Journal of chiropractic medicine最新文献_第6页

Validity and Diagnostic Accuracy of Using a Smartphone for the Measurement of the Angle of Trunk Rotation and the Stiffness Scoliosis Test in Adolescents With Scoliosis 使用智能手机测量躯干旋转角度和刚度脊柱侧凸试验在青少年脊柱侧凸中的有效性和诊断准确性

Journal of chiropractic medicine

Pub Date : 2025-01-01 DOI: 10.1016/j.jcm.2025.09.022

Isis Juliene Rodrigues Leite Navarro PhD, Camila Silva Braga BPT, Cláudia Tarragô Candotti PhD

Objectives

The purpose of this study was to determine the validity and diagnostic accuracy of the angle of trunk rotation (ATR) and the stiffness scoliosis test (SST) measured using a smartphone with a simple external device (binder clips) using the scoliometer as the reference standard; and (2) to evaluate the effect of the rater’s experience.

Methods

This was a diagnostic accuracy study. Each participant was evaluated by 2 raters using a scoliometer and a smartphone (applied using a very simple external device - binder clips). Exclusion criteria: spinal surgery, any diagnosable cause of scoliosis, and upper or lower limb amputation. The sequence of the 2 consecutive procedures of evaluation and the 2 raters were randomly chosen. For statistical purposes, the Spearman’s and Pearson’s correlation test, the root mean square (RMS) error, the Bland-Altman graphic analysis and the ROC curve analysis were conducted (P < .05).

Results

The sample consisted of 50 gibbosities of 38 participants, where 74% (n = 28) were girls and 26% (n = 10) boys, with a mean age of 13.4 ± 2.5 years. The correlations were excellent, ranging from 0.77 to 0.91 for ATR and SST, with RMS error of 2° to 5°. There was agreement between the measurements with a mean difference of 0.04° to 1.24°. The ROC curve presented an area under the curve of 95%.

Conclusion

The smartphone, when used with a simple external device (binder clips), is valid and accurate for ATR and SST measurement. Evaluator experience has no effect on the results.

目的探讨以脊柱侧弯计为参考标准，在智能手机上使用简易外接装置（活页夹）测量躯干旋转角（ATR）和脊柱侧凸刚度试验（SST）的有效性和诊断准确性；(2)评价评价者体验的效果。方法诊断准确性研究。每位参与者由2名评分员使用脊柱侧弯计和智能手机（使用非常简单的外部设备-活页夹）进行评估。排除标准：脊柱手术，任何可诊断的脊柱侧凸原因，以及上肢或下肢截肢。随机选择连续2个评价程序的顺序和2名评价者。统计学上采用Spearman’s和Pearson’s相关检验、均方根误差、Bland-Altman图形分析和ROC曲线分析（P < 0.05）。结果本组共38例患者50例，其中女孩28例，占74%，男孩10例，占26%，平均年龄13.4±2.5岁。ATR和SST的相关性非常好，范围为0.77 ~ 0.91，均方根误差为2°~ 5°。测量结果一致，平均差为0.04°至1.24°。ROC曲线下面积为95%。结论智能手机与简单的外接装置（活页夹）配合使用，可有效、准确地测量ATR和SST。评估员的经验对结果没有影响。

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引用次数: 0

Association of Supraspinatus, Infraspinatus, and Triceps Trigger Points in Patients With Lateral Epicondylalgia: A Cross-Sectional Study 外上髁痛患者冈上肌、冈下肌和三头肌触发点的关联：一项横断面研究

Journal of chiropractic medicine

Pub Date : 2025-01-01 DOI: 10.1016/j.jcm.2025.09.006

Saroj Kumar Sahoo BPT, MPT , Ajay Kumar PhD , Rajasekar Sannasi PhD , Jan Dommerholt PT, DPT, MPS , Akshitha Rajashekar BPT, MPT

Objectives

The objective of this cross-sectional study was to determine the association between lateral epicondylalgia (LE) and trigger points (TrPs) in the supraspinatus, infraspinatus, and triceps muscles.

Methods

A total of 26 subjects, aged 18-60 years, diagnosed with LE, were included in the study. The presence of TrPs in the supraspinatus, infraspinatus, and triceps muscles on both the affected and unaffected sides was assessed. The association and strength of the association between LE and TrPs were analyzed using the chi-square test and Cramer's V criteria, respectively.

