Journal of chiropractic medicine最新文献_第7页

Within-Subject Changes in Shoulder Girdle Muscle Activation After Soft Tissue Mobilization of the Upper Trapezius 上斜方肌软组织活动后肩带肌激活的受试者内变化

Journal of chiropractic medicine

Pub Date : 2022-09-01 DOI: 10.1016/j.jcm.2022.04.003

Tanmay Sathe MPT, Anupama Prabhu MPT, Kavitha Vishal MPT

Objective

The purpose of this study was to investigate the effect of the integrated neuromuscular inhibition technique (INIT) of the upper trapezius (UT) on shoulder muscle activity in chronic shoulder pain.

Methods

Twenty-two patients (mean age 42.5 ± 16.07) with chronic unilateral shoulder pain with UT myofascial trigger points (MTrPs) (n = 27) and scapular dyskinesis received a single session of INIT (∼15 minutes for each MTrP). The pain on the visual analog scale, along with surface electromyographic activity, maximum voluntary contraction in % (in arm raising and lowering in scapular plane), and pressure pain threshold (PPT) of 5 girdle muscles UT, lower trapezius, serratus anterior, middle deltoid, and infraspinatus were measured before and immediately after treatment. Wilcoxon signed-rank test was used for analysis (at α ≤ 0.05).

Results

Muscle activity of all the muscles, especially the lower trapezius, was reduced during arm raising in the scapular plane (76.69%-71.14% [p = 0.003]). UT activity decreased during arm lowering also (56.70%-45.99% [p ˂ 0.001]). The intensity of shoulder pain reduced (50.50 mm to 22 mm, [p ˂ 0.001]), and PPT values of all 5 muscles improved post-treatment.

Conclusion

The findings of this study provide preliminary evidence for the application of a single session of INIT on UT MTrPs in reducing activity in the scapular muscles, improving shoulder pain, and PPT in chronic unilateral shoulder pain.

目的探讨斜方肌上段综合神经肌肉抑制技术(INIT)对慢性肩痛患者肩肌活动的影响。方法22例(平均年龄42.5±16.07)伴有肌筋膜触发点(MTrPs)的慢性单侧肩痛患者(n = 27)和肩胛骨运动障碍患者接受单次INIT治疗(每次MTrP治疗~ 15分钟)。测量治疗前后5块腰肌UT、下斜方肌、前锯肌、中三角肌、冈下肌的视觉模拟疼痛、体表肌电活动、最大自主收缩%(肩胛平面上的上臂和下臂)和压痛阈值(PPT)。采用Wilcoxon符号秩检验进行分析(α≤0.05)。结果在抬臂过程中，肩胛骨平面各肌肉活动度均降低(76.69% ~ 71.14% [p = 0.003])，尤其是下斜方肌活动度降低。UT活性在手臂降低时也降低(56.70% ~ 45.99% [p小于0.001])。肩部疼痛强度降低(50.50 mm至22 mm， [p小于0.001])，治疗后5块肌肉的PPT值均有所改善。结论本研究结果为单次INIT应用于UT MTrPs降低肩胛骨肌肉活动，改善肩部疼痛和PPT治疗慢性单侧肩部疼痛提供了初步证据。

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引用次数: 0

Demographic Factors Associated With Public Awareness of Chiropractic in Klang Valley, Malaysia: A Cross-sectional Study 在马来西亚巴生谷，人口统计学因素与公众对脊骨疗法的认识相关:一项横断面研究

Journal of chiropractic medicine

Pub Date : 2022-09-01 DOI: 10.1016/j.jcm.2022.02.020

Yi Kai Wong BSc(Chiro), MPH , Kok Leong Tan MPH , Michael Thomas Haneline DC, MPH

Objective

The purposes of this study were to determine the public awareness of chiropractic in Klang Valley and to identify sociodemographic factors associated with this awareness.

