Journal of chiropractic medicine最新文献_第7页

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 Epub Date: 2024-10-29 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。

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引用次数: 0

Critical Evaluation of the 2016 SOSORT Clinical Guidelines on the Detection and Clinical Management of Adolescent Idiopathic Scoliosis Using the AGREE II Tool: A Chiropractic Perspective 2016年SOSORT青少年特发性脊柱侧凸检测和临床管理临床指南使用AGREE II工具的关键评价：从捏脊医学的角度

Journal of chiropractic medicine

Pub Date : 2024-12-01 Epub Date: 2024-10-02 DOI: 10.1016/j.jcm.2024.08.001

Isabelle Pagé DC, MSc, PhD , Marie-Joëlle Doré BSc, DC , Chantale Doucet DC, MSc

Objective

The objective of this study is to assess the methodological quality of the 2016 Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) guidelines for the detection and management of adolescent idiopathic scoliosis.

Methods

A diverse group of experts, including practicing chiropractors, chiropractors with a Diplomate by the American Chiropractic Board of Radiology, chiropractors with PhD degrees, and chiropractors involved in teaching within chiropractic programs was invited to participate in the study. Experts independently evaluated the guidelines using the Appraisal of Guidelines for Research and Evaluation II tool. Individual scaled scores were calculated for each item and the 6 domains, with methodological quality considered good if the score was equal to or greater than 70%.

Results

The 19 experts, including 6 clinicians, 4 chiropractic radiologists, 6 researchers, and 3 lecturers, represented Canada (n = 3), United states (n = 4), France (n = 2), Australia (n = 1), United Kingdom (n = 1), Switzerland (n = 1), Sweden (n = 3), Denmark (n = 2), China (n = 1), and Côte d'Ivoire (n = 1). Domain scaled scores ranged from 38% to 90%. The 4 items of the applicability domain scored between 26% and 45%. The experts made suggestions for improving the applicability of the guidelines’ recommendations.

Conclusion

The methodological quality of the 2016 SOSORT clinical practice guidelines was deemed good. However, strategies should be devised to improve their applicability. This could be achieved by involving a more diverse representation of healthcare professions in the development of future guidelines.

目的：本研究的目的是评估2016年脊柱侧凸矫形与康复治疗学会（SOSORT）青少年特发性脊柱侧凸检测和管理指南的方法学质量。方法：一组不同的专家被邀请参加研究，包括执业的脊医、获得美国脊医放射学委员会证书的脊医、拥有博士学位的脊医以及在脊医项目中参与教学的脊医。专家使用研究和评估指南评估II工具独立评估指南。为每个项目和6个领域计算单独的量表分数，如果分数等于或大于70%，则认为方法质量良好。结果：19名专家分别来自加拿大（n = 3）、美国（n = 4）、法国（n = 2）、澳大利亚（n = 1）、英国（n = 1）、瑞士（n = 1）、瑞典（n = 3）、丹麦（n = 2）、中国（n = 1）和Côte科特迪瓦（n = 1），领域评分范围为38% ~ 90%。应用性领域的4项得分在26% - 45%之间。专家们就提高准则建议的适用性提出了建议。结论：2016年SOSORT临床实践指南方法学质量较好。然而，应该制定策略来提高它们的适用性。这可以通过在未来指南的制定中纳入更多不同的医疗保健专业代表来实现。

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引用次数: 0

Implementation and Evaluation of a 10-Week Kettlebell Training Load Distribution on Strength and Aerobic Capacity in Recreationally Trained Women 10周壶铃训练负荷分配对娱乐性训练女性力量和有氧能力的影响及评价。

Journal of chiropractic medicine

Pub Date : 2024-12-01 Epub Date: 2024-10-02 DOI: 10.1016/j.jcm.2024.08.011

Carla Zimerer PhD , Sabrina Pereira Alves MSc , Raquel Casagrande Khéde MS , Weverton Rufo-Tavares MSc , Luciana Carletti PhD , Rodrigo Luiz Vancini PhD , Anselmo José Perez PhD , Richard Diego Leite Leite PhD

Objective

: The purpose of this study was to characterize the dynamic distribution of training loads in a kettlebell program and evaluate its effects on muscle strength and aerobic capacity.

