Journal of chiropractic medicine最新文献_第4页

Short-Term Changes in Posture and Pain of the Neck and Lower Back of Women Undergoing Lipoabdominoplasty: A Case Series Report 接受脂肪腹部成形术的妇女的姿势和颈部及下背部疼痛的短期变化:一个病例系列报告

Journal of chiropractic medicine

Pub Date : 2023-06-01 DOI: 10.1016/j.jcm.2022.07.003

Denise D. Xavier MSc , Ruth M. Graf PhD , Arthur S. Ferreira PhD

Objective

The purpose of this study was to analyze short-term variations in posture and intensity of neck and lower back pain in women undergoing lipoabdominoplasty.

Methods

This prospective case series study involved 17 women (age 43 ± 12 years, presurgical body mass index 27.0 ± 3.7 kg/m²). Participants were assessed preoperatively (T0) and at 15 (T15) and 30 days (T30) after surgery for clinical data (number of pregnancies, number of deliveries, presurgical body mass), neck and lower back angles calculated by photogrammetry, and pain intensity by numeric pain rating scale. Postoperative complications were assessed at T15 and T30.

Results

After adjusting for age and presurgical body mass index, there was an increase in forward head position in T15 and a return by T30 (marginal R² = 0.411). The lower back showed an increase in flexion at T15 and return by T30 (marginal R² = 0.266). No statistical evidence of significance was observed for changes in the intensity of neck (P > .355) or lower back (P > .293) pain. Complications were mild and common at T15; most of them resumed at T30.

Conclusion

A transient, nonlinear compensatory change in neck and lower back lordosis was observed 15 days after lipoabdominoplasty, with almost full recovery in the short term (30 days). No systematic change in pain intensity was observed within this period. Postsurgical complications were mild and common, and most of them resumed shortly after surgery.

目的本研究的目的是分析接受脂肪腹部成形术的女性在姿势和颈部及下背部疼痛强度方面的短期变化。方法本前瞻性病例系列研究纳入17例女性(年龄43±12岁，术前体重指数27.0±3.7 kg/m2)。在术前(T0)、术后15 (T15)和30天(T30)评估参与者的临床数据(怀孕次数、分娩次数、术前体重)、摄影测量法计算的颈部和下背部角度，以及数字疼痛评定量表计算的疼痛强度。在T15和T30时评估术后并发症。结果在调整年龄和术前体重指数后，T15患者头部前移增加，T30患者头部前移增加(边际R2 = 0.411)。下背部在T15和T30时屈曲增加(边际R2 = 0.266)。颈部强度变化无统计学意义(P >.355)或下背部(P >.293)疼痛。T15时并发症轻微且常见;大多数在下午3点30分恢复。结论脂腹成形术术后15 d出现颈部及下背部前凸的短暂非线性代偿性改变，在短期内(30 d)几乎完全恢复。在此期间未观察到疼痛强度的系统性变化。术后并发症轻而常见，多数术后很快恢复。

{"title":"Short-Term Changes in Posture and Pain of the Neck and Lower Back of Women Undergoing Lipoabdominoplasty: A Case Series Report","authors":"Denise D. Xavier MSc , Ruth M. Graf PhD , Arthur S. Ferreira PhD","doi":"10.1016/j.jcm.2022.07.003","DOIUrl":"10.1016/j.jcm.2022.07.003","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to analyze short-term variations in posture and intensity of neck and lower back pain in women undergoing lipoabdominoplasty.</p></div><div><h3>Methods</h3><p><span>This prospective case series study involved 17 women (age 43 ± 12 years, presurgical body mass index 27.0 ± 3.7 kg/m</span><sup>2</sup><span><span><span>). Participants were assessed preoperatively (T0) and at 15 (T15) and 30 days (T30) after surgery for clinical data (number of pregnancies, number of deliveries, presurgical body mass), neck and lower back angles calculated by photogrammetry, and pain intensity by </span>numeric pain rating scale. </span>Postoperative complications were assessed at T15 and T30.</span></p></div><div><h3>Results</h3><p>After adjusting for age and presurgical body mass index, there was an increase in forward head position in T15 and a return by T30 (marginal R<sup>2</sup> = 0.411). The lower back showed an increase in flexion at T15 and return by T30 (marginal R<sup>2</sup> = 0.266). No statistical evidence of significance was observed for changes in the intensity of neck (<em>P</em> > .355) or lower back (<em>P</em> > .293) pain. Complications were mild and common at T15; most of them resumed at T30.</p></div><div><h3>Conclusion</h3><p>A transient, nonlinear compensatory change in neck and lower back lordosis was observed 15 days after lipoabdominoplasty, with almost full recovery in the short term (30 days). No systematic change in pain intensity was observed within this period. Postsurgical complications were mild and common, and most of them resumed shortly after surgery.</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/PMC10280349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9702569","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}

引用次数: 0

Alzheimer Disease and Related Cognitive Impairment in Older Adults: A Narrative Review of Screening, Prevention, and Management for Manual Therapy Providers 老年阿尔茨海默病和相关认知障碍:手工治疗提供者筛查、预防和管理的叙述性回顾

Journal of chiropractic medicine

Pub Date : 2023-06-01 DOI: 10.1016/j.jcm.2023.03.001

Casey J. Rogers DC, MPH , Jaime Ayuso Jr DC , Madeleine E. Hackney PhD , Charles Penza DC, PhD

Objective

The aim of this narrative review was to review literature relevant to manual therapists about cognitive impairment, together with screening, potential treatment, and prevention modalities.

Methods

A literature search of AMED (Allied and Complementary Medicine Database), CINAHL (Cumulative Index of Nursing and Allied Health Literature), PubMed, and MEDLINE was conducted with the search terms “cognitive decline,” “cognitive impairment,” “screening,” and “prevention.” We reviewed current screening practices, including functional exams, imaging, and laboratory testing. We reviewed current potential preventive measures and treatments being implemented in practice.

Results

We selected 49 resources for this narrative summary. The Montreal Cognitive Assessment and Mini-Mental State Exam are recommended screening tools. Imaging and laboratory testing are not recommended in screening for cognitive decline. Promotion of healthy, active living through physical and mental activities may assist with prevention of cognitive decline.

