Journal of chiropractic medicine最新文献

{"title":"Footwork Pro System Reproducibility of Static and Dynamic Plantar Pressure Indicators","authors":"Fernando Raphael Rogério PhD,&nbsp;Dartagnan Pinto Guedes PhD","doi":"10.1016/j.jcm.2022.08.001","DOIUrl":"10.1016/j.jcm.2022.08.001","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to identify the reproducibility of the Footwork Pro plate in the measurement of static and dynamic plantar pressure in healthy adults.</p></div><div><h3>Methods</h3><p>We performed a reliability study using a test-retest design. The sample consisted of 49 healthy adults of both sexes, aged 18 to 64. Participants were assessed on the following 2 different occasions: the initial moment and 7 days later. Measurements for the static and dynamic plantar pressure were performed. We used the Student <em>t</em><span> test for paired data, the concordance correlation coefficient, and bias to estimate reliability.</span></p></div><div><h3>Results</h3><p>Plantar pressure values for the static condition (peak plantar pressure, plantar surface contact area, and body mass distribution) and dynamic condition (peak plantar pressure, plantar surface contact area, and contact time) between the first and second measurements did not present statistically significant differences. The concordance correlation coefficients were ≤0.90, and the biases were of low magnitude.</p></div><div><h3>Conclusion</h3><p>The findings showed that the Footwork Pro system offered clinically acceptable reproducibility to identify static and dynamic plantar pressure and thus may be a reliable tool for this purpose.</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/PMC9947969/pdf/main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10488829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mediation Analysis in Manual Therapy Research","authors":"Thiago da Silva Rocha Paz PhD ,&nbsp;Pedro Teixeira Vidinha Rodrigues MSc ,&nbsp;Bruno Moreira Silva PhD ,&nbsp;Arthur de Sá Ferreira DSc ,&nbsp;Leandro Alberto Calazans Nogueira PhD","doi":"10.1016/j.jcm.2022.04.007","DOIUrl":"10.1016/j.jcm.2022.04.007","url":null,"abstract":"<div><h3>Objective</h3><p><span>The purpose of this study was to illustrate the applicability of mediation analysis in the manual therapy field by assessing whether pain intensity, duration of pain, or the change in systolic blood pressure<span> mediated the heart rate variability (HRV) of patients with </span></span>musculoskeletal pain who received manual therapy.</p></div><div><h3>Methods</h3><p><span>A secondary data analysis from a 3-arm, parallel, randomized, placebo-controlled, assessor-blinded, superiority trial was performed. Participants were randomized into spinal manipulation, myofascial manipulation, or </span>placebo groups. Cardiovascular autonomic control was inferred from resting HRV variables (low-high frequency power ratio; LF/HF) and blood pressure responsiveness to a sympathoexcitatory stimulus (cold pressor test). Pain intensity and duration were assessed. Mediation models analyzed whether pain intensity, duration, or blood pressure independently affected the improvement of the cardiovascular autonomic control of patients with musculoskeletal pain after intervention.</p></div><div><h3>Results</h3><p>The first assumption of mediation was met for LF/HF with statistical evidence of a total effect of spinal manipulation, as compared with placebo on HRV outcomes (<em>β</em> = 0.77 [0.17-1.30]); second and third assumptions showed no statistical evidence of a relationship between the intervention and pain intensity (<em>β</em> = –5.30 [–39.48 to 28.87]), pain intensity, and LF/HF (<em>β</em> = 0.00 [–0.01 to 0.01]).</p></div><div><h3>Conclusion</h3><p>In this study of causal mediation analysis, the baseline pain intensity, duration of pain, and responsiveness of the systolic blood pressure to a sympathoexcitatory stimulus did not mediate the effects of the spinal manipulation on the cardiovascular autonomic control of patients with musculoskeletal pain. Accordingly, the immediate effect of spinal manipulation on the cardiac vagal modulation of patients with musculoskeletal pain may more likely be related to the intervention rather than the mediators investigated.