Journal of chiropractic medicine最新文献

{"title":"Reporting and Methodological Quality of Systematic Reviews and Meta-Analyses Evaluating Effects of Extracorporeal Shock Wave Therapy on Tendinopathies: A Scoping Review","authors":"Saeed Shahabi PhD ,&nbsp;Kamran Bagheri Lankarani PhD ,&nbsp;Rozhin Ezati BS ,&nbsp;Shabnam ShahAli PhD","doi":"10.1016/j.jcm.2024.08.007","DOIUrl":"10.1016/j.jcm.2024.08.007","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to evaluate the methodological and reporting quality of the published systematic reviews with or without meta-analyses (SRs/MAs) that looked at the effects of extracorporeal shock wave therapy (ESWT) on tendinopathies and to summarize its effectiveness.</div></div><div><h3>Methods</h3><div>A search of PubMed, Scopus, PEDro, Web of Science, Cochrane, Embase, and REHABDATA was conducted. SRs/MAs that assessed the effectiveness of ESWT for treating tendinopathy were included. The methodological and reporting quality of the eligible SRs/MAs were assessed using AMSTAR-2 and the PRISMA checklist. In addition, the ROBIS tool was applied to evaluate the risk of bias (RoB).</div></div><div><h3>Results</h3><div>Eighteen SRs/MAs were included. The overall methodological quality was “critically low.” Furthermore, the reporting quality of the included reviews according to PRISMA criteria was not optimal. Based on the ROBIS, a total of 16.2% of the studies had a low RoB, 38.9% had an unclear RoB, and 44.4% of the studies were appraised as having a high RoB.</div></div><div><h3>Conclusion</h3><div>In this scoping review we found substantial limitations regarding the quality and RoB of SRs/MAs. Therefore, reviewers must consider the AMSTAR-2, PRISMA, and ROBIS tools to improve the quality of future studies.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 3","pages":"Pages 136-151"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721670","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":"Immediate Effects of Kinesio Tape and Instrument-Assisted Soft Tissue Mobilization on Pain and Proprioception in Chronic Neck Pain: A Randomized Controlled Trial","authors":"Bayram Sonmez Unuvar PhD, PT ,&nbsp;Hasan Gercek PT ,&nbsp;Ayca Aytar PhD, PT ,&nbsp;Aydan Aytar PhD, PT","doi":"10.1016/j.jcm.2024.08.006","DOIUrl":"10.1016/j.jcm.2024.08.006","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to compare the immediate effects of single-session Kinesio Tape (KT) and instrument-assisted soft tissue mobilization (IASTM) interventions on pain and proprioception in patients with chronic neck pain (CNP).</div></div><div><h3>Methods</h3><div>Forty patients with CNP aged 21 to 44 years were included in this study. The participants were divided into 2 groups as the IASTM and KT groups. The participants in the KT group took part in one session of KT application to the trapezius and sternocleidomastoid muscles, while those in the IASTM group took part in one session of IASTM application to the same muscles. The pain levels of the participants during activity were recorded using the Visual Analog Scale (VAS), and their cervical region proprioception levels were assessed using the Cervical Range of Motion device. Pain severity and proprioception were assessed before and after the interventions.</div></div><div><h3>Results</h3><div>No statistically significant difference was found between the pretreatment pain and proprioception values of the 2 groups (<em>P</em> &gt; .05). After the treatments, there was a significant improvement in proprioception in both groups (<em>P</em> ≤ .001). Similarly, there was a significant improvement in VAS values in both groups after the treatments (<em>P</em> ≤ .001). The VAS and proprioception values of the 2 groups were not significantly different in the post-treatment measurements (<em>P</em> &gt; .05).</div></div><div><h3>Conclusion</h3><div>It was concluded that the IASTM and KT interventions had an immediate effect on pain and proprioception in the participants who had CNP, while neither intervention was superior to the other.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 3","pages":"Pages 93-101"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Trunk Muscle Strength and Endurance: A Comparison of Women With and Without Chronic Ankle Instability","authors":"Hossam E. Fawaz PhD,&nbsp;Noha M. Youssef MSc,&nbsp;Ghada M. Elhafez PhD,&nbsp;Ahmed S. Yamany PhD,&nbsp;Azza M. Abdelmohsen PhD","doi":"10.1016/j.jcm.2024.09.001","DOIUrl":"10.1016/j.jcm.2024.09.001","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to compare the strength and endurance of the trunk muscles in women with chronic ankle instability (CAI) compared with those who do not have CAI.</div></div><div><h3>Methods</h3><div>Sixty-two women were assigned into 2 equal groups of 31; group A included women with CAI and group B included healthy women. Peak torques per body weight of the trunk extensors and flexors were measured using a Biodex System 3 Isokinetic Dynamometer. McGill core endurance tests (prone bridge, right side bridge, left side bridge, trunk flexion, and horizontal back extension) were administered to assess trunk muscle endurance. Statistical analysis using 1-way between-subjects multivariate analysis of variance was performed.