Pub Date : 2025-01-01DOI: 10.1016/j.jcm.2025.09.005
Adam J. McRoberts DC, MA, MS
Objective
The purpose of this report was to describe a chiropractic multimodal treatment approach for a patient with a migraine headache.
Clinical Features
A 28-year-old woman with a 14-year history of migraines presented with symptoms of visual disturbances with head and neck pain.
Intervention and Outcome
A multimodal approach of chiropractic care, including chiropractic manipulative therapy and soft tissue therapy for suboccipital, levator scapula, and trapezius muscles, was used. Treatment included 2 visits that were spaced 2 days apart. Based on patient-reported symptoms, the clinician observed clinical improvement and no additional migraine symptoms. Seven months after the initiation of chiropractic care, the patient reported no migraine episodes.
Conclusion
A nonpharmacologic chiropractic approach employing multiple therapies resulted in observable clinical progress for a patient who reported migraine with aura symptoms.
{"title":"Chiropractic Management of a Migraine With Aura in a 28-Year-Old Female Using a Multimodal Approach: A Case Report","authors":"Adam J. McRoberts DC, MA, MS","doi":"10.1016/j.jcm.2025.09.005","DOIUrl":"10.1016/j.jcm.2025.09.005","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this report was to describe a chiropractic multimodal treatment approach for a patient with a migraine headache.</div></div><div><h3>Clinical Features</h3><div>A 28-year-old woman with a 14-year history of migraines presented with symptoms of visual disturbances with head and neck pain.</div></div><div><h3>Intervention and Outcome</h3><div>A multimodal approach of chiropractic care, including chiropractic manipulative therapy and soft tissue therapy for suboccipital, levator scapula, and trapezius muscles, was used. Treatment included 2 visits that were spaced 2 days apart. Based on patient-reported symptoms, the clinician observed clinical improvement and no additional migraine symptoms. Seven months after the initiation of chiropractic care, the patient reported no migraine episodes.</div></div><div><h3>Conclusion</h3><div>A nonpharmacologic chiropractic approach employing multiple therapies resulted in observable clinical progress for a patient who reported migraine with aura symptoms.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 424-429"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694775","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 compare the effects of trunk balance exercise and whole-body vibration (WBV) training on the muscle dimensions of patients with chronic nonspecific low back pain (cNLBP).
Methods
Fifty patients with cNLBP were randomly assigned to either the trunk balance (n = 25) or the WBV (n = 25) group. Both groups performed the training exercises 3 times a week for 6 weeks. The geometry of bilateral abdominal and lumbar multifidus muscles was measured before and after the interventions using diagnostic ultrasound.
Results
Both interventions increased the dimensions of the abdominal and multifidus muscles during rest and contraction (P ≤ .001). There was no significant difference between the groups (P ≥ .08). Cohen’s d, the between-group effect size, was ≤0.68.
Conclusion
In a 6-week period, WBV training was as effective as trunk balance exercises at improving the muscle geometry in patients with cNLBP.
{"title":"A Comparative Study on the Effects of the Whole-Body Vibration Training and Balance Exercise Program on the Muscle Geometry in the Patients With Chronic Nonspecific Low Back Pain: A Randomized Control Trial","authors":"Farahnaz Emami PhD , Amin Kordi Yoosefinejad PhD , Mohsen Razeghi PhD","doi":"10.1016/j.jcm.2025.08.019","DOIUrl":"10.1016/j.jcm.2025.08.019","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to compare the effects of trunk balance exercise and whole-body vibration (WBV) training on the muscle dimensions of patients with chronic nonspecific low back pain (cNLBP).</div></div><div><h3>Methods</h3><div>Fifty patients with cNLBP were randomly assigned to either the trunk balance (<em>n</em> = 25) or the WBV (<em>n</em> = 25) group. Both groups performed the training exercises 3 times a week for 6 weeks. The geometry of bilateral abdominal and lumbar multifidus muscles was measured before and after the interventions using diagnostic ultrasound.</div></div><div><h3>Results</h3><div>Both interventions increased the dimensions of the abdominal and multifidus muscles during rest and contraction (<em>P</em> ≤ .001). There was no significant difference between the groups (<em>P</em> ≥ .08). Cohen’s <em>d</em>, the between-group effect size, was ≤0.68.</div></div><div><h3>Conclusion</h3><div>In a 6-week period, WBV training was as effective as trunk balance exercises at improving the muscle geometry in patients with cNLBP.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 92-105"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694895","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.2025.08.014
Nikhil Sharma DC , Sarah E. Graham DC, MPH , Anna R. Sites MSN, RN , Brian C. Coleman DC, MHS , Anthony J. Lisi DC
Objective
The purpose of this study was to describe the congruence between International Classification of Diseases, 10th Ed (ICD-10) codes and documented text diagnoses from chiropractic notes in the Veterans Health Administration (VHA).