</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/PMC9947974/pdf/main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10488830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abdominal and Diaphragmatic Mobility in Adults With Chronic Gastritis: A Cross-Sectional Study","authors":"Thania Maion Melo MSc,&nbsp;Flávia Luciana Lobo Cunha MSc,&nbsp;Laylla Marjorye Rebouças Bezerra MSc,&nbsp;Marianna Salemi MSc,&nbsp;Vanessa Alves de Albuquerque MSc,&nbsp;Geisa Guimaraes de Alencar PhD,&nbsp;Gisela Rocha de Siqueira PhD","doi":"10.1016/j.jcm.2022.05.004","DOIUrl":"10.1016/j.jcm.2022.05.004","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to assess abdominal and diaphragmatic mobility in adults with chronic gastritis<span> compared with healthy individuals and to analyze the impact of chronic gastritis on musculoskeletal signs and symptoms of the cervical and thoracic spine.</span></p></div><div><h3>Methods</h3><p><span>This was a cross-sectional study conducted by the physiotherapy department at the Universidade Federal de Pernambuco in Brazil. Fifty-seven individuals participated, 28 with chronic gastritis (gastritis group [GG]) and 29 healthy individuals (control group [CG]). We assessed the following: restricted abdominal mobility in the transverse, coronal, and sagittal planes; diaphragmatic mobility; restricted cervical vertebral segmental mobility; restricted thoracic vertebral segmental mobility; and pain on palpation, asymmetry, and density and texture of the soft tissues on the cervical and thoracic spine. The measure of diaphragmatic mobility was assessed with ultrasound imaging. The Fisher exact and χ</span>² tests were applied to compare the groups (GG and CG) in relation to the restricted mobility of the abdominal tissues near the stomach on all planes and diaphragm, and the independent samples <em>t</em> test to compare the mobility measurements of the diaphragm. A significance level of 5% was considered for all tests.</p></div><div><h3>Results</h3><p>Restricted abdominal mobility in all directions (<em>P</em> &lt; .05) was greater in GG when compared with CG except for the counterclockwise direction (<em>P</em> = .09). In GG, 93% of the individuals presented restricted diaphragmatic mobility, with a mean mobility of 3.1 ± 1.9 cm, and in the CG, 36.8% with a mean of 6.9 + 1.7 cm (<em>P</em><span> &lt; .001). The GG presented a higher occurrence of restricted rotation and lateral glide mobility of the cervical vertebrae, pain to palpation, and density and texture dysfunction of the adjacent tissues when compared with CG (</span><em>P</em><span> &lt; .05). In the thoracic region, there was no difference between GG and CG regarding musculoskeletal signs and symptoms.</span></p></div><div><h3>Conclusion</h3><p>Individuals with chronic gastritis presented greater abdominal restriction and lower diaphragmatic mobility, in addition to a higher occurrence of musculoskeletal dysfunction in the cervical spine when compared with healthy individuals.</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/PMC9947977/pdf/main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10488831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Massage and Dry Cupping on Hemodynamic Parameters of Cardiac Patients: A Randomized Controlled Trial","authors":"Yaser Hamzehnejadi MSc ,&nbsp;Parvin Mangolian Shahrbabaki PhD ,&nbsp;Mina Mahmoodabadi MSc ,&nbsp;Mahlagha Dehghan PhD","doi":"10.1016/j.jcm.2022.07.002","DOIUrl":"10.1016/j.jcm.2022.07.002","url":null,"abstract":"<div><h3>Objective</h3><p><span>The aim of this study was to compare the effects of massage versus dry cupping in addition to routine care on hemodynamic parameters of cardiac patients in </span>critical care units.</p></div><div><h3>Methods</h3><p><span><span><span>The present study was a parallel randomized controlled clinical trial that was conducted in the critical care units of Shafa Hospital in Kerman, Iran, from 2019 to 2020. Ninety eligible patients)aged 18-75 years, no cardiac arrest in the past 72 hours, no severe dyspnea, no fever, and no cardiac pacemaker) were divided into massage (n = 30), dry cupping (n = 30), and control (n = 30) groups using the stratified block </span>randomization method. The massage group received routine care and a head and face massage for 3 consecutive nights from the second day of admission. The dry cupping group received routine care and dry cupping between the </span>third cervical vertebra and the fourth </span>thoracic vertebra<span><span> for 3 consecutive nights. The control group received only routine care, which included daily visits by the attending physician, nursing care, and medication. Each intervention session was performed for 15 minutes. The data collection tools included the sociodemographic and clinical characteristics questionnaire and the hemodynamic parameters form (systolic blood pressure, </span>diastolic blood pressure, heart rate, respiratory rate, and saturation of peripheral oxygen). The hemodynamic parameters were measured each night before and after the intervention.