Results

Significant associations were observed between LE and TrPs in the triceps muscle (LE-R / TTrPs-R chi-square (X2): 4.625, P - .032, Cramer's V: 0.422; LE-L / TTrPs-L X2: 16.611, p-<.001, Cramer's V: 0.799), the infraspinatus muscle (LE-R / ITrPs-R X2: 6.406, P - .011, Cramer's V: 0.496; LE-L / ITrPs-L X2: 3.630, P - .057, Cramer's V: 0.374).the supraspinatus muscle (LE-R / STrPs-R X2: 3.957, P - .047, Cramer's V: 0.390; LE-L / STrPs-L X2: 6.851, P - .009, Cramer's V: 0.513). The unaffected side showed a negative association of TrPs.

Conclusions

Lateral epicondylalgia was associated with infraspinatus, triceps and, supraspinatus TrPs. There was no association with TrPs on the unaffected side.

目的：本横断面研究的目的是确定外侧上髁痛（LE）与冈上肌、冈下肌和三头肌的触发点（TrPs）之间的关系。方法选取年龄在18 ~ 60岁的LE患者26例进行研究。评估了患侧和未患侧冈上肌、冈下肌和三头肌中TrPs的存在。分别采用卡方检验和Cramer's V标准分析LE与TrPs之间的关联及其强度。结果LE和TrPs在肱三头肌中存在显著相关性(LE- r / TTrPs-R卡方（X2）： 4.625, P - 0.032, Cramer’s V: 0.422；LE-L / ITrPs-L X2: 16.611, p- 0.01, Cramer's V: 0.799)，冈下肌（LE-R / ITrPs-R X2: 6.406, p- 0.011, Cramer's V: 0.496; LE-L / ITrPs-L X2: 3.630, p- 0.057, Cramer's V: 0.374）。冈上肌（LE-R / STrPs-R X2: 3.957, P - 0.047, Cramer's V: 0.390; LE-L / STrPs-L X2: 6.851, P - 0.009, Cramer's V: 0.513）。未受影响的一侧显示TrPs呈负相关。结论侧上髁痛与冈下肌、肱三头肌和冈上肌trp有关。在未受影响的一侧，与trp无关。

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引用次数: 0

Rib Mobilization and Diaphragm Release on Diaphragmatic Mobility and Pulmonary Function in Chronic Obstructive Pulmonary Disease: A Feasibility Clinical Trial 慢性阻塞性肺疾病中肋骨活动和膈肌释放对膈肌活动和肺功能的影响：一项可行性临床试验

Journal of chiropractic medicine

Pub Date : 2025-01-01 DOI: 10.1016/j.jcm.2025.09.033

Helena Rocha MSc , Rodrigo Souza MSc , Taciano Rocha PhD , Luciana Alcoforado PhD , Daniella Cunha Brandão PhD , Armèle Dornelas de Andrade PhD

Objective

The purpose of this study was to evaluate the feasibility of a study to measure the effects of a protocol combining Rib mobilization technique (RMT) and diaphragm release technique (DRT) in patients with chronic obstructive pulmonary disease (COPD), investigating its impact on diaphragmatic mobility, pulmonary function, and functional capacity.

Methods

A clinical trial including 14 patients divided into 2 groups: RMT+DRT and DRT. Six intervention sessions were conducted, with assessments performed at Pre, Post 1, Post 6, and Follow-up time points. Outcomes included diaphragmatic mobility (ultrasound), thoracoabdominal kinematics (optoelectronic plethysmography), maximal respiratory pressures (manovacuometry), functional capacity (six-minute walk test [6MWT]), and perceived improvement (patients’ global impression of change scale).

Results

The protocol was well tolerated, with strong compliance and no adverse events reported. The RMT+DRT group demonstrated a clinically relevant improvement in diaphragmatic mobility (19.58 mm) and in the 6MWT distance (27.23 m), both exceeding the clinically significant difference thresholds. A relative reduction in maximal expiratory pressure was observed in the RMT+DRT group. No statistically significant differences were observed between groups for thoracoabdominal kinematics and maximal inspiratory pressure.

Conclusion

This feasibility study suggests that a study of the combination of rib mobilization and diaphragmatic release is a feasible and well-tolerated intervention for patients with COPD, and may have a positive impact on respiratory mechanics and functional capacity. The findings provide a basis for sample size calculation and protocol refinement in future clinical trials to confirm its therapeutic effects.