</div></div><div><h3>Results</h3><div>No significant differences in peak torques per body weight strength ratios of trunk extensors and flexors between the 2 tested groups (<em>P</em> &gt; .05) were found. Similarly, no significant difference was found in the trunk muscle endurance between the 2 tested groups (<em>P</em> &gt; .05).</div></div><div><h3>Conclusion</h3><div>No statistically significant differences were observed in the strength and endurance of the trunk muscle between women with CAI and healthy women.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 3","pages":"Pages 71-82"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721138","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":"Fuzzy Logic Modelling of Risk Variables Influencing Musculoskeletal Disorders in Carpet Industry: A Cross-Sectional Study","authors":"Hannan Gada MS,&nbsp;Saad Parvez PhD,&nbsp;Babar Ahmad PhD","doi":"10.1016/j.jcm.2024.05.001","DOIUrl":"10.1016/j.jcm.2024.05.001","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to develop a fuzzy prediction model that could help in determining the musculoskeletal risk involved in the occupation of hand-made carpet weaving.</div></div><div><h3>Methods</h3><div>A questionnaire-based study involving 193 carpet weavers in Jammu and Kashmir was conducted. The questionnaire collected information on demographics, psychosocial factors, workplace fatigue, and musculoskeletal complaints. A rapid entire-body assessment technique was also used to assess the weaver's working posture for musculoskeletal risk. A fuzzy logic model was used to determines the degree to which a proposition is true or untrue rather of categorizing it as absolute truth (1) or untruth (0). This technique provides for a more subtle examination of accuracy, taking into account the variety of variables and levels that exist between standard binary classification.</div></div><div><h3>Results</h3><div>Work stress, socio-emotional factors, family-related responsibilities, lack of motivation, sleepiness, lack of energy, physical exertion, and discomfort were found to have a statistically significant relationship with musculoskeletal complaints. Between real and predicted musculoskeletal complaints, a correlation coefficient of 0.46 was calculated. Using the REBA for postural analysis, HSEJSQ for psychosocial job parameters, and SOFI for fatigue, significant predictors of musculoskeletal complaints were identified and analyzed using fuzzy logic. The fuzzy model's predictions showed a moderate correlation with actual musculoskeletal complaints measured by the Nordic questionnaire, underscoring the impact of psychosocial and physical factors on these complaints.</div></div><div><h3>Conclusion</h3><div>The current model had a moderate relationship with actual musculoskeletal complaints and can be used to assess the musculoskeletal risk associated with work in a timely manner.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 3","pages":"Pages 83-92"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721139","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":"Analgesic Self-medication Among Patients With Chronic Musculoskeletal Pain in a South African Chiropractic Teaching Clinic: A Cross-sectional Study","authors":"Donna Engelbrecht MHsc (Chiro) ,&nbsp;Yasmeen Thandar PhD (Pharm) ,&nbsp;Yomika Venketsamy MTech (Chiro)","doi":"10.1016/j.jcm.2024.02.002","DOIUrl":"10.1016/j.jcm.2024.02.002","url":null,"abstract":"<div><h3>Objectives</h3><div>The purpose of this study was to identify the prevalence of chronic musculoskeletal pain (CMSP) and analgesic self-medication. The knowledge and practices of those who self-medicate with analgesics and factors influencing this was also ascertained.</div></div><div><h3>Methods</h3><div>This study was a quantitative, descriptive cross-sectional study. A survey was conducted amongst 302 participants with musculoskeletal pain (MSP) attending a chiropractic clinic within a South African tertiary university from July to September 2022. The analysis of analgesic self-medication was limited to participants who reported having CMSP. Data were analyzed using appropriate statistical software and methods, utilizing Chi-square, and nonparametric tests.</div></div><div><h3>Results</h3><div>There was a high prevalence of analgesic self-medication with 80% of respondents reporting self-medicating with analgesics to manage their CMSP, and a point prevalence of 57%. More females (86%) than males (69%) self-medicated with analgesics. Participants between 35 and 44 years were statistically more likely to self-medicate with analgesics (<em>P</em> = .048). The majority (96%) sourced their analgesics from a pharmacy without a prescription. It was found that the most frequently used analgesics were nonsteroidal anti-inflammatory drugs (NSAIDS) (70%) followed by paracetamol (58%) and combination analgesics (54%). A significant number of participants (55%) utilizing public health care services used combination analgesics obtained without a prescription compared to 34% of analgesic users that utilized private health care (<em>P</em> &lt; .030).</div></div><div><h3>Conclusion</h3><div>This study showed a high prevalence of self-medication with analgesics, particularly NSAIDs and paracetamol, in participants with CMSP. These findings can guide chiropractors in patient education, reducing self-medication risks and complications.