Methods
This was a cross-sectional analysis of VHA national administrative data. We randomly sampled 1000 on-station VHA chiropractic visits occurring from October 1, 2017, and September 30, 2018 from patients with no such visits within the prior 12 months. ICD-10 and documented text diagnoses were extracted and mapped to 10 defined categories based on body region, presence of radiculopathy, nonspecific musculoskeletal conditions, and nonmusculoskeletal conditions. A rating system evaluated the congruence between ICD-10 and text diagnoses.
Results
Of the 978 identified and abstracted notes, ICD-10 and text diagnoses were perfectly congruent in 441 (45.1%). With cases of partial congruence, ICD-10 codes contained less detail/fewer conditions than text in 194 (19.8%) and contained more detail/more conditions than text in 178 (18.2%). Mixed findings were present in 101 cases (10.3%), with ICD-10 and text both containing diagnoses not found in the other. Lastly, there were 64 cases (6.5%) where the 2 groups had no degree of congruence.
Conclusion
VHA chiropractic diagnostic coding and text documentation shows considerable congruence with variability in diagnostic detail. This provides a foundation for further study that may ultimately improve the quality of these data for clinical, research, and administrative uses.
{"title":"Describing Congruence Between ICD-10 Coding and Medical Record Text in Veterans Health Administration Chiropractic Notes","authors":"Nikhil Sharma DC , Sarah E. Graham DC, MPH , Anna R. Sites MSN, RN , Brian C. Coleman DC, MHS , Anthony J. Lisi DC","doi":"10.1016/j.jcm.2025.08.014","DOIUrl":"10.1016/j.jcm.2025.08.014","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to describe the congruence between International Classification of Diseases, 10th Ed (ICD-10) codes and documented text diagnoses from chiropractic notes in the Veterans Health Administration (VHA).</div></div><div><h3>Methods</h3><div>This was a cross-sectional analysis of VHA national administrative data. We randomly sampled 1000 on-station VHA chiropractic visits occurring from October 1, 2017, and September 30, 2018 from patients with no such visits within the prior 12 months. ICD-10 and documented text diagnoses were extracted and mapped to 10 defined categories based on body region, presence of radiculopathy, nonspecific musculoskeletal conditions, and nonmusculoskeletal conditions. A rating system evaluated the congruence between ICD-10 and text diagnoses.</div></div><div><h3>Results</h3><div>Of the 978 identified and abstracted notes, ICD-10 and text diagnoses were perfectly congruent in 441 (45.1%). With cases of partial congruence, ICD-10 codes contained less detail/fewer conditions than text in 194 (19.8%) and contained more detail/more conditions than text in 178 (18.2%). Mixed findings were present in 101 cases (10.3%), with ICD-10 and text both containing diagnoses not found in the other. Lastly, there were 64 cases (6.5%) where the 2 groups had no degree of congruence.</div></div><div><h3>Conclusion</h3><div>VHA chiropractic diagnostic coding and text documentation shows considerable congruence with variability in diagnostic detail. This provides a foundation for further study that may ultimately improve the quality of these data for clinical, research, and administrative uses.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 119-124"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694897","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 evaluate the short-term effects of percussive massage therapy (PMT) on clinical parameters in patients with chronic neck pain (CNP) with upper trapezius active myofascial trigger points (AMTrPs).