目的本研究的目的是评估一项研究的可行性，以衡量一项结合肋骨动员技术（RMT）和膈肌释放技术（DRT）的方案在慢性阻塞性肺疾病（COPD）患者中的效果，研究其对膈肌活动、肺功能和功能容量的影响。方法14例患者进行临床试验，分为RMT+DRT组和DRT组。进行了六次干预，分别在术前、术后1、术后6和随访时间点进行评估。结果包括膈活动性（超声）、胸腹运动学（光电体积描记术）、最大呼吸压力（压力测量法）、功能能力（6分钟步行试验[6MWT]）和感知改善（患者对变化量表的总体印象）。结果该方案耐受性好，依从性强，无不良事件报告。RMT+DRT组膈肌活动度（19.58 mm）和6MWT距离（27.23 m）均有临床相关的改善，均超过临床显著差异阈值。RMT+DRT组最大呼气压相对降低。两组间胸腹运动学和最大吸气压力无统计学差异。结论本可行性研究提示肋骨活动联合膈肌松解是COPD患者一种可行且耐受性良好的干预措施，可能对呼吸力学和功能能力产生积极影响。研究结果为今后临床试验中样本量的计算和方案的完善提供了依据，以确认其治疗效果。

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引用次数: 0

Effect of Psoas Muscle Myofascial Release on Pain and Disability Index in People With Nonspecific Chronic Low Back Pain: A Randomized Clinical Trial 腰大肌肌筋膜释放对非特异性慢性腰痛患者疼痛和残疾指数的影响：一项随机临床试验

Journal of chiropractic medicine

Pub Date : 2025-01-01 DOI: 10.1016/j.jcm.2025.09.002

Kosar Iranpour MSc , Navid Taheri PhD , Mohammad Javad Tarrahi PHD , Hosein Kouhzad Mohammadi PHD

Objective

This study aimed to examine the effect of the psoas myofascial release (MFR), along with physiotherapy (PT) on pain and disability index in treating people with nonspecific chronic low back pain (NCLBP).

Methods

Forty subjects with NCLBP (>3 months) were randomly allocated into 2 groups (n = 20) of the MFR+ PT and PT alone groups. Each group received 8 sessions of PT. The MFR+ PT group received the psoas MFR in 4 sessions in addition to PT. The Numeric Pain Rating Scale was used for pain assessment, while the Roland Morris Questionnaire (RMQ) for disability index was employed to evaluate the effect of psoas MFR and PT. Assessments were performed at baseline, end of the treatment, and 4 weeks of follow-up.

Results

The statistical analysis revealed a significant reduction in pain and disability index in both groups at the end of the treatment (P < .001). A significant decline in disability index was observed in the MFR+ PT group (P < .05). There were no significant differences in pain between the 2 groups post-intervention (P > .05).

Conclusion

The findings of this study indicate that the psoas MFR may have an effect on the disability index in people with NCLBP. However, psoas MFR was not more effective in reducing pain.

目的探讨腰肌肌膜释放（MFR）联合物理治疗（PT）对非特异性慢性腰痛（NCLBP）患者疼痛和残疾指数的影响。方法40例（3个月）NCLBP患者随机分为MFR+ PT组和单独PT组2组（n = 20）。每组接受8次PT治疗。MFR+ PT组在接受PT治疗的同时，还接受腰大肌MFR治疗，共4次。疼痛评估采用数字疼痛评定量表（Numeric Pain Rating Scale），残疾指数评估采用Roland Morris Questionnaire （RMQ）评估腰大肌MFR和PT治疗的效果。评估分别在基线、治疗结束和随访4周进行。结果经统计学分析，两组患者治疗结束时疼痛和失能指数均显著降低（P < .001）。MFR+ PT组残疾指数显著下降（P < 0.05）。干预后两组患者疼痛程度差异无统计学意义（P > 0.05）。结论腰大肌MFR可能对NCLBP患者的残疾指数有影响。然而，腰大肌MFR在减轻疼痛方面并没有更有效。

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引用次数: 0

Feasibility Considerations of 24-Hour Heart Rate Variability as a Wellness-Focused Biomarker 24小时心率变异性作为健康生物标志物的可行性考虑

Journal of chiropractic medicine

Pub Date : 2025-01-01 DOI: 10.1016/j.jcm.2025.08.006

Charles N.R. Henderson DC, PhD , Monica Smith DC, PhD , Dale F. Johnson PhD , Phyllis K. Stein PhD

Objective

The purposes of this study were to (1) evaluate heart rate variability (HRV) monitoring for assessing morning, mid-day, evening, and sleep sample periods; (2) assess study-related procedures, personnel, and physical resources available at our institution; (3) identify potential problems and solutions associated with the use of 24-hour HRV at our institution.

