Pub Date : 2023-09-01DOI: 10.1016/j.jcm.2023.03.008
David E. Hopper DC , Gregory Cramer DC, PhD
Objective
The purpose of this case study was to describe the use of chiropractic care in the treatment of obstructive sleep apnea (OSA).
Clinical Features
A 42-year-old man with obesity presented for chiropractic care. He had OSA and was seeking a way to reduce snoring. The patient had a previous diagnosis of OSA and had been using a continuous positive airway pressure machine for over 5 years. The patient was a mouth breather, exhibiting poor oral and spinal posture.
Intervention and Outcome
The patient was treated for 90 days, which included chiropractic manipulation, orofacial myofunctional therapy exercises, nutritional modification, postural/ergonomic correction, and regular exercise. After a course of care, there was a drop in his apnea-hypopnea index from 55.4 events per hour to 3.4 events per hour. The patient lost 40 pounds, with an 8% reduction in body fat and an 8-point drop in his body mass index.
Conclusion
This patient's sleep apnea and other health outcomes improved under a course of a combination of chiropractic adjustments, orofacial myofunctional therapy, nutritional modification, postural/ergonomic correction, and exercise.
{"title":"Conservative Treatment Using Chiropractic Care and Orofacial Myofunctional Therapy for Obstructive Sleep Apnea: A Case Report","authors":"David E. Hopper DC , Gregory Cramer DC, PhD","doi":"10.1016/j.jcm.2023.03.008","DOIUrl":"10.1016/j.jcm.2023.03.008","url":null,"abstract":"<div><h3>Objective</h3><p><span><span>The purpose of this case study was to describe the use of chiropractic care in the </span>treatment of </span>obstructive sleep apnea (OSA).</p></div><div><h3>Clinical Features</h3><p>A 42-year-old man with obesity presented for chiropractic care. He had OSA and was seeking a way to reduce snoring. The patient had a previous diagnosis of OSA and had been using a continuous positive airway pressure machine for over 5 years. The patient was a mouth breather, exhibiting poor oral and spinal posture.</p></div><div><h3>Intervention and Outcome</h3><p><span>The patient was treated for 90 days, which included chiropractic manipulation, orofacial myofunctional therapy exercises, nutritional modification, postural/ergonomic correction, and regular exercise. After a course of care, there was a drop in his apnea-hypopnea index from 55.4 events per hour to 3.4 events per hour. The patient lost 40 pounds, with an 8% reduction in body fat and an 8-point drop in his </span>body mass index.</p></div><div><h3>Conclusion</h3><p>This patient's sleep apnea and other health outcomes improved under a course of a combination of chiropractic adjustments, orofacial myofunctional therapy, nutritional modification, postural/ergonomic correction, and exercise.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":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/PMC10461150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10175900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-14DOI: 10.1016/j.jcm.2023.04.006
Nuaima Tariq MPT, Zainy Khan MPT, Zubia Veqar PhD
Objective
This systematic review aimed to investigate the effect of whole-body vibration (WBV) on balance or proprioception for patients with nonspecific chronic low back pain (NSCLBP).
Methods
A comprehensive search was conducted using 5 databases—PubMed, Web of Science, Cochrane Library, Science Direct, and Physiotherapy Evidence Database—from inception to January 2022. Randomized clinical trials that examined the efficacy of WBV on balance or proprioception in patients with NSCLBP were incorporated. The methodological quality of each included study was assessed using the Physiotherapy Evidence Database scale.
Results
Our search strategy yielded 5309 articles, of which 7 published randomized clinical trials (313 patients) met the inclusion criteria. Three of the 4 included studies that investigated balance reported significant improvements after WBV, of which 2 were of high methodological quality. The remaining 3 studies investigating proprioception also showed significant improvements after WBV intervention.
Conclusion
Although some studies seem to provide promising results regarding the efficacy of WBV or WBV combined with exercise in improving balance and proprioception in patients with NSCLBP, at present, no definite conclusions can be drawn due to article heterogeneity and lack of clinical trials.