Conclusion

Cognitive decline affects a large proportion of the US population. Recognizing signs and symptoms of this condition starts with individuals, caretakers, family members, and health care providers. Health care providers should utilize the most appropriate screening tools to assess the presence of cognitive conditions.

目的:回顾与手工治疗师有关的认知障碍的文献，包括筛查、潜在治疗和预防方法。方法以“认知能力下降”、“认知功能障碍”、“筛查”、“预防”为检索词，检索AMED(联合与补充医学数据库)、CINAHL(护理与联合健康文献累积索引)、PubMed和MEDLINE。我们回顾了目前的筛查方法，包括功能检查、影像学检查和实验室检测。我们审查了目前正在实施的潜在预防措施和治疗方法。结果我们选择了49个资源进行叙述总结。蒙特利尔认知评估和迷你精神状态测试是推荐的筛查工具。不推荐影像学和实验室检查筛查认知能力下降。通过身体和精神活动促进健康、积极的生活可能有助于预防认知能力下降。结论认知能力下降影响了很大一部分美国人。识别这种疾病的体征和症状从个人、看护人、家庭成员和卫生保健提供者开始。卫生保健提供者应利用最适当的筛查工具来评估认知状况的存在。

{"title":"Alzheimer Disease and Related Cognitive Impairment in Older Adults: A Narrative Review of Screening, Prevention, and Management for Manual Therapy Providers","authors":"Casey J. Rogers DC, MPH , Jaime Ayuso Jr DC , Madeleine E. Hackney PhD , Charles Penza DC, PhD","doi":"10.1016/j.jcm.2023.03.001","DOIUrl":"10.1016/j.jcm.2023.03.001","url":null,"abstract":"<div><h3>Objective</h3><p><span>The aim of this narrative review was to review literature relevant to manual therapists about </span>cognitive impairment<span>, together with screening, potential treatment, and prevention modalities.</span></p></div><div><h3>Methods</h3><p>A literature search of AMED (Allied and Complementary Medicine Database), CINAHL (Cumulative Index of Nursing and Allied Health Literature), PubMed, and MEDLINE was conducted with the search terms “cognitive decline,” “cognitive impairment,” “screening,” and “prevention.” We reviewed current screening practices, including functional exams, imaging, and laboratory testing. We reviewed current potential preventive measures and treatments being implemented in practice.</p></div><div><h3>Results</h3><p>We selected 49 resources for this narrative summary. The Montreal Cognitive Assessment and Mini-Mental State Exam are recommended screening tools. Imaging and laboratory testing are not recommended in screening for cognitive decline. Promotion of healthy, active living through physical and mental activities may assist with prevention of cognitive decline.</p></div><div><h3>Conclusion</h3><p>Cognitive decline affects a large proportion of the US population. Recognizing signs and symptoms of this condition starts with individuals, caretakers, family members, and health care providers. Health care providers should utilize the most appropriate screening tools to assess the presence of cognitive conditions.</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/PMC10280085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9710262","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}

引用次数: 0

Factors Associated With Compliance With Self-Management Home Therapies for Spine Pain: A Survey of Participants Attending a Chiropractic Teaching Clinic in South Africa 与脊柱疼痛自我管理家庭疗法依从性相关的因素:一项对参加南非脊椎指压治疗教学诊所的参与者的调查

Journal of chiropractic medicine

Pub Date : 2023-06-01 DOI: 10.1016/j.jcm.2022.09.001

Devereaux Muller MTechChiro , Yasmeen Thandar PhD , Firoza Haffejee PhD

Objective

The purpose of this study was to determine factors that affect compliance with various prescribed home therapies based on reported feedback from participants with spine pain.

Methods

This was a descriptive, quantitative, cross-sectional survey. A purposive sampling method was used to recruit 121 participants with neck and back pain attending the Durban University of Technology Chiropractic Day Clinic located in KwaZulu-Natal, South Africa. Data were collected using a self-administered questionnaire. Descriptive statistics, including frequencies and percentages, were used to summarize the data, and odds ratios (ORs) were calculated.

Results

Most participants presented with chronic pain, reporting an average severity of 6 out of 10 and little disability from the pain. Home therapy included stretches (92.2%), heat therapy (49.1%), and ice therapy (38.8%). Almost two-thirds (62.1%) of participants reported being fully compliant with the prescribed home therapy, while 32.8% reported partial compliance. The main factors that potentially affected compliance were laziness and forgetfulness. Participants who reported having depression were less compliant (OR, 0.181), while those with chronic pain were more compliant (OR, 3.74). Those who believed that home therapy would alleviate their pain were also more compliant (OR, 3.83).

Conclusion

The study found that a majority of participants with spine pain were compliant with prescribed chiropractic home treatment. Key factors that potentially influenced compliance were identified.

目的本研究的目的是根据脊柱疼痛参与者报告的反馈，确定影响各种规定的家庭治疗依从性的因素。方法采用描述性、定量、横断面调查。采用有目的的抽样方法，在南非夸祖鲁-纳塔尔省德班科技大学脊椎指压日间诊所招募了121名颈部和背部疼痛的参与者。数据是通过自我管理的问卷收集的。描述性统计，包括频率和百分比，用于总结数据，并计算优势比(or)。结果大多数参与者表现为慢性疼痛，报告平均严重程度为6分(满分10分)，疼痛几乎没有残疾。家庭疗法包括伸展(92.2%)、热疗法(49.1%)和冰疗法(38.8%)。几乎三分之二(62.1%)的参与者报告完全遵守规定的家庭治疗，而32.8%的参与者报告部分遵守。可能影响依从性的主要因素是懒惰和健忘。报告患有抑郁症的参与者依从性较低(OR, 0.181)，而患有慢性疼痛的参与者依从性较高(OR, 3.74)。那些认为家庭治疗可以减轻疼痛的人也更顺从(OR, 3.83)。结论:研究发现，大多数脊柱疼痛的参与者都符合规定的脊椎推拿家庭治疗。确定了可能影响遵守的关键因素。

