Journal of chiropractic medicine最新文献_第2页

Use of Remote Consultations by Chiropractors in the United Kingdom During the COVID-19 Pandemic: A Cross-Sectional Survey 在COVID-19大流行期间，英国脊医使用远程会诊：一项横断面调查

Journal of chiropractic medicine

Pub Date : 2025-01-01 DOI: 10.1016/j.jcm.2025.07.003

Marc W. Sanders DC, BSc, MSc , Jonathan Field DC, MSc, PhD , Dave Newell PhD , Neil Osborne DC, PhD

Objectives

The purpose of this study was to explore the use of remote consultations (RCs) by chiropractors in the United Kingdom.

Methods

All registered practicing UK chiropractors were invited to participate in an online survey during part of the first UK national lockdown period of the COVID-19 pandemic (May 2020 to June 2020). This survey collected information on 1) chiropractor demographics, 2) use of RCs by chiropractors, and 3) chiropractors’ views of RCs. Descriptive and inferential statistics (chi-squared and Spearman’s Rho) were used to analyze the data.

Results

The response rate was 17.1% (534/3131). A third of respondents (32.5%) had been using RCs (telephone) prior to the pandemic. Two-thirds (67.2%) used RCs during the first lockdown period and included uptake of video consultations (6.6%), phone consultations (30%), or a combination of video and phone (30.7%). A majority (58.6%) responded that they planned to continue RCs after practice restrictions were lifted. Under half (47.8%) gave their opinion that RCs would not be as effective as face-to-face care, a similar proportion (50.1%) stated they were engaging their patients with active care more than typical. Only around a half of the respondents (52.5%) were confident in carrying out RCs.

Conclusions

This survey provides preliminary data on RCs delivered by UK chiropractors - a traditionally ‘hands-on’ profession. Both telephone and video RCs increased during the first UK national lockdown but confidence in carrying out RCs and impressions of their effectiveness was mixed.

目的本研究的目的是探讨英国脊医远程会诊（rc）的使用情况。方法在2019冠状病毒病大流行期间（2020年5月至2020年6月），邀请所有注册的英国执业脊医参加在线调查。本调查收集的资料包括：(1)脊医人口统计资料；(2)脊医使用脊医资源；以及(3)脊医对脊医资源的看法。采用描述性统计和推理统计（卡方统计和Spearman 's Rho）对数据进行分析。结果总有效率为17.1%（534/3131）。三分之一的答复者（32.5%）在大流行之前一直使用RCs（电话）。三分之二（67.2%）的人在第一次封锁期间使用了RCs，包括视频咨询（6.6%）、电话咨询（30%）或视频和电话结合咨询（30.7%）。大多数受访者（58.6%）表示，他们计划在取消执业限制后继续进行资格审查。不到一半（47.8%）的人认为RCs不如面对面护理有效，相似比例（50.1%）的人表示他们比典型的患者更积极地参与患者的积极护理。只有约一半的受访者（52.5%）有信心进行区议会选举。这项调查提供了英国脊医（一种传统的“动手”职业）提供的RCs的初步数据。在英国第一次全国封锁期间，电话和视频rc都有所增加，但对执行rc的信心和对其有效性的印象好坏参半。

{"title":"Use of Remote Consultations by Chiropractors in the United Kingdom During the COVID-19 Pandemic: A Cross-Sectional Survey","authors":"Marc W. Sanders DC, BSc, MSc , Jonathan Field DC, MSc, PhD , Dave Newell PhD , Neil Osborne DC, PhD","doi":"10.1016/j.jcm.2025.07.003","DOIUrl":"10.1016/j.jcm.2025.07.003","url":null,"abstract":"<div><h3>Objectives</h3><div>The purpose of this study was to explore the use of remote consultations (RCs) by chiropractors in the United Kingdom.</div></div><div><h3>Methods</h3><div>All registered practicing UK chiropractors were invited to participate in an online survey during part of the first UK national lockdown period of the COVID-19 pandemic (May 2020 to June 2020). This survey collected information on 1) chiropractor demographics, 2) use of RCs by chiropractors, and 3) chiropractors’ views of RCs. Descriptive and inferential statistics (chi-squared and Spearman’s Rho) were used to analyze the data.</div></div><div><h3>Results</h3><div>The response rate was 17.1% (534/3131). A third of respondents (32.5%) had been using RCs (telephone) prior to the pandemic. Two-thirds (67.2%) used RCs during the first lockdown period and included uptake of video consultations (6.6%), phone consultations (30%), or a combination of video and phone (30.7%). A majority (58.6%) responded that they planned to continue RCs after practice restrictions were lifted. Under half (47.8%) gave their opinion that RCs would not be as effective as face-to-face care, a similar proportion (50.1%) stated they were engaging their patients with active care more than typical. Only around a half of the respondents (52.5%) were confident in carrying out RCs.</div></div><div><h3>Conclusions</h3><div>This survey provides preliminary data on RCs delivered by UK chiropractors - a traditionally ‘hands-on’ profession. Both telephone and video RCs increased during the first UK national lockdown but confidence in carrying out RCs and impressions of their effectiveness was mixed.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 106-118"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694896","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}

引用次数: 0

Range of Motion and Muscle Endurance of the Neck in Individuals With Shoulder Pain: A Cross-Sectional Study 肩痛患者的颈部活动度和肌肉耐力：一项横断面研究

Journal of chiropractic medicine

Pub Date : 2025-01-01 DOI: 10.1016/j.jcm.2025.09.009

Nícia Farias Braga Maciel PhD , Sandra Cristina Andrade PhD , Catarina de Oliveira Sousa PhD

Objective

The purpose of this study was to compare the range of motion and muscle endurance time of the neck between individuals with and without shoulder pain and to determine whether these variables could identify individuals with shoulder pain.

Methods

In this cross-sectional study, 102 individuals were divided into 2 groups: with and without shoulder pain. The range of motion (RoM) of the neck (flexion, extension, lateral flexion, and rotation) and the endurance time of the neck muscles (extensors and lateral flexors) were evaluated bilaterally. One-way and 2-way ANOVA were used to compare groups regarding unilateral and bilateral variables, respectively. ROC curves were developed to verify the ability of variables to discriminate between individuals with and without shoulder pain.