目的探讨全身振动(WBV)对非特异性慢性腰痛(NSCLBP)患者平衡或本体感觉的影响。方法综合检索pubmed、Web of Science、Cochrane Library、Science Direct、Physiotherapy Evidence database 5个数据库，检索时间自成立至2022年1月。纳入随机临床试验，检查WBV对NSCLBP患者平衡或本体感觉的疗效。每个纳入研究的方法学质量使用物理治疗证据数据库量表进行评估。结果共纳入5309篇文献，其中7篇已发表的随机临床试验(313例)符合纳入标准。纳入的4项研究中，有3项研究报告了WBV后平衡性的显著改善，其中2项研究的方法学质量很高。其余3项关于本体感觉的研究也显示了WBV干预后本体感觉的显著改善。结论虽然一些研究似乎提供了令人鼓舞的结果，关于WBV或WBV联合运动改善NSCLBP患者平衡和本体感觉的效果，但目前由于文章异质性和缺乏临床试验，无法得出明确的结论。
{"title":"Effect of Whole-Body Vibration on Balance or Proprioception in Nonspecific Chronic Low Back Pain: A Systematic Review","authors":"Nuaima Tariq MPT, Zainy Khan MPT, Zubia Veqar PhD","doi":"10.1016/j.jcm.2023.04.006","DOIUrl":"10.1016/j.jcm.2023.04.006","url":null,"abstract":"<div><h3>Objective</h3><p>This systematic review<span> aimed to investigate the effect of whole-body vibration (WBV) on balance or proprioception for patients with nonspecific chronic low back pain (NSCLBP).</span></p></div><div><h3>Methods</h3><p><span>A comprehensive search was conducted using 5 databases—PubMed, Web of Science, Cochrane Library, Science Direct, and Physiotherapy Evidence Database—from inception to January 2022. Randomized </span>clinical trials<span><span> that examined the efficacy of WBV on balance or proprioception in patients with NSCLBP were incorporated. The methodological quality of each included study was assessed using the </span>Physiotherapy Evidence Database scale.</span></p></div><div><h3>Results</h3><p>Our search strategy yielded 5309 articles, of which 7 published randomized clinical trials (313 patients) met the inclusion criteria. Three of the 4 included studies that investigated balance reported significant improvements after WBV, of which 2 were of high methodological quality. The remaining 3 studies investigating proprioception also showed significant improvements after WBV intervention.</p></div><div><h3>Conclusion</h3><p>Although some studies seem to provide promising results regarding the efficacy of WBV or WBV combined with exercise in improving balance and proprioception in patients with NSCLBP, at present, no definite conclusions can be drawn due to article heterogeneity and lack of clinical trials.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76712353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The aim of this systematic review and meta-analysis was to determine the therapeutic efficacy of extracorporeal shock wave therapy (ESWT) for Achilles tendinopathy.
Methods
We searched PubMed, EBSCOHost, Ovid, and Embase for randomized controlled trials. Databases were searched from their inception until the last entry (July 16, 2022). The methodological quality of the randomized controlled trials was rated with the Physiotherapy Evidence Database scale. For continuous data, we presented the mean difference (D) and 95% confidence interval (CI). Heterogeneity was assessed with I2 statistics. The random effects model was applied for the pooled effect estimates. The quality of evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation tool.
Results
The very-low-quality evidence suggested that ESWT was no more effective in decreasing pain than any other conservative treatment (D: –0.8; 95% CI: –3.15, 1.56; P > .5; I² = 85.62%). No significant differences were found between the ESWT and control groups on the pooled Victorian Institute of Sport Assessment-Achilles scores (D: 5.74; 95% CI: –15.02, 26.51; P = .58; I2 = 92.28%), but the quality of evidence was very low.
Conclusion
At present, the quality of the evidence is low; thus, the therapeutic efficacy of ESWT for Achilles tendinopathy is inconclusive.