Methods

Six participants were fitted with 24-hour HRV recording devices (DMS myPatch-sl) and evaluated under 3 conditions; normal-daily-activity, treadmill-walking, and paced-deep-breathing. In addition, each participant maintained a written event-diary during the evaluation period. Tachograms for sample time periods were reported with representative Fast Fourier Transform Power Analyses.

Results

We found that proper ECG electrode patch placement on study participants required specific training and written instructions. The DMS Holter monitor provided good-quality data over the 24-hour period without interfering with normal daily activities. However, there was data loss for 1 hour immediately following exposure of the device to water while showering. Also, there was a need to stabilize the V5 electrode wire to minimize disconnections during sleep. Participant diaries varied considerably in useful information content.

Conclusion

The findings for the 6 participants in this study support the feasibility of and inform applying 24-hour HRV assessment in research studies at our institution.

目的本研究的目的是：(1)评估心率变异性（HRV）监测评估早上，中午，晚上和睡眠样本时段；(2)评估我校与研究相关的程序、人员和物质资源；(3)找出与我们机构使用24小时HRV相关的潜在问题和解决方案。方法6例受试者分别安装24小时心率记录仪（DMS myPatch-sl），并在3种情况下进行评估；正常的日常活动，跑步机行走，有节奏的深呼吸。此外，每个参与者在评估期间都保留了一份书面的事件日记。用代表性的快速傅立叶变换功率分析报告了样本时间段的行车图。结果我们发现，在研究参与者身上正确放置ECG电极贴片需要专门的培训和书面指导。DMS霍尔特监测仪在24小时内提供了高质量的数据，而不干扰正常的日常活动。但是，在淋浴时将设备暴露在水中后立即有1小时的数据丢失。此外，还需要稳定V5电极线，以尽量减少睡眠期间的断开。参与者日记的有用信息内容差异很大。结论本研究6名受试者的研究结果支持24小时HRV评估的可行性，并为在我院开展研究提供参考。

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引用次数: 0

Disability and Functionality Measures in Patients With Acute Ankle Sprain: A Scoping Review 急性踝关节扭伤患者的残疾和功能测量：范围综述

Journal of chiropractic medicine

Pub Date : 2025-01-01 DOI: 10.1016/j.jcm.2025.09.024

Andressa Pereira de Souza BSc , Carolina Santarelli BSc , Luiza Murakami BSc , Neidi Celena Cortez Limachi BSc , Veronica Souza Santos PhD

Objective

The purpose of this review was to identify how disability and functionality were measured in patients with acute ankle sprain and present according to the International Classification of Function, Disability, and Health (ICF).

Methods

We conducted a scoping review of randomized controlled trials including participants with acute ankle sprain. We conducted the searches in 4 databases to identify the studies. The searchers considered the inception of databases up to February 2024, without language restrictions. The process of evidence selection and data extraction was conducted independently. The summarization of evidence was presented according to the ICF.

Results

We included 49 randomized controlled trials. The most common way disability and functionality were assessed in the included studies was through patient-reported outcome measures (PROMs) 35 (71.4%), and the most used PROM was the Foot and Ankle Outcome Score (FAOS). Most of the tools used to measure disability and functionality fall under the participation domain of the International Classification of Functioning, followed by activity.

Conclusion

Disability and functionality in randomized controlled trials of acute ankle sprain is usually assessed through PROMs. The most comprehensive item of the ICF was participation, followed by activity.

目的：本综述的目的是根据国际功能、残疾和健康分类（ICF）确定急性踝关节扭伤患者的残疾和功能是如何测量的。方法：我们对急性踝关节扭伤的随机对照试验进行了范围综述。我们在4个数据库中进行了检索以确定这些研究。搜索人员认为数据库的建立时间是2024年2月，没有语言限制。证据选择和数据提取的过程是独立进行的。根据ICF提出了证据摘要。结果纳入49项随机对照试验。在纳入的研究中，最常见的评估残疾和功能的方法是通过患者报告的结果测量（PROMs） 35(71.4%)，最常用的PROM是足部和踝关节结果评分（FAOS）。用于衡量残疾和功能的大多数工具都属于国际功能分类的参与领域，其次是活动。结论在随机对照试验中，急性踝关节扭伤的残疾和功能通常通过PROMs进行评估。论坛最全面的项目是参与，其次是活动。

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引用次数: 0

Combination of Botanicals and Mindfulness Meditation for the Treatment of Chronic Pancreatitis: A Case Report 植物药结合正念冥想治疗慢性胰腺炎1例

Journal of chiropractic medicine

Pub Date : 2025-01-01 DOI: 10.1016/j.jcm.2025.09.001

Brett R. Martin DC, MSAc, MPH

Objective

The purpose of this study is to report on the treatment of a patient with chronic pancreatitis using a combination of botanicals with mindfulness meditation.