</span></p></div><div><h3>Results</h3><p><span>The mean systolic blood pressure<span>, heart rate, respiratory rate, and oxygen saturation level showed no significant difference among the 3 groups. The mean diastolic blood pressure of the 3 groups varied significantly over time. The mean diastolic blood pressure of the massage group decreased significantly on the third day of intervention, while it did not change significantly in the 2 groups of dry cupping or control (</span></span><em>P</em> &lt; .05).</p></div><div><h3>Conclusion</h3><p>According to the results of this study, dry cupping had no effect on regulating hemodynamic parameters, while only diastolic blood pressure was reduced significantly after massage on the third day of intervention. Therefore, our study did not show effects of massage and dry cupping on regulating hemodynamic parameters.</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/PMC9948002/pdf/main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10488825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Dry Needling and Low-Power Laser for the Treatment of Trigger Points in the Upper Trapezius Muscle: A Randomized Clinical Trial","authors":"Mohammadreza Ansari MD ,&nbsp;Sadegh Baradaran Mahdavi MD ,&nbsp;Babak Vahdatpour MD ,&nbsp;Atieh Lahijanian MD ,&nbsp;Saeid Khosrawi MD","doi":"10.1016/j.jcm.2022.02.013","DOIUrl":"10.1016/j.jcm.2022.02.013","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to compare the effect of low-power laser therapy, dry needling<span><span><span>, and exercise therapy on treating patients with neck and </span>back pain and a diagnosis of the myofascial trigger points in the upper </span>trapezius muscle.</span></p></div><div><h3>Methods</h3><p><span>A randomized clinical trial was conducted in Isfahan, Iran, in 2019. The study sample (78 participants) was randomly allocated to 3 groups of 26, including stretching exercises (3 times a day for 2 weeks, control group), low-power laser (3 sessions for 2 weeks, 6 J/cm</span>²<span><span><span>, mean power of 100 MW in each point), and dry needling (4 sessions, with 25 × 0.25-mm needles). For all patients, the visual analog scale (VAS), </span>neck disability index (NDI), and </span>shoulder pain and disability index<span> (SPDI) were completed at baseline, immediately, and 1 month after treatment.</span></span></p></div><div><h3>Results</h3><p><span>Final participants in this study (n = 60) consisted of 33 (55%) female patients and 27 (45%) male patients, with a mean age of 51.25 ± 7.94 years. In the exercise group, VAS, NDI, and SPDI scores were not remarkably different in the studied periods (</span><em>P</em> &gt; .05). Moreover, a notable decrease in VAS, NDI, and SPDI scores were observed in the treatment intervals. However, by excluding the effect of the control group, no substantial difference was observed between the 2 treatments (<em>P</em> &gt; .05).</p></div><div><h3>Conclusion</h3><p>The use of laser therapy and dry needling methods induced a rapid response to pain relief. There was no difference between the 2 forms of treatment in the short term.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9561389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Presentation of a Lisfranc Injury to a Chiropractic Clinic: A Case Report","authors":"Jonathan B. Slater DC, CCSP, EMT ,&nbsp;Matthew R. Skalski DC, DACBR","doi":"10.1016/j.jcm.2022.02.018","DOIUrl":"10.1016/j.jcm.2022.02.018","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this report is to describe the presentation of a patient with a previously undiagnosed Lisfranc injury to a chiropractic practice.</p></div><div><h3>Clinical Features</h3><p>A 56-year-old woman presented to a chiropractic clinic with traumatic right midfoot pain 6 months after her injury. She previously jumped out of bed, landing with her ankle inverted and causing severe pain. Before visiting the chiropractor<span>, she saw 2 orthopedists shortly after onset and was told the imaging was normal; medicine and exercises were prescribed. Chiropractic examination found swelling of her foot, loss of sensation, and reduced and painful ankle range of motion. Radiographs revealed widening of the Lisfranc joint with lateral offset of the base of the second metatarsal.