Results

Individuals with shoulder pain had lower RoM for all movements (P < .01 to P = .04) and lower endurance time for all muscle groups (P < .01 to P = .02). Neck flexion and contralateral rotation (area under the curve [AUC] = 0.70 and 0.73, respectively) and endurance time of ipsilateral lateral flexors (AUC = 0.76) presented acceptable discriminative capacity to identify individuals with shoulder pain. Other variables showed small discriminative capacity (AUC = 0.63-0.67), and bilateral lateral flexion RoM did not present discriminative capacity (P > .05).

Conclusion

Individuals with shoulder pain had reduced mobility and endurance of the neck. Flexion and contralateral rotation RoM and the endurance of ipsilateral lateral flexors identified those with shoulder pain. Results suggest a regional interdependence between the shoulder and the neck.

目的本研究的目的是比较有肩痛和无肩痛个体的颈部活动范围和肌肉耐力时间，并确定这些变量是否可以识别肩痛个体。方法在横断面研究中，102人被分为两组：有肩痛和无肩痛。双侧评估颈部的活动范围（RoM）（屈、伸、侧屈和旋转）和颈部肌肉（伸肌和侧屈肌）的耐力时间。单因素和双因素方差分析分别用于比较单侧和双侧变量组。制定ROC曲线以验证变量区分有肩痛和无肩痛个体的能力。结果肩关节疼痛患者的所有运动RoM均较低（P < 0.01 ~ P = .04），所有肌群的耐力时间均较低（P < 0.01 ~ P = .02）。颈部屈曲和对侧旋转（曲线下面积[AUC]分别= 0.70和0.73）和同侧侧屈肌耐力时间（AUC = 0.76）具有可接受的鉴别肩部疼痛个体的能力。其他变量判别能力较小（AUC = 0.63-0.67），双侧侧屈曲RoM不存在判别能力（P > 0.05）。结论肩痛患者颈部活动能力和耐力降低。屈曲和对侧旋转RoM和同侧外屈肌的耐力确定了肩痛。结果表明肩部和颈部之间存在区域相互依赖关系。

{"title":"Range of Motion and Muscle Endurance of the Neck in Individuals With Shoulder Pain: A Cross-Sectional Study","authors":"Nícia Farias Braga Maciel PhD , Sandra Cristina Andrade PhD , Catarina de Oliveira Sousa PhD","doi":"10.1016/j.jcm.2025.09.009","DOIUrl":"10.1016/j.jcm.2025.09.009","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to compare the range of motion and muscle endurance time of the neck between individuals with and without shoulder pain and to determine whether these variables could identify individuals with shoulder pain.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, 102 individuals were divided into 2 groups: with and without shoulder pain. The range of motion (RoM) of the neck (flexion, extension, lateral flexion, and rotation) and the endurance time of the neck muscles (extensors and lateral flexors) were evaluated bilaterally. One-way and 2-way ANOVA were used to compare groups regarding unilateral and bilateral variables, respectively. ROC curves were developed to verify the ability of variables to discriminate between individuals with and without shoulder pain.</div></div><div><h3>Results</h3><div>Individuals with shoulder pain had lower RoM for all movements (<em>P</em> < .01 to <em>P</em> = .04) and lower endurance time for all muscle groups (<em>P</em> < .01 to <em>P</em> = .02). Neck flexion and contralateral rotation (area under the curve [AUC] = 0.70 and 0.73, respectively) and endurance time of ipsilateral lateral flexors (AUC = 0.76) presented acceptable discriminative capacity to identify individuals with shoulder pain. Other variables showed small discriminative capacity (AUC = 0.63-0.67), and bilateral lateral flexion RoM did not present discriminative capacity (<em>P</em> > .05).</div></div><div><h3>Conclusion</h3><div>Individuals with shoulder pain had reduced mobility and endurance of the neck. Flexion and contralateral rotation RoM and the endurance of ipsilateral lateral flexors identified those with shoulder pain. Results suggest a regional interdependence between the shoulder and the neck.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 163-171"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694848","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}

引用次数: 0

Ununited Mobile Odontoid Fracture: Clinical and Imaging Findings With Subsequent Management: A Case Report 不团结的活动齿状突骨折：临床和影像学表现与后续治疗：1例报告

Journal of chiropractic medicine

Pub Date : 2025-01-01 DOI: 10.1016/j.jcm.2025.08.017

Inger K. Roug DC, DACBR , Jane Cook DC, DACBR, MSc(APD), MSc US (MSK) , Vijay Kumar Pabbathi BSc, BVSc, MSc, PhD , John Andrew Radin DC, DACNB

Objective

The purpose of this case study is to describe the clinical presentation and imaging evaluation of an acute type II dens fracture that failed to unite with immobilization. Subsequent management aimed at optimizing the patient’s quality of life is discussed.

Clinical Presentation

An 84-year-old male presented to a chiropractic clinic 4 days after a ground-level fall onto his face. He demonstrated facial bruising, severe pain of the neck and severely limited cervical rotation. Based on the clinical findings and history, the attending chiropractor suspected a cervical spine fracture.

Intervention and outcome

The chiropractor proceeded to take cervical spine radiographs which showed a type II dens fracture and anterior translation of C1. The patient was then transported to the hospital by ambulance, where computed tomography (CT) confirmed the presence of a type II odontoid fracture. Following immobilization, initially with a hard collar and later a soft collar, the dens fracture healed but with non-union. A magnetic resonance imaging scan with flexion and extension showed translation of the dens, however no spinal cord compromise was demonstrated. Surgery was not advised due to the patient’s age and lack of cord compromise. The chiropractor resumed management after medical clearance, focusing on fall prevention strategies, neck strengthening exercises and gentle soft tissue work.

Conclusion

Upright magnetic resonance imaging with flexion and extension was helpful for evaluation and further management of a non-united mobile type II dens fracture. Patients who experience non-union of type II odontoid fracture may benefit from conservative measures aimed at falls prevention, such as balance exercises, bone and heart health evaluation, muscle strengthening, cataract evaluation and scrutiny for hazards in the home.