{"title":"Factors Associated With Compliance With Self-Management Home Therapies for Spine Pain: A Survey of Participants Attending a Chiropractic Teaching Clinic in South Africa","authors":"Devereaux Muller MTechChiro , Yasmeen Thandar PhD , Firoza Haffejee PhD","doi":"10.1016/j.jcm.2022.09.001","DOIUrl":"10.1016/j.jcm.2022.09.001","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to determine factors that affect compliance with various prescribed home therapies based on reported feedback from participants with spine pain.</p></div><div><h3>Methods</h3><p>This was a descriptive, quantitative, cross-sectional survey. A purposive sampling method was used to recruit 121 participants with neck and back pain<span> attending the Durban University of Technology Chiropractic<span> Day Clinic located in KwaZulu-Natal, South Africa. Data were collected using a self-administered questionnaire. Descriptive statistics, including frequencies and percentages, were used to summarize the data, and odds ratios (ORs) were calculated.</span></span></p></div><div><h3>Results</h3><p>Most participants presented with chronic pain, reporting an average severity of 6 out of 10 and little disability from the pain. Home therapy included stretches (92.2%), heat therapy (49.1%), and ice therapy (38.8%). Almost two-thirds (62.1%) of participants reported being fully compliant with the prescribed home therapy, while 32.8% reported partial compliance. The main factors that potentially affected compliance were laziness and forgetfulness. Participants who reported having depression were less compliant (OR, 0.181), while those with chronic pain were more compliant (OR, 3.74). Those who believed that home therapy would alleviate their pain were also more compliant (OR, 3.83).</p></div><div><h3>Conclusion</h3><p>The study found that a majority of participants with spine pain were compliant with prescribed chiropractic home treatment. Key factors that potentially influenced compliance were identified.</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/PMC10280084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9714115","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}

引用次数: 0

Coenzyme Q10 Supplementation in Reducing Inflammation: An Umbrella Review 补充辅酶Q10减少炎症:综述

Journal of chiropractic medicine

Pub Date : 2023-06-01 DOI: 10.1016/j.jcm.2022.07.001

Marc P. McRae DC

Objective

The purpose of this study was to review meta-analyses on the effectiveness of coenzyme Q10 supplementation in reducing inflammation through changes in the inflammatory biomarkers C-reactive protein, interleukin 6 (IL-6), and tumor necrosis factor alpha (TNF-α).

Methods

An umbrella review of all published meta-analyses was performed. A PubMed search from January 1, 1980, to December 31, 2021, was conducted using the following search strategy: “(coenzyme q10 OR CoQ10 OR ubiquinone OR ubiquinol) AND (meta-analysis OR systematic review)”. Only English language publications that provided quantitative statistical analysis on coenzyme Q10 supplementation and markers of inflammation were retrieved.

Results

Seven meta-analyses were retrieved for inclusion in this umbrella review, and for all 3 inflammatory biomarker marker groups, the median intake of supplemental coenzyme Q10 was 200 mg/d for a median duration of 12 weeks. For C-reactive protein, only 3 of the 7 meta-analyses presented with statistically significant reductions, while statistically significant reductions in IL-6 and TNF-α for were observed in 4 of the 5 meta-analyses and 3 of the 4 meta-analyses, respectively. However, statistically significant heterogeneity was observed in the majority of these meta-analyses.

Conclusion

The majority of included meta-analyses showed that coenzyme Q10 supplementation significantly decreased the proinflammatory cytokines IL-6 and TNF-α. However, heterogeneity was observed in the majority of these meta-analyses, and therefore the results should be interpreted with caution.

本研究的目的是回顾补充辅酶Q10通过改变炎症生物标志物c反应蛋白、白细胞介素6 (IL-6)和肿瘤坏死因子α (TNF-α)来减轻炎症的有效性的荟萃分析。方法对所有已发表的荟萃分析进行综述。从1980年1月1日至2021年12月31日的PubMed检索使用以下搜索策略进行:“(辅酶q10或辅酶q10或泛醌或泛醇)和(荟萃分析或系统评价)”。只检索了提供辅酶Q10补充和炎症标志物定量统计分析的英文出版物。结果本综述检索了7项荟萃分析，对于所有3个炎症生物标志物组，补充辅酶Q10的中位摄入量为200 mg/d，中位持续时间为12周。对于c反应蛋白，7项荟萃分析中只有3项显示有统计学意义的降低，而5项荟萃分析中有4项和4项荟萃分析中分别有3项观察到IL-6和TNF-α有统计学意义的降低。然而，在这些荟萃分析中，大多数观察到统计学上显著的异质性。结论大多数纳入的荟萃分析显示，补充辅酶Q10可显著降低促炎细胞因子IL-6和TNF-α。然而，在大多数meta分析中观察到异质性，因此应该谨慎解释结果。

{"title":"Coenzyme Q10 Supplementation in Reducing Inflammation: An Umbrella Review","authors":"Marc P. McRae DC","doi":"10.1016/j.jcm.2022.07.001","DOIUrl":"10.1016/j.jcm.2022.07.001","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to review meta-analyses on the effectiveness of coenzyme Q10<span> supplementation in reducing inflammation through changes in the inflammatory biomarkers C-reactive protein, interleukin 6 (IL-6), and tumor necrosis factor alpha (TNF-α).</span></p></div><div><h3>Methods</h3><p>An umbrella review of all published meta-analyses was performed. A PubMed search from January 1, 1980, to December 31, 2021, was conducted using the following search strategy: “(coenzyme q10 OR CoQ10 OR ubiquinone OR ubiquinol) AND (meta-analysis OR systematic review)”. Only English language publications that provided quantitative statistical analysis on coenzyme Q10 supplementation and markers of inflammation were retrieved.</p></div><div><h3>Results</h3><p>Seven meta-analyses were retrieved for inclusion in this umbrella review, and for all 3 inflammatory biomarker marker groups, the median intake of supplemental coenzyme Q10 was 200 mg/d for a median duration of 12 weeks. For C-reactive protein, only 3 of the 7 meta-analyses presented with statistically significant reductions, while statistically significant reductions in IL-6 and TNF-α for were observed in 4 of the 5 meta-analyses and 3 of the 4 meta-analyses, respectively. However, statistically significant heterogeneity was observed in the majority of these meta-analyses.</p></div><div><h3>Conclusion</h3><p>The majority of included meta-analyses showed that coenzyme Q10 supplementation significantly decreased the proinflammatory cytokines IL-6 and TNF-α. However, heterogeneity was observed in the majority of these meta-analyses, and therefore the results should be interpreted with caution.</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/PMC10280088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9702572","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}