Methods
Fifty patients with CNP with upper trapezius AMTrPs were randomized equally to a PMT group and a neck and shoulder stretching (NS) group for six 5-minute sessions over 3 weeks. Resting pain intensity (RPI), pain pressure threshold (PPT), neck disability index (NDI), neck range of motion (ROM), and global perceived effect (GPE) were assessed at baseline, immediately after the first session, and after the 3-week intervention.
Results
The groups did not differ significantly in RPI or GPE (P > .05); however, the NS group outperformed the PMT group in immediate GPE reduction (P < .01). The PMT and NS groups showed improvements in these outcomes from baseline (P < .05). Both groups exhibited improved NDI after the intervention (P < .001), whereas the NS group showed a substantial reduction in PPT during the follow-up (P < .001). The PMT group showed greater neck ROM, except for flexion and right rotation, than the NS group (P < .05). Both groups showed similar improvements in neck flexion and right rotation during follow-up (P < .05).
Conclusion
PMT and NS improved RPI, neck disability, neck flexion and right rotation, and patient satisfaction in patients with CNP with upper trapezius AMTrPs. The PMT group exhibited greater improvement in other neck movements.
{"title":"Short-Term Effect of Percussive Massage Therapy for Chronic Neck Pain Patients With Active Myofascial Trigger Points: A Randomized Trial","authors":"Pattanasin Areeudomwong PhD, Manasiri Kunawuttitrakul BPT, Nisakarn Khumpeera BPT, Nicharee Unanon BPT, Sujittra Kluayhomthong PhD, Vitsarut Buttagat PhD","doi":"10.1016/j.jcm.2025.09.016","DOIUrl":"10.1016/j.jcm.2025.09.016","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to evaluate the short-term effects of percussive massage therapy (PMT) on clinical parameters in patients with chronic neck pain (CNP) with upper trapezius active myofascial trigger points (AMTrPs).</div></div><div><h3>Methods</h3><div>Fifty patients with CNP with upper trapezius AMTrPs were randomized equally to a PMT group and a neck and shoulder stretching (NS) group for six 5-minute sessions over 3 weeks. Resting pain intensity (RPI), pain pressure threshold (PPT), neck disability index (NDI), neck range of motion (ROM), and global perceived effect (GPE) were assessed at baseline, immediately after the first session, and after the 3-week intervention.</div></div><div><h3>Results</h3><div>The groups did not differ significantly in RPI or GPE (<em>P</em> > .05); however, the NS group outperformed the PMT group in immediate GPE reduction (<em>P</em> < .01). The PMT and NS groups showed improvements in these outcomes from baseline (<em>P</em> < .05). Both groups exhibited improved NDI after the intervention (<em>P</em> < .001), whereas the NS group showed a substantial reduction in PPT during the follow-up (<em>P</em> < .001). The PMT group showed greater neck ROM, except for flexion and right rotation, than the NS group (<em>P</em> < .05). Both groups showed similar improvements in neck flexion and right rotation during follow-up (<em>P</em> < .05).</div></div><div><h3>Conclusion</h3><div>PMT and NS improved RPI, neck disability, neck flexion and right rotation, and patient satisfaction in patients with CNP with upper trapezius AMTrPs. The PMT group exhibited greater improvement in other neck movements.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 151-162"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694847","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.2025.08.004
Ralph A. Kruse Jr. DC , Bret A. White DC , Casey J. Rogers DC , Jason Klamson BA , Maruti R. Gudavalli PhD
Objective
The purpose of this case series is to describe the outcomes of chiropractic therapy using Cox technic flexion distraction decompression spinal manipulation for patients with cervical and lumbar failed back surgery syndrome (FBSS) who were experiencing pain in the areas where they had previously undergone surgery.
Methods
This case series includes clinical outcome measures from 61 patients with FBSS treated by 21 certified Cox Doctors of Chiropractic from multiple clinic locations. Primary outcomes were pain severity and function, assessed using Patient-Reported Outcomes Measurement System-29 v1.0, Neck Disability Index, and Numerical Pain Rating Scale (NPRS) questionnaires. Data were analyzed with SPSS software (version 28, IBM Corp). Demographic data were summarized with descriptive statistics. NPRS for neck pain was analyzed using the Friedman test. Repeated measures ANOVA was used to compare initial visit data with data at 3 and 12 months after the onset of care.