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 1","pages":"Pages 1-12"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140269408","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":"Development of a Headache Diary and Assessment of Tension-Type Headache Diagnostic Criteria and Oral Behaviors, Joint Range of Motion, and Tenderness to Palpation: An Observational Study","authors":"Ada M. González-González PhD,&nbsp;Azael J. Herrero PhD","doi":"10.1016/j.jcm.2024.02.003","DOIUrl":"10.1016/j.jcm.2024.02.003","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to design and use a headache diary in patients with frequent tension-type headaches (TTH). Another aim was to assess the relationship among oral behaviors, range of motion, and tenderness to palpation of the craniomandibular muscles.</div></div><div><h3>Methods</h3><div>Thirty-four patients participated in this prospective observational study for a 3-month period at the Adavall Clinic for Physiotherapy and Rehabilitation (Valladolid, Spain) in 2019. Oral behaviors were collected through the Oral Behavior Checklist in the Adavall-TTH diary. Range of motion was measured in the cervical region and in the temporomandibular joint. Tenderness to palpation was measured on 38 myofascial trigger points of the craniomandibular region.</div></div><div><h3>Results</h3><div>Oral behaviors were directly related to the pain intensity of TTH, the number of days, and the headache diagnostic criteria. Cervical range of motion was indirectly related to the intensity of TTH and the number of days of TTH (from <em>r</em> = −0.341 to <em>r</em> = −0.418, <em>P</em> &lt; .05). Tenderness to palpation was associated with intensity and different diagnostic criteria of TTH in different craniomandibular muscles (from <em>r</em> = 0.342 to <em>r</em> = 0.400, <em>P</em> &lt; .05).</div></div><div><h3>Conclusion</h3><div>We found associations between examination findings and TTH diagnostic criteria. The headache diary may be a useful tool in the diagnosis and management of TTH and for analyzing the relationship between oral activities and temporomandibular joint tenderness in TTH. Future research should test the validity and reliability of this diary.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 1","pages":"Pages 37-46"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140278599","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":"Diagnostic Imaging for a Pectoralis Major Muscle Tear in a 30-Year-Old Weightlifter: A Case Report","authors":"Jessica F. Billham DC, DACBR, RMSK ,&nbsp;Aaron Welk DC, DACBR ,&nbsp;Patricia Estrada DC ,&nbsp;Norman W. Kettner DC, DACBR, FICC","doi":"10.1016/j.jcm.2024.02.007","DOIUrl":"10.1016/j.jcm.2024.02.007","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this report is to describe the presentation of a patient with a pectoralis major tendon (PMJ) tear.</div></div><div><h3>Clinical Features</h3><div>A 30-year-old male weightlifter presented to a chiropractor with localized left arm pain that began while bench-pressing. Ecchymosis and swelling were present, but no contour abnormalities were seen. All active shoulder ranges of motion were painful with the exception of adduction, which was palliative but weak. A 4-week trial-of-care alleviated pain, but weakness persisted.</div></div><div><h3>Intervention and Outcome</h3><div>Diagnostic ultrasound (US) and magnetic resonance imaging (MRI) were ordered. Disruption and retraction of the PMJ were identified on US, and MRI confirmed a PMJ tear. The tear was surgically repaired, and the patient achieved optimal recovery.</div></div><div><h3>Conclusion</h3><div>This case report provides a clinical example that complete PMJ tears may be difficult to clinically differentiate from a partial tear and must be clarified with imaging.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 1","pages":"Pages 59-63"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142722392","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":"Trigger Point Dry Needling to Reduce Pain and Improve Function and Postural Control in People With Ankle Sprain: A Systematic Review and Meta-Analysis","authors":"Parsa Salemi ,&nbsp;Majid Hosseini PhD ,&nbsp;Aliyeh Daryabor PhD ,&nbsp;Sara Fereydounnia PhD ,&nbsp;Joseph H. Smith PhD","doi":"10.1016/j.jcm.2024.02.005","DOIUrl":"10.1016/j.jcm.2024.02.005","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this review was to evaluate the effectiveness of dry needling (DN) to improve function, proprioception, and balance and to reduce pain in individuals with chronic ankle instability (CAI).</div></div><div><h3>Methods</h3><div>We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for this review. We searched PubMed, ISI Web of Knowledge, Scopus, Science Direct, Google Scholar, and ProQuest databases from inception until July 2022 using the PICO (population, intervention, comparison, outcome) method. Inclusion criteria were as follows: studies that (1) investigated individuals with CAI; (2) used DN as a main intervention; (3) compared DN with exercise therapy, shockwave therapy, and placebo DN; and (4) compared the effect of DN in CAI cases with healthy individuals. The risk of bias assessment was examined through the Downs and Black checklist. Where possible, a meta-analysis was performed using standardized mean difference (SMD; Cohen's d) and 95% CIs. A narrative analysis was conducted where data pooling was not feasible.