引用次数: 0

Effect of Remote Myofascial Release on Lumbar Elasticity and Pain in Patients With Chronic Nonspecific Low Back Pain: A Randomized Clinical Trial 肌筋膜远程释放对慢性非特异性腰痛患者腰弹性和疼痛的影响:一项随机临床试验

Journal of chiropractic medicine

Pub Date : 2023-03-01 DOI: 10.1016/j.jcm.2022.04.002

Hassan Tamartash PhD , Farid Bahrpeyma PhD , Manijhe Mokhtari Dizaji PhD

Objective

The purpose of this study was to evaluate the effects of myofascial release technique of a remote area on lumbar elasticity and low back pain (LBP) in patients with chronic nonspecific LBP.

Methods

For this clinical trial, 32 participants with nonspecific LBP were assigned to a myofascial release group (n = 16) or a remote release group (n = 16). Participants in the myofascial release group received 4 sessions of myofascial release to the lumbar region. The remote release group received 4 myofascial release sessions to the crural and hamstring fascia of the lower limbs. Low back pain severity and elastic modulus of the lumbar myofascial tissue were assessed before and after treatment by the Numeric Pain Scale and ultrasonography examinations.

Results

The mean pain and elastic coefficient in each group before and after myofascial release interventions were significantly different (P ≤ .0005). The results showed that the changes in mean pain and elastic coefficient of the 2 groups after myofascial release interventions were not significantly different from each other (F 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22 = 1.48, P = .230, 95% confidence interval) (effect size = 0.22).

Conclusion

The improvements in the outcome measures for both groups suggest that remote myofascial release was effective in patients with chronic nonspecific LBP. The remote myofascial release of the lower limbs reduced the elastic modulus of the lumbar fascia and LBP.

目的探讨远区肌筋膜松解技术对慢性非特异性腰痛患者腰弹性和腰痛的影响。方法在本临床试验中，32名非特异性LBP患者被分为肌筋膜释放组(n = 16)和远程释放组(n = 16)。肌筋膜松解组接受腰区肌筋膜松解4次。远程松解组对下肢脚筋膜和腿筋膜进行4次肌筋膜松解。采用数值疼痛量表和超声检查评估治疗前后腰痛严重程度和腰肌筋膜组织弹性模量。结果各组肌筋膜松解干预前后的平均疼痛和弹性系数差异有统计学意义(P≤0.0005)。结果显示，两组肌筋膜松解干预后的平均疼痛和弹性系数变化差异无统计学意义(F 1、2、3、4、5、6、7、8、9、10、11、12、13、14、15、16、17、18、19、20、21、22 = 1.48,P = 0.230, 95%可信区间)(效应值= 0.22)。结论两组预后指标的改善提示远程肌筋膜松解对慢性非特异性LBP患者有效。下肢远端肌筋膜松解使腰筋膜弹性模量和腰痛降低。

{"title":"Effect of Remote Myofascial Release on Lumbar Elasticity and Pain in Patients With Chronic Nonspecific Low Back Pain: A Randomized Clinical Trial","authors":"Hassan Tamartash PhD , Farid Bahrpeyma PhD , Manijhe Mokhtari Dizaji PhD","doi":"10.1016/j.jcm.2022.04.002","DOIUrl":"10.1016/j.jcm.2022.04.002","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to evaluate the effects of myofascial release<span> technique of a remote area on lumbar elasticity and low back pain (LBP) in patients with chronic nonspecific LBP.</span></p></div><div><h3>Methods</h3><p>For this clinical trial<span><span><span>, 32 participants with nonspecific LBP were assigned to a myofascial release group (n = 16) or a remote release group (n = 16). Participants in the myofascial release group received 4 sessions of myofascial release to the lumbar region. The remote release group received 4 myofascial release sessions to the crural and hamstring </span>fascia of the lower limbs. Low back </span>pain severity<span> and elastic modulus<span> of the lumbar myofascial tissue were assessed before and after treatment<span> by the Numeric Pain Scale and ultrasonography examinations.</span></span></span></span></p></div><div><h3>Results</h3><p>The mean pain and elastic coefficient in each group before and after myofascial release interventions were significantly different (<em>P</em> ≤ .0005). The results showed that the changes in mean pain and elastic coefficient of the 2 groups after myofascial release interventions were not significantly different from each other (<em>F</em> <span>1</span>, <span>2</span>, <span>3</span>, <span>4</span>, <span>5</span>, <span>6</span>, <span>7</span>, <span>8</span>, <span>9</span>, <span>10</span>, <span>11</span>, <span>12</span>, <span>13</span>, <span>14</span>, <span>15</span>, <span>16</span>, <span>17</span>, <span>18</span>, <span>19</span>, <span>20</span>, <span>21</span>, <span>22</span> = 1.48, <em>P</em> = .230, 95% confidence interval) (effect size = 0.22).</p></div><div><h3>Conclusion</h3><p>The improvements in the outcome measures for both groups suggest that remote myofascial release was effective in patients with chronic nonspecific LBP. The remote myofascial release of the lower limbs reduced the elastic modulus of the lumbar fascia and LBP.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9947999/pdf/main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10190535","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}

引用次数: 3

Ergonomic Risk Factors of Fourth- and Fifth-Year International Medical University Dental Students 国际医科大学四、五年级牙科学生的人体工程学危险因素

Journal of chiropractic medicine

Pub Date : 2023-03-01 DOI: 10.1016/j.jcm.2022.05.001

Ni Ting Chong BS(Hons)Chiro, Valerie Ying Chin BS(Hons)Chiro, Michael Thomas Haneline MPH, Yi Kai Wong BS(Hons)Chiro, MSPH

Objective

The purpose of this study was to identify and compare the ergonomic risk factors of year 4 and year 5 dental students attending International Medical University.