</span></p></div><div><h3>Intervention and Outcome</h3><p><span>The patient was referred for orthopedic consultation and underwent fusion of the first and second </span>tarsometatarsal joints and the Lisfranc joint. After surgery, she was able to walk indoors unaided and outside with a walker. She reported 13 months later that she was able to walk 3 miles pain-free without assistance.</p></div><div><h3>Conclusion</h3><p>A Lisfranc injury was correctly identified after a thorough examination and radiographs. This case exhibits the importance of chiropractic practitioners understanding and being able to diagnose this injury, which aids in early and accurate assessment with appropriate referral.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9556236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional and Kinetic Treatment With Rehabilitation Combined With Cryotherapy Compared to Cryotherapy Alone in the Treatment of Acute Grade I or II Inversion Ankle Sprains: A Randomized Clinical Trial","authors":"Morris Kahere PhD, MTechChiro,&nbsp;Grant Matkovich MTechChiro,&nbsp;Charmaine Korporaal MTechChiro","doi":"10.1016/j.jcm.2022.03.002","DOIUrl":"10.1016/j.jcm.2022.03.002","url":null,"abstract":"<div><h3>Objective</h3><p><span>The purpose of this study was to compare Functional and Kinetic Treatment with Rehabilitation (FAKTR) combined with </span>cryotherapy<span> to cryotherapy alone in the treatment of acute grade I or II inversion ankle sprains.</span></p></div><div><h3>Methods</h3><p><span>This prospective, randomized clinical trial<span> of adult (18-40 years of age) participants (n = 40) with acute grade I or II inversion ankle sprain of less than 3 weeks, who were randomly allocated into a FAKTR and cryotherapy group (n = 20) or a cryotherapy only group (n = 20). The participants had 3 treatments (inclusive of the initial consultation), with a fourth as a measurement follow-up (2 weeks after the third treatment). Measurement procedures were completed at the outset of the first to third consultations and the fourth measurement only consultation. Clinical measures taken by a blinded research assistant included the Numerical Pain Rating Scale, Foot function index, </span></span>algometer, digital inclinometer for ankle dorsiflexion range of motion measures, the figure-of-8 maneuver measured swelling, and the Stork-Balance-Stand Test.</p></div><div><h3>Results</h3><p>Significant intergroup differences were observed for pain rating (<em>P</em><span> ≤ .01; 95% confidence interval [CI] –4.74 to 0.86), pain pressure threshold (</span><em>P</em><span> ≤ .05; 95% CI –1.06 to 1.52), balance and proprioception (</span><em>P</em> ≤ .01; 95% CI –5.28 to –1.39), and foot function index (<em>P</em> ≤ .01; 95% CI –30.12 to 4.83). No significant intergroup differences were observed in ankle dorsiflexion range of motion <em>(P = .</em>242; 95% CI –3.17 to 1.20) and edema measurements <em>(P = .</em>602; 95% CI 0.41-1.46).</p></div><div><h3>Conclusion</h3><p>The FAKTR instrument assisted soft tissue mobilization treatment combined with cryotherapy indicated a trend toward greater clinical effectiveness than cryotherapy for measures of pain, pain pressure threshold, balance and proprioception, and foot function index; however, these outcomes were not reflected for ankle dorsiflexion range of motion and edema measurements.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9561387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Hyperhomocysteinemia, Low Vitamin Levels, and Low Cortisol in Cannabis Users: A Report of 2 Cases","authors":"Jozélio de Carvalho MDḤ ,&nbsp;Aaron Lerner MD ,&nbsp;Daniel Feingold PhD","doi":"10.1016/j.jcm.2022.03.001","DOIUrl":"10.1016/j.jcm.2022.03.001","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to describe the management of 2 long-term users of cannabis with nutrition and psychotherapy.</p></div><div><h3>Clinical Features</h3><p><span>A 28-year-old man presented with a medical history of asthma, depression, anxiety, and smoking, and was a long-term user of cannabis for 9 years (usually 3 times a week). A 39-year-old man presented with a medical history of anxiety and fatigue, and was a long-term user of cannabis for 14 years (usually twice a week). Laboratory tests showed altered blood levels of </span>homocysteine<span>, vitamins, and cortisol.</span></p></div><div><h3>Intervention and Outcome</h3><p><span><span>Both patients were given supplements of vitamins (folic acid, methylcobalamin, and pyridoxine), </span>vitamin D, </span><span><em>Rhodiola rosea</em></span><span>, and L-tyrosine. Psychotherapy also was provided to both patients. After 2 months of treatment, both patients improved and reduced their cannabis consumption.