Clinical Features

A 57-year-old male with chronic pancreatitis was admitted to the emergency room (ER) with severe acute, diffuse epigastric pain with a sharp stabbing pain in his left upper quadrant in the fall of 2020. He was diagnosed with pancreatic insufficiency and prescribed pancrelipase by the medical doctor in the ER. Over the next few months, he experienced moderate abdominal pain, nausea, eructation, fatigue, and flatulence that were minimally impacted by the treatment and he lost 30 pounds. In addition, his condition was exacerbated by stress. He incorporated dietary recommendations and supplements from a nutritionist from the Mayo Clinic. He maintained the changes for 9 months which provided a mild relief of his symptoms.

Intervention/Outcome

The combination of 1000 mg of milk thistle (S marianum), 1000 mg of bromelain (A comosus), 500 mg of ginger (Z officinale), 1000 mg of garlic oil (A sativum), and 800 mg of passion flower (P incarnata) in conjunction with mindfulness meditation was utilized to control his symptoms. After 29 weeks of supplementing with milk thistle (S marianum), bromelain (A comosus), ginger (Z officinale), garlic oil (A sativum), and passion flower, the patient’s symptoms of abdominal pain, nausea, eructation, fatigue, and flatulence were alleviated and his stress was controlled.

Conclusion

This patient with chronic pancreatitis had reduced symptoms after application of the combination of botanicals with meditation.

目的本研究的目的是报告使用植物药物与正念冥想相结合的治疗慢性胰腺炎患者。临床特征：一名患有慢性胰腺炎的57岁男性于2020年秋季因严重急性弥漫性胃脘痛并左上腹剧烈刺痛而住进急诊室。他被诊断为胰腺功能不全，急诊室的医生给他开了胰酶。在接下来的几个月里，他经历了中度腹痛、恶心、呕吐、疲劳和胀气，治疗对他的影响很小，他瘦了30磅。此外，压力加剧了他的病情。他结合了梅奥诊所营养学家的饮食建议和补充剂。他维持了9个月的改变，症状得到轻微缓解。干预/结果：1000毫克水飞蓟（S marianum）、1000毫克菠萝蛋白酶（A comosus）、500毫克生姜（Z officinale）、1000毫克大蒜油（A sativum）和800毫克西番莲（P incarnata）结合正念冥想，控制了他的症状。经29周补充水飞蓟（S marianum）、菠萝蛋白酶（A comosus）、生姜（Z officinale）、大蒜油（A sativum）、西番莲后，患者腹痛、恶心、呕吐、疲劳、胀气等症状得到缓解，应激得到控制。结论本例慢性胰腺炎患者经植物药结合冥想治疗后症状明显减轻。

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引用次数: 0

The Impact of Ankle Mobilization Techniques on Static Stability in Individuals With Acute Inversion Ankle Sprain: A Randomized Clinical Trial 踝关节活动技术对急性内翻性踝关节扭伤患者静态稳定性的影响：一项随机临床试验。

Journal of chiropractic medicine

Pub Date : 2024-12-01 DOI: 10.1016/j.jcm.2024.08.002

Cyrus Taghizadeh Delkhoush PhD , Parisa Arzani PhD , Majid Mirmohammadkhani PhD , Rasool Bagheri PhD , Adeleh Norouzi MSc

Objective

The purpose of the study was to compare the impact of the mobilization techniques and mobilization with movement techniques on static balance in individuals with acute inversion ankle sprain.

Methods

Volunteers with acute inversion ankle sprain (N = 40) were equally and randomly assigned to 2 groups. Participants in intervention group I received the Mulligan mobilization with movement techniques, whereas participants in intervention group II underwent the Maitland mobilization techniques. Each participant received the intervention every other day for 2 consecutive weeks. To assess static balance, participants assumed a single-leg stance on the affected leg at the center of a force plate with eyes open or closed plate for 20 seconds. The displacement, velocity, and area of the center of pressure were recorded 1 day before and after the intervention.

Results

The velocity of the center of pressure in the anterior-posterior direction was significantly reduced only in group I during eyes open (P = .043) and closed (P = .004). However, the displacement of the center of pressure in the anterior-posterior direction was significantly decreased in both group I (P = .024) and group II (P = .028) with eyes open. No significant changes were found in the area of the center of pressure in either group during eyes open or closed (P > .053).

