This study aimed to assess the validity of visual assessment in diagnosing lower extremity impairments during level walking.
Methods
Twenty-eight subjects (17 women, 11 men) with tibiofemoral rotation syndrome (TFRS) were examined using visual assessment as the index test and 3-dimensional (3D) motion analysis as the reference test. Both knee joint movements and the index and reference tests were evaluated simultaneously.
Results
The sensitivity and specificity of visual assessment for detecting movement impairments were Se: 98% and Sp: 16.7%, respectively. The positive and negative predictive values were PPV: 81.5% and NPV: 50%, respectively. The positive and negative likelihood ratios were PLR: 1.18 and NLR: 0.12.
Conclusion
The results demonstrate excellent validity of visual assessment for identifying movement impairments in subjects with TFRS during level walking. However, this test's validity for detecting the absence of movement impairments in subjects without TFRS was poor.
{"title":"Visual Assessment of Movement Impairment During Walking in Subjects With Tibiofemoral Rotation Syndrome: A Concurrent Validity Study","authors":"Mehrnaz Kajbafvala PhD , Ismail Ebrahimi Takamjani PhD , Reza Salehi PhD , Abbas Farjad Pezeshk PhD , Fahimeh Firoozeh MSc , Shahab Asgari MSc , Abbas Tabatabaei PhD","doi":"10.1016/j.jcm.2025.08.007","DOIUrl":"10.1016/j.jcm.2025.08.007","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to assess the validity of visual assessment in diagnosing lower extremity impairments during level walking.</div></div><div><h3>Methods</h3><div>Twenty-eight subjects (17 women, 11 men) with tibiofemoral rotation syndrome (TFRS) were examined using visual assessment as the index test and 3-dimensional (3D) motion analysis as the reference test. Both knee joint movements and the index and reference tests were evaluated simultaneously.</div></div><div><h3>Results</h3><div>The sensitivity and specificity of visual assessment for detecting movement impairments were Se: 98% and Sp: 16.7%, respectively. The positive and negative predictive values were PPV: 81.5% and NPV: 50%, respectively. The positive and negative likelihood ratios were PLR: 1.18 and NLR: 0.12.</div></div><div><h3>Conclusion</h3><div>The results demonstrate excellent validity of visual assessment for identifying movement impairments in subjects with TFRS during level walking. However, this test's validity for detecting the absence of movement impairments in subjects without TFRS was poor.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 76-83"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694893","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 objective of this study was to conduct a cross-cultural adaptation of the Fatigue Severity Scale (FSS) from English to Kannada and to evaluate the content validity and reliability of the Kannada version among individuals with type 2 diabetes mellitus.
Methods
This study was conducted in 2 phases. In phase 1, the original English version of the FSS was translated into Kannada using the forward–backward translation method to maintain conceptual equivalence. The preliminary Kannada version was reviewed by 5 healthcare professionals for clarity, cultural relevance, and content comprehensiveness. In phase 2, the final Kannada version (FSS-K) was administered to 80 individuals with type 2 diabetes mellitus, aged between 30 and 70 years, all with a disease duration of more than 10 years. Descriptive statistics were used to summarize demographic details. Internal consistency of the FSS-K was evaluated using Cronbach’s alpha. Test-retest reliability was assessed using the Intraclass Correlation Coefficient (ICC), and inter-item correlation was determined using Pearson’s correlation coefficient. One-way ANOVA was conducted to compare FSS scores across different subgroups, including gender, age, sleep duration, and clinical conditions.
Results
The internal consistency of the Kannada version was high, with a Cronbach’s alpha of 0.952. The test-retest reliability showed excellent agreement with an ICC of 0.999. A strong correlation was observed between pre-test and post-test scores of the Kannada FSS, indicating robust reliability.
Conclusion
This study showed that the Kannada version of the Fatigue Severity Scale is a valid and reliable tool for assessing fatigue in individuals with type 2 diabetes mellitus.