</div></div><div><h3>Results</h3><div>Seven studies consisting of 169 individuals with a history of CAI in chronic phase (more than 12 months after the initial injury) were selected for final evaluation. Using DN in fibularis longus may positively have immediate, short-term (1 week), and medium-term (1 month) effects on pain (SMD: −1.31, 95% CI: −3.21 to 0.59), function, proprioception, and static and dynamic postural control compared with before intervention (<em>P</em> &lt; .05). One study reported the superiority of DN over shockwave therapy to significantly improve range of motion of ankle (<em>P</em> &lt; .05) but not for pain. Additionally, the results of 1 study were in favor of the superiority of DN intervention compared with placebo DN with regard to postural control and pre-activation variables. Moreover, spinal plus peripheral DN was not preferable to peripheral DN for improving patients’ outcomes (<em>P</em> &gt; .05).</div></div><div><h3>Conclusion</h3><div>Although almost all of the reviewed articles showed some immediate, short-term, and medium-term benefits of DN for improving postural control, pain, and function for people with CAI, this review found that there was heterogeneity among included trials and many of them had a high risk of null findings due to insufficient power and inconsistent techniques, control groups, and outcome measures. Therefore, scientific evidence supporting the use of DN for ankle instability is premature, and the results of the current review should be interpreted with caution. This area may be worth exploring by conducting large-scale, placebo-controlled randomized trials.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 1","pages":"Pages 23-36"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721735","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":"Association of Pain-Related Anxiety and Abdominal Muscle Thickness during Standing Postural Tasks in Patients with Non-Specific Chronic Low Back Pain","authors":"Rozita Hedayati PhD, PT ,&nbsp;Rasool Bagheri PhD, PT ,&nbsp;Fatemeh Ehsani PhD, PT ,&nbsp;Mohammad Reza Pourahmadi PhD, PT ,&nbsp;Hamid Moghaddasi MSc, PT","doi":"10.1016/j.jcm.2024.02.001","DOIUrl":"10.1016/j.jcm.2024.02.001","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to evaluate the association of pain-related anxiety on abdominal muscles thickness during standing postural tasks among individuals with chronic low back pain (CLBP).</div></div><div><h3>Methods</h3><div>We obtained responses to a pain-related anxiety symptoms questionnaire from 50 participants with CLBP. We then separated participants into high (11 men, 14 women) and low pain-related anxiety (13 men, 12 women) groups and compared assessments of their lateral abdominal muscles thickness during standing tasks on a computerized balance assessment device, using one static level and 2 movable levels (levels 6 and 3 are represented easy and difficult tasks respectively).</div></div><div><h3>Results</h3><div>We found a significant interaction effect of standing difficulty (2 levels) and abdominal muscle thickness (transverse abdominis, oblique internal and oblique external muscles) (<em>p</em>&lt; .001, effect size= .7). The high pain-related anxiety group exhibited greater abdominal muscle thickness during standing postural tasks compared with the low pain-related anxiety group (<em>p</em>&lt; .05, mean difference= .04-.06) except for the internal oblique muscle during the difficult standing task (<em>p</em>=.2).</div></div><div><h3>Conclusion</h3><div>We suggest that, among individuals with CLBP, pain-related anxiety and psychological pain-related anxiety may be possibly associated with abdominal muscles thickness during dynamic standing.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 1","pages":"Pages 47-58"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140786689","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":"Effect of Pilates Intervention on the Physical Conditioning of a Ballet Dancer: A Single Case Study","authors":"Ana C. Panhan PhD ,&nbsp;Mauro Gonçalves PhD ,&nbsp;Adalgiso C. Cardozo PhD","doi":"10.1016/j.jcm.2024.02.004","DOIUrl":"10.1016/j.jcm.2024.02.004","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case study was to report the effect of an 8-week Pilates intervention on a ballet dancer's strength, balance, and endurance.</div></div><div><h3>Clinical Features</h3><div>A healthy 24-year-old ballet dancer (50 kg, 1.66 meters, 12 years of practice and who had no previous experience with Pilates) presented for care. She was evaluated before and after an 8-week Pilates exercise intervention.</div></div><div><h3>Intervention and Outcome</h3><div>The isokinetic trunk flexion and extension, electromyographic activation of multifidus and internal oblique muscles, neuromuscular efficiency, trunk muscle endurance, and body balance were evaluated. After 8 weeks, we observed increased torque levels, neuromuscular efficiency and time spent in endurance tests and improved body balance.</div></div><div><h3>Conclusion</h3><div>The ballet dancer in this study demonstrated increased strength, balance, and endurance after an 8-week Pilates intervention.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 1","pages":"Pages 64-69"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721732","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}