Conclusions

Both Mulligan's and Maitland's approaches significantly improved sway displacement. For the individuals with acute inversion ankle sprain who were included in this study, the Mulligan technique were more effective in improving static balance indicators compared to the Maitland technique.

Clinical Trial

The study was then registered in the Iranian Registry of Clinical Trials (17/02/2019) (IRCT20190108042292N2).

目的：本研究的目的是比较活动技术和活动结合技术对急性内翻性踝关节扭伤患者静态平衡的影响。方法：将40例急性踝关节内翻性扭伤患者随机分为两组。干预组1采用Mulligan移动技术，干预组2采用Maitland移动技术。每位参与者每隔一天接受干预，连续两周。为了评估静态平衡，参与者假设受影响的腿站在力板中心，眼睛睁开或闭上20秒。记录干预前后1天的位移、速度、压力中心面积。结果：只有I组在睁眼（P = 0.043）和闭眼（P = 0.004）时压力中心的前后方向速度明显降低。然而，在睁眼时，I组（P = 0.024）和II组（P = 0.028）压力中心在前后方向的位移均明显减小。两组睁眼和闭眼时，压心面积均无明显变化（P < 0.05）。结论：Mulligan和Maitland的方法都能显著改善摇摆位移。对于纳入本研究的急性内翻性踝关节扭伤患者，与Maitland技术相比，Mulligan技术在改善静态平衡指标方面更有效。临床试验：该研究随后在伊朗临床试验注册中心（17/02/2019）注册（IRCT20190108042292N2）。

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引用次数: 0

A Retrospective Analysis of 190 Patients With Scoliosis Referred to a Private Australian Clinical Advisory Service Between 2017 and 2020 2017年至2020年间，澳大利亚一家私人临床咨询服务机构对190名脊柱侧凸患者进行回顾性分析。

Journal of chiropractic medicine

Pub Date : 2024-12-01 DOI: 10.1016/j.jcm.2024.08.003

Sean Austin-Candler MChiro , Justine Carson MChiro , Robert Cheung MChiro , William Vuong MChiro , Alex Boakes MChiro , Roger M. Engel PhD , Petra L. Graham PhD , Jeb McAviney MPainMed , Benjamin Thomas Brown PhD

Objective

The aim of this study was to describe the demographic and clinical characteristics of patients with scoliosis from Australian primary care practices.

Methods

A retrospective review of 190 patient records from August 2017 to April 2020 from a private Australian clinical advisory service database was performed. Deidentified demographic and clinical data were collated and analyzed, along with information regarding the referring practitioners and any accompanying clinical or paraclinical information. Numerical data were summarized with median and IQR, while categorical data were summarized with counts and percentages. Salient qualitative data from the advisory service records were also collated, coded, and summarized.

Results

Patients were aged between 3 and 87 years; the majority (71%) of patients were female, with a median age of 16 years (IQR, 13; range, 3-87 years). The most common type of spinal deformity seen in the sample was scoliosis (92%), with hyperkyphosis (7%) and other deformity (1%) making up the remaining cases. There was a wide variety of scoliosis presentations; however, curves were commonly (45%) located in the thoracic region of the spine. Observed scoliosis cases were of moderate severity with a median Cobb angle measuring 26.5° (IQR, 20°). Reports of pain were in the lower trunk/pelvis (46%), the middle trunk (16%), or throughout multiple bodily regions (27%). Alterations in normal spinal anatomy (eg, hemivertebrae) were common (55% of cases). The majority (86%) of patient cases came from chiropractors, whereas 9% were from osteopaths, 4% from physiotherapists, and 1% from other types of practitioners (eg, medical practitioners).

Conclusion

The findings from this study suggest that patients presenting to practitioners in primary care settings in Australia present with a range of scoliosis and related spinal deformity presentations.