Methods

A cross-sectional study with a total of 440 respondents was conducted in medical, chiropractic, pharmacy, and dental health care facilities in Klang Valley. A self-administrated questionnaire was enclosed in an envelope and handed to the participants by the health care facilities’ staff. Tables and figures were used to present the descriptive data. Data collected were also analyzed using inferential statistics such as binary logistic regression, odds ratio, and 95% confidence interval. The variables in this study were age, ethnicity, sex, education level, marital status, nationality, employment status, and health status along with awareness of chiropractic.

Results

The respondents’ ages ranged from 18 to 81 years, and the mean age was 33.1 years. The majority of respondents were single (52.1%), and 43.1% of respondents were married. Most of the respondents were employed (64.4%), followed by students (14.8%). Among the respondents, 40.2% perceived to have a good health status. Good awareness of chiropractic was 50.2%, whereas the poor awareness of chiropractic was 49.8%. Two sociodemographic factors that were statistically significantly associated with the awareness of chiropractic were ethnicity and employment status, with a P value of <.001 and .006, respectively.

Conclusion

The level of public awareness of chiropractic was 50.2%, with ethnicity and employment status as statistically significant associated factors.

目的本研究的目的是确定巴生谷公众对脊椎指压疗法的认识，并确定与这种认识相关的社会人口因素。方法在巴生谷的医疗、脊椎指压、药房和牙科保健机构对440名受访者进行了横断面研究。保健机构的工作人员将一份自行填写的调查表装入信封，交给参与者。描述性数据采用表格和图表。收集的数据还使用二元逻辑回归、优势比和95%置信区间等推理统计进行分析。研究变量包括年龄、种族、性别、教育程度、婚姻状况、国籍、就业状况、健康状况以及对捏脊疗法的认识。结果调查对象年龄18 ~ 81岁，平均年龄33.1岁。大多数受访者为单身(52.1%)，43.1%的受访者已婚。受访者中就业人数最多(64.4%)，其次是学生(14.8%)。在受访者中，40.2%的人认为自己的健康状况良好。捏脊意识良好的占50.2%，捏脊意识不佳的占49.8%。与捏脊意识有统计学显著相关的两个社会人口因素是种族和就业状况，P值为<分别为0.001和0.006。结论公众捏脊知识知知率为50.2%，种族和就业状况是有统计学意义的相关因素。

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引用次数: 0

Effect of Topical Sesame Oil on the Severity of Pain in Patients With Limb Trauma: A Randomized Controlled Trial 局部芝麻油对肢体创伤患者疼痛程度的影响:一项随机对照试验

Journal of chiropractic medicine

Pub Date : 2022-09-01 DOI: 10.1016/j.jcm.2022.02.014

Mina Kafash Mohammadjani MSN , Fateme Jafaraghaee PhD , Fatemeh Yosefbeyk PhD , Ehsan Kazem Nejad PhD , Nazila Javadi-Pashaki PhD

Objective

The purpose of this study was to investigate the effect of topical use of sesame oil on pain severity in patients with limb trauma.

Methods

A placebo-controlled randomized controlled trial was conducted on 120 patients with nonpenetrating upper and lower limb traumas admitted to the trauma emergency department. The patients were allocated to either the sesame oil group or the placebo group using the stratified random sampling technique based on trauma size and age. Depending on the trauma area, sesame or placebo oil were poured on the trauma site and massaged for 5 to 7 minutes. The intervention was repeated twice a day for 3 days at home. Pain severity was measured using the numeric pain scale before intervention on the first day and 30 minutes after each intervention for 3 days, twice a day. Data were analyzed using descriptive and analytical tests including the independent t test, χ² test, Fisher exact test, Mann-Whitney U test, Friedman test, and multiple linear regression analysis. The significance level was set at 0.05.