Methods

This was an exploratory, observational study evaluating ergonomic risk factors among year 4 and year 5 dental students, with a total of 89 participants. The students’ ergonomic risk components were evaluated using the Rapid Upper Limb Assessment (RULA) worksheet. Descriptive statistics were used to analyze the RULA scores, and the Mann-Whitney U test served to determine the difference of ergonomic risk between year 4 and year 5 dental students.

Results

The descriptive analysis showed that the participants’ (N = 89) median final RULA score was 6.00 (standard deviation = 0.716). One-year difference in the years of clinical practice did not produce a significant difference in the final RULA score (U = 913.0, P = 0.49). The final RULA scores showed year 4 dental students had a higher mean ranking (year 4 = 46.65, year 5 = 43.23). Furthermore, the Mann-Whitney U test indicated that this was not statistically significant (U = 913.0, P = 0.49).

Conclusion

The descriptive analysis showed that the final RULA score of the participants indicated that the participants were in a high-risk category for experiencing work-related musculoskeletal disorders due to poor ergonomics. Contributing physical factors included working in asymmetric, awkward, and static positions in a confined workspace, infrequent use of dental loupes, and utilization of dental chairs that were not ergonomically appropriate.

目的探讨国际医科大学四年级和五年级牙科学生的人体工程学危险因素。方法本研究是一项探索性观察性研究，评估四年级和五年级牙科学生的人体工程学危险因素，共有89名参与者。使用快速上肢评估(RULA)工作表对学生的人体工程学风险成分进行评估。采用描述性统计分析RULA评分，采用Mann-Whitney U检验确定四年级和五年级牙科学生在人体工程学风险方面的差异。结果描述性分析显示，受试者(N = 89)的最终RULA评分中位数为6.00(标准差= 0.716)。临床年限一年的差异在最终RULA评分上没有显著差异(U = 913.0, P = 0.49)。最终的RULA分数显示，四年级牙科学生的平均排名更高(四年级= 46.65，五年级= 43.23)。此外，Mann-Whitney U检验显示这没有统计学意义(U = 913.0, P = 0.49)。结论描述性分析表明，最终受试者的RULA得分表明，由于较差的人体工程学，受试者处于与工作相关的肌肉骨骼疾病的高风险类别。物理因素包括在有限的工作空间中以不对称、尴尬和静态的姿势工作，很少使用牙镜，以及使用不符合人体工程学的牙科椅。

{"title":"Ergonomic Risk Factors of Fourth- and Fifth-Year International Medical University Dental Students","authors":"Ni Ting Chong BS(Hons)Chiro, Valerie Ying Chin BS(Hons)Chiro, Michael Thomas Haneline MPH, Yi Kai Wong BS(Hons)Chiro, MSPH","doi":"10.1016/j.jcm.2022.05.001","DOIUrl":"10.1016/j.jcm.2022.05.001","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to identify and compare the ergonomic risk factors of year 4 and year 5 dental students attending International Medical University.</p></div><div><h3>Methods</h3><p>This was an exploratory, observational study evaluating ergonomic risk factors among year 4 and year 5 dental students, with a total of 89 participants. The students’ ergonomic risk components were evaluated using the Rapid Upper Limb Assessment (RULA) worksheet. Descriptive statistics were used to analyze the RULA scores, and the Mann-Whitney <em>U</em> test served to determine the difference of ergonomic risk between year 4 and year 5 dental students.</p></div><div><h3>Results</h3><p>The descriptive analysis showed that the participants’ (N = 89) median final RULA score was 6.00 (standard deviation = 0.716). One-year difference in the years of clinical practice did not produce a significant difference in the final RULA score (<em>U</em> = 913.0, <em>P</em> = 0.49). The final RULA scores showed year 4 dental students had a higher mean ranking (year 4 = 46.65, year 5 = 43.23). Furthermore, the Mann-Whitney <em>U</em> test indicated that this was not statistically significant (<em>U</em> = 913.0, <em>P</em> = 0.49).</p></div><div><h3>Conclusion</h3><p>The descriptive analysis showed that the final RULA score of the participants indicated that the participants were in a high-risk category for experiencing work-related musculoskeletal disorders<span> due to poor ergonomics. Contributing physical factors included working in asymmetric, awkward, and static positions in a confined workspace, infrequent use of dental loupes, and utilization of dental chairs that were not ergonomically appropriate.</span></p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9947964/pdf/main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10488827","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}

引用次数: 0

Effects of Manual Versus Instrumental Spinal Manipulation on Blood Flow of the Vertebral and Internal Carotid Arteries in Participants With Chronic Nonspecific Neck Pain: A Single-Blind, Randomized Study 手工和器械脊柱操作对慢性非特异性颈部疼痛患者椎动脉和颈内动脉血流的影响:一项单盲随机研究

Journal of chiropractic medicine

Pub Date : 2023-03-01 DOI: 10.1016/j.jcm.2022.05.006

Burcu Kocabey , Dilber Karagözoğlu Coşkunsu PhD , Koray Güven , Mustafa H. Ağaoğlu DC , Selvi Yüce

Objective

The aim of this study was to compare the hemodynamic effects of manual spinal manipulation (MSM) and instrumental spinal manipulation (ISM) on the vertebral artery (VA) and internal carotid artery (ICA) in participants with chronic nonspecific neck pain (NNP).

Methods

Thirty volunteers aged 20 to 40 years old with NNP over 3 months duration were included. Participants were randomly divided into the following 2 groups: (1) MSM group (n = 15) and (2) ISM group (n = 15). Ipsilateral (intervention side) and contralateral (opposite side of intervention) VAs and ICAs were evaluated using spectral color Doppler ultrasound before and immediately after manipulation. Measurements were recorded by visualizing the ICA carotid sinus (C4 level) and the VA at the V3 segment (C1-C2 level). The blood flow parameters of peak systolic velocity (PSV), end-diastolic velocity, resistive index, and volume flow (only for VA) were evaluated. The spinal segment, in which biomechanical aberrant movement was detected by palpation in the upper cervical spine, was manually manipulated in the MSM group. The same methodology was performed for the ISM group using an Activator V instrument (Activator Methods).