目的：本研究的目的是描述澳大利亚初级保健实践中脊柱侧凸患者的人口学和临床特征。方法：回顾性分析2017年8月至2020年4月来自澳大利亚私人临床咨询服务数据库的190例患者记录。对未确定的人口统计和临床数据进行整理和分析，以及有关转诊医生和任何伴随的临床或临床旁信息的信息。数值数据以中位数和IQR汇总，分类数据以计数和百分比汇总。来自咨询服务记录的重要定性数据也被整理、编码和总结。结果：患者年龄3 ~ 87岁；大多数（71%）患者为女性，中位年龄为16岁(IQR, 13；范围：3-87年)。样本中最常见的脊柱畸形类型是脊柱侧凸（92%），其余病例为脊柱后凸过度（7%）和其他畸形（1%）。脊柱侧凸的表现多种多样；然而，弯曲通常（45%）位于脊柱的胸椎区域。观察到的脊柱侧凸病例为中度严重程度，中位Cobb角为26.5°（IQR, 20°）。报告的疼痛见于下躯干/骨盆（46%）、中躯干（16%）或全身多个部位（27%）。正常脊柱解剖结构（如半椎体）的改变是常见的（55%的病例）。大部分（86%）病人个案来自脊医，9%来自整骨治疗师，4%来自物理治疗师，1%来自其他类型的从诊者（例如医生）。结论：这项研究的结果表明，在澳大利亚的初级保健机构中，出现一系列脊柱侧凸和相关脊柱畸形的患者。

{"title":"A Retrospective Analysis of 190 Patients With Scoliosis Referred to a Private Australian Clinical Advisory Service Between 2017 and 2020","authors":"Sean Austin-Candler MChiro , Justine Carson MChiro , Robert Cheung MChiro , William Vuong MChiro , Alex Boakes MChiro , Roger M. Engel PhD , Petra L. Graham PhD , Jeb McAviney MPainMed , Benjamin Thomas Brown PhD","doi":"10.1016/j.jcm.2024.08.003","DOIUrl":"10.1016/j.jcm.2024.08.003","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to describe the demographic and clinical characteristics of patients with scoliosis from Australian primary care practices.</div></div><div><h3>Methods</h3><div>A retrospective review of 190 patient records from August 2017 to April 2020 from a private Australian clinical advisory service database was performed. Deidentified demographic and clinical data were collated and analyzed, along with information regarding the referring practitioners and any accompanying clinical or paraclinical information. Numerical data were summarized with median and IQR, while categorical data were summarized with counts and percentages. Salient qualitative data from the advisory service records were also collated, coded, and summarized.</div></div><div><h3>Results</h3><div>Patients were aged between 3 and 87 years; the majority (71%) of patients were female, with a median age of 16 years (IQR, 13; range, 3-87 years). The most common type of spinal deformity seen in the sample was scoliosis (92%), with hyperkyphosis (7%) and other deformity (1%) making up the remaining cases. There was a wide variety of scoliosis presentations; however, curves were commonly (45%) located in the thoracic region of the spine. Observed scoliosis cases were of moderate severity with a median Cobb angle measuring 26.5° (IQR, 20°). Reports of pain were in the lower trunk/pelvis (46%), the middle trunk (16%), or throughout multiple bodily regions (27%). Alterations in normal spinal anatomy (eg, hemivertebrae) were common (55% of cases). The majority (86%) of patient cases came from chiropractors, whereas 9% were from osteopaths, 4% from physiotherapists, and 1% from other types of practitioners (eg, medical practitioners).</div></div><div><h3>Conclusion</h3><div>The findings from this study suggest that patients presenting to practitioners in primary care settings in Australia present with a range of scoliosis and related spinal deformity presentations.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 4","pages":"Pages 171-177"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11701887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960983","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

Caffeine Responsiveness Before and After Pilates Training in Healthy Older Adults 健康老年人普拉提训练前后的咖啡因反应。

Journal of chiropractic medicine

Pub Date : 2024-12-01 DOI: 10.1016/j.jcm.2024.08.008

Alisson Henrique Marinho PhD , Gleyce Maria dos Santos Cavalcante MS , Maria da Glória David Silva Costa MS , Amandio Aristides Rihan Geraldes PhD , Gustavo Gomes de Araujo PhD

Objective

The study aimed to assess responsiveness to the effects of acute caffeine intake after 8 weeks of Pilates intervention in healthy older adults.

Methods

Fifteen healthy older adults performed physical performance regarding daily practice, strength, and balance tests after ingestion of acute 5 mg/kg of caffeine or placebo before and after Pilates training.

Results

The caffeine intake reduced, regardless of Pilates training, the time in 10-m walk test (before placebo vs caffeine, 6.48 ± 0.70 vs 6.51 ± 0.82 seconds; after placebo vs caffeine, 5.84 ± 0.70 vs 5.48 ± 0.61 seconds; P = .008; η_p² = 0.404) and timed up and go test (before placebo vs caffeine, 26.30 ± 1.82 vs 24.37 ± 2.12 seconds; after placebo vs caffeine, 22.96 ± 2.36 vs 22.49 ± 2.27 seconds; P = .002; η_p² = 0.517) compared with the placebo. Participants were not less responsive to caffeine intake in the 10-m walk test (ΔPre vs ΔPost, −0.33 ± 0.66 vs −0.36 ± 0.53 seconds; P = .888), but they were less responsive for the timed up and go test (ΔPre vs ΔPost, −1.92 ± 2.06 vs −0.47 ± 1.15 seconds; P = 0.030) after Pilates intervention. There were no differences for the sit-to-stand test, rising from the floor, dress and undress T-shirt, handgrip strength, and balance variables.