Methods

Fourteen recreationally active women with no kettlebell training experience (age: 25.86 ± 5.35 years; V̇O₂max = 35.14 ± 5.58 mL/kg/min; body mass = 62.13 ± 13.40 kg; height = 164.75 ± 5.77 cm; body mass index = 22.68 ± 3.99 kg/m²) completed a 10-week kettlebell training program. The kettlebell training program was divided into three phases: Phase I (2 weeks), phase II (4 weeks), and Phase III (4 weeks). Maximum muscle strength (1RM) and aerobic fitness (V̇O₂max) measurements were performed before (Pre) and after (Post) training. The external and internal loads were represented by the session's total volume and perceived exertion method.

Results

An increase in maximum strength (P < .001; ∆% = 23.73; effect size = 0.87) and V̇O₂max (P = .004; ∆% = 9.63; effect size = 0.57) was observed when comparing Pre and Post measurements. There was an increase in total volume when phases I and II (P < .001), phases I and III (P < .001), and phases II and III (P < .001) of the training were compared. The internal load values increased significantly between phases I and II (P < .001). However, there was no difference when comparing phases II and III (P = .796).

Conclusion

The total volume increases during the training phases, and the training load was similar in phases II and III. Furthermore, were observed higher V̇O₂max and strength (1 RM load) values.

目的：本研究的目的是表征壶铃训练负荷的动态分布，并评估其对肌肉力量和有氧能力的影响。方法：无壶铃训练经验的娱乐性运动女性14例(年龄：25.86±5.35岁；V * O2max = 35.14±5.58 mL/kg/min；体重= 62.13±13.40 kg；高度= 164.75±5.77 cm；体重指数= 22.68±3.99 kg/m²)完成10周的壶铃训练计划。壶铃训练计划分为三个阶段：第一阶段（2周），第二阶段（4周）和第三阶段（4周）。在训练前（Pre）和训练后（Post）分别进行最大肌力（1RM）和有氧适能（V * O2max）测量。内、外负荷分别用总容积法和感知负荷法表示。结果：最大强度增加(P < 0.001；∆% = 23.73；效应值= 0.87)和V * O2max (P = 0.004；∆% = 9.63；效应值= 0.57)。比较第一阶段和第二阶段（P < 0.001）、第一阶段和第三阶段（P < 0.001）以及第二阶段和第三阶段（P < 0.001）时，总体积增加。在第一期和第二期之间，内部负荷值显著增加（P < 0.001）。II期与III期比较无差异（P = .796）。结论：在训练阶段总运动量增加，第二阶段和第三阶段训练负荷相近。此外，观察到较高的V （O2max）和强度（1 RM负荷）值。

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引用次数: 0

Chiropractic Care for a Posterior Tibialis Tendon Tear in a Transgender Male Athlete with Gender-Affirming Hormone Therapy 用性别确认激素治疗变性男运动员胫骨后腱撕裂的整脊治疗。

Journal of chiropractic medicine

Pub Date : 2024-12-01 Epub Date: 2024-10-29 DOI: 10.1016/j.jcm.2024.08.009

Faith Truthan BS, Noah Hass BS, Aidan O'Brien DC, Mark Hewitt DC, Daniel Haun DC, Norman Kettner DC, DACBR

Objective

The purpose of this case study was to report the management of a patient with posterior tibialis tendon injury concurrent with gender-affirming hormone therapy (GAHT).

Clinical Features

A 31-year-old transgender male presented to a chiropractic clinic with spontaneous, right medial foot pain following running that day. Medical history revealed bilateral congenital pes planus and intramuscular administration of testosterone for 8 years. Physical examination revealed swelling and tenderness around the medial and lateral malleoli and anterior ankle and along the medial longitudinal arch. Plantarflexion and dorsiflexion strength measured 4 out of 5. An 8 out of 10 pain level affected weight-bearing activities and sleep. Lower extremity functional scale measured 81% disability. Multimodal imaging was used in the patient's workup. Diagnostic ultrasound revealed a grade 2 tear of the posterior tibialis tendon adjacent to the medial malleolus along with additional sites of tendinosis. Referral to orthopedist and subsequent magnetic resonance imaging of the right foot and ankle confirmed the diagnosis of grade 2 tear in the posterior tibialis tendon.