Results

The decreasing trend of pain was significant in both the intervention and placebo groups (P < .001). Comparison of the trend of changes in pain scores between the 2 groups showed that the mean changes of pain severity were higher in the intervention group compared with the placebo group in all assessments. There was a significant difference in the rate of analgesic consumption in the intervention group compared with the placebo group (P < .001). However, there was no significant difference between the 2 groups regarding pain severity. Pain reduction was negatively associated with body mass index (b = –0.091, P = .003), amount of received pain medication (b = –0.001, P = .039), and area of trauma (b = –0.002, P = .039). Pain reduction was greater in male patients than female patients (b = 0.676, P = .015). The effect of sesame oil on pain changes was not significant. No adverse side effects were reported.

Conclusion

This study showed that despite less use of analgesics in the intervention group than in the placebo group, sesame oil did not have any statistically significant effects on the severity of limb trauma pain. Further research is needed regarding the effect of topical sesame oil application on pain as a safe and uncomplicated intervention.

目的探讨局部应用香油对肢体创伤患者疼痛程度的影响。方法对创伤急诊科收治的120例非穿透性上肢和下肢创伤患者进行安慰剂对照随机对照试验。根据创伤大小和年龄，采用分层随机抽样技术将患者分为麻油组和安慰剂组。根据创伤部位的不同，将芝麻油或安慰剂油倒在创伤部位，按摩5 ~ 7分钟。干预在家中每天重复两次，持续3天。在干预前第一天和每次干预后30分钟采用数字疼痛量表测量疼痛严重程度，持续3天，每天2次。数据分析采用描述性检验和分析性检验，包括独立t检验、χ2检验、Fisher精确检验、Mann-Whitney U检验、Friedman检验和多元线性回归分析。显著性水平设为0.05。结果干预组和安慰剂组疼痛程度均有显著下降趋势(P <措施)。比较两组患者疼痛评分变化趋势发现，干预组患者疼痛严重程度的平均变化均高于安慰剂组。与安慰剂组相比，干预组的镇痛药消耗率有显著差异(P <措施)。然而，两组在疼痛严重程度上没有显著差异。减少痛苦与身体质量指数负相关(b = -0.091,P = .003),金额收到止痛药(b = -0.001,P = .039),和地区创伤(b = -0.002,P = .039)。男性患者疼痛减轻程度大于女性患者(b = 0.676,P = .015)。麻油对疼痛变化的影响不显著。无不良副作用报告。结论本研究显示，尽管干预组镇痛药的使用少于安慰剂组，但香油对肢体创伤疼痛严重程度的影响无统计学意义。局部应用芝麻油作为一种安全、简单的干预措施对疼痛的影响需要进一步的研究。

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引用次数: 0

Proinflammatory and Anti-inflammatory Cytokine Response to Isometric Handgrip Exercise and the Effects of Duration and Intensity of the Isometric Efforts in Prehypertensive Participants 高血压前期参与者等距握力运动的促炎和抗炎细胞因子反应及等距握力持续时间和强度的影响

Journal of chiropractic medicine

Pub Date : 2022-09-01 DOI: 10.1016/j.jcm.2022.05.002

Udoji Godsday Ogbutor PhD , Eze Kingsley Nwangwa MBBS, PhD , Bartholomew Chukwuebuka Nwogueze PhD , John Chukwuka Igweh PhD , Francis Chinedu Ugoeze DPT , Emmanuel Ezunu DPT , Ejime Agbonifo Chijiokwu MSc

Objective

The purpose of this study was to investigate the responses of selected inflammatory cytokines to isometric handgrip exercise and identify possible effects of intensity and duration of the isometric effort on these variables.

Methods

A total of 192 sedentary prehypertensive Nigerian participants aged between 30 and 50 years were recruited into the study and randomly distributed into 3 groups of 64 participants each. The participants performed 24 consecutive days of isometric handgrip exercise at 30% maximum voluntary contraction. At the end of the 24 days, group 1 discontinued the exercise protocol, while group 2 continued the exercise protocol for another 24 consecutive days, and group 3 continued with the exercise protocol for another 24 consecutive days but at 50% maximum voluntary contraction. The parameters used to assess the inflammatory cytokine variables included interleukin-6 (IL-6), interleukin-10 (IL-10), and tumor necrosis factor-alpha (TNF-α).