Results
The cohort received a mean (SD) of 12.9 (8.0) treatments over 56.3 (35.2) days. Pain relief reported by doctors was 67.2% (28.5%) and by patients was 65.9% (29.3%). Neck Disability Index scores had reduced by 6.4 (SD 6.9) and 2.67 (5.1) at 3 and 12 months, respectively. NPRS showed reduced pain for cervical and lumbar patients at 3 and 12 months. Patient-Reported Outcomes Measurement System-29 v1.0 scores improved in physical function, anxiety, depression, fatigue, pain interference, average pain, spine pain, leg and arm pain, sleep disturbance, and social roles.
Conclusion
Patients with FBSS who received specialized chiropractic flexion distraction spinal manipulation in this study experienced relief of pain and disability.
{"title":"Failed Back Surgery Syndrome Patients Undergoing Flexion Distraction Chiropractic Treatment: A Case Series","authors":"Ralph A. Kruse Jr. DC , Bret A. White DC , Casey J. Rogers DC , Jason Klamson BA , Maruti R. Gudavalli PhD","doi":"10.1016/j.jcm.2025.08.004","DOIUrl":"10.1016/j.jcm.2025.08.004","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case series is to describe the outcomes of chiropractic therapy using Cox technic flexion distraction decompression spinal manipulation for patients with cervical and lumbar failed back surgery syndrome (FBSS) who were experiencing pain in the areas where they had previously undergone surgery.</div></div><div><h3>Methods</h3><div>This case series includes clinical outcome measures from 61 patients with FBSS treated by 21 certified Cox Doctors of Chiropractic from multiple clinic locations. Primary outcomes were pain severity and function, assessed using Patient-Reported Outcomes Measurement System-29 v1.0, Neck Disability Index, and Numerical Pain Rating Scale (NPRS) questionnaires. Data were analyzed with SPSS software (version 28, IBM Corp). Demographic data were summarized with descriptive statistics. NPRS for neck pain was analyzed using the Friedman test. Repeated measures ANOVA was used to compare initial visit data with data at 3 and 12 months after the onset of care.</div></div><div><h3>Results</h3><div>The cohort received a mean (SD) of 12.9 (8.0) treatments over 56.3 (35.2) days. Pain relief reported by doctors was 67.2% (28.5%) and by patients was 65.9% (29.3%). Neck Disability Index scores had reduced by 6.4 (SD 6.9) and 2.67 (5.1) at 3 and 12 months, respectively. NPRS showed reduced pain for cervical and lumbar patients at 3 and 12 months. Patient-Reported Outcomes Measurement System-29 v1.0 scores improved in physical function, anxiety, depression, fatigue, pain interference, average pain, spine pain, leg and arm pain, sleep disturbance, and social roles.</div></div><div><h3>Conclusion</h3><div>Patients with FBSS who received specialized chiropractic flexion distraction spinal manipulation in this study experienced relief of pain and disability.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 15-24"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694914","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.2025.09.014
Trent Jones DC , Jake Halverson DC, DACBR , Norman Kettner DC, DACBR
Objective
This case report describes the outcomes of a novel, conservative approach for a young male patient with Dravet syndrome, which is a genetic epileptic encephalopathy resulting in frequent and recalcitrant seizures and developmental delays.
Clinical Features
A male infant began to experience seizures before 7 months of age, and genetic testing revealed an SCN1A mutation, confirming the diagnosis of Dravet syndrome. At age 7, despite standard polypharmacy consisting of antibiotics, steroids, and antiepileptic drugs, he continued to suffer from approximately 25 to 28 daily tonic-clonic refractory seizures.
Intervention and Outcome
The clinical objective was to restore the function of the endocannabinoid system by integrating very low-dose, whole-plant extracted, naturally chiral, hemp-derived phytocannabinoid formulations, and broad environmental and dietary modifications. Within the first week of treatment, the patient had only 1 to 2 mild seizures per day. Four years later, all pharmaceuticals were discontinued, and by age 12, the patient’s daily hemp formulation was reduced to as-needed status. At the time of this writing, the patient was 16 years of age and had an average of 7 to 10 very mild petit mal seizures per month. The whole plant hemp formulations generated no observable side effects.
