Journal of chiropractic medicine最新文献

{"title":"Provider Satisfaction With Artificial Intelligence–Based Hand Hygiene Monitoring System During the COVID-19 Pandemic: Study of a Rural Medical Center","authors":"Joe Lintz DHA","doi":"10.1016/j.jcm.2023.03.004","DOIUrl":"10.1016/j.jcm.2023.03.004","url":null,"abstract":"<div><h3>Objective</h3><p>The objectives of this study were to investigate providers’ attitudes toward an artificial intelligence (AI)–based hand hygiene monitoring system and to examine the relationship between provider well-being and satisfaction with the usage of that system.</p></div><div><h3>Methods</h3><p>A self-administered questionnaire was mailed to 48 health care providers (ie, physicians, registered nurses, and other providers) at a rural medical center in north Texas between September and October 2022. In addition to descriptive statistics, Spearman's correlation test was conducted to discern the relationship between provider satisfaction with the usage of the AI-based hygiene monitoring system and their well-being. A Kendall's tau correlation coefficient test was utilized to assess the correlation between subgroup demographics and survey questions.</p></div><div><h3>Results</h3><p>With a 75% response rate (n = 36), the providers reported sufficient satisfaction with monitoring system usage and that AI directly affects provider well-being. Providers with more years of experience and younger than 40 years of age reported significantly higher satisfaction with AI technology in general and considered the amount of time that they spent on AI-related tasks as interesting compared with their counterpart providers.</p></div><div><h3>Conclusion</h3><p>The findings suggest that higher satisfaction with the AI-based hygiene monitoring system was related to greater provider well-being. Providers sought successful implementation of an AI-based tool that met their expectations, but such implementation required marked levels of consolidation to ensure that it fits within the existing workflows and was accepted by users.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10040360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9706617","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":"Inter-Examiner Agreement of the National Upper Cervical Chiropractic Association Analysis of the Atlas Subluxation Complex in a 3-View Upper Cervical Radiographic Series","authors":"Jordan Landholm-Duvall DC, DCCJP ,&nbsp;D. Gordon Hasick DC ,&nbsp;Harrison Ndetan MPH, MD, PhD ,&nbsp;John F. Hart DC, MHSc ,&nbsp;Marshall Dickholtz Jr DC ,&nbsp;Craig P. Lapenski DC","doi":"10.1016/j.jcm.2023.04.001","DOIUrl":"10.1016/j.jcm.2023.04.001","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to measure the inter-examiner agreement between radiograph markings of 2 National Upper Cervical Chiropractic Association board-certified chiropractors.</p></div><div><h3>Methods</h3><p>Two chiropractic examiners who had standardized training marked and analyzed 254 conventional orthogonal radiographic film sets. The level of agreement and potential biases in their measurements were assessed using intraclass correlation coefficients for absolute agreement and Bland-Altman plot analyses.</p></div><div><h3>Results</h3><p>There was 96.1% agreement between the examiners in the measurements of the side of atlas laterality and 94.5% for atlas rotation. The intraclass correlation coefficient was 0.95 (95% CI, 0.93-0.96) for atlas laterality and 0.92 (95% CI, 0.89-0.94) for atlas rotation. The mean difference in the measurement between the 2 examiners was −0.11, <em>P</em> = .12 for atlas laterality and 0.05, <em>P</em> = .55 for atlas rotation. Neither atlas laterality nor atlas rotation measurements were significantly different from zero. Bland-Altman plots were not suggestive of any proportional biases in the 2 measurements.</p></div><div><h3>Conclusion</h3><p>Results of this study show almost perfect agreement between 2 trained chiropractic examiners, with no apparent proportional bias in the analysis of conventional orthogonal radiographic film sets.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10461146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10493525","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":"Reliability of the Heart Rate Variability Registered Through Polar Cardio Frequency Meter in Individuals With Chronic Low Back Pain","authors":"Luana Maria Brenha Penha BPE ,&nbsp;André Pontes-Silva MSc ,&nbsp;Aldair Darlan Santos-de-Araújo PT ,&nbsp;Patrícia Faria Camargo MSc ,&nbsp;Flavio de Oliveira Pires PhD ,&nbsp;Cid André Fidelis-de-Paula-Gomes PhD ,&nbsp;Cristiano Teixeira Mostarda PhD ,&nbsp;Daniela Bassi-Dibai PhD ,&nbsp;Almir Vieira Dibai-Filho PhD","doi":"10.1016/j.jcm.2023.03.007","DOIUrl":"10.1016/j.jcm.2023.03.007","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to analyze the intra- and inter-examiner reliability of the analysis of heart rate variability (HRV) captured by a Polar cardio frequency meter in individuals with chronic nonspecific low back pain.</p></div><div><h3>Methods</h3><p>The study included 35 individuals with nonspecific low back pain, both sexes, aged 18 to 45. We used a Polar V800 cardio frequency meter to capture HRV in individuals in different positions, and we calculated the reliability through the intraclass correlation coefficient (ICC).</p></div><div><h3>Results</h3><p>Regarding intra-examiner reliability, we found excellent reliability of HRV analysis in the supine position (ICC ranging from 0.89 to 1.00) and in the standing position (ICC ranging from 0.95 to 0.99). In addition, for inter-examiner reliability, we found substantial to excellent reliability of the HRV analysis in the supine position (ICC ranging from 0.76 to 0.98) and moderate to excellent reliability in the standing position (ICC ranging from 0.73 to 0.99).