目的本系统综述和荟萃分析的目的是确定体外冲击波疗法(ESWT)治疗跟腱病的疗效。方法检索PubMed、EBSCOHost、Ovid和Embase进行随机对照试验。数据库从创建到最后一个条目(2022年7月16日)进行搜索。随机对照试验的方法学质量用物理治疗证据数据库量表评定。对于连续数据，我们给出了均值差(D)和95%置信区间(CI)。采用I2统计量评估异质性。采用随机效应模型对合并效应进行估计。使用推荐分级、评估、发展和评价工具评估证据的质量。结果极低质量的证据表明，ESWT在减轻疼痛方面并不比任何其他保守治疗更有效(D: -0.8;95% ci: -3.15, 1.56;P比;5;i²= 85.62%)。ESWT组与对照组在victoria Institute of Sport Assessment-Achilles总分上无显著差异(D: 5.74;95% ci: -15.02, 26.51;p = .58;I2 = 92.28%)，但证据质量很低。结论目前证据质量较低;因此，ESWT对跟腱病的治疗效果尚无定论。
{"title":"The Efficacy of Extracorporeal Shock Wave Therapy as a Monotherapy for Achilles Tendinopathy: A Systematic Review and Meta-Analysis","authors":"Magdalena Stania PhD , Jitka Malá PhD , Daria Chmielewska PhD","doi":"10.1016/j.jcm.2023.04.003","DOIUrl":"10.1016/j.jcm.2023.04.003","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this systematic review<span><span> and meta-analysis was to determine the therapeutic efficacy of extracorporeal shock wave therapy (ESWT) for </span>Achilles tendinopathy.</span></p></div><div><h3>Methods</h3><p><span><span>We searched PubMed, EBSCOHost, Ovid, and Embase<span> for randomized controlled trials. Databases were searched from their inception until the last entry (July 16, 2022). The methodological quality of the randomized controlled trials was rated with the </span></span>Physiotherapy Evidence Database scale. For continuous data, we presented the mean difference (D) and 95% confidence interval (CI). Heterogeneity was assessed with </span><em>I<sup>2</sup></em> statistics. The random effects model was applied for the pooled effect estimates. The quality of evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation tool.</p></div><div><h3>Results</h3><p>The very-low-quality evidence suggested that ESWT was no more effective in decreasing pain than any other conservative treatment (D: –0.8; 95% CI: –3.15, 1.56; <em>P</em> > .5; <em>I²</em> = 85.62%). No significant differences were found between the ESWT and control groups on the pooled Victorian Institute of Sport Assessment-Achilles scores (D: 5.74; 95% CI: –15.02, 26.51; <em>P</em> = .58; I<sup>2</sup> = 92.28%), but the quality of evidence was very low.</p></div><div><h3>Conclusion</h3><p>At present, the quality of the evidence is low; thus, the therapeutic efficacy of ESWT for Achilles tendinopathy is inconclusive.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73653722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1016/j.jcm.2023.03.003
Rikiya Shirato OT, PhD , Ren Shimanuki OT , Towa Shoji OT , Masaki Mugikura OT
Objective
The objective of this study was to identify effective stimulus time by quantifying the inhibitory effects of focal muscle vibration (FMV) on maximal grip strength and muscle activities of the wrist and extrinsic finger flexors.
Methods
A randomized repeated-measures design was used in this study. A total of 22 healthy volunteers (mean age, 20.9 years) participated. An FMV of 86 Hz was applied to the anterior surface of the distal forearm under the following 3 conditions: no FMV (control), 5-minute FMV, and 10-minute FMV. Maximal grip strength was measured before and after FMV. The muscle activities of the flexor digitorum superficialis, flexor digitorum profundus (FDP), and flexor carpi ulnaris were simultaneously recorded using surface electromyography. Discomfort and complications following FMV were also assessed.
Results
Compared with the control group, a significant decrease in muscle activity was observed in both the flexor digitorum superficialis and flexor carpi ulnaris after 5 and 10 minutes of FMV. In contrast, there was no significant decrease in the maximal grip strength or FDP muscle activity after either FMV condition. The discomfort was significantly higher immediately after both FMV conditions than in the control group, but it decreased 15 minutes after FMV, indicating no significant difference among the 3 conditions. Redness and/or swelling were observed in 13.6% and 36.3% of the participants after 5 and 10 minutes of FMV, respectively.