Conclusion
This case study demonstrates conservative comanagement of a patient with a catastrophic seizure disorder using novel nonpharmaceutical comanagement strategies.
{"title":"Whole Plant Cannabinoid Nonpharmaceutical Treatment Protocols for a Young Male With Dravet Syndrome","authors":"Trent Jones DC , Jake Halverson DC, DACBR , Norman Kettner DC, DACBR","doi":"10.1016/j.jcm.2025.09.014","DOIUrl":"10.1016/j.jcm.2025.09.014","url":null,"abstract":"<div><h3>Objective</h3><div>This case report describes the outcomes of a novel, conservative approach for a young male patient with Dravet syndrome, which is a genetic epileptic encephalopathy resulting in frequent and recalcitrant seizures and developmental delays.</div></div><div><h3>Clinical Features</h3><div>A male infant began to experience seizures before 7 months of age, and genetic testing revealed an SCN1A mutation, confirming the diagnosis of Dravet syndrome. At age 7, despite standard polypharmacy consisting of antibiotics, steroids, and antiepileptic drugs, he continued to suffer from approximately 25 to 28 daily tonic-clonic refractory seizures.</div></div><div><h3>Intervention and Outcome</h3><div>The clinical objective was to restore the function of the endocannabinoid system by integrating very low-dose, whole-plant extracted, naturally chiral, hemp-derived phytocannabinoid formulations, and broad environmental and dietary modifications. Within the first week of treatment, the patient had only 1 to 2 mild seizures per day. Four years later, all pharmaceuticals were discontinued, and by age 12, the patient’s daily hemp formulation was reduced to as-needed status. At the time of this writing, the patient was 16 years of age and had an average of 7 to 10 very mild petit mal seizures per month. The whole plant hemp formulations generated no observable side effects.</div></div><div><h3>Conclusion</h3><div>This case study demonstrates conservative comanagement of a patient with a catastrophic seizure disorder using novel nonpharmaceutical comanagement strategies.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 430-435"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694776","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 present study aimed to evaluate the effects of sound frequencies on pain induced by intramuscular injection (IMI).
Methods
This was a double-blind study involving IMI candidates who were randomly divided into 10 equal groups, including intervention, inactive, and control groups (30 patients per group). In the intervention groups, patients received sound stimulation at frequencies ranging from 10 to 200 Hz at 50 dB during IMI. No sound stimulation was provided in the control and inactive groups. Pain and comfort levels were assessed using a visual analog scale, along with monitoring changes in blood pressure and heart rate.
Results
The study results indicated that as sound frequency increased, pain levels decreased compared to the control and inactive groups. The reduction in pain and increase in comfort scores were most significant at frequencies of 150 and 200 Hz. Tachycardia intensity at 150 and 200 Hz was significantly lower than in the inactive and 10 Hz groups. The increase in systolic blood pressure at frequencies of 40 to 200 Hz was significantly lower than in the inactive group, and also at 200 Hz compared to the control and 10 to 50 Hz groups. Additionally, diastolic blood pressure at 200 Hz was significantly lower than in the control, inactive, and 10 to 50 Hz groups.
Conclusion
The study concluded that sound can reduced IMI pain, as well as postinjection changes in blood pressure and heart rate. This nonpharmacological and noninvasive intervention demonstrated greater changes at higher frequencies.