Intervention and Outcome

The patient elected chiropractic care following the surgical recommendation. Nonpharmacologic management included neuromuscular re-education using whole body vibration therapy, therapeutic exercise, and ankle mortise joint mobilizations. The patient's clinical status improved, and the lower extremity functional scale measured 27% disability.

Conclusion

Although the patient was 31 years old, GAHT is recognized as a risk factor for tendinosis in older adults. An improved understanding of the correlation between tendinosis and GAHT could optimize patient outcomes and clarify the role of musculoskeletal rehabilitation for treatment.

目的：本病例研究的目的是报告一例胫骨后腱损伤患者同时接受性别确认激素治疗（GAHT）的处理。临床特征：31岁变性男性，当天跑步后出现自发性右脚内侧疼痛，来到整脊诊所就诊。病史显示双侧先天性扁平足，肌肉注射睾酮8年。体格检查发现内侧、外侧踝和前踝周围以及内侧纵弓周围肿胀和压痛。跖屈和背屈强度测量为4 / 5。疼痛程度达到8分（满分10分）会影响负重活动和睡眠。下肢功能量表显示81%残疾。在患者的检查中使用了多模态成像。诊断超声显示胫骨后肌腱2级撕裂，靠近内踝，并伴有额外的肌腱萎缩。转诊骨科医生，随后对右脚和脚踝进行磁共振成像，确诊为胫骨后肌腱2级撕裂。干预措施和结果：患者在手术建议后选择了整脊治疗。非药物治疗包括全身振动疗法、治疗性运动和踝关节活动的神经肌肉再教育。患者的临床状况得到改善，下肢功能量表显示27%的残疾。结论：尽管患者已31岁，但GAHT仍被认为是老年人肌腱病的危险因素。更好地了解肌腱病与GAHT之间的相关性可以优化患者的预后，并阐明肌肉骨骼康复在治疗中的作用。

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引用次数: 0

Translation, Cross-Cultural Adaptation, Reliability, and Validity of the Persian Version of the Neck Outcome Score Questionnaire in Iranian Patients With Nonspecific Neck Pain 伊朗非特异性颈痛患者颈部结果评分问卷波斯语版的翻译、跨文化适应性、可靠性和有效性

Journal of chiropractic medicine

Pub Date : 2024-09-01 Epub Date: 2024-10-29 DOI: 10.1016/j.jcm.2024.08.004

Mohammad Reza Tehrani PhD, PT , Seyed Ramin Dabiri MD , Afsaneh Zeinalzadeh PhD, PT , Hamed Mami-Pour MS, PT , Salman Nazary-Moghadam PhD, PT

Objective

The primary purpose of this study was to translate and culturally adapt the neck outcome score (NOOS) questionnaire into Persian language and investigate its reliability and validity.

Methods

The NOOS questionnaire was translated into Persian language and culturally adapted according to American Academy of Orthopaedic Surgeons guidelines. One hundred four patients with nonspecific neck pain were requested to complete the Persian version of the NOOS questionnaire, 36-item short form survey (SF-36), and neck disability index (NDI) questionnaire. The 95 patients of them were requested to fulfill the Persian version of NOOS again, with 3 to 5 days interval. The internal consistency and test-retest reliability were assessed using Cronbach's α and intraclass correlation coefficient, respectively. The construct validity was assessed by testing the hypothesis of correlations between NOOS subscales, SF-36 subscales, and NDI, and pain was measured using visual analog scale.

Results

One hundred four patients with nonspecific neck pain participated in validity studies and 95 patients agreed to participate in reliability studies. Floor/ceiling effects were not observed. Cronbach's α values of the subscale ranged between 0.60 and 0.89. The intraclass correlation coefficient measures of the NOOS subscales ranging between 0.81 and 0.95. The correlation coefficient between NOOS subscales and SF-36 subscales ranged between 0.11 and 0.72. The correlation coefficient between NOOS subscale scores and NDI questionnaire ranged between 0.33 and 0.61. The correlation coefficient between NOOS subscale scores, and pain (visual analog scale) ranged between 0.31 and 0.66.

Conclusion

This study showed that the Persian version of the NOOS questionnaire was a reliable and valid instrument to assess patients’ perception of their neck-related problems in Iranian patients with nonspecific neck pain.