Conclusion
Five-minute FMV to the distal forearm could be a useful therapeutic method with few complications. However, the FMV in this area alone was not sufficient to suppress the muscle activity of the FDP located in the deep layer.
{"title":"Inhibitory Effects of Prolonged Focal Muscle Vibration on Maximal Grip Strength and Muscle Activity of Wrist and Extrinsic Finger Flexor Muscles","authors":"Rikiya Shirato OT, PhD , Ren Shimanuki OT , Towa Shoji OT , Masaki Mugikura OT","doi":"10.1016/j.jcm.2023.03.003","DOIUrl":"10.1016/j.jcm.2023.03.003","url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this study was to identify effective stimulus time by quantifying the inhibitory effects of focal muscle vibration (FMV) on maximal grip strength and muscle activities of the wrist and extrinsic finger flexors.</p></div><div><h3>Methods</h3><p>A randomized repeated-measures design was used in this study. A total of 22 healthy volunteers (mean age, 20.9 years) participated. An FMV of 86 Hz was applied to the anterior surface of the distal forearm under the following 3 conditions: no FMV (control), 5-minute FMV, and 10-minute FMV. Maximal grip strength was measured before and after FMV. The muscle activities of the flexor digitorum<span><span> superficialis, flexor digitorum profundus (FDP), and flexor carpi ulnaris were simultaneously recorded using </span>surface electromyography. Discomfort and complications following FMV were also assessed.</span></p></div><div><h3>Results</h3><p>Compared with the control group, a significant decrease in muscle activity was observed in both the flexor digitorum superficialis and flexor carpi ulnaris after 5 and 10 minutes of FMV. In contrast, there was no significant decrease in the maximal grip strength or FDP muscle activity after either FMV condition. The discomfort was significantly higher immediately after both FMV conditions than in the control group, but it decreased 15 minutes after FMV, indicating no significant difference among the 3 conditions. Redness and/or swelling were observed in 13.6% and 36.3% of the participants after 5 and 10 minutes of FMV, respectively.</p></div><div><h3>Conclusion</h3><p>Five-minute FMV to the distal forearm could be a useful therapeutic method with few complications. However, the FMV in this area alone was not sufficient to suppress the muscle activity of the FDP located in the deep layer.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10280089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9702574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We describe a protocol to evaluate the effectiveness of transfer energy capacitive and resistive (TECAR) therapy on shoulder passive range of motion, shoulder pain, and disability index in patients with adhesive capsulitis.
Methods
This study will be a double-blinded randomized clinical trial with a 1-month follow-up. For the purpose of this research, 30 patients with a 3-month history of shoulder pain and disability diagnosed as adhesive capsulitis will be selected and then randomized into 2 groups, including conventional physiotherapy consisting of electrophysical modalities and therapeutic exercises, which will be given to the control group. In the intervention group, after conventional physiotherapy, 10 minutes of TECAR therapy in resistive mode will be applied on both the anterior and inferior aspects of the shoulder joint. Outcome measures will be related to shoulder passive range of abduction, flexion, and external rotation that will be measured using a digital inclinometer, as well as shoulder pain and disability index that will be assessed by the validated questionnaire. Assessment will be done at baseline, 1 day after the intervention, and by passing 1 month.
Results
The statistical analysis will describe within-group and between-group comparisons; the findings will be illustrated in tables and charts.
Conclusion
Given the reason that the effectiveness of TECAR therapy has not been widely evaluated in adhesive capsulitis, the findings of this pilot study would provide baseline information on the effectiveness and complications of this treatment method and possibly propose a more appropriate protocol for patients with adhesive capsulitis.