{"title":"Effects of Sound Frequencies on Pain and Comfort During Intramuscular Injection: A Randomized Controlled Study","authors":"Saeed Mohammadi MD , Ebrahim Ezzati PhD , Rooghaye Mahooti Bs , Fatemeh Kavyannejad Bs , Rasoul Kavyannejad PhD","doi":"10.1016/j.jcm.2025.09.010","DOIUrl":"10.1016/j.jcm.2025.09.010","url":null,"abstract":"<div><h3>Objective</h3><div>The present study aimed to evaluate the effects of sound frequencies on pain induced by intramuscular injection (IMI).</div></div><div><h3>Methods</h3><div>This was a double-blind study involving IMI candidates who were randomly divided into 10 equal groups, including intervention, inactive, and control groups (30 patients per group). In the intervention groups, patients received sound stimulation at frequencies ranging from 10 to 200 Hz at 50 dB during IMI. No sound stimulation was provided in the control and inactive groups. Pain and comfort levels were assessed using a visual analog scale, along with monitoring changes in blood pressure and heart rate.</div></div><div><h3>Results</h3><div>The study results indicated that as sound frequency increased, pain levels decreased compared to the control and inactive groups. The reduction in pain and increase in comfort scores were most significant at frequencies of 150 and 200 Hz. Tachycardia intensity at 150 and 200 Hz was significantly lower than in the inactive and 10 Hz groups. The increase in systolic blood pressure at frequencies of 40 to 200 Hz was significantly lower than in the inactive group, and also at 200 Hz compared to the control and 10 to 50 Hz groups. Additionally, diastolic blood pressure at 200 Hz was significantly lower than in the control, inactive, and 10 to 50 Hz groups.</div></div><div><h3>Conclusion</h3><div>The study concluded that sound can reduced IMI pain, as well as postinjection changes in blood pressure and heart rate. This nonpharmacological and noninvasive intervention demonstrated greater changes at higher frequencies.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 185-193"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694828","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.2025.09.031
Milone Savla MPT, Charu Eapen PhD, Ashish John Prabhakar PhD
Objective
The study aimed to assess the endurance of core muscles, shoulder range of motion (ROM), strength, and disability in subjects with and without shoulder pain. A secondary aim was to determine a possible connection between core muscle endurance and shoulder pain, along with related variables.
Methods
This cross-sectional study evaluated 50 subjects with shoulder pain (54.60 ± 12.17 years) and 50 without shoulder pain (53.86 ± 12.08 years). Core muscle endurance was assessed using the flexor endurance test and the prone bridge. Shoulder ROM, strength, scapula strength, and SPADI were evaluated.
Results
The mean duration of shoulder pain was 13.77 months. Subjects with shoulder pain had significantly reduced core muscle endurance (P < .001), shoulder strength (P < .001), scapula elevator and depressor muscle strength (P < .05), and passive ROM (P < .05). Correlation was found between core muscle endurance and shoulder muscle strength (r = 0.50; P < .05).
Conclusion
Reduced core muscle endurance was strongly linked to shoulder muscle strength in individuals experiencing shoulder pain. This underscores the necessity of addressing core stability along with shoulder and scapula strength assessment.
{"title":"Evaluation and Association of Core Muscle Endurance, Shoulder Range of Motion and Strength in Subjects With Shoulder Pain","authors":"Milone Savla MPT, Charu Eapen PhD, Ashish John Prabhakar PhD","doi":"10.1016/j.jcm.2025.09.031","DOIUrl":"10.1016/j.jcm.2025.09.031","url":null,"abstract":"<div><h3>Objective</h3><div>The study aimed to assess the endurance of core muscles, shoulder range of motion (ROM), strength, and disability in subjects with and without shoulder pain. A secondary aim was to determine a possible connection between core muscle endurance and shoulder pain, along with related variables.</div></div><div><h3>Methods</h3><div>This cross-sectional study evaluated 50 subjects with shoulder pain (54.60 ± 12.17 years) and 50 without shoulder pain (53.86 ± 12.08 years). Core muscle endurance was assessed using the flexor endurance test and the prone bridge. Shoulder ROM, strength, scapula strength, and SPADI were evaluated.</div></div><div><h3>Results</h3><div>The mean duration of shoulder pain was 13.77 months. Subjects with shoulder pain had significantly reduced core muscle endurance (<em>P</em> < .001), shoulder strength (<em>P</em> < .001), scapula elevator and depressor muscle strength (<em>P</em> < .05), and passive ROM (<em>P</em> < .05). Correlation was found between core muscle endurance and shoulder muscle strength (r = 0.50; <em>P</em> < .05).</div></div><div><h3>Conclusion</h3><div>Reduced core muscle endurance was strongly linked to shoulder muscle strength in individuals experiencing shoulder pain. This underscores the necessity of addressing core stability along with shoulder and scapula strength assessment.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 201-209"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694830","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.2025.09.030
Kanika Thakur PhD, Manu Goyal PhD
Objective
This study aimed to translate, perform cross-cultural adaptation, and evaluate the clinimetric properties of the Hindi version of the Leeds assessment of neuropathic symptom and sign (LANSS) pain scale.