{"title":"Physical Fatigue Assessment, Linguistic Adaptation, and Validation of Fatigue Severity Scale among Type 2 Diabetes Mellitus Population","authors":"Monica Shree Murugan MPT , Ramesh Kumar Jeyaraman PhD , Naveen Kumar Inbaraj MPT","doi":"10.1016/j.jcm.2025.09.028","DOIUrl":"10.1016/j.jcm.2025.09.028","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study was to conduct a cross-cultural adaptation of the Fatigue Severity Scale (FSS) from English to Kannada and to evaluate the content validity and reliability of the Kannada version among individuals with type 2 diabetes mellitus.</div></div><div><h3>Methods</h3><div>This study was conducted in 2 phases. In phase 1, the original English version of the FSS was translated into Kannada using the forward–backward translation method to maintain conceptual equivalence. The preliminary Kannada version was reviewed by 5 healthcare professionals for clarity, cultural relevance, and content comprehensiveness. In phase 2, the final Kannada version (FSS-K) was administered to 80 individuals with type 2 diabetes mellitus, aged between 30 and 70 years, all with a disease duration of more than 10 years. Descriptive statistics were used to summarize demographic details. Internal consistency of the FSS-K was evaluated using Cronbach’s alpha. Test-retest reliability was assessed using the Intraclass Correlation Coefficient (ICC), and inter-item correlation was determined using Pearson’s correlation coefficient. One-way ANOVA was conducted to compare FSS scores across different subgroups, including gender, age, sleep duration, and clinical conditions.</div></div><div><h3>Results</h3><div>The internal consistency of the Kannada version was high, with a Cronbach’s alpha of 0.952. The test-retest reliability showed excellent agreement with an ICC of 0.999. A strong correlation was observed between pre-test and post-test scores of the Kannada FSS, indicating robust reliability.</div></div><div><h3>Conclusion</h3><div>This study showed that the Kannada version of the Fatigue Severity Scale is a valid and reliable tool for assessing fatigue in individuals with type 2 diabetes mellitus.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 293-299"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.jcm.2025.08.011
Tyler E. Barton DC , Derek J. Golley DC, MHA , Jonathan J. Danner DC , Andrew S. Dunn DC, MS, MEd
Objective
The purpose of this report is to describe a patient with progressive neurological signs during a trial of chiropractic care for lumbar radicular pain.
Clinical Features
A 72-year-old male US Veteran presented for chiropractic care with left lower extremity pain and numbness and tingling in both hands and feet. The patient’s comorbidities included stage IV b-cell lymphocytic leukemia currently in remission, scleroderma, diabetes mellitus with previously diagnosed peripheral neuropathy, hemolytic anemia, and osteoporosis from long-term corticosteroid use. Initial evaluation was unremarkable for neurological findings, a re-evaluation revealed new signs suggestive of myelopathy including brisk patellar reflexes and a unilateral Hoffman’s sign. Lumbar spine radiographs were requested and demonstrated moderate, diffuse spine-related degenerative changes.
Intervention and Outcome
After 5 sessions of chiropractic flexion-distraction manipulation to the lumbar spine, soft-tissue therapy, and sciatic nerve mobilization exercises, the patient improved. However, at re-evaluation progressive neurological findings warranted primary care coordination for the request of advanced imaging due to suspicion of cervical myelopathy. A cervical MRI revealed severe cervical spinal stenosis with impingement upon the cervical cord at C3-C4. A neurosurgical consult was placed by the requesting physician for surgical consideration.
Conclusion
This case highlights the challenges associated with early signs of degenerative cervical myelopathy and its variable presentation. It highlights the importance of performing routine re-evaluations when managing multimorbid neuromusculoskeletal conditions and how signs of chronic conditions, such as degenerative cervical myelopathy, may rapidly manifest.