本研究的主要目的是将颈部结果评分（NOOS）问卷翻译成波斯语并对其进行文化适应性调整，同时研究其可靠性和有效性。144 名非特异性颈部疼痛患者被要求完成波斯语版本的 NOOS 问卷、36 项简表调查（SF-36）和颈部残疾指数（NDI）问卷。其中 95 名患者被要求间隔 3 至 5 天再次填写波斯语版 NOOS 问卷。采用 Cronbach's α 和类内相关系数分别评估了内部一致性和重测可靠性。通过检验NOOS分量表、SF-36分量表和NDI之间的相关性假设来评估建构效度，并使用视觉模拟量表测量疼痛。未观察到地板/天花板效应。子量表的 Cronbach's α 值介于 0.60 和 0.89 之间。NOOS 分量表的类内相关系数介于 0.81 和 0.95 之间。NOOS 分量表与 SF-36 分量表之间的相关系数介于 0.11 和 0.72 之间。NOOS 分量表得分与 NDI 问卷之间的相关系数介于 0.33 与 0.61 之间。该研究表明，波斯语版 NOOS 问卷是一种可靠有效的工具，可用于评估伊朗非特异性颈部疼痛患者对其颈部相关问题的感知。

{"title":"Translation, Cross-Cultural Adaptation, Reliability, and Validity of the Persian Version of the Neck Outcome Score Questionnaire in Iranian Patients With Nonspecific Neck Pain","authors":"Mohammad Reza Tehrani PhD, PT , Seyed Ramin Dabiri MD , Afsaneh Zeinalzadeh PhD, PT , Hamed Mami-Pour MS, PT , Salman Nazary-Moghadam PhD, PT","doi":"10.1016/j.jcm.2024.08.004","DOIUrl":"10.1016/j.jcm.2024.08.004","url":null,"abstract":"<div><h3>Objective</h3><div>The primary purpose of this study was to translate and culturally adapt the neck outcome score (NOOS) questionnaire into Persian language and investigate its reliability and validity.</div></div><div><h3>Methods</h3><div>The NOOS questionnaire was translated into Persian language and culturally adapted according to American Academy of Orthopaedic Surgeons guidelines. One hundred four patients with nonspecific neck pain were requested to complete the Persian version of the NOOS questionnaire, 36-item short form survey (SF-36), and neck disability index (NDI) questionnaire. The 95 patients of them were requested to fulfill the Persian version of NOOS again, with 3 to 5 days interval. The internal consistency and test-retest reliability were assessed using Cronbach's α and intraclass correlation coefficient, respectively. The construct validity was assessed by testing the hypothesis of correlations between NOOS subscales, SF-36 subscales, and NDI, and pain was measured using visual analog scale.</div></div><div><h3>Results</h3><div>One hundred four patients with nonspecific neck pain participated in validity studies and 95 patients agreed to participate in reliability studies. Floor/ceiling effects were not observed. Cronbach's α values of the subscale ranged between 0.60 and 0.89. The intraclass correlation coefficient measures of the NOOS subscales ranging between 0.81 and 0.95. The correlation coefficient between NOOS subscales and SF-36 subscales ranged between 0.11 and 0.72. The correlation coefficient between NOOS subscale scores and NDI questionnaire ranged between 0.33 and 0.61. The correlation coefficient between NOOS subscale scores, and pain (visual analog scale) ranged between 0.31 and 0.66.</div></div><div><h3>Conclusion</h3><div>This study showed that the Persian version of the NOOS questionnaire was a reliable and valid instrument to assess patients’ perception of their neck-related problems in Iranian patients with nonspecific neck pain.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 3","pages":"Pages 127-135"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721669","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

Comparison of Craniosacral Therapy and Myofascial Relaxation Techniques in People with Migraine Headache: A Randomized Controlled Study 颅骶疗法与肌筋膜放松技术在偏头痛患者中的应用比较：随机对照研究

Journal of chiropractic medicine

Pub Date : 2024-09-01 Epub Date: 2024-10-29 DOI: 10.1016/j.jcm.2024.08.010

Ayça Araci PhD , Ahmet Özşimşek PhD , Burak Yuluğ MS , Ertan Karaçay MS

Objective

The primary objective of this study was to investigate the impact of myofascial release and craniosacral therapy on the quality of life, pain levels, and range of motion (ROM) in patients with chronic migraine headaches. The secondary aim of this study was to develop a migraine treatment protocol using current craniosacral techniques.