Methods
A cross-sectional study involving 51 patients with DPN was completed. With permission from the original LANSS pain scale authors, the translation into Hindi was conducted following Beaton’s guidelines. The translation process adhered to all 8 steps, involving experts from both medical and nonmedical fields.
Results
The translated scale demonstrated excellent relative reliability (Cronbach’s alpha = 0.96, ICC = 0.99) and absolute reliability (CV% = 0.26, SEM = 0.70). It also showed excellent content validity (I-CVI = 1, S-CVI/Ave = 0.92, S-CVI/U = 0.71). The Minimal Detectable Change at 95% confidence interval (MDC95) and Minimal Clinically Important Difference (MCID) indicated clinical significance. The Smallest Worthwhile Change (SWC) of 1 indicated good sensitivity of the translated version.
Conclusion
The Hindi version of the LANSS pain scale exhibits acceptable clinimetric properties and is suitable for assessing neuropathic pain in patients with Diabetic Peripheral Neuropathy .
{"title":"Hindi Translation, Validation, and Estimation of Clinimetric Properties of the Leeds Assessment of Neuropathic Symptom and Sign Pain Scale in Patients With Diabetic Peripheral Neuropathy","authors":"Kanika Thakur PhD, Manu Goyal PhD","doi":"10.1016/j.jcm.2025.09.030","DOIUrl":"10.1016/j.jcm.2025.09.030","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to translate, perform cross-cultural adaptation, and evaluate the clinimetric properties of the Hindi version of the Leeds assessment of neuropathic symptom and sign (LANSS) pain scale.</div></div><div><h3>Methods</h3><div>A cross-sectional study involving 51 patients with DPN was completed. With permission from the original LANSS pain scale authors, the translation into Hindi was conducted following Beaton’s guidelines. The translation process adhered to all 8 steps, involving experts from both medical and nonmedical fields.</div></div><div><h3>Results</h3><div>The translated scale demonstrated excellent relative reliability (Cronbach’s alpha = 0.96, ICC = 0.99) and absolute reliability (CV% = 0.26, SEM = 0.70). It also showed excellent content validity (I-CVI = 1, S-CVI/Ave = 0.92, S-CVI/U = 0.71). The Minimal Detectable Change at 95% confidence interval (MDC<sub>95</sub>) and Minimal Clinically Important Difference (MCID) indicated clinical significance. The Smallest Worthwhile Change (SWC) of 1 indicated good sensitivity of the translated version.</div></div><div><h3>Conclusion</h3><div>The Hindi version of the LANSS pain scale exhibits acceptable clinimetric properties and is suitable for assessing neuropathic pain in patients with Diabetic Peripheral Neuropathy .</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 210-218"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694831","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.2025.09.011
Sonia V. Joubert DC, ND, MSc , Tiffani B. Alwazan ND, DC, MA, MS, LAc
Objective
The purpose of this case study is to describe the diagnostic characteristics, symptomatology, alternative treatment, and outcome of 2 patients with persistent facial palsy from Ramsay Hunt syndrome (RHS).
Clinical Features
A 38-year-old female and a 55-year-old male presented with right-sided facial paralysis, which affected multiple cranial nerves. The patients displayed difficulty eating and speaking, facial paralysis, vertigo, inability to close eyes on the affected side, and painful blisters. The occurrence of distinguishing characteristics of RHS, such as painful blisters, hearing loss, tinnitus, vertigo, difficulty eating, vision changes due to eye dryness, and speech impairment, was assessed.