目的本病例研究的目的是描述急性II型牙槽骨骨折未能结合固定的临床表现和影像学评价。讨论了旨在优化患者生活质量的后续管理。临床表现一名84岁男性在地面摔倒后4天出现在整脊诊所。他表现出面部瘀伤，颈部剧烈疼痛，颈椎旋转严重受限。根据临床表现和病史，主治脊医怀疑是颈椎骨折。干预措施和结果脊医继续拍摄颈椎x线片，显示II型齿突骨折和C1前移位。患者随后被救护车送往医院，在那里计算机断层扫描（CT）证实了II型齿状突骨折的存在。固定后，最初采用硬领，后来采用软领，齿突骨折愈合，但不愈合。屈曲和伸展的磁共振成像扫描显示齿突的平移，但没有脊髓损伤。由于患者的年龄和没有脊髓损伤，不建议手术。在体检合格后，脊医恢复了治疗，重点是预防跌倒策略、颈部强化练习和轻柔的软组织工作。结论直立型磁共振屈伸成像有助于评价和进一步治疗不愈合的活动型II型牙槽骨骨折。II型齿状突骨折不愈合的患者可能受益于旨在预防跌倒的保守措施，如平衡练习、骨骼和心脏健康评估、肌肉强化、白内障评估和家中危险检查。

{"title":"Ununited Mobile Odontoid Fracture: Clinical and Imaging Findings With Subsequent Management: A Case Report","authors":"Inger K. Roug DC, DACBR , Jane Cook DC, DACBR, MSc(APD), MSc US (MSK) , Vijay Kumar Pabbathi BSc, BVSc, MSc, PhD , John Andrew Radin DC, DACNB","doi":"10.1016/j.jcm.2025.08.017","DOIUrl":"10.1016/j.jcm.2025.08.017","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case study is to describe the clinical presentation and imaging evaluation of an acute type II dens fracture that failed to unite with immobilization. Subsequent management aimed at optimizing the patient’s quality of life is discussed.</div></div><div><h3>Clinical Presentation</h3><div>An 84-year-old male presented to a chiropractic clinic 4 days after a ground-level fall onto his face. He demonstrated facial bruising, severe pain of the neck and severely limited cervical rotation. Based on the clinical findings and history, the attending chiropractor suspected a cervical spine fracture.</div></div><div><h3>Intervention and outcome</h3><div>The chiropractor proceeded to take cervical spine radiographs which showed a type II dens fracture and anterior translation of C1. The patient was then transported to the hospital by ambulance, where computed tomography (CT) confirmed the presence of a type II odontoid fracture. Following immobilization, initially with a hard collar and later a soft collar, the dens fracture healed but with non-union. A magnetic resonance imaging scan with flexion and extension showed translation of the dens, however no spinal cord compromise was demonstrated. Surgery was not advised due to the patient’s age and lack of cord compromise. The chiropractor resumed management after medical clearance, focusing on fall prevention strategies, neck strengthening exercises and gentle soft tissue work.</div></div><div><h3>Conclusion</h3><div>Upright magnetic resonance imaging with flexion and extension was helpful for evaluation and further management of a non-united mobile type II dens fracture. Patients who experience non-union of type II odontoid fracture may benefit from conservative measures aimed at falls prevention, such as balance exercises, bone and heart health evaluation, muscle strengthening, cataract evaluation and scrutiny for hazards in the home.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 402-408"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694826","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}

引用次数: 0

Algorithm for Temporomandibular Disorders With Osteopathic Manipulative Therapy: An Expert Consensus 骨科手法治疗颞下颌疾病的算法：专家共识

Journal of chiropractic medicine

Pub Date : 2025-01-01 DOI: 10.1016/j.jcm.2025.09.034

Llanos De-La-Iglesia MSc , Cristina Bravo MSc, PhD , Cristian Justribó-Manion MSc , Anna Montmany , Toni Roman-Arias MSc , Isabelle Hue PhD , P-M Dugailly MSc, PhD , Stefano Colasanto , Philip Van-Caille , Francesc Rubí-Carnacea MSc, PhD

Objective

The purpose of this study was to create a consensus algorithm for the osteopathic approach to temporomandibular dysfunctions.

Methods

A conventional Delphi method of at least 3 rounds of questionnaires was carried out by a panel of experts to reach a consensus on a flowchart algorithm for the diagnosis and treatment of temporomandibular disorders with osteopathic manipulative therapy.

Results

During the 3 rounds, a total of 7 panellists participated. Consensus was reached on 182 items (70.54% = 182/258). The algorithm has a numerical code with which the direction of each option can be followed, and a color code that shows the classification of each of the items (anamnesis, examination, observation, referral, palpation and treatment). The algorithm begins with 4 main categories: psychological aspects, exclusion criteria, physical aspects, and other issues, which are further subdivided into specific items that will be addressed according to the findings obtained during the patient visit.

Conclusion

This study created an algorithm for the osteopathic approach to temporomandibular dysfunctions.

目的本研究的目的是为颞下颌功能障碍的骨科入路建立一个共识算法。方法采用至少3轮问卷调查的传统德尔菲法，由专家小组对颞下颌关节疾病的整骨手法诊疗流程图算法达成共识。结果三轮共7位嘉宾参与。共有182项达成共识（70.54% = 182/258）。该算法有一个数字代码，可以跟随每个选项的方向，还有一个颜色代码，显示每个项目的分类（记忆、检查、观察、转诊、触诊和治疗）。该算法从4个主要类别开始：心理方面、排除标准、身体方面和其他问题，并进一步细分为具体项目，根据患者访问期间获得的结果进行解决。结论本研究为颞下颌功能障碍的骨科入路提供了一种算法。