Methods

Patients with chronic migraine in the Neurology Department of ALKU Hospital were randomly allocated to 3 therapy groups: (1) Craniosacral Treatment Craniosacral Techniques (CST) + Medical Treatment (MT) (CST group) (n = 24), (2) myofascial treatment (MFT) (n = 24) + MT (MFT group), and (3) MT (control group) only (n = 26). Visual Analog Scale (VAS) for pain, FONSECA for temporomandibular disorder symptom intensity, 24 Hours Quality of Life Questionnaire Scales for quality of life, and Migraine Disability Assessment Score for impairment, Goniometer for Cervical ROM were used for the disability level. Follow-up scores were collected 4 times: at pretreatment (T0), immediately post-treatment (T1), 1 month (T2), and 3 months after treatment ended (T3).

Results

Changes were found in T0 to T1 treatment results, VAS, and ROM angles between the groups. In intragroup evaluations, 24 Hours Quality of Life Questionnaire changes were observed only in the CST group at T0 to T1 to T2 periods (P = .011) while Migraine Disability Assessment Score scores were significantly changed in all groups. Significant changes were also observed in both VAS scores and FONSECA scores of the CST and MFT groups whereas VAS scores decreased significantly, especially in the T0 to T1 to T2 to T3 periods (P < .05). In the evaluation of FONSECA scores both within and between groups, it was observed that the most significant decrease was in the T2 period and there was a difference between the groups (P = .015).

Conclusion

For the participants in this study, CST and MFT techniques reduced migraine headache, temporomandibular disorder level, drug consumption, and functional disability levels, and increased cervical region ROM. These results suggest that CST techniques could be considered in migraine treatment as one of the clinical practical applications within the framework of a certain protocol.

目的本研究的主要目的是调查肌筋膜松解和颅骶疗法对慢性偏头痛患者的生活质量、疼痛程度和活动范围（ROM）的影响。这项研究的第二个目的是利用当前的颅骶技术制定偏头痛治疗方案。方法ALKU医院神经科的慢性偏头痛患者被随机分配到3个治疗组：（1）颅骶治疗颅骶技术（CST）+药物治疗（MT）（CST组）（n = 24）；（2）肌筋膜治疗（MFT）（n = 24）+MT（MFT组）；（3）仅MT（对照组）（n = 26）。疼痛采用视觉模拟量表（VAS），颞下颌关节紊乱症状强度采用FONSECA，生活质量采用24小时生活质量问卷量表，功能障碍采用偏头痛残疾评估量表，颈椎活动度采用动态关节角度计。随访评分收集了 4 次：治疗前（T0）、治疗后（T1）、治疗后 1 个月（T2）和治疗结束后 3 个月（T3）。在组内评估中，只有 CST 组在 T0 至 T1 至 T2 期间观察到 24 小时生活质量问卷的变化（P = .011），而偏头痛残疾评估得分在所有组中都有显著变化。CST 组和 MFT 组的 VAS 评分和 FONSECA 评分也出现了明显变化，而 VAS 评分则明显下降，尤其是在 T0 至 T1 至 T2 至 T3 阶段（P <.05）。在对组内和组间的 FONSECA 评分进行评估时发现，T2 期的降幅最大，且组间存在差异（P = .015）。结论对于本研究的参与者而言，CST 和 MFT 技术降低了偏头痛、颞下颌关节紊乱水平、药物消耗和功能障碍水平，并增加了颈椎区域的 ROM。这些结果表明，在一定的方案框架内，CST 技术可作为偏头痛治疗的临床实际应用之一。

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引用次数: 0

Evaluation of Abdominal Muscle Thickness Changes During Abdominal Hollowing Maneuver in Different Positions Using a Sphygmomanometer for People With Chronic Low Back Pain 使用血压计评估慢性腰痛患者在不同姿势下做腹部掏空动作时腹肌厚度的变化

Journal of chiropractic medicine

Pub Date : 2024-09-01 Epub Date: 2024-07-02 DOI: 10.1016/j.jcm.2024.05.002

Cyrus Taghizadeh Delkhoush PT PhD , Rasool Bagheri PT, PhD , Mona Ramezani PT MSc , Mahdieh Ghasemian PT MSc , Mehrnaz Inanloo PT BSc , Seyed Abolfazl Tohidast PhD , Mohammad Reza Pourahmadi PT PhD , Mahmoud Akbari PT PhD

Objective

The aim of this present investigation was to compare changes in transverse abdominis (TrA) thickness in a functional position with those in a less functional but more supportive posture and to determine which posture showed greater changes in TrA thickness between rest and during abdominal drawing-in maneuver (ADIM) relative to external oblique (EO) and internal oblique (IO) muscles.