Intervention and outcome
In the first case, the patient was treated in 8 weekly sessions with a combination of chiropractic spinal manipulation, acupuncture, cold laser, myofascial release, and homeopathy. In the initial 2 sessions, the patient received weekly acupuncture and cold laser therapy. In the final sessions, the patient reported pain reduction and anxiety relief. In the second case, the patient received acupuncture, cold laser, soft tissue manipulation, and homeopathy for 8 weeks. The patient was initially prescribed a homeopathic remedy, Causticum 30 C, for two weeks. Then he was given Graphites 30 C for 6 weeks. He displayed improved speech, decreased tongue deviation, increased eye closure, increased control of right eyebrow movement and was able to close his eyes fluidly. He no longer experienced double vision or eye dryness.
Conclusions
This article presents a case study of two patients with varying symptoms of RHS. In both cases, patients were treated with conservative care. Improvements in eye closure, speech, capability to eat and drink, tongue moment, and pain were reported by the patients.
目的探讨2例拉姆齐·亨特综合征（RHS）持续性面瘫的诊断特点、症状学、替代治疗方法及预后。临床特征：女性38岁，男性55岁，表现为右侧面瘫，累及多处颅神经。患者表现为进食和说话困难，面瘫，眩晕，患侧不能闭上眼睛，以及疼痛的水泡。评估RHS的显著特征，如疼痛性水泡、听力丧失、耳鸣、眩晕、进食困难、眼干引起的视力变化和语言障碍的发生情况。干预和结果：在第一个病例中，患者接受了每周一次的治疗，包括脊椎推拿、针灸、冷激光、肌筋膜松解和顺势疗法。在最初的2个疗程中，患者每周接受针灸和冷激光治疗。在最后的疗程中，患者报告疼痛减轻和焦虑缓解。第二例患者接受针灸、冷激光、软组织推拿、顺势疗法治疗8周。患者最初被开了顺势疗法的药物，Causticum 30c，为期两周。然后他被给予石墨30 C 6周。他表现出改善的语言，减少舌偏移，增加闭眼，增加控制右眉运动，并能够流畅地闭上眼睛。他不再有重影或眼睛干涩的感觉。本文报告了两例不同症状的RHS患者的病例研究。在这两个病例中，患者都接受了保守治疗。患者报告了闭眼、语言、饮食能力、舌动和疼痛的改善。
{"title":"Conservative Care and Outcomes for 2 Patients With Ramsay Hunt Syndrome","authors":"Sonia V. Joubert DC, ND, MSc , Tiffani B. Alwazan ND, DC, MA, MS, LAc","doi":"10.1016/j.jcm.2025.09.011","DOIUrl":"10.1016/j.jcm.2025.09.011","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case study is to describe the diagnostic characteristics, symptomatology, alternative treatment, and outcome of 2 patients with persistent facial palsy from Ramsay Hunt syndrome (RHS).</div></div><div><h3>Clinical Features</h3><div>A 38-year-old female and a 55-year-old male presented with right-sided facial paralysis, which affected multiple cranial nerves. The patients displayed difficulty eating and speaking, facial paralysis, vertigo, inability to close eyes on the affected side, and painful blisters. The occurrence of distinguishing characteristics of RHS, such as painful blisters, hearing loss, tinnitus, vertigo, difficulty eating, vision changes due to eye dryness, and speech impairment, was assessed.</div></div><div><h3>Intervention and outcome</h3><div>In the first case, the patient was treated in 8 weekly sessions with a combination of chiropractic spinal manipulation, acupuncture, cold laser, myofascial release, and homeopathy. In the initial 2 sessions, the patient received weekly acupuncture and cold laser therapy. In the final sessions, the patient reported pain reduction and anxiety relief. In the second case, the patient received acupuncture, cold laser, soft tissue manipulation, and homeopathy for 8 weeks. The patient was initially prescribed a homeopathic remedy, Causticum 30 C, for two weeks. Then he was given Graphites 30 C for 6 weeks. He displayed improved speech, decreased tongue deviation, increased eye closure, increased control of right eyebrow movement and was able to close his eyes fluidly. He no longer experienced double vision or eye dryness.</div></div><div><h3>Conclusions</h3><div>This article presents a case study of two patients with varying symptoms of RHS. In both cases, patients were treated with conservative care. Improvements in eye closure, speech, capability to eat and drink, tongue moment, and pain were reported by the patients.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 464-473"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694911","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号