Results

Intragroup analysis exhibited no statistically significant difference between the MSM and ISM groups in terms of PSV, end-diastolic velocity, resistive index of ipsilateral and contralateral ICA and VA, in addition to volume flow of both VAs preintervention and postintervention (P > .05). Within the intergroup analysis, there was a significant difference in ipsilateral ICA PSV (P = .031) (preintervention vs postintervention difference was –7.9 ± 17.2 cm/s [95% confidence interval, –17.4 to 1.6] in the ISM group and 8.7 ± 22.5 cm/s [95% confidence interval, –3.6 to 21.2]) in the MSM group (P < .05). Other parameters did not show any significant difference (P > .05).

Conclusion

Manual and instrumental spinal manipulations applied to the upper cervical spine in participants with chronic NNP did not appear to alter blood flow parameters of the VAs and ICAs.

目的比较手工脊柱推拿(MSM)和器械脊柱推拿(ISM)对慢性非特异性颈痛(NNP)患者椎动脉(VA)和颈内动脉(ICA)血流动力学的影响。方法选取30例年龄在20 ~ 40岁，病程超过3个月的NNP患者。参与者随机分为两组:(1)MSM组(n = 15)和(2)ISM组(n = 15)。操作前后分别采用彩色多普勒超声对同侧(干预侧)和对侧(干预对侧)VAs和ICAs进行评价。通过观察颈动脉ICA窦(C4水平)和V3段VA (C1-C2水平)来记录测量结果。评估血流参数收缩期峰值速度(PSV)、舒张末期速度、阻力指数和容积流量(仅限VA)。在MSM组中，通过触诊在上颈椎检测到生物力学异常运动的脊柱节段被手动操作。ISM组使用Activator V仪器(Activator Methods)进行相同的方法。结果组间分析显示，MSM组与ISM组在PSV、舒张末速度、同侧和对侧ICA、VA阻力指数、干预前和干预后VAs容积流量方面差异均无统计学意义(P >. 05)。在组间分析中，同侧ICA PSV差异有统计学意义(P = 0.031) (ISM组干预前与干预后差异为-7.9±17.2 cm/s[95%可信区间，-17.4至1.6]，MSM组8.7±22.5 cm/s[95%可信区间，-3.6至21.2])(P <. 05)。其他参数无显著差异(P >. 05)。结论:慢性NNP患者的上颈椎手工和器械脊柱操作并未改变VAs和ica的血流参数。

{"title":"Effects of Manual Versus Instrumental Spinal Manipulation on Blood Flow of the Vertebral and Internal Carotid Arteries in Participants With Chronic Nonspecific Neck Pain: A Single-Blind, Randomized Study","authors":"Burcu Kocabey , Dilber Karagözoğlu Coşkunsu PhD , Koray Güven , Mustafa H. Ağaoğlu DC , Selvi Yüce","doi":"10.1016/j.jcm.2022.05.006","DOIUrl":"10.1016/j.jcm.2022.05.006","url":null,"abstract":"<div><h3>Objective</h3><p><span>The aim of this study was to compare the hemodynamic effects of manual </span>spinal manipulation<span> (MSM) and instrumental spinal manipulation (ISM) on the vertebral artery<span> (VA) and internal carotid artery (ICA) in participants with chronic nonspecific neck pain (NNP).</span></span></p></div><div><h3>Methods</h3><p>Thirty volunteers aged 20 to 40 years old with NNP over 3 months duration were included. Participants were randomly divided into the following 2 groups: (1) MSM group (n = 15) and (2) ISM group (n = 15). Ipsilateral (intervention side) and contralateral<span><span> (opposite side of intervention) VAs and ICAs were evaluated using spectral color Doppler ultrasound before and immediately after manipulation. Measurements were recorded by visualizing the ICA </span>carotid sinus<span> (C4 level) and the VA at the V3 segment (C1-C2 level). The blood flow parameters<span> of peak systolic velocity<span> (PSV), end-diastolic velocity, resistive index<span>, and volume flow (only for VA) were evaluated. The spinal segment, in which biomechanical aberrant movement was detected by palpation in the upper cervical spine, was manually manipulated in the MSM group. The same methodology was performed for the ISM group using an Activator V instrument (Activator Methods).</span></span></span></span></span></p></div><div><h3>Results</h3><p>Intragroup analysis exhibited no statistically significant difference between the MSM and ISM groups in terms of PSV, end-diastolic velocity, resistive index of ipsilateral and contralateral ICA and VA, in addition to volume flow of both VAs preintervention and postintervention (<em>P</em> > .05). Within the intergroup analysis, there was a significant difference in ipsilateral ICA PSV (<em>P</em> = .031) (preintervention vs postintervention difference was –7.9 ± 17.2 cm/s [95% confidence interval, –17.4 to 1.6] in the ISM group and 8.7 ± 22.5 cm/s [95% confidence interval, –3.6 to 21.2]) in the MSM group (<em>P</em> < .05). Other parameters did not show any significant difference (<em>P</em> > .05).</p></div><div><h3>Conclusion</h3><p>Manual and instrumental spinal manipulations applied to the upper cervical spine in participants with chronic NNP did not appear to alter blood flow parameters of the VAs and ICAs.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9947994/pdf/main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10190538","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}

引用次数: 1

Association Between Isokinetic Knee Strength Characteristics and Single-Leg Hop Performance In Healthy Young Participants 健康青年参与者等速膝关节力量特征与单腿跳跃表现之间的关系

Journal of chiropractic medicine

Pub Date : 2023-03-01 DOI: 10.1016/j.jcm.2022.05.003

Konstantinos Vassis PT, MSc , Asimakis Kanellopoulos PT, PhD , Savvas Spanos PT, PhD , Dimitra Kakolyri PT, BSc , Aggeliki Loukopoulou PT, BSc , Vasiliki Papanikolakou PT, BSc , Dimitrios Aivaliotis PT, BSc , Ioannis Poulis PT, PhD

Objective

The purpose of this study was to determine the extent to which the mean peak moment (MPM) of knee flexors and extensors could predict performance in a group of healthy individuals.