Results

There was an increase in the resting values of IL-10 across the 3 groups, while the resting values of IL-6 and TNF-α were reduced significantly across groups. Generally, the exercise-induced changes in the levels of these cytokines (TNF-α, IL-6, and IL-10) should improve inflammatory and metabolic abnormalities.

Conclusion

The isometric handgrip exercise protocols in this study resulted in elevation of anti-inflammatory cytokine (IL-10) and reductions in the values of proinflammatory cytokines TNF- α and IL-6.

目的本研究的目的是探讨选定的炎症细胞因子对等长握力运动的反应，并确定等长握力的强度和持续时间对这些变量的可能影响。方法将192名30 ~ 50岁的尼日利亚高血压前期久坐者随机分为3组，每组64人。参与者进行了连续24天的等长握力练习，最大自愿收缩30%。24天结束时，组1停止运动方案，组2继续运动方案，连续24天，组3继续运动方案，连续24天，但最大自愿收缩50%。用于评估炎症细胞因子变量的参数包括白细胞介素-6 (IL-6)、白细胞介素-10 (IL-10)和肿瘤坏死因子-α (TNF-α)。结果各组间IL-10的静息值均升高，IL-6、TNF-α的静息值均显著降低。一般来说，运动引起的这些细胞因子(TNF-α、IL-6和IL-10)水平的变化应该会改善炎症和代谢异常。结论本研究中等长握力运动方案可提高抗炎细胞因子(IL-10)水平，降低促炎细胞因子TNF- α和IL-6的水平。

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引用次数: 0

Telehealth Content From United States Chiropractic State Board Websites Compared With Medical and Physical Therapy Websites During the Early Stages of the COVID-19 Pandemic COVID-19大流行早期，美国脊椎按摩国家委员会网站的远程医疗内容与医疗和物理治疗网站的比较

Journal of chiropractic medicine

Pub Date : 2022-09-01 DOI: 10.1016/j.jcm.2022.04.004

Michael R. Cole II DC, MS , Ross Mattox DC , Hannah Tobiczyk DC , Jason G. Napuli DC, MBA , Frank Bucki DC

Objective

The purpose of this descriptive study was to evaluate the presence of telehealth content on chiropractic state board websites compared with websites from the medical and physical therapy professions during the early COVID-19 pandemic.

Methods

State board websites for chiropractic, medicine, and physical therapy for each of the 50 United States and the District of Columbia were searched for the word “tele” to determine if there was a link on the homepage for content related to telehealth guidance. If there was none, the homepage was queried for the word “COVID” to determine if there was a link for COVID-19–related guidance. If yes, that linked COVID-19 page was queried for the word “tele.” Consensus of 4 of 5 reviewers was sought. Binary results were entered into a separate spreadsheet for each profession (telehealth content easily accessible, yes or no). Easily accessible was defined as information found within 1 or 2 clicks. This search was performed between January 1, 2021, and March 1, 2021.

Results

There were 11 of 51 (21%) chiropractic state board websites that provided content regarding telehealth on the main page, 8 of 51 (16%) provided content on a separate COVID-19–related page, and 32 of 51 (63%) did not provide content that was accessible within 1 or 2 clicks. Comparatively, 9 of 51 (18%) medical state board websites provided content regarding telehealth on the main page, 20 of 51 (39%) provided content on a COVID-19–related page, and 22 of 51 (43%) did not provide content that was accessible within 1 or 2 clicks. Lastly, 10 of 51 (20%) physical therapy state board websites provided content regarding telehealth on the main page, 19 of 51 (37%) provided content on a COVID-19–related page, and 22 of 51 (43%) did not provide content that was accessible within 1 or 2 clicks.

Conclusion

Telehealth content was more readily available on medical and physical therapy state board websites compared with chiropractic state board websites in the early stages of the COVID-19 pandemic.