{"title":"Degenerative Cervical Myelopathy in a Veteran Chiropractic Patient Referred for Lumbar Radicular Pain: A Case Report","authors":"Tyler E. Barton DC , Derek J. Golley DC, MHA , Jonathan J. Danner DC , Andrew S. Dunn DC, MS, MEd","doi":"10.1016/j.jcm.2025.08.011","DOIUrl":"10.1016/j.jcm.2025.08.011","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this report is to describe a patient with progressive neurological signs during a trial of chiropractic care for lumbar radicular pain.</div></div><div><h3>Clinical Features</h3><div>A 72-year-old male US Veteran presented for chiropractic care with left lower extremity pain and numbness and tingling in both hands and feet. The patient’s comorbidities included stage IV b-cell lymphocytic leukemia currently in remission, scleroderma, diabetes mellitus with previously diagnosed peripheral neuropathy, hemolytic anemia, and osteoporosis from long-term corticosteroid use. Initial evaluation was unremarkable for neurological findings, a re-evaluation revealed new signs suggestive of myelopathy including brisk patellar reflexes and a unilateral Hoffman’s sign. Lumbar spine radiographs were requested and demonstrated moderate, diffuse spine-related degenerative changes.</div></div><div><h3>Intervention and Outcome</h3><div>After 5 sessions of chiropractic flexion-distraction manipulation to the lumbar spine, soft-tissue therapy, and sciatic nerve mobilization exercises, the patient improved. However, at re-evaluation progressive neurological findings warranted primary care coordination for the request of advanced imaging due to suspicion of cervical myelopathy. A cervical MRI revealed severe cervical spinal stenosis with impingement upon the cervical cord at C3-C4. A neurosurgical consult was placed by the requesting physician for surgical consideration.</div></div><div><h3>Conclusion</h3><div>This case highlights the challenges associated with early signs of degenerative cervical myelopathy and its variable presentation. It highlights the importance of performing routine re-evaluations when managing multimorbid neuromusculoskeletal conditions and how signs of chronic conditions, such as degenerative cervical myelopathy, may rapidly manifest.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 409-415"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The purpose of this study was to investigate the relationship between trunk muscle thickness, disability, and pain in low back pain in middle age and old age.
Methods
Forty-two patients with low back pain were included in this study. Pain intensity was analyzed using the Brief Pain Inventory (BPI), disability was assessed using the Oswestry Disability Index (ODI), and ultrasonography imaging was used to determine the thickness of the rectus abdominis, lumbar multifidus, and erector spinae muscles.
Results
The thickness of the lumbar multifidus and erector spinae muscles was significantly negatively associated with the disability in middle-aged and old-aged patients with low back pain (p < .01). Also, there is a significant relationship between the lumbar multifidus muscle and pain (p < .01) in both middle and old-aged patients. A significant positive association was found between disability and pain (p < .01).
Conclusion
The results of this study suggest that pain and disability are strongly associated with the thickness of the lumbar muscles in low back pain in middle age and old age. An investigation into the muscular characteristics of the lumbar area can give valuable insights into the condition of low back pain patients and offer information relevant to the development of patient treatment techniques in clinical settings.
{"title":"Relationship Between Trunk Muscle Thickness, Disability, and Pain in Middle and Old Aged Patients With Low Back Pain","authors":"Ruchi Basista PhD , Deepika Singla PhD , Abhinav Jain MBBS, DNB, MNAMS","doi":"10.1016/j.jcm.2025.09.027","DOIUrl":"10.1016/j.jcm.2025.09.027","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to investigate the relationship between trunk muscle thickness, disability, and pain in low back pain in middle age and old age.</div></div><div><h3>Methods</h3><div>Forty-two patients with low back pain were included in this study. Pain intensity was analyzed using the Brief Pain Inventory (BPI), disability was assessed using the Oswestry Disability Index (ODI), and ultrasonography imaging was used to determine the thickness of the rectus abdominis, lumbar multifidus, and erector spinae muscles.</div></div><div><h3>Results</h3><div>The thickness of the lumbar multifidus and erector spinae muscles was significantly negatively associated with the disability in middle-aged and old-aged patients with low back pain (<em>p</em> < .01). Also, there is a significant relationship between the lumbar multifidus muscle and pain (<em>p</em> < .01) in both middle and old-aged patients. A significant positive association was found between disability and pain (<em>p</em> < .01).</div></div><div><h3>Conclusion</h3><div>The results of this study suggest that pain and disability are strongly associated with the thickness of the lumbar muscles in low back pain in middle age and old age. An investigation into the muscular characteristics of the lumbar area can give valuable insights into the condition of low back pain patients and offer information relevant to the development of patient treatment techniques in clinical settings.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 318-327"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.jcm.2025.09.025
Steven P. Brown DC , James J. Lehman DC
Objective
This paper describes a case of chiropractic referral to medical emergency services for computed-tomography angiography (CTA) imaging to rule out vertebral artery dissection (VAD).