Methods

Eighty-four healthy individuals—32 men and 52 women (mean age, 22.1 ± 3 years; range, 18-35 years)—participated in this study. Isokinetic unilateral concentric knee flexor and extensor MPM was assessed isokinetically at angular velocities of 60°/s and 180°/s. Functional performance was assessed using the single hop of distance (SHD).

Results

Positive moderate to good statistically significant correlations (r = .636 to r = .673) were found between knee flexor and extensor MPM at 60°/s and 180°/s for the SHD test. Knee flexor and extensor MPMs are strong predictors for the SHD test at 60°/s and 180°/s (R² = .40 to R² = .45).

Conclusion

Knee flexor and extensor strength was substantially correlated with SHD.

目的本研究的目的是确定膝关节屈伸肌的平均峰值矩(MPM)在多大程度上可以预测一组健康个体的运动表现。方法84例健康个体，男性32例，女性52例(平均年龄22.1±3岁;年龄范围:18-35岁)。在角速度为60°/s和180°/s时，等速评估单侧同心圆膝关节屈伸肌MPM。使用单跳距离(SHD)评估功能性能。结果在60°/s和180°/s的SHD测试中，膝关节屈肌和伸肌MPM之间存在中度至良好的统计学显著正相关(r = 0.636至0.673)。膝关节屈肌和伸肌mpm是60°/s和180°/s时SHD测试的强预测因子(R2 = 0.40至R2 = 0.45)。结论膝关节屈伸肌力与SHD有显著相关性。

{"title":"Association Between Isokinetic Knee Strength Characteristics and Single-Leg Hop Performance In Healthy Young Participants","authors":"Konstantinos Vassis PT, MSc , Asimakis Kanellopoulos PT, PhD , Savvas Spanos PT, PhD , Dimitra Kakolyri PT, BSc , Aggeliki Loukopoulou PT, BSc , Vasiliki Papanikolakou PT, BSc , Dimitrios Aivaliotis PT, BSc , Ioannis Poulis PT, PhD","doi":"10.1016/j.jcm.2022.05.003","DOIUrl":"10.1016/j.jcm.2022.05.003","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to determine the extent to which the mean peak moment (MPM) of knee flexors and extensors could predict performance in a group of healthy individuals.</p></div><div><h3>Methods</h3><p>Eighty-four healthy individuals—32 men and 52 women (mean age, 22.1 ± 3 years; range, 18-35 years)—participated in this study. Isokinetic unilateral concentric knee flexor and extensor MPM was assessed isokinetically at angular velocities of 60°/s and 180°/s. Functional performance was assessed using the single hop of distance (SHD).</p></div><div><h3>Results</h3><p>Positive moderate to good statistically significant correlations (<em>r</em> = .636 to <em>r</em> = .673) were found between knee flexor and extensor MPM at 60°/s and 180°/s for the SHD test. Knee flexor and extensor MPMs are strong predictors for the SHD test at 60°/s and 180°/s (R<sup>2</sup> = .40 to R<sup>2</sup> = .45).</p></div><div><h3>Conclusion</h3><p>Knee flexor and extensor strength was substantially correlated with SHD.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948001/pdf/main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10488826","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}

引用次数: 1

Radiographic Measures for the Assessment of Frontal and Sagittal Knee Alignments and the Associated Normality Values: A Meta-Analysis 评估膝关节正位和矢状位对齐及相关正态性值的放射测量:一项荟萃分析

Journal of chiropractic medicine

Pub Date : 2023-03-01 DOI: 10.1016/j.jcm.2022.03.005

Bruna Nichele da Rosa MS, Eduardo Nunes Camargo MS, Cláudia Tarragô Candotti PhD

Objective

The purpose of this literature review was to identify knee alignment assessment methods using radiography in the sagittal and frontal planes and to identify normality values for classifying knee alignment using these methods.

Methods

A systematic review with a meta-analysis was conducted. The eligibility criterion was studies that performed radiographic examinations to assess the knee alignment of adults without a history of hip or knee prosthesis surgery. The methodological qualities of the included studies were assessed using the QUADAS-2 tool. A meta-analysis was performed to measure the normality values of knee alignment in the frontal plane.

Results

The hip-knee-ankle (HKA) angle was the measure most frequently used to assess knee alignment. Only a meta-analysis of HKA normality values was possible. Thereby, we found normality values of the HKA angle for the overall population, men, and women. The normality values of knee alignment for healthy adults that were found in this study were as follows: overall sample (male and female patients) HKA angle = –0.2° (–2.8° to 2.41°), male patient HKA angle = 0.77° (–2.91° to 7.94°), and female patient HKA angle = –0.67° (–5.32° to 3.98°).

Conclusion

This review identified the most common methods and expected values for knee alignment assessment methods using radiography in the sagittal and frontal planes. We suggest HKA angles ranging from –3° to 3° as the cutoff for classifying knee alignment in the frontal plane, in accordance with the normality limits found in the meta-analysis.