{"title":"Algorithm for Temporomandibular Disorders With Osteopathic Manipulative Therapy: An Expert Consensus","authors":"Llanos De-La-Iglesia MSc , Cristina Bravo MSc, PhD , Cristian Justribó-Manion MSc , Anna Montmany , Toni Roman-Arias MSc , Isabelle Hue PhD , P-M Dugailly MSc, PhD , Stefano Colasanto , Philip Van-Caille , Francesc Rubí-Carnacea MSc, PhD","doi":"10.1016/j.jcm.2025.09.034","DOIUrl":"10.1016/j.jcm.2025.09.034","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to create a consensus algorithm for the osteopathic approach to temporomandibular dysfunctions<strong>.</strong></div></div><div><h3>Methods</h3><div>A conventional Delphi method of at least 3 rounds of questionnaires was carried out by a panel of experts to reach a consensus on a flowchart algorithm for the diagnosis and treatment of temporomandibular disorders with osteopathic manipulative therapy<strong>.</strong></div></div><div><h3>Results</h3><div>During the 3 rounds, a total of 7 panellists participated. Consensus was reached on 182 items (70.54% = 182/258). The algorithm has a numerical code with which the direction of each option can be followed, and a color code that shows the classification of each of the items (anamnesis, examination, observation, referral, palpation and treatment). The algorithm begins with 4 main categories: psychological aspects, exclusion criteria, physical aspects, and other issues, which are further subdivided into specific items that will be addressed according to the findings obtained during the patient visit.</div></div><div><h3>Conclusion</h3><div>This study created an algorithm for the osteopathic approach to temporomandibular dysfunctions.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 219-225"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694832","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}

引用次数: 0

Interpersonal Process of Care Experience of Patients Receiving Care at a Chiropractic Outpatient Teaching Clinic 脊医门诊教学诊所病人护理经验的人际过程

Journal of chiropractic medicine

Pub Date : 2025-01-01 DOI: 10.1016/j.jcm.2025.09.035

Tate Gentile DC, DACCP , Andrew Whetten PhD , Joel Alcantara DC, PhD

Objective

The aim of this study was to examine the interpersonal process of care (IPC) experience of patients receiving care at 1 chiropractic college.

Methods

In this cross-sectional study, respondents attending care at the Sherman College of Chiropractic outpatient clinic completed a survey (July 2016 to June 2017) to provide their sociodemographic and clinical information and complete an adapted version of the IPC-18 to assess their IPC experience with chiropractic care. Principal component analysis and k-means cluster analysis determined natural groupings/clusters of respondents. Random forest modeling determined factors predictive of shared decision-making.

Results

Ninety-nine patients (41 males, 44 females, and 14 unknown) responded. The largest group of respondents was aged 40 to 55 years and highly educated. Principal component analysis found that the first dimension was strongly influenced by the IPC-18 subscale of communication (ie, elicited concerns, explained results, and decided together). The second dimension was strongly influenced by interpersonal style (ie, disrespectful office staff). The third and fourth dimensions were strongly influenced by communication (ie, lack of clarity) and interpersonal style (ie, discrimination due to race/ethnicity), respectively. The most important predictors for shared decision-making were communication (ie, chiropractor/intern explained the results of examination findings and elicited the patient’s concerns and took them seriously) and interpersonal style (ie, the patient was treated as an equal). Patient age and presenting symptoms were also important predictors of shared decision-making.

Conclusion

The IPC experience of patients under care was dominantly positive, cooperative, and equitable with their chiropractor/interns and office staff. Factors predictive of shared clinical decision-making included good communication and a positive interpersonal style with the provider.

目的探讨1所捏脊专科医院患者的人际护理过程（IPC）体验。方法在这项横断面研究中，在谢尔曼捏脊学院门诊就诊的受访者完成了一项调查（2016年7月至2017年6月），提供了他们的社会人口统计学和临床信息，并完成了IPC-18的修改版本，以评估他们在捏脊护理中的IPC体验。主成分分析和k-均值聚类分析确定了受访者的自然分组/聚类。随机森林模型确定了共同决策的预测因素。结果99例患者（男41例，女44例，未知14例）有应答。受访者的最大群体年龄在40至55岁之间，受过高等教育。主成分分析发现，第一个维度受到传播的ipcc -18子尺度的强烈影响（即引起关注、解释结果和共同决定）。第二个维度受到人际关系风格的强烈影响（即不尊重办公室员工）。第三和第四个维度分别受到沟通（即缺乏清晰度）和人际关系风格（即由于种族/民族而受到歧视）的强烈影响。共同决策最重要的预测因素是沟通（即，脊医/实习生解释检查结果并引起患者的担忧并认真对待）和人际关系风格（即，患者被平等对待）。患者的年龄和出现的症状也是共同决策的重要预测因素。结论住院患者与脊医/实习生及办公室工作人员的IPC体验以积极、合作、公平为主。共同临床决策的预测因素包括良好的沟通和与提供者的积极的人际关系方式。

{"title":"Interpersonal Process of Care Experience of Patients Receiving Care at a Chiropractic Outpatient Teaching Clinic","authors":"Tate Gentile DC, DACCP , Andrew Whetten PhD , Joel Alcantara DC, PhD","doi":"10.1016/j.jcm.2025.09.035","DOIUrl":"10.1016/j.jcm.2025.09.035","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to examine the interpersonal process of care (IPC) experience of patients receiving care at 1 chiropractic college.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, respondents attending care at the Sherman College of Chiropractic outpatient clinic completed a survey (July 2016 to June 2017) to provide their sociodemographic and clinical information and complete an adapted version of the IPC-18 to assess their IPC experience with chiropractic care. Principal component analysis and k-means cluster analysis determined natural groupings/clusters of respondents. Random forest modeling determined factors predictive of shared decision-making.</div></div><div><h3>Results</h3><div>Ninety-nine patients (41 males, 44 females, and 14 unknown) responded. The largest group of respondents was aged 40 to 55 years and highly educated. Principal component analysis found that the first dimension was strongly influenced by the IPC-18 subscale of communication (ie, elicited concerns, explained results, and decided together). The second dimension was strongly influenced by interpersonal style (ie, disrespectful office staff). The third and fourth dimensions were strongly influenced by communication (ie, lack of clarity) and interpersonal style (ie, discrimination due to race/ethnicity), respectively. The most important predictors for shared decision-making were communication (ie, chiropractor/intern explained the results of examination findings and elicited the patient’s concerns and took them seriously) and interpersonal style (ie, the patient was treated as an equal). Patient age and presenting symptoms were also important predictors of shared decision-making.</div></div><div><h3>Conclusion</h3><div>The IPC experience of patients under care was dominantly positive, cooperative, and equitable with their chiropractor/interns and office staff. Factors predictive of shared clinical decision-making included good communication and a positive interpersonal style with the provider.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 278-292"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694839","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}