Clinical Features
A 50-year-old female presented to a chiropractic physician with an idiopathic onset of neck pain, headache, nausea, and dizziness. Differential diagnosis included VAD, internal carotid artery dissection (ICAD), as well as cerebral aneurysm or other intracranial abnormality. Due to symptoms of potential VAD, the patient was referred to medical emergency services for CTA imaging to rule out VAD. CTA revealed a possible posterior communicating artery (PCom) aneurysm vs. infundibulum, and left C3-C4 facet arthropathy. No VAD was noted.
Intervention/Outcome
The patient was referred to a neurosurgeon who concluded the patient’s abnormality was an incidental finding of infundibulum, not an aneurysm. The patient was referred to physical therapy for treatment of the C3-C4 facet arthropathy, which resolved her symptoms.
Conclusion
This case report highlights the role of chiropractors in interdisciplinary care by referring suspected non-neuromusculoskeletal conditions to medical emergency services for advanced imaging to ensure patient safety.
{"title":"Chiropractic Referral for Computed-Tomography Angiography to Rule Out Vertebral Artery Dissection: A Case Report","authors":"Steven P. Brown DC , James J. Lehman DC","doi":"10.1016/j.jcm.2025.09.025","DOIUrl":"10.1016/j.jcm.2025.09.025","url":null,"abstract":"<div><h3>Objective</h3><div>This paper describes a case of chiropractic referral to medical emergency services for computed-tomography angiography (CTA) imaging to rule out vertebral artery dissection (VAD).</div></div><div><h3>Clinical Features</h3><div>A 50-year-old female presented to a chiropractic physician with an idiopathic onset of neck pain, headache, nausea, and dizziness. Differential diagnosis included VAD, internal carotid artery dissection (ICAD), as well as cerebral aneurysm or other intracranial abnormality. Due to symptoms of potential VAD, the patient was referred to medical emergency services for CTA imaging to rule out VAD. CTA revealed a possible posterior communicating artery (PCom) aneurysm vs. infundibulum, and left C3-C4 facet arthropathy. No VAD was noted.</div></div><div><h3>Intervention/Outcome</h3><div>The patient was referred to a neurosurgeon who concluded the patient’s abnormality was an incidental finding of infundibulum, not an aneurysm. The patient was referred to physical therapy for treatment of the C3-C4 facet arthropathy, which resolved her symptoms.</div></div><div><h3>Conclusion</h3><div>This case report highlights the role of chiropractors in interdisciplinary care by referring suspected non-neuromusculoskeletal conditions to medical emergency services for advanced imaging to ensure patient safety.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 459-463"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.jcm.2025.08.002
Marie-Andrée Mercier DC , Martin Descarreaux DC, PhD , Andréanne K. Blanchette pht, PhD , Isabelle Pagé DC, PhD
Objectives
The objective of this study was to assess chiropractors’ and chiropractic students’ acceptability of a sensing glove system for measuring Spinal manipulative therapy (SMT) force-time characteristics and to compare the effectiveness of 2 interventions in improving their acceptability and perceived usability.
Methods
Sixteen participants were recruited and initially rated their agreement with 12 statements about the acceptability of the sensing glove system. They then underwent 2 interventions designed to improve their acceptability of the system in a random order: a 7-minute informational video and a 20-minute supervised practice session. After each intervention, participants reassessed their agreement with the acceptability statements and provided feedback on the system’s usability through 10 additional statements. Data analysis used McNemar and Cochran’s Q tests to assess the interventions’ effectiveness.
Results
The practice session led to a significantly higher number of participants agreeing with 4 more acceptability statements than at baseline, and with 1 more statement than after the video intervention. Conversely, the video intervention showed an increased proportion of agreement for only 1 statement compared to the baseline. Furthermore, the practice session resulted in a higher proportion of participants agreeing with 2 usability statements compared to the video intervention.