{"title":"Effect of Transfer Energy Capacitive and Resistive Therapy on Shoulder Pain, Disability, and Range of Motion in Patients With Adhesive Capsulitis: A Study Protocol for a Randomized Controlled Trial","authors":"Maryam Raeisi MSc , Hosein Kouhzad Mohammadi PhD , Mojtaba Heshmatipour MSc , Mohammad Javad Tarrahi PhD , Navid Taheri PhD","doi":"10.1016/j.jcm.2022.04.006","DOIUrl":"10.1016/j.jcm.2022.04.006","url":null,"abstract":"<div><h3>Objective</h3><p>We describe a protocol to evaluate the effectiveness of transfer energy capacitive and resistive (TECAR) therapy on shoulder passive range of motion, shoulder pain, and disability index in patients<span> with adhesive capsulitis.</span></p></div><div><h3>Methods</h3><p><span>This study will be a double-blinded randomized clinical trial<span> with a 1-month follow-up. For the purpose of this research, 30 patients with a 3-month history of shoulder pain and disability diagnosed as adhesive capsulitis will be selected and then randomized into 2 groups, including conventional physiotherapy consisting of electrophysical modalities and therapeutic exercises<span>, which will be given to the control group. In the intervention group, after conventional physiotherapy, 10 minutes of TECAR therapy in resistive mode will be applied on both the anterior and inferior aspects of the shoulder joint. Outcome measures will be related to shoulder passive range of abduction, flexion, and external rotation that will be measured using a digital inclinometer, as well as </span></span></span>shoulder pain and disability index that will be assessed by the validated questionnaire. Assessment will be done at baseline, 1 day after the intervention, and by passing 1 month.</p></div><div><h3>Results</h3><p>The statistical analysis will describe within-group and between-group comparisons; the findings will be illustrated in tables and charts.</p></div><div><h3>Conclusion</h3><p>Given the reason that the effectiveness of TECAR therapy has not been widely evaluated in adhesive capsulitis, the findings of this pilot study would provide baseline information on the effectiveness and complications of this treatment method and possibly propose a more appropriate protocol for patients with adhesive capsulitis.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10280083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9710263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1016/j.jcm.2022.09.002
David N. Taylor DC
Objective
The purpose of this study was to examine the extent of the literature on the neurophysiological lesion as referenced in functional neurology.
Methods
A literature search was performed within the period from 2010 to March 2021. Search terms included central sensitization, central sensitivity syndrome, nociplastic pain, cold hyperalgesia, heat hyperalgesia, mechanical hyperalgesia, dynamic mechanical allodynia, temporal summation, spatial summation, and descending inhibition. A qualitative synthesis summarized the research findings, including clinical conditions and effect of spinal manipulation.
Results
There were 30 studies, which included 7 high-level studies (meta-analysis or systematic reviews), 22 randomized controlled studies, and 1 scoping review. The findings suggest the existence of the changes in the central integrated state of a population of neurons with various disorders, experimentally induced stimulation, and treatment. The current literature suggests plasticity of the central integrative state (CIS) with the onset of pathologies and the changes in the CIS with different conservative nonpharmacologic treatments.
Conclusions
This review suggests changes in the resting state of the CIS of a population of neurons that exist in the physiologic lesion may change in response to various therapies, including manipulative therapy. The findings from this review provide support of the hypothesis that nonpharmacologic conservative care may affect the neurophysiological lesion. However, studies were heterogeneous and evidence was lacking in the translation of targeting the therapies to distinct neuronal areas for clinical outcomes to treat specific disease states.