</p></div><div><h3>Conclusion</h3><p>The HRV analysis captured by a Polar cardio frequency meter presented adequate reliability when considering different times and different examiners.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10461136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10119714","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":"The Effects of Curl-Up and Straight Leg Raising Exercises in Different Hip Joint Positions on Abdominal Muscle Thickness","authors":"Seyyedeh Fatemeh Alavi MS(PT) ,&nbsp;Nahid Tahan PhD ,&nbsp;Saeed Mikaili PhD ,&nbsp;Alireza Akbarzade Baghban PhD","doi":"10.1016/j.jcm.2023.04.005","DOIUrl":"10.1016/j.jcm.2023.04.005","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to investigate the effect of combining 2 exercises at different angles of the hip joint on the thickness of the transverse abdominis and internal oblique muscles.</p></div><div><h3>Methods</h3><p>Twenty-eight healthy adults (22.7 ± 2.5 years of age; 64.93 <span><math><mrow><mo>±</mo><mspace></mspace><mn>8.8</mn></mrow></math></span><span> kg; body mass index: 22.2 ± 2 kg/m</span>²<span>) performed the curl-up exercise and straight leg raise with external rotation of the hip and dorsiflexion of the ankle simultaneously. The thicknesses of transverse abdominis and internal oblique muscles were measured from right and left sides while resting, in curl up, curl up with 10º flexion of hip, curl up with 15º flexion of hip, and curl up with 10º flexion and 15º abduction of the hip. The means of muscle thicknesses were compared using repeated-measures analysis of variance and post hoc Bonferroni tests in the 5 positions.</span></p></div><div><h3>Results</h3><p>The thicknesses of transverse abdominis (<em>P</em> &lt; .001) and internal oblique (<em>P</em> &lt; .001) muscles were significantly greater in curl up with 10º flexion and 15º abduction of hip compared with the other positions. There was no significant difference between abdominal muscle thicknesses in measuring from either side.</p></div><div><h3>Conclusion</h3><p>Doing the curl-up exercise with 10º flexion and 15º abduction of the hip may be beneficial in strengthening deep abdominal muscles.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10461201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10493523","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":"Nonoperative Management of Lateral Epicondyle Tendinopathy: An Umbrella Review","authors":"William R. Kinney DC ,&nbsp;Brian R. Anderson DC, MPH, MS, PhD","doi":"10.1016/j.jcm.2023.04.004","DOIUrl":"10.1016/j.jcm.2023.04.004","url":null,"abstract":"<div><h3>Objective</h3><p>The primary objective of this review was to summarize systematic reviews<span> and meta-analyses reporting on nonoperative management of lateral epicondyle tendinopathy.</span></p></div><div><h3>Methods</h3><p>An umbrella review of all published systematic reviews and meta-analyses was performed. Three databases were searched using the key words “tennis elbow,” “lateral epicondylitis,” “non-operative,” and “non-surgical modalities.” The search was limited to English-language systematic reviews and meta-analyses between the years of 2000 and 2022.</p></div><div><h3>Results</h3><p>There were 114 systematic reviews/meta-analyses, of which 35 met our inclusion criteria. These articles reviewed the following nonoperative management strategies: ultrasound, shockwave therapy<span>, injection procedures, low-level laser therapy, joint mobilizations<span>, exercise therapy<span>, and electrophysical modalities. Exercise therapy was beneficial in decreasing pain regardless of dosage or type. Conflicting results were seen with ultrasound, laser, and shockwave therapy. Corticosteroid injections provided the most short-term pain relief, and platelet-rich plasma and autologous blood injections were most effective in the long term.</span></span></span></p></div><div><h3>Conclusion</h3><p>A variety of nonoperative interventions were found to be effective for short- and long-term pain relief as well as functional improvement, with most interventions indicating mixed results. Due to variations in study populations and study quality, results should be interpreted with caution.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10461134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10493524","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":"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,&nbsp;Soroush Sadri MD,&nbsp;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> &lt; .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> &lt; .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":null,"pages":null},"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}

{"title":"A Patient With Pancoast Tumor Presenting With Cervical Radiculopathy: A Case Report","authors":"Emma K. Berntheizel DC,&nbsp;Lauren J. Tollefson DC, DACBR,&nbsp;Charles P. Fischer DC,&nbsp;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":null,"pages":null},"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}

{"title":"Multimodal Care of a Patient With Functional Movement Disorders Following a Motor Vehicle Accident: A Case Report","authors":"Alexandra Fiore DC,&nbsp;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":null,"pages":null},"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}

{"title":"Effect of Dynamic Neuromuscular Stabilization and Vojta Therapy on Respiratory Complications in Neuromuscular Diseases: A Literature Review","authors":"Fatemeh Falahati Nezhad MS ,&nbsp;Aliyeh Daryabor PhD ,&nbsp;Mohsen Abedi PhD ,&nbsp;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":null,"pages":null},"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}

{"title":"Management of a Patient With Premenstrual Syndrome Using Acupuncture, Supplements, and Meditation: A Case Report","authors":"Brett R. Martin DC, MSAc, MPH,&nbsp;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":null,"pages":null},"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}