Conclusions
The study highlights the importance of supervised hands-on practice in enhancing the acceptability and willingness of chiropractors and chiropractic students to adopt a force-sensing system in their clinical practice.
{"title":"Effects of 2 Interventions on the Acceptability and Usability of a Sensing Glove for Measuring Force-Time Characteristics of Chiropractic Spinal Manipulative Therapy: A Crossover Study","authors":"Marie-Andrée Mercier DC , Martin Descarreaux DC, PhD , Andréanne K. Blanchette pht, PhD , Isabelle Pagé DC, PhD","doi":"10.1016/j.jcm.2025.08.002","DOIUrl":"10.1016/j.jcm.2025.08.002","url":null,"abstract":"<div><h3>Objectives</h3><div>The objective of this study was to assess chiropractors’ and chiropractic students’ acceptability of a sensing glove system for measuring Spinal manipulative therapy (SMT) force-time characteristics and to compare the effectiveness of 2 interventions in improving their acceptability and perceived usability.</div></div><div><h3>Methods</h3><div>Sixteen participants were recruited and initially rated their agreement with 12 statements about the acceptability of the sensing glove system. They then underwent 2 interventions designed to improve their acceptability of the system in a random order: a 7-minute informational video and a 20-minute supervised practice session. After each intervention, participants reassessed their agreement with the acceptability statements and provided feedback on the system’s usability through 10 additional statements. Data analysis used McNemar and Cochran’s Q tests to assess the interventions’ effectiveness.</div></div><div><h3>Results</h3><div>The practice session led to a significantly higher number of participants agreeing with 4 more acceptability statements than at baseline, and with 1 more statement than after the video intervention. Conversely, the video intervention showed an increased proportion of agreement for only 1 statement compared to the baseline. Furthermore, the practice session resulted in a higher proportion of participants agreeing with 2 usability statements compared to the video intervention.</div></div><div><h3>Conclusions</h3><div>The study highlights the importance of supervised hands-on practice in enhancing the acceptability and willingness of chiropractors and chiropractic students to adopt a force-sensing system in their clinical practice.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 44-53"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.jcm.2025.09.021
Alexander J. Andrews BHlth & BiomedSc (Hons) , Phoebe C. Henry BHlth & BiomedSc (Hons) , Luke McCarney BHlth & BiomedSc (Hons) , Amanda J. Kimpton PhD , Dein Vindigni PhD , Noel Lythgo PhD
Objective
This study explored the link between hip abductor function, assessed through the Trendelenburg test (TT), and pelvic drop during walking and running across various terrains and speeds.
Methods
A sample of 19 healthy adults (11 females, 8 males; average age 24.4 years, height 1.74 meters, weight 72.5 kilograms) participated. The TT was conducted on both sides of each participant’s body, followed by walking at three speeds (self-selected, slow, fast) on 3 slopes (–10%, level, 10%) and running at 2 speeds (8 and 10 km/h) on the same slopes, using a motorized treadmill. Pelvic motion was captured with a 3D system to analyze maximum and minimum pelvic motion (PMAX, PMIN) and range of angular motion (PROM). Participants were divided into “positive” and “negative” groups based on TT results. Independent and paired t tests (with Bonferroni corrections), along with Pearson’s correlations, were used to analyze data.
Results
Significant differences in PMAX and PMIN were observed between the groups, with the “positive” group showing 5.3° and 5.9° less movement, respectively, than the “negative” group. However, no significant differences were found in PROM data between the groups across all gait tasks, and no correlation was identified between TT PROM data and PROM gait data in different walking conditions.
Conclusion
This study showed no association between the effects of hip abductor weakness (as identified by the TT) and pelvic mobility during walking and running gait in a healthy, young population. While the TT may serve as a valuable tool for identifying hip abductor weakness in a clinical setting, its direct applicability to predicting dynamic pelvic motion during walking and running remains limited.