目的本描述性研究的目的是评估在COVID-19大流行早期，脊椎指压疗法国家委员会网站与医学和物理治疗专业网站中远程医疗内容的存在情况。方法对美国50个州和哥伦比亚特区的脊椎指压治疗、医学和物理治疗的州委员会网站进行搜索，搜索“远程”一词，以确定主页上是否有与远程医疗指导相关内容的链接。如果没有，则在主页上查询“COVID”一词，以确定是否有与COVID相关的指导链接。如果是，则在链接的COVID-19页面上查询“远程”一词。寻求5位审稿人中4位的一致意见。二进制结果输入到每个职业的单独电子表格中(远程医疗内容易于访问，是或否)。容易访问被定义为在1或2次点击中找到的信息。该搜索在2021年1月1日至2021年3月1日之间进行。结果51个脊医国家委员会网站中有11个(21%)在主页提供远程医疗相关内容，8个(16%)在单独的covid -19相关页面提供内容，32个(63%)没有提供1 - 2次点击即可访问的内容。相比之下，51个医疗州委员会网站中有9个(18%)在主页上提供了与远程医疗有关的内容，51个网站中有20个(39%)在与covid -19相关的页面上提供了内容，51个网站中有22个(43%)没有提供1或2次点击即可访问的内容。最后，51个物理治疗州委员会网站中有10个(20%)在主页上提供了与远程医疗有关的内容，51个网站中有19个(37%)在与covid -19相关的页面上提供了内容，51个网站中有22个(43%)没有提供1或2次点击即可访问的内容。结论新型冠状病毒肺炎疫情早期，医学和物理治疗类网站的远程医疗内容比脊椎指压类网站更容易获取。

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引用次数: 1

Chiropractic Care and Quality of Life Among Office Workers With Nonspecific Pain: A Cross-Sectional Study 非特异性疼痛上班族的捏脊护理和生活质量:一项横断面研究

Journal of chiropractic medicine

Pub Date : 2022-09-01 DOI: 10.1016/j.jcm.2022.03.006

Emsal Salik MD, PhD, DC, Ali Veysel Ozden MD, PhD, Hasan Kerem Alptekin MD, PhD

Objective

The aim of this study was to evaluate the quality of life by a self-administered World Health Organization Quality of Life short version survey (WHOQoL-BREF) among office workers with nonspecific pain receiving chiropractic care in Istanbul, Turkey.

Methods

This cross-sectional study included 77 office workers (age interval, 18-65) with nonspecific neck, thoracic, back and/or extremity pain who underwent chiropractic care. Two weeks later, the quality of life was evaluated by a self-administered WHOQoL-BREF. The Numeric Pain Scale to evaluate the perceived pain was administered to all of the participants in the beginning and at the end of the study. Group-level changes on WHOQoL-BREF total score and subdimensions were compared according to descriptive data of office workers. The significance level was set at P ≤ .05.

Results

WHOQoL-BREF scale scores after chiropractic care (mean ± standard deviation) were 71.21% ± 7.91% (total score), 81.49% ± 14.43% (general health), 80.38% ± 10.49% (physical health), 73.16% ± 11.68% (psychological), 70.41% ± 12.43% (social), and 65.58% ± 10.91% (environment). Numeric Pain Scale scores decreased in a statistically significant way when compared with baseline (P ≤ .05). The descriptive statistical analysis of WHOQoL-BREF dimensions revealed that women had significantly higher scores than men, the 18-to-35 age group had higher scores compared with the 50-to-65 age group, and those married had significantly higher scores than those who were not married (P ≤ .05).

Conclusion

The findings of our study suggest that chiropractic care had positive effects on the quality of life of office workers.