Conclusion

Although the caffeine improved on the 10-m walk test and timed up and go test performance, healthy older adults were less responsive to caffeine after Pilates training only for performance on the timed up and go test.

目的：本研究旨在评估健康老年人在8周的普拉提干预后对急性咖啡因摄入影响的反应性。方法：15名健康老年人在普拉提训练前后摄入急性5mg /kg咖啡因或安慰剂后，进行日常练习、力量和平衡测试。结果：无论普拉提训练如何，咖啡因摄入量减少，10米步行测试时间(安慰剂vs咖啡因前，6.48±0.70 vs 6.51±0.82秒；安慰剂vs咖啡因分别为5.84±0.70 vs 5.48±0.61秒；P = 0.008；ηp 2 = 0.404)和up and go测试(安慰剂组vs咖啡因组，26.30±1.82 vs 24.37±2.12秒；安慰剂vs咖啡因分别为22.96±2.36 vs 22.49±2.27秒；P = .002；ηp 2 = 0.517)。在10米步行测试中，参与者对咖啡因摄入的反应并没有降低(ΔPre vs ΔPost, -0.33±0.66 vs -0.36±0.53秒；P = .888)，但在计时起走测试中反应较差(ΔPre vs ΔPost, -1.92±2.06 vs -0.47±1.15秒；P = 0.030)。坐立测试、从地板上站起来、穿t恤和不穿t恤、握力和平衡变量没有差异。结论：虽然咖啡因改善了10米步行测试和计时和走测试的表现，但健康的老年人在普拉提训练后对咖啡因的反应较弱，仅对计时和走测试的表现。

{"title":"Caffeine Responsiveness Before and After Pilates Training in Healthy Older Adults","authors":"Alisson Henrique Marinho PhD , Gleyce Maria dos Santos Cavalcante MS , Maria da Glória David Silva Costa MS , Amandio Aristides Rihan Geraldes PhD , Gustavo Gomes de Araujo PhD","doi":"10.1016/j.jcm.2024.08.008","DOIUrl":"10.1016/j.jcm.2024.08.008","url":null,"abstract":"<div><h3>Objective</h3><div>The study aimed to assess responsiveness to the effects of acute caffeine intake after 8 weeks of Pilates intervention in healthy older adults.</div></div><div><h3>Methods</h3><div>Fifteen healthy older adults performed physical performance regarding daily practice, strength, and balance tests after ingestion of acute 5 mg/kg of caffeine or placebo before and after Pilates training.</div></div><div><h3>Results</h3><div>The caffeine intake reduced, regardless of Pilates training, the time in 10-m walk test (before placebo vs caffeine, 6.48 ± 0.70 vs 6.51 ± 0.82 seconds; after placebo vs caffeine, 5.84 ± 0.70 vs 5.48 ± 0.61 seconds; <em>P</em> = .008; η<sub>p</sub><sup>2</sup> = 0.404) and timed up and go test (before placebo vs caffeine, 26.30 ± 1.82 vs 24.37 ± 2.12 seconds; after placebo vs caffeine, 22.96 ± 2.36 vs 22.49 ± 2.27 seconds; <em>P</em> = .002; η<sub>p</sub><sup>2</sup> = 0.517) compared with the placebo. Participants were not less responsive to caffeine intake in the 10-m walk test (ΔPre vs ΔPost, −0.33 ± 0.66 vs −0.36 ± 0.53 seconds; <em>P</em> = .888), but they were less responsive for the timed up and go test (ΔPre vs ΔPost, −1.92 ± 2.06 vs −0.47 ± 1.15 seconds; <em>P</em> = 0.030) after Pilates intervention. There were no differences for the sit-to-stand test, rising from the floor, dress and undress T-shirt, handgrip strength, and balance variables.</div></div><div><h3>Conclusion</h3><div>Although the caffeine improved on the 10-m walk test and timed up and go test performance, healthy older adults were less responsive to caffeine after Pilates training only for performance on the timed up and go test.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 4","pages":"Pages 178-185"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142961037","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}

引用次数: 0