引用次数: 0

Effect of Abdominal Training With Whole-Body Vibration on Erector Spinae Stiffness: A Randomized Trial Using Shear Wave Elastography 全身振动腹部训练对竖肌脊柱刚度的影响：一项使用横波弹性成像的随机试验

Journal of chiropractic medicine

Pub Date : 2025-01-01 DOI: 10.1016/j.jcm.2025.08.003

Ryo Miyachi PhD , Takaaki Nishimura PhD , Sachiko Madokoro PhD , Toshiaki Yamazaki PhD

Objective

The purpose of this study was to compare the effects of 4 weeks of conventional abdominal training and training combined with whole-body vibration (WBV) on erector spinae (ES) stiffness, assessed using ultrasound shear wave elastography.

Methods

Twenty-four healthy university students were randomly assigned to either a WBV or non-WBV group and performed the same exercise on the floor. The participants held a sit-up position for training, 3 times per week for 4 weeks. The primary outcome was ES stiffness measured using shear wave elastography. Secondary outcomes included pressure pain threshold of the ES, lumbar proprioception, and maximum lumbar flexion angle. Split-plot ANOVA was used to analyze the data.

Results

There was no significant group × period interaction for ES stiffness. However, the WBV group showed a significant reduction in ES stiffness and an improvement in lumbar proprioception after the intervention. In contrast, the non-WBV group showed a decrease in ES pressure pain threshold.

Conclusion

Abdominal training with WBV reduced ES stiffness and enhanced lumbar proprioception in asymptomatic adults. These findings suggest that WBV may improve trunk muscle properties and sensorimotor function.

目的比较4周常规腹部训练与全身振动训练（WBV）对竖肌脊柱（ES）刚度的影响，采用超声剪切波弹性成像评估。方法选取24名身体健康的大学生，随机分为腰腹负重组和非腰腹负重组，在地板上进行相同的运动。参与者以仰卧起坐的姿势进行训练，每周3次，持续4周。主要结果是使用横波弹性图测量ES刚度。次要结果包括ES的压痛阈值、腰椎本体感觉和最大腰椎屈曲角。采用分裂图方差分析对数据进行分析。结果ES刚度组与周期间无显著交互作用。然而，干预后WBV组ES僵硬度显著降低，腰椎本体感觉改善。相比之下，非wbv组ES压痛阈值下降。结论：无症状成人的WBV腹部训练可降低ES僵硬度，增强腰椎本体感觉。这些发现表明，WBV可能改善躯干肌肉特性和感觉运动功能。

{"title":"Effect of Abdominal Training With Whole-Body Vibration on Erector Spinae Stiffness: A Randomized Trial Using Shear Wave Elastography","authors":"Ryo Miyachi PhD , Takaaki Nishimura PhD , Sachiko Madokoro PhD , Toshiaki Yamazaki PhD","doi":"10.1016/j.jcm.2025.08.003","DOIUrl":"10.1016/j.jcm.2025.08.003","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to compare the effects of 4 weeks of conventional abdominal training and training combined with whole-body vibration (WBV) on erector spinae (ES) stiffness, assessed using ultrasound shear wave elastography.</div></div><div><h3>Methods</h3><div>Twenty-four healthy university students were randomly assigned to either a WBV or non-WBV group and performed the same exercise on the floor. The participants held a sit-up position for training, 3 times per week for 4 weeks. The primary outcome was ES stiffness measured using shear wave elastography. Secondary outcomes included pressure pain threshold of the ES, lumbar proprioception, and maximum lumbar flexion angle. Split-plot ANOVA was used to analyze the data.</div></div><div><h3>Results</h3><div>There was no significant group × period interaction for ES stiffness. However, the WBV group showed a significant reduction in ES stiffness and an improvement in lumbar proprioception after the intervention. In contrast, the non-WBV group showed a decrease in ES pressure pain threshold.</div></div><div><h3>Conclusion</h3><div>Abdominal training with WBV reduced ES stiffness and enhanced lumbar proprioception in asymptomatic adults. These findings suggest that WBV may improve trunk muscle properties and sensorimotor function.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 25-33"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694915","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}

引用次数: 0

Short-Term Therapeutic Benefits of Foam Rolling for Clinical Outcomes in Chronic Nonspecific Neck Pain Patients: A Randomized Single-blind Trial 慢性非特异性颈部疼痛患者的短期治疗效果：一项随机单盲试验

Journal of chiropractic medicine

Pub Date : 2025-01-01 DOI: 10.1016/j.jcm.2024.11.001

Pattanasin Areeudomwong PhD, Thongchai Sirivilaisak BPT, Thuncharin Kunsuwannaroj BPT, Janisata Nisakorn BPT, Vitsarut Buttagat PhD

Objective

The purpose of this study was to investigate the short-term effects of foam rolling (FR) on the clinical parameters of individuals with chronic nonspecific neck pain (CNNP).

Methods

Fifty-eight CNNP participants were randomly equally allocated into FR and Swedish massage (SM) groups for 2 weeks. Resting pain intensity (RPI), pain pressure threshold (PPT), neck disability index (NDI), neck range of motion (NROM), and global perceived effect (GPE) were measured at baseline, immediately after the first intervention session, at the 2-week intervention visit, and at the 1-week follow-up visit.

Results

There were no significant differences between the FR and SM groups in RPI and patient satisfaction (P > .05), although both groups showed greater improvement in these outcomes over time from baseline (P < .01). There were no significant interactions between time-points and groups, and the main effects of group for PPT, NDI, and NROM (P > .05). However, these outcomes improved significantly from baseline over the follow-up periods judging from the significant main effects of time when the data of both groups were pooled (P < .05).

Conclusion

Two weeks of FR treatment reduced resting neck pain, improved NROM and neck disability, and increased patient satisfaction with short-term recovery among young adults with CNNP. Because FR was as effective as massage, people with CNNP may benefit from home-based self-treatments if they are educated by therapists on how to practice FR themselves.