{"title":"Trendelenburg Test as a Predictor of Pelvic Drop Associated With Hip Abductor Function in Young, Healthy Adults During Gait","authors":"Alexander J. Andrews BHlth & BiomedSc (Hons) , Phoebe C. Henry BHlth & BiomedSc (Hons) , Luke McCarney BHlth & BiomedSc (Hons) , Amanda J. Kimpton PhD , Dein Vindigni PhD , Noel Lythgo PhD","doi":"10.1016/j.jcm.2025.09.021","DOIUrl":"10.1016/j.jcm.2025.09.021","url":null,"abstract":"<div><h3>Objective</h3><div>This study explored the link between hip abductor function, assessed through the Trendelenburg test (TT), and pelvic drop during walking and running across various terrains and speeds.</div></div><div><h3>Methods</h3><div>A sample of 19 healthy adults (11 females, 8 males; average age 24.4 years, height 1.74 meters, weight 72.5 kilograms) participated. The TT was conducted on both sides of each participant’s body, followed by walking at three speeds (self-selected, slow, fast) on 3 slopes (–10%, level, 10%) and running at 2 speeds (8 and 10 km/h) on the same slopes, using a motorized treadmill. Pelvic motion was captured with a 3D system to analyze maximum and minimum pelvic motion (<em>P</em><sub>MAX</sub>, <em>P</em><sub>MIN</sub>) and range of angular motion (<em>P</em><sub>ROM</sub>). Participants were divided into “positive” and “negative” groups based on TT results. Independent and paired <em>t</em> tests (with Bonferroni corrections), along with Pearson’s correlations, were used to analyze data.</div></div><div><h3>Results</h3><div>Significant differences in <em>P</em><sub>MAX</sub> and <em>P</em><sub>MIN</sub> were observed between the groups, with the “positive” group showing 5.3° and 5.9° less movement, respectively, than the “negative” group. However, no significant differences were found in <em>P</em><sub>ROM</sub> data between the groups across all gait tasks, and no correlation was identified between TT <em>P</em><sub>ROM</sub> data and <em>P</em><sub>ROM</sub> gait data in different walking conditions.</div></div><div><h3>Conclusion</h3><div>This study showed no association between the effects of hip abductor weakness (as identified by the TT) and pelvic mobility during walking and running gait in a healthy, young population. While the TT may serve as a valuable tool for identifying hip abductor weakness in a clinical setting, its direct applicability to predicting dynamic pelvic motion during walking and running remains limited.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 145-150"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study evaluated the effects of transfer energy capacitive and resistive (TECAR) therapy on primary shoulder adhesive capsulitis by assessing the Shoulder Pain and Disability Index (SPADI) and shoulder passive range of flexion, abduction, and external rotation.
Methods
Thirty subjects with shoulder adhesive capsulitis, having a minimum 3 months history of shoulder pain, aged 41 to 72 years, were randomized to receive either physiotherapy (PT) or PT plus TECAR therapy (TT). Both groups received 8 sessions of PT treatment, including modalities and exercises, and the TT group received an additional 10 minutes of TECAR treatment in the resistive mode. SPADI and shoulder passive range of motion were evaluated before treatment, 1 day after the 8th session, and after 1 month.
Results
Significant changes in all variables were observed in both groups (P < .001), except the passive external rotation range and disability subscale of SPADI, which were significant only in the TT group. Changes in all variables (except the disability subscale of SPADI and total SPADI scores) did not have any relationship with the membership of patients in the groups, means there was no interaction between time and type of intervention. There were no significant between-group differences (P > .05).
Conclusion
In this preliminary study, TT and PT treatment both showed improvements in shoulder passive ROM, pain, and disability. There were no significant differences between the groups.