{"title":"The Neurophysiological Lesion: A Scoping Review","authors":"David N. Taylor DC","doi":"10.1016/j.jcm.2022.09.002","DOIUrl":"10.1016/j.jcm.2022.09.002","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to examine the extent of the literature on the neurophysiological lesion as referenced in functional neurology.</p></div><div><h3>Methods</h3><p><span><span>A literature search was performed within the period from 2010 to March 2021. Search terms included central sensitization, central sensitivity syndrome, nociplastic pain, cold hyperalgesia, </span>heat hyperalgesia<span>, mechanical hyperalgesia, dynamic </span></span>mechanical allodynia<span><span>, temporal summation, spatial summation, and descending inhibition. A qualitative synthesis summarized the research findings, including clinical conditions and effect of </span>spinal manipulation.</span></p></div><div><h3>Results</h3><p>There were 30 studies, which included 7 high-level studies (meta-analysis or systematic reviews), 22 randomized controlled studies, and 1 scoping review. The findings suggest the existence of the changes in the central integrated state of a population of neurons with various disorders, experimentally induced stimulation, and treatment. The current literature suggests plasticity of the central integrative state (CIS) with the onset of pathologies and the changes in the CIS with different conservative nonpharmacologic treatments.</p></div><div><h3>Conclusions</h3><p>This review suggests changes in the resting state of the CIS of a population of neurons that exist in the physiologic lesion may change in response to various therapies, including manipulative therapy. The findings from this review provide support of the hypothesis that nonpharmacologic conservative care may affect the neurophysiological lesion. However, studies were heterogeneous and evidence was lacking in the translation of targeting the therapies to distinct neuronal areas for clinical outcomes to treat specific disease states.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10280090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10087902","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}
The purpose of this study was to verify the reliability and validity of trunk forward tilt angle measurement during gait using the 2-dimensional motion analysis, open-source software Kinovea.
Methods
The participants were 48 healthy people (23.3 ± 3.7 years of age), and the measurement task was normal gait. Two-dimensional motion analysis using Kinovea and measurement using a 3-dimensional motion analyzer were performed synchronously to calculate the forward tilt angle of the trunk during gait. The maximum and minimum values of the trunk forward tilt angle in 1 gait cycle were used as representative values. The intraclass correlation coefficient and the minimum detectable change amount in Kinovea were calculated. We also verified the correlation with the measured values using the 3-dimensional motion analyzer and the error by Bland-Altman analysis.
Results
The intraclass correlation coefficient for Kinovea was 0.925 (95% confidence interval, 0.866-0.958) at the maximum and 0.918 (95% confidence interval, 0.854-0.954) at the minimum. The maximum value of the minimum detectable change amount was 2.7°, and the minimum value was 2.9°. The correlation coefficient between the methods was the maximum value r = 0.964 (R² = 0.929) and the minimum value r = 0.970 (R² = 0.941). The average difference between the methods (d) was –0.55 to –0.51° and the standard deviation of the difference between the measured values was 0.66 to 0.84°, and the minimum value was d = –0.59 to –0.54° and SDd = 0.63 to 0.91°.
Conclusion
The reliability and validity of the measurement by 2-dimensional motion analysis of the trunk forward tilt angle in young adults were confirmed.
{"title":"Verification of Reliability and Validity of Trunk Forward Tilt Angle Measurement During Gait Using 2-Dimensional Motion Analysis","authors":"Shinno Iijima PhD, RPT , Makoto Shiomi MS, RPT , Tsuyoshi Hara PhD, RPT","doi":"10.1016/j.jcm.2022.04.008","DOIUrl":"10.1016/j.jcm.2022.04.008","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to verify the reliability and validity of trunk forward tilt angle measurement during gait using the 2-dimensional motion analysis, open-source software Kinovea.</p></div><div><h3>Methods</h3><p>The participants were 48 healthy people (23.3 ± 3.7 years of age), and the measurement task was normal gait. Two-dimensional motion analysis using Kinovea and measurement using a 3-dimensional motion analyzer were performed synchronously to calculate the forward tilt angle of the trunk during gait. The maximum and minimum values of the trunk forward tilt angle in 1 gait cycle were used as representative values. The intraclass correlation coefficient and the minimum detectable change amount in Kinovea were calculated. We also verified the correlation with the measured values using the 3-dimensional motion analyzer and the error by Bland-Altman analysis.</p></div><div><h3>Results</h3><p>The intraclass correlation coefficient for Kinovea was 0.925 (95% confidence interval, 0.866-0.958) at the maximum and 0.918 (95% confidence interval, 0.854-0.954) at the minimum. The maximum value of the minimum detectable change amount was 2.7°, and the minimum value was 2.9°. The correlation coefficient between the methods was the maximum value <em>r</em> = 0.964 (<em>R</em>² = 0.929) and the minimum value <em>r</em> = 0.970 (<em>R</em>² = 0.941). The average difference between the methods (d) was –0.55 to –0.51° and the standard deviation of the difference between the measured values was 0.66 to 0.84°, and the minimum value was d = –0.59 to –0.54° and SDd = 0.63 to 0.91°.</p></div><div><h3>Conclusion</h3><p>The reliability and validity of the measurement by 2-dimensional motion analysis of the trunk forward tilt angle in young adults were confirmed.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10280343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9702576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1016/j.jcm.2022.08.002
Brett R. Martin DC, MSAc, MPH, Rachel Wroblewski DC
Objective
The purpose of this case report is to describe the inclusion of acupuncture in the management of a patient with schizophrenia and dissociative identity disorder (DID).