Methods

Thirty adult participants with chronic low back pain were included in this observational study. The abdominal muscle thickness was measured in the supine, crook lying, prone, quadruped, sitting, side bridge, and standing poitions on a tilt board using ultrasonography. The mean of abdominal muscle thickness changes was measured during ADIM, and a sphygmomanometer was used in the supine position under the lumbar spine and in the prone position under the abdominal wall. Transverse abdominis, EO, and IO muscle thickness changes during all tasks were normalized according to the supine rest position.

Results

Transverse abdominis muscle thickness changes were increased in the quadruped and sitting positions compared with other positions (P < .05). Results demonstrated increased EO muscle thickness changes in the prone position compared with other positions (P < .05). Internal oblique muscle thickness changes were not significant during different positions (P > .05). However, the IO muscle thickness was higher in all positions compared with TrA and EO muscle.

Conclusion

Our study revealed that participants with chronic low back pain exhibited increased TrA muscle activity in the sitting position on a gym ball and in the quadruped position compared with during leg tasks. However, the EO muscle thickness changes were increased during an ADIM with a sphygmomanometer under the abdomen.

本研究旨在比较功能性体位与功能性较弱但支撑性较强的体位下腹横肌（TrA）厚度的变化，并确定相对于腹外斜肌（EO）和腹内斜肌（IO）而言，哪种体位下腹横肌厚度在静息状态和腹部拉伸动作（ADIM）期间变化更大。在仰卧、弯腰、俯卧、四足、坐位、侧桥和站立姿势下，在倾斜板上使用超声波测量腹部肌肉厚度。在 ADIM 期间测量腹部肌肉厚度变化的平均值，并在仰卧位腰椎下和俯卧位腹壁下使用血压计进行测量。所有任务中腹横肌、EO 和 IO 肌肉厚度的变化都根据仰卧休息姿势进行了归一化处理。结果表明，与其他体位相比，俯卧位的腹横肌厚度变化增加（P <.05）。在不同体位下，内斜肌厚度变化不明显（P > .05）。结论：我们的研究表明，慢性腰痛患者在健身球上的坐姿和四足姿势下的 TrA 肌肉活动与腿部运动时相比有所增加。然而，在腹部下使用血压计进行 ADIM 时，EO 肌肉厚度的变化有所增加。

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引用次数: 0

Reporting and Methodological Quality of Systematic Reviews and Meta-Analyses Evaluating Effects of Extracorporeal Shock Wave Therapy on Tendinopathies: A Scoping Review 评估体外冲击波疗法对肌腱病影响的系统综述和元分析的报告和方法质量：范围界定综述

Journal of chiropractic medicine

Pub Date : 2024-09-01 Epub Date: 2024-09-30 DOI: 10.1016/j.jcm.2024.08.007

Saeed Shahabi PhD , Kamran Bagheri Lankarani PhD , Rozhin Ezati BS , Shabnam ShahAli PhD

Objective

The purpose of this study was to evaluate the methodological and reporting quality of the published systematic reviews with or without meta-analyses (SRs/MAs) that looked at the effects of extracorporeal shock wave therapy (ESWT) on tendinopathies and to summarize its effectiveness.

Methods

A search of PubMed, Scopus, PEDro, Web of Science, Cochrane, Embase, and REHABDATA was conducted. SRs/MAs that assessed the effectiveness of ESWT for treating tendinopathy were included. The methodological and reporting quality of the eligible SRs/MAs were assessed using AMSTAR-2 and the PRISMA checklist. In addition, the ROBIS tool was applied to evaluate the risk of bias (RoB).