{"title":"Effect of Transfer Energy Capacitive and Resistive Therapy on Shoulder Pain, Disability, and Passive Range of Motion in Patients With Shoulder Adhesive Capsulitis: A Preliminary Randomized Trial","authors":"Maryam Raeisi MSc , Hosein Kouhzad Mohammadi PhD , Mojtaba Heshmatipour MSc , Mohammad Javad Tarrahi PhD , Navid Taheri PhD","doi":"10.1016/j.jcm.2025.09.015","DOIUrl":"10.1016/j.jcm.2025.09.015","url":null,"abstract":"<div><h3>Objective</h3><div>This study evaluated the effects of transfer energy capacitive and resistive (TECAR) therapy on primary shoulder adhesive capsulitis by assessing the Shoulder Pain and Disability Index (SPADI) and shoulder passive range of flexion, abduction, and external rotation.</div></div><div><h3>Methods</h3><div>Thirty subjects with shoulder adhesive capsulitis, having a minimum 3 months history of shoulder pain, aged 41 to 72 years, were randomized to receive either physiotherapy (PT) or PT plus TECAR therapy (TT). Both groups received 8 sessions of PT treatment, including modalities and exercises, and the TT group received an additional 10 minutes of TECAR treatment in the resistive mode. SPADI and shoulder passive range of motion were evaluated before treatment, 1 day after the 8th session, and after 1 month.</div></div><div><h3>Results</h3><div>Significant changes in all variables were observed in both groups (<em>P</em> < .001), except the passive external rotation range and disability subscale of SPADI, which were significant only in the TT group. Changes in all variables (except the disability subscale of SPADI and total SPADI scores) did not have any relationship with the membership of patients in the groups, means there was no interaction between time and type of intervention. There were no significant between-group differences (<em>P</em> > .05).</div></div><div><h3>Conclusion</h3><div>In this preliminary study, TT and PT treatment both showed improvements in shoulder passive ROM, pain, and disability. There were no significant differences between the groups.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 194-200"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.jcm.2025.09.023
Azza M. Abdelmohsen, Omaima E. Saleh
Objective
The purpose of this study was to explore the relationship between isokinetic hip and knee muscle strength and bone mineral density (BMD) in elderly women with osteoporosis (OP).
Methods
The study included 66 elderly women: 33 with OP (case group A) and 33 healthy controls (control group B). BMD at the femoral head was assessed using Dual Energy X-ray Absorptiometry (DEXA). Isokinetic muscle strength of the hip (flexors, extensors, abductors, adductors) and knee (flexors, extensors) was measured using the Biodex System 3 Isokinetic Dynamometer at 60°/sec in concentric mode, with 5 repetitions.
Results
The analysis revealed significantly lower strength in all hip muscles in women with OP compared to controls (p < .05). Meanwhile, no significant differences were observed in knee muscle strength between the 2 groups. The findings suggest that reductions in BMD are more closely associated with decreased hip muscle strength than with knee muscle strength.
Conclusion
Diminished isokinetic strength of hip muscles is more strongly linked to BMD reduction in elderly women with OP. Low BMD may serve as a risk factor for lower extremity muscle weakness, emphasizing the need to focus on hip muscle strength in this population.
目的探讨老年女性骨质疏松症（OP）髋、膝等速肌力与骨密度（BMD）的关系。方法老年妇女66例，其中OP患者33例（病例组A），健康对照33例（对照组B）。采用双能x线骨密度仪（DEXA）评估股骨头骨密度。髋关节（屈肌、伸肌、外展肌、内收肌）和膝关节（屈肌、伸肌）的等速肌力使用Biodex System 3等速肌力计在60°/秒的同心模式下测量，重复5次。结果分析显示，与对照组相比，OP女性髋部肌肉力量明显降低（p < 0.05）。同时，两组患者膝关节肌力差异无统计学意义。研究结果表明，骨密度的降低与臀部肌肉力量的下降关系更密切，而不是与膝盖肌肉力量的下降。结论老年op女性髋部肌肉等速力量减弱与骨密度降低的关系更为密切。低骨密度可能是下肢肌肉无力的危险因素，强调需要关注这一人群的髋部肌肉力量。
{"title":"Association Between Isokinetic Lower Extremity Muscle Strength and Bone Mineral Density in Elderly Women With and Without Osteoporosis: A Case-Control Study","authors":"Azza M. Abdelmohsen, Omaima E. Saleh","doi":"10.1016/j.jcm.2025.09.023","DOIUrl":"10.1016/j.jcm.2025.09.023","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to explore the relationship between isokinetic hip and knee muscle strength and bone mineral density (BMD) in elderly women with osteoporosis (OP).</div></div><div><h3>Methods</h3><div>The study included 66 elderly women: 33 with OP (case group A) and 33 healthy controls (control group B). BMD at the femoral head was assessed using Dual Energy X-ray Absorptiometry (DEXA). Isokinetic muscle strength of the hip (flexors, extensors, abductors, adductors) and knee (flexors, extensors) was measured using the Biodex System 3 Isokinetic Dynamometer at 60°/sec in concentric mode, with 5 repetitions.</div></div><div><h3>Results</h3><div>The analysis revealed significantly lower strength in all hip muscles in women with OP compared to controls (<em>p</em> < .05). Meanwhile, no significant differences were observed in knee muscle strength between the 2 groups. The findings suggest that reductions in BMD are more closely associated with decreased hip muscle strength than with knee muscle strength.</div></div><div><h3>Conclusion</h3><div>Diminished isokinetic strength of hip muscles is more strongly linked to BMD reduction in elderly women with OP. Low BMD may serve as a risk factor for lower extremity muscle weakness, emphasizing the need to focus on hip muscle strength in this population.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 251-259"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The purpose of this study was to examine the musculoskeletal (MSK) cognitive competency among 1st and 2nd-year Master of Health Science (MHSc) chiropractic students at the University of Johannesburg.