Clinical Features
A 68-year-old man presented with schizophrenia and DID, which had been diagnosed at age 25. The patient was currently under psychiatric care and prescribed antipsychotic medications and psychiatric counseling. His predominant symptoms were anxiety, paranoia, and irritability. In addition, 2 to 5 personas manifested over the years that he referred to as the “Others.” A Brief Psychiatric Rating Scale was 81 out of 126 on his first visit.
Intervention and Outcome
Traditional Chinese medicine–style acupuncture was administered. Over the year, the severity of the patient's symptoms was reduced according to the Brief Psychiatric Rating Scale to 56 and was maintained between 55 and 61 for 6 months.
Conclusion
Acupuncture included as an adjunct therapy to antipsychotic medication and psychiatric counseling may have reduced the severity of symptoms associated with schizophrenia and DID for this patient.
{"title":"Inclusion of Acupuncture as an Adjunct Therapy in the Management of a Patient With Schizophrenia and Dissociative Identity Disorder: A Case Report","authors":"Brett R. Martin DC, MSAc, MPH, Rachel Wroblewski DC","doi":"10.1016/j.jcm.2022.08.002","DOIUrl":"10.1016/j.jcm.2022.08.002","url":null,"abstract":"<div><h3>Objective</h3><p><span>The purpose of this case report is to describe the inclusion of acupuncture in the management of a patient with schizophrenia and </span>dissociative identity disorder (DID).</p></div><div><h3>Clinical Features</h3><p>A 68-year-old man presented with schizophrenia and DID, which had been diagnosed at age 25. The patient was currently under psychiatric care and prescribed antipsychotic<span> medications and psychiatric counseling. His predominant symptoms were anxiety, paranoia, and irritability. In addition, 2 to 5 personas manifested over the years that he referred to as the “Others.” A Brief Psychiatric Rating Scale was 81 out of 126 on his first visit.</span></p></div><div><h3>Intervention and Outcome</h3><p>Traditional Chinese medicine–style acupuncture was administered. Over the year, the severity of the patient's symptoms was reduced according to the Brief Psychiatric Rating Scale to 56 and was maintained between 55 and 61 for 6 months.</p></div><div><h3>Conclusion</h3><p>Acupuncture included as an adjunct therapy to antipsychotic medication and psychiatric counseling may have reduced the severity of symptoms associated with schizophrenia and DID for this patient.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10280087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9702575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1016/j.jcm.2023.03.002
Casey J. Rogers DC, MPH , Charles R. Elchert DC , Madeleine E. Hackney PhD
Objective
The purpose of this case report was to describe the treatment of an older veteran with chronic low back pain, utilizing flexion-distraction as a primary intervention for management.
Clinical Features
A 67-year-old man with chronic low back pain for several decades presented to the chiropractic clinic for evaluation. He reported low back pain that extended into the right lower extremity intermittently. The patient's imaging demonstrated significant degenerative changes in the lumber spinal anatomy. He had never experienced chiropractic interventions or management for his condition.