Clinical Trial

Thai Clinical Trial Registry (TCTR20230221006) https://www.thaiclinicaltrials.org/.

目的探讨泡沫滚动（FR）对慢性非特异性颈痛（CNNP）患者临床参数的短期影响。方法58例CNNP患者随机分为FR组和瑞典按摩组，疗程2周。静息疼痛强度（RPI）、痛压阈值（PPT）、颈部残疾指数（NDI）、颈部活动度（NROM）和整体感知效应（GPE）分别在基线、第一次干预后、2周干预访视和1周随访时进行测量。结果FR组和SM组在RPI和患者满意度方面没有显著差异（P > 0.05），尽管两组随着时间的推移在这些结果上比基线有更大的改善（P < 0.01）。时间点和组间无显著交互作用，组间主要效果为PPT、NDI和NROM （P > 0.05）。然而，当两组数据合并时，从时间的显著主要影响判断，这些结果在随访期间较基线有显著改善（P < 0.05）。结论：两周的FR治疗减轻了年轻CNNP患者的静息颈部疼痛，改善了NROM和颈部残疾，并提高了患者对短期康复的满意度。因为FR和按摩一样有效，如果理疗师教CNNP患者如何自己练习FR，他们可能会从家庭自我治疗中受益。临床试验泰国临床试验注册（TCTR20230221006） https://www.thaiclinicaltrials.org/。

{"title":"Short-Term Therapeutic Benefits of Foam Rolling for Clinical Outcomes in Chronic Nonspecific Neck Pain Patients: A Randomized Single-blind Trial","authors":"Pattanasin Areeudomwong PhD, Thongchai Sirivilaisak BPT, Thuncharin Kunsuwannaroj BPT, Janisata Nisakorn BPT, Vitsarut Buttagat PhD","doi":"10.1016/j.jcm.2024.11.001","DOIUrl":"10.1016/j.jcm.2024.11.001","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to investigate the short-term effects of foam rolling (FR) on the clinical parameters of individuals with chronic nonspecific neck pain (CNNP).</div></div><div><h3>Methods</h3><div>Fifty-eight CNNP participants were randomly equally allocated into FR and Swedish massage (SM) groups for 2 weeks. Resting pain intensity (RPI), pain pressure threshold (PPT), neck disability index (NDI), neck range of motion (NROM), and global perceived effect (GPE) were measured at baseline, immediately after the first intervention session, at the 2-week intervention visit, and at the 1-week follow-up visit.</div></div><div><h3>Results</h3><div>There were no significant differences between the FR and SM groups in RPI and patient satisfaction (<em>P</em> > .05), although both groups showed greater improvement in these outcomes over time from baseline (<em>P</em> < .01). There were no significant interactions between time-points and groups, and the main effects of group for PPT, NDI, and NROM (<em>P</em> > .05). However, these outcomes improved significantly from baseline over the follow-up periods judging from the significant main effects of time when the data of both groups were pooled (<em>P</em> < .05).</div></div><div><h3>Conclusion</h3><div>Two weeks of FR treatment reduced resting neck pain, improved NROM and neck disability, and increased patient satisfaction with short-term recovery among young adults with CNNP. Because FR was as effective as massage, people with CNNP may benefit from home-based self-treatments if they are educated by therapists on how to practice FR themselves.</div></div><div><h3>Clinical Trial</h3><div>Thai Clinical Trial Registry (TCTR20230221006) <span><span>https://www.thaiclinicaltrials.org/</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 34-43"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694916","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}

引用次数: 0

Resolution of Resting Tremors and Cervical Radiculopathy Following Chiropractic Treatment In a 58-Year-Old Male: A Case Report With 2-Year Follow-Up 一名58岁男性捏脊治疗后静息性震颤和颈椎神经根病的消退：一个2年随访的病例报告

Journal of chiropractic medicine

Pub Date : 2025-01-01 DOI: 10.1016/j.jcm.2025.08.009

Alesha Elaine Fleming DC , Romeia Al-Hajeri BS , Kendyl Taylor BS , Thomas Young DC

Objective

The purpose of this case report is to describe chiropractic management of a patient with neck pain, cervical kyphosis, cervical radiculopathy, and resting tremors of the left arm.

Clinical Features

A 58-year-old White male presented with an insidious onset of severe neck pain and burning pain down the left arm with accompanying involuntary resting tremors of the left arm. The pain and tremors limited his ability to sit, walk, work, drive, sleep, and perform household chores, with driving and sleeping reportedly being the most substantial activities affected. Clinical testing revealed left cervical radiculopathy with severe myospasm in the scalene and levator scapulae muscles. Radiographs revealed reversed cervical curvature and degenerative spondylosis with neural foraminal encroachment at C4-C5, C5-C6, and C6-C7.

Intervention and Outcome

The patient was initially managed with soft tissue therapy to the upper trapezius and levator scapulae, and gentle manual cervical traction for 4 visits over the course of 1 week. This was followed by incorporation of cervical spinal manipulation using low force adjustments, manual cervical traction, and thoracic spinal manipulation using diversified technique 3 times a week for 3 additional weeks. After active treatment, a monthly maintenance plan was prescribed. At the start of treatment, the Numeric Pain Rating (NPR) was recorded at 8/10, and the Neck Disability Index (NDI) Score was 26%. At 1- and 2-year follow-ups, NPR was recorded as 0/10 and 0/10, respectively, and NDI Score was 4% and 0%, respectively.

Conclusion

Neck and arm pain and debilitating tremors resolved in a patient who received chiropractic care. These improvements were maintained 2 years after the start of treatment.