Results

Eighteen SRs/MAs were included. The overall methodological quality was “critically low.” Furthermore, the reporting quality of the included reviews according to PRISMA criteria was not optimal. Based on the ROBIS, a total of 16.2% of the studies had a low RoB, 38.9% had an unclear RoB, and 44.4% of the studies were appraised as having a high RoB.

Conclusion

In this scoping review we found substantial limitations regarding the quality and RoB of SRs/MAs. Therefore, reviewers must consider the AMSTAR-2, PRISMA, and ROBIS tools to improve the quality of future studies.

本研究旨在评估已发表的系统综述（带或不带荟萃分析）的方法和报告质量，这些综述研究了体外冲击波疗法（ESWT）对肌腱病的效果，并总结了其有效性。纳入了评估 ESWT 治疗肌腱病有效性的 SR/MA。采用 AMSTAR-2 和 PRISMA 检查表对符合条件的 SR/MA 的方法和报告质量进行了评估。此外，还使用 ROBIS 工具评估了偏倚风险（RoB）。总体方法学质量为 "极低"。此外，根据 PRISMA 标准，所纳入综述的报告质量并不理想。根据 ROBIS，共有 16.2% 的研究具有较低的 RoB，38.9% 的研究具有不明确的 RoB，44.4% 的研究被评估为具有较高的 RoB。因此，审稿人必须考虑使用 AMSTAR-2、PRISMA 和 ROBIS 工具来提高未来研究的质量。

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引用次数: 0

Immediate Effects of Kinesio Tape and Instrument-Assisted Soft Tissue Mobilization on Pain and Proprioception in Chronic Neck Pain: A Randomized Controlled Trial Kinesio 胶带和器械辅助软组织运动对慢性颈痛患者疼痛和运动感觉的即时影响：随机对照试验

Journal of chiropractic medicine

Pub Date : 2024-09-01 Epub Date: 2024-10-09 DOI: 10.1016/j.jcm.2024.08.006

Bayram Sonmez Unuvar PhD, PT , Hasan Gercek PT , Ayca Aytar PhD, PT , Aydan Aytar PhD, PT

Objective

The purpose of this study was to compare the immediate effects of single-session Kinesio Tape (KT) and instrument-assisted soft tissue mobilization (IASTM) interventions on pain and proprioception in patients with chronic neck pain (CNP).

Methods

Forty patients with CNP aged 21 to 44 years were included in this study. The participants were divided into 2 groups as the IASTM and KT groups. The participants in the KT group took part in one session of KT application to the trapezius and sternocleidomastoid muscles, while those in the IASTM group took part in one session of IASTM application to the same muscles. The pain levels of the participants during activity were recorded using the Visual Analog Scale (VAS), and their cervical region proprioception levels were assessed using the Cervical Range of Motion device. Pain severity and proprioception were assessed before and after the interventions.

Results

No statistically significant difference was found between the pretreatment pain and proprioception values of the 2 groups (P > .05). After the treatments, there was a significant improvement in proprioception in both groups (P ≤ .001). Similarly, there was a significant improvement in VAS values in both groups after the treatments (P ≤ .001). The VAS and proprioception values of the 2 groups were not significantly different in the post-treatment measurements (P > .05).

Conclusion

It was concluded that the IASTM and KT interventions had an immediate effect on pain and proprioception in the participants who had CNP, while neither intervention was superior to the other.

本研究旨在比较单次 Kinesio 胶带（KT）和器械辅助软组织活动（IASTM）干预对慢性颈部疼痛（CNP）患者疼痛和本体感觉的直接影响。参与者分为两组，即 IASTM 组和 KT 组。KT 组的参与者在斜方肌和胸锁乳突肌上进行一次 KT 训练，而 IASTM 组的参与者在相同肌肉上进行一次 IASTM 训练。使用视觉模拟量表（VAS）记录参与者活动时的疼痛程度，并使用颈椎活动范围装置评估他们的颈椎区域本体感觉水平。干预前后对疼痛严重程度和本体感觉进行了评估。结果两组干预前的疼痛和本体感觉值差异无统计学意义（P> .05）。治疗后，两组患者的本体感觉均有明显改善（P ≤ .001）。同样，治疗后，两组的 VAS 值均有明显改善（P ≤ .001）。两组的 VAS 值和本体感觉值在治疗后测量中无明显差异（P > .05）。