Intervention and Outcome
A trial of conservative care with flexion-distraction was applied as a primary intervention for the management of chronic low back pain. Instrument-assisted soft-tissue mobilization and moist heat were also applied for interventions. Despite having no changes in outcome assessments, the patient reported an improvement in his condition, reduced use of pain medication, and increased mobility after 4 sessions over a 4-week period.
Conclusion
Flexion-distraction was a beneficial chiropractic approach to the management of an older veteran with chronic low back pain and intermittent lower extremity pain for several decades.
{"title":"Chiropractic Management of a 67-Year-Old Veteran With Chronic Low Back Pain Utilizing Low-Velocity Flexion-Distraction: A Case Report","authors":"Casey J. Rogers DC, MPH , Charles R. Elchert DC , Madeleine E. Hackney PhD","doi":"10.1016/j.jcm.2023.03.002","DOIUrl":"10.1016/j.jcm.2023.03.002","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this case report was to describe the treatment of an older veteran with chronic low back pain, utilizing flexion-distraction as a primary intervention for management.</p></div><div><h3>Clinical Features</h3><p><span>A 67-year-old man with chronic low back pain for several decades presented to the chiropractic clinic for evaluation. He reported low back pain that extended into the right lower extremity intermittently. The patient's imaging demonstrated significant degenerative changes in the lumber spinal </span>anatomy. He had never experienced chiropractic interventions or management for his condition.</p></div><div><h3>Intervention and Outcome</h3><p>A trial of conservative care with flexion-distraction was applied as a primary intervention for the management of chronic low back pain. Instrument-assisted soft-tissue mobilization and moist heat were also applied for interventions. Despite having no changes in outcome assessments, the patient reported an improvement in his condition, reduced use of pain medication, and increased mobility after 4 sessions over a 4-week period.</p></div><div><h3>Conclusion</h3><p>Flexion-distraction was a beneficial chiropractic approach to the management of an older veteran with chronic low back pain and intermittent lower extremity pain for several decades.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10280086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9702570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1016/j.jcm.2022.07.004
Tina J. Wang MD , Toni Ward DC , Hang T. Nguyen DC , Eric L. Hurwitz DC, PhD
Objective
The purpose of this study was to describe the types of equestrian-related musculoskeletal injuries and their management.
Methods
We retrospectively reviewed the charts of 19 patients who presented with injuries from equestrian activities at a chiropractic practice from December 2000 to December 2020. Deidentified data were extracted from the charts and summarized.
Results
Of the 19 patients, 42.3% presented with acute trauma, 38.5% had overuse injuries, and 19.2% had chronic injuries as a result of previous trauma. We found that 90% of overuse injuries and 18.2% of acute injuries led to chronic conditions that needed ongoing management.
Conclusion
From this sample of patients, there was a high percentage of overuse and chronic injuries for patients who participated in equestrian activities.
{"title":"Equestrian-Related Musculoskeletal Injuries Presenting to a Chiropractic Practice: A Retrospective Chart Review of 19 Patients","authors":"Tina J. Wang MD , Toni Ward DC , Hang T. Nguyen DC , Eric L. Hurwitz DC, PhD","doi":"10.1016/j.jcm.2022.07.004","DOIUrl":"10.1016/j.jcm.2022.07.004","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to describe the types of equestrian-related musculoskeletal injuries and their management.</p></div><div><h3>Methods</h3><p>We retrospectively reviewed the charts of 19 patients who presented with injuries from equestrian activities at a chiropractic practice from December 2000 to December 2020. Deidentified data were extracted from the charts and summarized.</p></div><div><h3>Results</h3><p>Of the 19 patients, 42.3% presented with acute trauma, 38.5% had overuse injuries, and 19.2% had chronic injuries as a result of previous trauma. We found that 90% of overuse injuries and 18.2% of acute injuries led to chronic conditions that needed ongoing management.</p></div><div><h3>Conclusion</h3><p>From this sample of patients, there was a high percentage of overuse and chronic injuries for patients who participated in equestrian activities.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10280082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9710264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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