目的：本病例报告的目的是描述一个颈部疼痛，颈椎后凸，颈椎神经根病，左臂静息性震颤患者的整脊治疗。临床特征：一名58岁的白人男性，表现为严重的颈部疼痛和左臂灼痛，并伴有左臂不自主的静息性震颤。疼痛和震颤限制了他坐、走、工作、开车、睡觉和做家务的能力，据报道，开车和睡觉是受影响最大的活动。临床检查显示左颈神经根病伴严重的斜角肌和肩胛提肌肌痉挛。x线片显示颈椎曲度逆转和退行性颈椎病伴C4-C5、C5-C6和C6-C7神经孔侵犯。干预措施和结果：患者最初接受上斜方肌和肩胛提肌的软组织治疗，并在一周内进行4次轻柔的手动颈椎牵引。随后结合低力调节颈椎推拿、手动颈椎牵引和胸椎推拿，每周3次，持续3周。积极治疗后，每月进行一次保养计划。治疗开始时，记录数值疼痛评分（NPR）为8/10分，颈部残疾指数（NDI）评分为26%。随访1年和2年，NPR分别为0/10和0/10，NDI评分分别为4%和0%。结论接受捏脊治疗的患者颈部、手臂疼痛和衰弱性震颤得到缓解。这些改善在治疗开始2年后仍能保持。

{"title":"Resolution of Resting Tremors and Cervical Radiculopathy Following Chiropractic Treatment In a 58-Year-Old Male: A Case Report With 2-Year Follow-Up","authors":"Alesha Elaine Fleming DC , Romeia Al-Hajeri BS , Kendyl Taylor BS , Thomas Young DC","doi":"10.1016/j.jcm.2025.08.009","DOIUrl":"10.1016/j.jcm.2025.08.009","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case report is to describe chiropractic management of a patient with neck pain, cervical kyphosis, cervical radiculopathy, and resting tremors of the left arm.</div></div><div><h3>Clinical Features</h3><div>A 58-year-old White male presented with an insidious onset of severe neck pain and burning pain down the left arm with accompanying involuntary resting tremors of the left arm. The pain and tremors limited his ability to sit, walk, work, drive, sleep, and perform household chores, with driving and sleeping reportedly being the most substantial activities affected. Clinical testing revealed left cervical radiculopathy with severe myospasm in the scalene and levator scapulae muscles. Radiographs revealed reversed cervical curvature and degenerative spondylosis with neural foraminal encroachment at C4-C5, C5-C6, and C6-C7.</div></div><div><h3>Intervention and Outcome</h3><div>The patient was initially managed with soft tissue therapy to the upper trapezius and levator scapulae, and gentle manual cervical traction for 4 visits over the course of 1 week. This was followed by incorporation of cervical spinal manipulation using low force adjustments, manual cervical traction, and thoracic spinal manipulation using diversified technique 3 times a week for 3 additional weeks. After active treatment, a monthly maintenance plan was prescribed. At the start of treatment, the Numeric Pain Rating (NPR) was recorded at 8/10, and the Neck Disability Index (NDI) Score was 26%. At 1- and 2-year follow-ups, NPR was recorded as 0/10 and 0/10, respectively, and NDI Score was 4% and 0%, respectively.</div></div><div><h3>Conclusion</h3><div>Neck and arm pain and debilitating tremors resolved in a patient who received chiropractic care. These improvements were maintained 2 years after the start of treatment.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 391-401"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694825","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}

引用次数: 0

Chiropractic Palliative Care for a Veteran With Chronic Low Back Pain and Advancing Testicular Cancer: A Case Report 一名患有慢性腰痛和晚期睾丸癌的退伍军人的捏脊缓和治疗：一例报告

Journal of chiropractic medicine

Pub Date : 2025-01-01 DOI: 10.1016/j.jcm.2025.09.017

Christopher B. Roecker DC, MS , Samuel M. Schut DC , Zachary E. Scott DC

Objective

The purpose of this case report is to describe the management of chronic low back pain in a Veteran with advanced testicular cancer.

Clinical Features

A 34-year-old with testicular cancer, status post orchiectomy, was referred to the chiropractor for his chronic thoracolumbar pain at a VA medical center.

Intervention and Outcomes

Palliative treatment included lifestyle counseling, exercise, soft-tissue therapy, spinal mobilization, and low-force drop manipulation. A total of 13 visits occurred over 14 months. Pain intensity temporarily reduced from 5/10 to 3/10 for about 2 to 4 weeks following treatments. Despite persistent urging from multiple healthcare providers, the patient delayed follow-up on a concerning pelvic lesion. Metastatic spread to the lumbar spine was identified 14 months after his referral, and 5 months later he experienced a pathologic L3 vertebral fracture. Nine months after this fracture, widespread metastasis combined with a COVID-19 infection led to his death.

Conclusions

In this case, chiropractic care was provided as palliative care in the context of testicular cancer. His back pain temporarily improved after chiropractic treatment.

目的本病例报告的目的是描述慢性腰痛的管理与晚期睾丸癌退伍军人。临床特征：一名34岁的睾丸癌患者，睾丸切除术后，在VA医疗中心因慢性胸腰椎疼痛被转介给脊椎按摩师。干预和结果：姑息性治疗包括生活方式咨询、运动、软组织治疗、脊柱活动和低力降手法。在14个月内共进行了13次访问。治疗后约2 - 4周，疼痛强度从5/10暂时降至3/10。尽管从多个医疗保健提供者持续敦促，患者延迟随访有关盆腔病变。转诊14个月后发现转移扩散到腰椎，5个月后他经历了病理性L3椎体骨折。骨折九个月后，广泛的转移加上COVID-19感染导致了他的死亡。结论本病例中，捏脊治疗可作为睾丸癌患者的姑息治疗。他的背痛经过捏脊治疗后暂时好转了。

{"title":"Chiropractic Palliative Care for a Veteran With Chronic Low Back Pain and Advancing Testicular Cancer: A Case Report","authors":"Christopher B. Roecker DC, MS , Samuel M. Schut DC , Zachary E. Scott DC","doi":"10.1016/j.jcm.2025.09.017","DOIUrl":"10.1016/j.jcm.2025.09.017","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case report is to describe the management of chronic low back pain in a Veteran with advanced testicular cancer.</div></div><div><h3>Clinical Features</h3><div>A 34-year-old with testicular cancer, status post orchiectomy, was referred to the chiropractor for his chronic thoracolumbar pain at a VA medical center.</div></div><div><h3>Intervention and Outcomes</h3><div>Palliative treatment included lifestyle counseling, exercise, soft-tissue therapy, spinal mobilization, and low-force drop manipulation. A total of 13 visits occurred over 14 months. Pain intensity temporarily reduced from 5/10 to 3/10 for about 2 to 4 weeks following treatments. Despite persistent urging from multiple healthcare providers, the patient delayed follow-up on a concerning pelvic lesion. Metastatic spread to the lumbar spine was identified 14 months after his referral, and 5 months later he experienced a pathologic L3 vertebral fracture. Nine months after this fracture, widespread metastasis combined with a COVID-19 infection led to his death.</div></div><div><h3>Conclusions</h3><div>In this case, chiropractic care was provided as palliative care in the context of testicular cancer. His back pain temporarily improved after chiropractic treatment.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 443-451"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694841","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}