目的:本研究的目的是通过自我管理的世界卫生组织生活质量短版调查(WHOQoL-BREF)来评估土耳其伊斯坦布尔接受脊椎指压治疗的非特异性疼痛上班族的生活质量。方法本横断面研究纳入77名接受捏脊治疗的非特异性颈、胸、背和/或四肢疼痛的办公室工作人员(年龄18-65岁)。两周后，通过自我管理的WHOQoL-BREF评估生活质量。在研究开始和结束时，对所有参与者使用数字疼痛量表来评估感知到的疼痛。根据办公室工作人员的描述性数据，比较WHOQoL-BREF总分和子维度的组间变化。显著性水平设为P≤0.05。结果整脊护理后whoqol - bref量表得分(平均±标准差)分别为71.21%±7.91%(总分)、81.49%±14.43%(一般健康)、80.38%±10.49%(身体健康)、73.16%±11.68%(心理)、70.41%±12.43%(社交)、65.58%±10.91%(环境)。与基线相比，数字疼痛量表得分下降有统计学意义(P≤0.05)。WHOQoL-BREF维度描述性统计分析显示，女性得分显著高于男性，18 ~ 35岁年龄组得分显著高于50 ~ 65岁年龄组，已婚显著高于未婚(P≤0.05)。结论本研究结果提示捏脊护理对上班族的生活质量有积极影响。

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引用次数: 0

Management of Stress Urinary Incontinence With Pelvic Floor Muscle Training for a Woman With Charcot-Marie-Tooth Disease: A Case Report 盆底肌训练治疗压力性尿失禁1例腓骨肌肌萎缩症

Journal of chiropractic medicine

Pub Date : 2022-09-01 DOI: 10.1016/j.jcm.2022.02.015

Letícia A. Ferreira PT, MSc, Fátima F. Fitz PT, PhD, Márcia M. Gimenez PT, PhD, Mayanni M.P. Matias PT, Maria A.T. Bortolini MD, PhD, Rodrigo A. Castro MD, PhD

Objective

The purpose of this report is to describe the effects of pelvic floor muscle training (PFMT) in stress urinary incontinence (SUI) of a woman with Charcot-Marie-Tooth (CMT) disease.

Clinical Features

A 50-year-old female patient with a diagnosis of type II CMT disease was referred to treatment as a result of a complaint of urinary loss upon effort (ie, coughing and sneezing). She reported that the symptoms started about 36 months prior. The urodynamic study revealed SUI with a Valsalva leak point pressure of 84 cmH₂O.

Intervention and Outcome

The treatment of SUI was carried out through a PFMT program for 12 weeks (with supervision) and exercises at home for another 12 weeks. A specialized physiotherapist measured symptoms and severity of SUI (3-day urinary diary, 1-hour pad test), pelvic floor muscle function (digital palpation, manometry and dynamometry), effect of the SUI on quality of life (Incontinence Quality of Life Questionnaire), and adherence to the outpatient sessions and to home exercise sets, which also were assessed (exercise diary).

Conclusion

In this patient with CMT disease, improvements in urinary symptoms and severity of SUI, pelvic floor muscle function, and effect of SUI on quality of life were noted after PFMT.

目的本报告的目的是描述盆底肌肉训练(PFMT)对女性沙科-玛丽-图斯病(CMT)应激性尿失禁(SUI)的影响。临床特征:一名50岁女性患者，诊断为II型CMT疾病，因主诉努力时尿失(即咳嗽和打喷嚏)而入院治疗。她报告说症状开始于大约36个月前。尿动力学研究显示SUI伴有Valsalva泄漏点压力84 cmH2O。干预和结果:SUI的治疗通过PFMT计划进行12周(在监督下)，另外12周在家锻炼。一名专门的物理治疗师测量了SUI的症状和严重程度(3天尿日记，1小时尿垫试验)，盆底肌肉功能(指诊，测压和测力)，SUI对生活质量的影响(失禁生活质量问卷)，以及对门诊和家庭锻炼的依从性，这些也被评估(运动日记)。结论本例CMT患者经PFMT治疗后，尿路症状、SUI严重程度、盆底肌功能及SUI对生活质量的影响均有改善。

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引用次数: 0

Chiropractic Clinical Outcomes Among Older Adult Male Veterans With Chronic Lower Back Pain: A Retrospective Review of Quality-Assurance Data 老年成年男性退伍军人慢性下背痛的捏脊治疗临床结果:质量保证数据的回顾性回顾

Journal of chiropractic medicine

Pub Date : 2022-06-01 DOI: 10.1016/j.jcm.2022.02.004

Brian A. Davis DC , Andrew S. Dunn DC, MS, MEd , Derek J. Golley DC, MS , Dave R. Chicoine DC, MS

Objective

The purpose of this study was to determine whether a sample of older adult male U.S. veterans demonstrated clinically and statistically significant improvement in chronic lower back pain on validated outcome measures after a short course of chiropractic care.