{"title":"Immediate Effects of Kinesio Tape and Instrument-Assisted Soft Tissue Mobilization on Pain and Proprioception in Chronic Neck Pain: A Randomized Controlled Trial","authors":"Bayram Sonmez Unuvar PhD, PT , Hasan Gercek PT , Ayca Aytar PhD, PT , Aydan Aytar PhD, PT","doi":"10.1016/j.jcm.2024.08.006","DOIUrl":"10.1016/j.jcm.2024.08.006","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to compare the immediate effects of single-session Kinesio Tape (KT) and instrument-assisted soft tissue mobilization (IASTM) interventions on pain and proprioception in patients with chronic neck pain (CNP).</div></div><div><h3>Methods</h3><div>Forty patients with CNP aged 21 to 44 years were included in this study. The participants were divided into 2 groups as the IASTM and KT groups. The participants in the KT group took part in one session of KT application to the trapezius and sternocleidomastoid muscles, while those in the IASTM group took part in one session of IASTM application to the same muscles. The pain levels of the participants during activity were recorded using the Visual Analog Scale (VAS), and their cervical region proprioception levels were assessed using the Cervical Range of Motion device. Pain severity and proprioception were assessed before and after the interventions.</div></div><div><h3>Results</h3><div>No statistically significant difference was found between the pretreatment pain and proprioception values of the 2 groups (<em>P</em> > .05). After the treatments, there was a significant improvement in proprioception in both groups (<em>P</em> ≤ .001). Similarly, there was a significant improvement in VAS values in both groups after the treatments (<em>P</em> ≤ .001). The VAS and proprioception values of the 2 groups were not significantly different in the post-treatment measurements (<em>P</em> > .05).</div></div><div><h3>Conclusion</h3><div>It was concluded that the IASTM and KT interventions had an immediate effect on pain and proprioception in the participants who had CNP, while neither intervention was superior to the other.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 3","pages":"Pages 93-101"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721140","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

Evaluation of Trunk Muscle Strength and Endurance: A Comparison of Women With and Without Chronic Ankle Instability 评估躯干肌肉力量和耐力：患有和未患有慢性踝关节不稳的女性的比较

Journal of chiropractic medicine

Pub Date : 2024-09-01 Epub Date: 2024-10-29 DOI: 10.1016/j.jcm.2024.09.001

Hossam E. Fawaz PhD, Noha M. Youssef MSc, Ghada M. Elhafez PhD, Ahmed S. Yamany PhD, Azza M. Abdelmohsen PhD

Objective

The purpose of this study was to compare the strength and endurance of the trunk muscles in women with chronic ankle instability (CAI) compared with those who do not have CAI.

Methods

Sixty-two women were assigned into 2 equal groups of 31; group A included women with CAI and group B included healthy women. Peak torques per body weight of the trunk extensors and flexors were measured using a Biodex System 3 Isokinetic Dynamometer. McGill core endurance tests (prone bridge, right side bridge, left side bridge, trunk flexion, and horizontal back extension) were administered to assess trunk muscle endurance. Statistical analysis using 1-way between-subjects multivariate analysis of variance was performed.

Results

No significant differences in peak torques per body weight strength ratios of trunk extensors and flexors between the 2 tested groups (P > .05) were found. Similarly, no significant difference was found in the trunk muscle endurance between the 2 tested groups (P > .05).

Conclusion

No statistically significant differences were observed in the strength and endurance of the trunk muscle between women with CAI and healthy women.

本研究的目的是比较患有慢性踝关节不稳定（CAI）的女性与未患有 CAI 的女性的躯干肌肉力量和耐力。方法将 62 名女性分为两组，每组 31 人；A 组包括患有 CAI 的女性，B 组包括健康女性。使用 Biodex System 3 等动测力计测量躯干伸肌和屈肌每体重的峰值扭矩。麦吉尔核心耐力测试（俯卧桥式、右侧桥式、左侧桥式、躯干屈曲和水平后伸）用于评估躯干肌肉耐力。结果两组受试者的躯干伸肌和屈肌每体重峰值扭矩力量比没有发现显著差异（P > .05）。结论 CAI 女性和健康女性在躯干肌肉的力量和耐力方面没有发现明显的统计学差异。

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引用次数: 0