引用次数: 0

Iron Deficiency Anemia and Associated Factors During Pregnancy: A Longitudinal Study of Women Attending Antenatal Care Facility in Nigeria 怀孕期间缺铁性贫血及其相关因素：尼日利亚产前护理机构妇女的纵向研究

Journal of chiropractic medicine

Pub Date : 2025-01-01 DOI: 10.1016/j.jcm.2025.08.008

Muhammad Auwal Saliu MSc, Aliyu Salihu PhD, Sanusi Bello Mada PhD

Objective

The purpose of this study was to investigate iron deficiency anemia (IDA), its associated factors, and intake of iron/folate supplements among pregnant women in the antenatal care facility of Aminu Kano Teaching Hospital, Kano, Nigeria.

Methods

The study was longitudinally designed, and 112 pregnant women in the second trimester were recruited and followed up through the third trimester. Sociodemographic characteristics, medical/obstetrical history, consumption pattern, and iron indices were assessed using standard methods.

Results

This study showed that 58.0% of the pregnant women investigated have attained a tertiary level of education, and 50.0% were full-time housewives. Among the pregnant women, 56.4% were iron/folate supplement-compliant, and 83.0% and 67.8% were multigravida and multipara, respectively. The study reported that approximately 24.8% of the pregnant women consumed heme iron food sources at least 1 to 3 times daily, while approximately 64.8% did not have a daily intake of at least 1 nonheme iron–rich food source. Iron deficiency anemia prevalence in the second trimester was 10.7%, increasing to 16.5% in the third trimester (P < .05). Similarly, all-cause anemia increased from 37.5% to 65.9% and iron deficiency from 14.3% to 23.5% (P < .05 for both).

Conclusion

Progression from the second to third trimesters was associated with an increased risk of anemia, iron deficiency, and IDA among pregnant women. Pregnant women taking iron/folate supplements had higher iron indices than the noncompliant pregnant women. Consumption of iron-rich foods among pregnant women was low and had little effect on the iron indices estimated, while supplement intake and birth spacing had a significant negative association with anemia, iron deficiency, and IDA.

目的调查尼日利亚卡诺Aminu Kano教学医院产前保健机构孕妇缺铁性贫血（IDA）及其相关因素和铁/叶酸补充剂的摄入情况。方法采用纵向设计，招募妊娠中期孕妇112例，随访至妊娠晚期。使用标准方法评估社会人口特征、医疗/产科史、消费模式和铁指数。结果58.0%的受访孕妇文化程度达到大专以上，50.0%为全职家庭主妇。在孕妇中，铁/叶酸补充剂符合要求的占56.4%，多胎和多产妇分别占83.0%和67.8%。该研究报告称，约24.8%的孕妇每天至少摄入1至3次血红素铁食物来源，而约64.8%的孕妇每天不摄入至少1种非血红素铁食物来源。妊娠中期缺铁性贫血患病率为10.7%，妊娠晚期为16.5% （P < 0.05）。同样，全因贫血从37.5%增加到65.9%，缺铁从14.3%增加到23.5%（两者的P <； 0.05）。结论妊娠中期至晚期进展与孕妇贫血、缺铁和IDA风险增加相关。服用铁/叶酸补充剂的孕妇铁指数高于未服用叶酸补充剂的孕妇。孕妇对富含铁的食物的摄入量很低，对铁指数的影响很小，而补充剂的摄入量和生育间隔与贫血、缺铁和IDA有显著的负相关。

{"title":"Iron Deficiency Anemia and Associated Factors During Pregnancy: A Longitudinal Study of Women Attending Antenatal Care Facility in Nigeria","authors":"Muhammad Auwal Saliu MSc, Aliyu Salihu PhD, Sanusi Bello Mada PhD","doi":"10.1016/j.jcm.2025.08.008","DOIUrl":"10.1016/j.jcm.2025.08.008","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to investigate iron deficiency anemia (IDA), its associated factors, and intake of iron/folate supplements among pregnant women in the antenatal care facility of Aminu Kano Teaching Hospital, Kano, Nigeria.</div></div><div><h3>Methods</h3><div>The study was longitudinally designed, and 112 pregnant women in the second trimester were recruited and followed up through the third trimester. Sociodemographic characteristics, medical/obstetrical history, consumption pattern, and iron indices were assessed using standard methods.</div></div><div><h3>Results</h3><div>This study showed that 58.0% of the pregnant women investigated have attained a tertiary level of education, and 50.0% were full-time housewives. Among the pregnant women, 56.4% were iron/folate supplement-compliant, and 83.0% and 67.8% were multigravida and multipara, respectively. The study reported that approximately 24.8% of the pregnant women consumed heme iron food sources at least 1 to 3 times daily, while approximately 64.8% did not have a daily intake of at least 1 nonheme iron–rich food source. Iron deficiency anemia prevalence in the second trimester was 10.7%, increasing to 16.5% in the third trimester (<em>P</em> < .05). Similarly, all-cause anemia increased from 37.5% to 65.9% and iron deficiency from 14.3% to 23.5% (<em>P</em> < .05 for both).</div></div><div><h3>Conclusion</h3><div>Progression from the second to third trimesters was associated with an increased risk of anemia, iron deficiency, and IDA among pregnant women. Pregnant women taking iron/folate supplements had higher iron indices than the noncompliant pregnant women. Consumption of iron-rich foods among pregnant women was low and had little effect on the iron indices estimated, while supplement intake and birth spacing had a significant negative association with anemia, iron deficiency, and IDA.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 125-136"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694898","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}

引用次数: 0