Methods
This cross-sectional, quantitative, and exploratory study used an adapted Freedman and Bernstein Basic Competency Examination (BCE) assessment distributed anonymously and online to the MHSc (n = 50) students at University of Johannesburg between 6 December 2022 to 17 March 2023. Statistical analyses included frequencies, descriptive statistics, and cross-tabulations to identify patterns or interrelationships.
Results
The survey achieved a 90% response rate (n = 45) from the 2022 MHSc students: 46.7% (n = 21) were 1st-year students and 53.3% (n = 24) were 2nd-year students. The participants of this study achieved a mean score of 79.58% (95% confidence interval, 75.9%-83.7%) for the 20-item Freedman and Bernstein BCE. The minimum score achieved by the participants was 11.50 (57.50%) and the maximum score achieved was 20.00 (100.00%). Statistically significant differences were observed between the 1st- and 2nd-year cohorts on the Freedman and Bernstein BCE, particularly in content and clinically based areas.
Conclusion
This study showed that this group of MHSc chiropractic students at the University of Johannesburg demonstrated strong cognitive competency in the MSK system using an adapted standardized assessment, highlighting adequate chiropractic training and student preparedness in managing MSK conditions.
{"title":"Musculoskeletal Cognitive Competency Among Chiropractic Students at a South African institution: A Cross-Sectional Study","authors":"Jordyn Casey Hawthorne MHSc, Christoper James Yelverton PhD, Fatima Ismail MTech","doi":"10.1016/j.jcm.2025.08.001","DOIUrl":"10.1016/j.jcm.2025.08.001","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to examine the musculoskeletal (MSK) cognitive competency among 1st and 2nd-year Master of Health Science (MHSc) chiropractic students at the University of Johannesburg.</div></div><div><h3>Methods</h3><div>This cross-sectional, quantitative, and exploratory study used an adapted Freedman and Bernstein Basic Competency Examination (BCE) assessment distributed anonymously and online to the MHSc (n = 50) students at University of Johannesburg between 6 December 2022 to 17 March 2023. Statistical analyses included frequencies, descriptive statistics, and cross-tabulations to identify patterns or interrelationships.</div></div><div><h3>Results</h3><div>The survey achieved a 90% response rate (n = 45) from the 2022 MHSc students: 46.7% (n = 21) were 1st-year students and 53.3% (n = 24) were 2nd-year students. The participants of this study achieved a mean score of 79.58% (95% confidence interval, 75.9%-83.7%) for the 20-item Freedman and Bernstein BCE. The minimum score achieved by the participants was 11.50 (57.50%) and the maximum score achieved was 20.00 (100.00%). Statistically significant differences were observed between the 1st- and 2nd-year cohorts on the Freedman and Bernstein BCE, particularly in content and clinically based areas.</div></div><div><h3>Conclusion</h3><div>This study showed that this group of MHSc chiropractic students at the University of Johannesburg demonstrated strong cognitive competency in the MSK system using an adapted standardized assessment, highlighting adequate chiropractic training and student preparedness in managing MSK conditions.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 1-14"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694908","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}
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