目的本文献综述的目的是通过矢状面和额面x线摄影确定膝关节直线度的评估方法，并通过这些方法确定膝关节直线度分类的正态值。方法进行系统评价和荟萃分析。入选标准是对没有髋关节或膝关节假体手术史的成人进行影像学检查以评估其膝关节排列。使用QUADAS-2工具评估纳入研究的方法学质量。我们进行了一项荟萃分析来测量膝关节在前平面的正态性值。结果髋关节-膝关节-踝关节(HKA)角度是评估膝关节直线度最常用的指标。只有HKA正态值的元分析是可能的。因此，我们发现了总体人群、男性和女性的HKA角的正态性值。本研究中发现的健康成人膝关节直线的正常值为:整体样本(男性和女性患者)HKA角= -0.2°(-2.8°至2.41°)，男性患者HKA角= 0.77°(-2.91°至7.94°)，女性患者HKA角= -0.67°(-5.32°至3.98°)。结论:本综述确定了最常用的膝关节矢状面和额位影像学评估方法和期望值。根据meta分析中发现的正态性限制，我们建议HKA角度范围为-3°至3°，作为分类膝关节正面对齐的分界点。

{"title":"Radiographic Measures for the Assessment of Frontal and Sagittal Knee Alignments and the Associated Normality Values: A Meta-Analysis","authors":"Bruna Nichele da Rosa MS, Eduardo Nunes Camargo MS, Cláudia Tarragô Candotti PhD","doi":"10.1016/j.jcm.2022.03.005","DOIUrl":"10.1016/j.jcm.2022.03.005","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this literature review was to identify knee alignment assessment methods using radiography in the sagittal and frontal planes and to identify normality values for classifying knee alignment using these methods.</p></div><div><h3>Methods</h3><p>A systematic review<span><span> with a meta-analysis was conducted. The eligibility criterion was studies that performed radiographic examinations to assess the knee alignment of adults without a history of hip or </span>knee prosthesis surgery. The methodological qualities of the included studies were assessed using the QUADAS-2 tool. A meta-analysis was performed to measure the normality values of knee alignment in the frontal plane.</span></p></div><div><h3>Results</h3><p>The hip-knee-ankle (HKA) angle was the measure most frequently used to assess knee alignment. Only a meta-analysis of HKA normality values was possible. Thereby, we found normality values of the HKA angle for the overall population, men, and women. The normality values of knee alignment for healthy adults that were found in this study were as follows: overall sample (male and female patients) HKA angle = –0.2° (–2.8° to 2.41°), male patient HKA angle = 0.77° (–2.91° to 7.94°), and female patient HKA angle = –0.67° (–5.32° to 3.98°).</p></div><div><h3>Conclusion</h3><p>This review identified the most common methods and expected values for knee alignment assessment methods using radiography in the sagittal and frontal planes. We suggest HKA angles ranging from –3° to 3° as the cutoff for classifying knee alignment in the frontal plane, in accordance with the normality limits found in the meta-analysis.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9947998/pdf/main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10190533","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}

引用次数: 0

Chiropractic Management of Chronic Ankle Pain and Limited Mobility in a Pediatric Athlete: A Case Report 小儿运动员慢性踝关节疼痛和活动受限的整脊治疗:一例报告

Journal of chiropractic medicine

Pub Date : 2023-03-01 DOI: 10.1016/j.jcm.2022.10.001

Randy L. Hewitt DC, Jennifer L. Brocker DC

Objective

The purpose of this case study was to report the chiropractic management of a teenage athlete who had chronic pain after a lateral ankle sprain.

Clinical Features

A 15-year-old male patient presented with persistent ankle pain due to an inversion sprain while playing soccer approximately 8.5 months prior. Emergency department records noted a left lateral ankle sprain, including the anterior talofibular ligament, calcaneofibular ligament, and posterior talofibular ligament. The examination revealed ankle tenderness upon palpation, limited active and passive dorsiflexion range of motion, restricted talocrural joint posterior glide, and moderate lateral compartment muscular hypertonicity.

Intervention and Outcome

Chiropractic management included high-velocity, low-amplitude chiropractic ankle manipulation and education on home-based ankle dorsiflexion stretching. After 4 treatments, the athlete returned to unencumbered athletic participation. Follow-up evaluation at 5 months revealed no pain or functional complaints.

Conclusion

This teen athlete's chronic pain from a lateral ankle sprain resolved with a short course of chiropractic manipulation coupled with home-based stretching.

目的本病例研究的目的是报告一个青少年运动员在踝关节外侧扭伤后慢性疼痛的整脊治疗。临床特征:一名15岁男性患者在大约8.5个月前因踢足球时发生内翻扭伤而出现持续踝关节疼痛。急诊记录显示左侧踝关节外侧扭伤，包括距腓骨前韧带、跟腓骨韧带和距腓骨后韧带。检查发现触诊时踝关节有压痛，主动和被动背屈活动范围受限，距肢关节后滑动受限，中度外侧隔室肌张力高。干预和结果:脊椎指压治疗包括高速、低幅度的脊椎指压踝关节手法和家庭踝关节背屈拉伸教育。经过4次治疗，该运动员恢复了无阻碍的运动参与。5个月的随访评估显示无疼痛或功能不适。结论:这名青少年运动员因踝关节外侧扭伤引起的慢性疼痛通过短期的捏脊手法和家庭拉伸得到了缓解。

{"title":"Chiropractic Management of Chronic Ankle Pain and Limited Mobility in a Pediatric Athlete: A Case Report","authors":"Randy L. Hewitt DC, Jennifer L. Brocker DC","doi":"10.1016/j.jcm.2022.10.001","DOIUrl":"10.1016/j.jcm.2022.10.001","url":null,"abstract":"<div><h3>Objective</h3><p><span>The purpose of this case study was to report the chiropractic management of a teenage athlete who had chronic pain after a lateral ankle </span>sprain.</p></div><div><h3>Clinical Features</h3><p>A 15-year-old male patient presented with persistent ankle pain due to an inversion sprain while playing soccer approximately 8.5 months prior. Emergency department<span><span> records noted a left lateral ankle sprain, including the anterior talofibular ligament, calcaneofibular ligament, and posterior talofibular ligament. The examination revealed ankle tenderness upon palpation, limited active and passive dorsiflexion range of motion, restricted talocrural joint posterior glide, and moderate lateral compartment muscular </span>hypertonicity.</span></p></div><div><h3>Intervention and Outcome</h3><p>Chiropractic management included high-velocity, low-amplitude chiropractic ankle manipulation and education on home-based ankle dorsiflexion stretching. After 4 treatments, the athlete returned to unencumbered athletic participation. Follow-up evaluation at 5 months revealed no pain or functional complaints.</p></div><div><h3>Conclusion</h3><p>This teen athlete's chronic pain from a lateral ankle sprain resolved with a short course of chiropractic manipulation coupled with home-based stretching.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9947970/pdf/main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10488824","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}

引用次数: 1