</span></p></div><div><h3>Conclusion</h3><p><span><span>This study describes vitamin deficiencies, low cortisol levels, and </span>hyperhomocysteinemia in 2 cannabis users who were managed with a combination of </span>nutritional supplements and psychotherapy.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9556234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationships Between Active Myofascial Trigger Points and Depressive Symptoms and Physical and Clinical Characteristics of Individuals With Shoulder Pain: A Cross-sectional Study","authors":"José Diego Sales Do Nascimento PhD ,&nbsp;Francisco Alburquerque-Sendín PhD ,&nbsp;Liziane Mafra Vale de Souza BS(PT) ,&nbsp;Catarina de Oliveira Sousa PhD","doi":"10.1016/j.jcm.2022.02.019","DOIUrl":"10.1016/j.jcm.2022.02.019","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to evaluate relationships between the presence and number of active myofascial trigger points (MTPs) in shoulder muscles and physical and demographic characteristics, depressive symptoms, pain and function, range of motion (ROM), and strength in individuals with shoulder pain.</p></div><div><h3>Methods</h3><p>Fifty-eight individuals were assessed for physical and demographic characteristics, depressive symptoms, shoulder pain and function, MTPs (upper and lower trapezius, infraspinatus, and supraspinatus), shoulder ROM and strength test, and pain during ROM and strength test. Relationships were verified using point-biserial (r_pb<span>), Spearman correlation test, and multiple linear regression analysis.</span></p></div><div><h3>Results</h3><p>We found weak to moderate (<em>P</em> &lt; .05) correlations between presence and number of MTPs and depressive symptoms (r_pb, 0.28-0.32), pain during ROM (r_pb, 0.36-0.40), pain during strength test (r_pb, 0.29-0.38), and shoulder function (r_pb, –0.29 to 0.33) and strength (r_pb, 0.26-0.34). MTPs in the infraspinatus contributed 10% (<em>R</em>² = 0.10; <em>P</em> &lt; .05) to depressive symptoms; in the upper and lower trapezius contributed 27% (<em>R</em>² = 0.27; <em>P</em> &lt; .05) to pain during internal rotation ROM; in the upper trapezius contributed 15% (<em>R</em>² = 0.15; <em>P</em> &lt; .01) to pain during internal rotation strength test and 14% to pain during internal rotation ROM (<em>R</em>² = 0.14; <em>P</em> &lt; .01); and in the supraspinatus contributed 17% (<em>R</em>² = 0.17; <em>P</em> &lt; .01) to pain during external rotation ROM.</p></div><div><h3>Conclusion</h3><p>This study found that MTPs in individuals with shoulder pain contributed to depressive symptoms and pain during internal and external rotation ROM and internal rotation strength test.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9561385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cupping Therapy as an Adjunctive Therapy for Side Effects of Colorectal Cancer Treatment: A Prospective Observational Study","authors":"Yan-Wen Liu MD ,&nbsp;Yu-Li Su MD ,&nbsp;Chia-Lo Chang MD ,&nbsp;Ming-Yen Tsai MD, PhD","doi":"10.1016/j.jcm.2022.02.011","DOIUrl":"10.1016/j.jcm.2022.02.011","url":null,"abstract":"<div><h3>Objective</h3><p><span>The purpose of this study was to assess the effects of moving cupping therapy in people with </span>colorectal cancer (CRC) experiencing chemotherapy-related side effects.</p></div><div><h3>Methods</h3><p><span>A prospective observational study was conducted in people diagnosed with CRC who were treated for the side effects of their chemotherapy. Participants received cupping therapy 3 times a week for 10 consecutive weeks at our traditional Chinese medicine ward. Their </span>quality of life<span> and meridian energies were evaluated both at baseline and at 3 months after the treatment course.</span></p></div><div><h3>Results</h3><p>Forty-six individuals with CRC were enrolled and 34 completed the study. The average number of cycles of chemotherapy during the study was 4.5. The mean number of moving cupping treatments was 25.7. After the moving cupping treatment program, participants exhibited significant improvements in quality of life, physical function, fatigue, nausea/vomiting, sleep disturbance, and pain.</p></div><div><h3>Conclusion</h3><p>For the participants in this study, moving cupping therapy relieved some chemotherapy-related side effects and improved quality of life in people with CRC.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9561391","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}