ICC values in the patient group were found to be 0.85 for flexion, 0.81 for abduction, 0.80 for external rotation, and 0.74 for internal rotation. In healthy individuals, the values were found to be 0.80, 0.90, 0.56, and 0.69. Additionally, all measurements fell within acceptable limits of agreement, with no significant differences in measurement biases, except for internal rotation.</div></div><div><h3>Conclusion</h3><div>This study highlights that the goniometer exhibited higher reliability when assessing movements with larger ROM, particularly within heterogeneous groups like those with injured shoulders. However, its reliability decreased when used in homogeneous groups, such as healthy individuals, especially when evaluating movements with narrower ROM, such as rotations. These findings emphasize the need for a nuanced interpretation of results in clinical and research settings when assessing shoulder joint mobility.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 328-336"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694850","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 purpose of the study was to determine the relationship between heart rate, rate of perceived exertion, and blood lactate concentration in recreational cricket players between the modified Bruce protocol and the continuous backward medicine ball throw (CBMB) test. The goal was to develop an alternate, inexpensive test for submaximal exercise testing.
Methods
Thirteen recreational cricket players were recruited from Jamia Millia Islamia, New Delhi. The heart rate and rate of perceived exertion were recorded at rest during standing, at the time of reaching the ventilatory threshold, and after 1, 2 and 3 minutes of the recovery period during the modified Bruce protocol and continuous backward medicine ball throw test. The blood lactate levels were recorded at rest while standing, at the time of reaching VT, and after 3 minutes of the recovery period during the modified Bruce protocol and the continuous backward medicine ball throw (CBMB) test, and also at the end of stage 1 for modified Bruce protocol and at the end of 10 reps for continuous backward medicine ball throw test.
Results
The mean age of the recreational cricket player in the study was 22.23±1.87 years. Significant ‘r’ values were found for heart rate (r=.975, p<.001), and blood lactate concentration (r=.824, p=.001) between the modified Bruce protocol and the continuous backward medicine ball throw test.
Conclusion
The continuous backward medicine ball throw (CBMB) test for submaximal exercise testing showed validity when compared to the Bruce protocol in recreational cricket players.
{"title":"Comparison Among Heart Rate, Perceived Exertion, and Blood Lactate Concentration for 2 Different Submaximal Exercise Testing Protocols in Recreational Cricket Players","authors":"Deepika Singla PhD , Ruchi Basista MPT , Aqsa Mujaddadi MPT , Pooja Bhati PhD , Monis Khan MBBS , M. Ejaz Hussain PhD","doi":"10.1016/j.jcm.2025.09.026","DOIUrl":"10.1016/j.jcm.2025.09.026","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of the study was to determine the relationship between heart rate, rate of perceived exertion, and blood lactate concentration in recreational cricket players between the modified Bruce protocol and the continuous backward medicine ball throw (CBMB) test. The goal was to develop an alternate, inexpensive test for submaximal exercise testing.</div></div><div><h3>Methods</h3><div>Thirteen recreational cricket players were recruited from Jamia Millia Islamia, New Delhi. The heart rate and rate of perceived exertion were recorded at rest during standing, at the time of reaching the ventilatory threshold, and after 1, 2 and 3 minutes of the recovery period during the modified Bruce protocol and continuous backward medicine ball throw test. The blood lactate levels were recorded at rest while standing, at the time of reaching VT, and after 3 minutes of the recovery period during the modified Bruce protocol and the continuous backward medicine ball throw (CBMB) test, and also at the end of stage 1 for modified Bruce protocol and at the end of 10 reps for continuous backward medicine ball throw test.</div></div><div><h3>Results</h3><div>The mean age of the recreational cricket player in the study was 22.23±1.87 years. Significant ‘r’ values were found for heart rate <em>(r=.975, p<.001)</em>, and blood lactate concentration <em>(r=.824, p=.001)</em> between the modified Bruce protocol and the continuous backward medicine ball throw test.</div></div><div><h3>Conclusion</h3><div>The continuous backward medicine ball throw (CBMB) test for submaximal exercise testing showed validity when compared to the Bruce protocol in recreational cricket players.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 337-344"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694851","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 : 2025-01-01DOI: 10.1016/j.jcm.2025.07.002
Krista L. Ward DC, MPH , Victor O. Asemota MD, MS, MBA , Koen P. Kallop DC , Dale F. Johnson PhD , Suzanne L. Ray MS , Sergio T. Fernando DC , Monica Smith DC, PhD
Objective
The objective of this review is to summarize current information for chiropractors on Metabolic Syndrome (MetS) related to prevention and health promotion.
Methods
Research staff and faculty of a doctor of chiropractic program performed a narrative review, which included guidelines from the United States Preventative Task Force and meta-analyses. We performed a PubMed search of meta-analyses published in English between 2019 to 2024, indexed with the Medical Subject Heading “Metabolic Syndrome,” and which had free-text availability. Meta-analyses were included if they were relevant to chiropractic practice and health promotion/prevention.
Results
The PubMed search resulted in 156 citations of which 38 meta-analyses were selected for inclusion in this review. Clinical intervention strategies identified that may reduce MetS risk and negative sequelae include screening for MetS, such as measuring waist circumference, blood pressure and biomarker levels. In addition, chiropractors can support lifestyle behavior changes that may help patients lose weight such as increasing protein intake from plant-based diets, increasing physical activity, optimizing sleep and reducing sugar-sweetened beverage consumption.
Conclusions
This review summarizes current information on MetS related to prevention and health promotion. Chiropractors and other health care professionals knowledgeable of the lifestyle-related risk factors associated with MetS can use this information to better screen and manage at-risk patients.
{"title":"Primary, Secondary, and Tertiary Prevention of Metabolic Syndrome: A Narrative Literature Review and Resource for Chiropractors","authors":"Krista L. Ward DC, MPH , Victor O. Asemota MD, MS, MBA , Koen P. Kallop DC , Dale F. Johnson PhD , Suzanne L. Ray MS , Sergio T. Fernando DC , Monica Smith DC, PhD","doi":"10.1016/j.jcm.2025.07.002","DOIUrl":"10.1016/j.jcm.2025.07.002","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this review is to summarize current information for chiropractors on Metabolic Syndrome (MetS) related to prevention and health promotion.</div></div><div><h3>Methods</h3><div>Research staff and faculty of a doctor of chiropractic program performed a narrative review, which included guidelines from the United States Preventative Task Force and meta-analyses. We performed a PubMed search of meta-analyses published in English between 2019 to 2024, indexed with the Medical Subject Heading “Metabolic Syndrome,” and which had free-text availability. Meta-analyses were included if they were relevant to chiropractic practice and health promotion/prevention.</div></div><div><h3>Results</h3><div>The PubMed search resulted in 156 citations of which 38 meta-analyses were selected for inclusion in this review. Clinical intervention strategies identified that may reduce MetS risk and negative sequelae include screening for MetS, such as measuring waist circumference, blood pressure and biomarker levels. In addition, chiropractors can support lifestyle behavior changes that may help patients lose weight such as increasing protein intake from plant-based diets, increasing physical activity, optimizing sleep and reducing sugar-sweetened beverage consumption.</div></div><div><h3>Conclusions</h3><div>This review summarizes current information on MetS related to prevention and health promotion. Chiropractors and other health care professionals knowledgeable of the lifestyle-related risk factors associated with MetS can use this information to better screen and manage at-risk patients.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 345-360"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694852","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号