Methods

We performed a retrospective review of a quality-assurance data set of outcome metrics for male veterans, aged 65 to 89 years, who had chronic low back pain, defined as pain in the lower back region present for at least 3 months before evaluation. We included those who received chiropractic management from January 1, 2010, to December 31, 2018. Paired t tests were used to compare outcomes after 4 treatments on both a numeric rating scale (NRS) and the Back Bournemouth Questionnaire (BBQ). The minimum clinically important difference (MCID) was set at 30% change from baseline.

Results

There were 217 individuals who met the inclusion criteria. The mean NRS score change from baseline was 2.2 points, representing a 34.1% reduction (t = 13.5, P < .001). The mean score change for BBQ was 14.7 points, representing a 35.9% reduction (t = 16.7, P < .001). The percentage of participants reaching the MCID for the NRS was 57% (n = 124) and for the BBQ was 59% (n = 126), with 41% (n = 90) of the sample reaching the MCID for both the NRS and BBQ.

Conclusion

This retrospective review revealed clinically and statistically significant improvement in NRS and BBQ scores for this sample of older male U.S. veterans treated with chiropractic management for chronic low back pain.

目的:本研究的目的是确定美国老年男性退伍军人样本在经过短期脊椎指压治疗后，是否在临床和统计上表现出慢性腰痛的显著改善。方法:我们对65至89岁的男性退伍军人进行了一项质量保证数据集的结果指标进行了回顾性审查，这些退伍军人患有慢性腰痛，定义为在评估前腰痛至少存在3个月。我们纳入了2010年1月1日至2018年12月31日期间接受脊椎指压治疗的患者。配对t检验用于比较4次治疗后数值评定量表(NRS)和背伯恩茅斯问卷(BBQ)的结果。最小临床重要差异(MCID)设定为与基线变化30%。结果共有217人符合纳入标准。平均NRS评分较基线变化为2.2分，减少34.1% (t = 13.5,P <措施)。BBQ的平均得分变化为14.7分，减少了35.9% (t = 16.7,P <措施)。在NRS中达到MCID的参与者比例为57% (n = 124)，在BBQ中达到MCID的参与者比例为59% (n = 126)，在NRS和BBQ中达到MCID的样本比例为41% (n = 90)。结论:本回顾性研究显示，采用整脊疗法治疗慢性腰痛的美国老年男性退伍军人NRS和BBQ评分在临床和统计学上均有显著改善。

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引用次数: 0

Factors Associated With Dimensions of Patients’ Trust in Chiropractic Doctors in the International Medical University Healthcare Chiropractic Center: An Exploratory Study 国际医科大学保健捏脊中心病人对捏脊医生信任的影响因素:一项探索性研究

Journal of chiropractic medicine

Pub Date : 2022-06-01 DOI: 10.1016/j.jcm.2022.02.003

Yi Kai Wong BSc(Chiro), MSc, Ka Lok Low BSc(Chiro), Tamara Gien Pooke MTech(Chiro), PhD

Objective

The purpose of this study was to investigate the association between patients’ sociodemographic factors (age, sex, ethnicity, and education background) and dimensions of patients’ trust in chiropractic doctors in Malaysia.

Methods

This cross-sectional study was conducted in the International Medical University Healthcare Chiropractic Center with a total of 302 respondents. Self-administered questionnaires were enclosed in an envelope and passed to participants by the researchers. Descriptive statistics are presented in tables and figures. Each dimension of the patients’ trust was compared against the sociodemographic factors. The variables included were sex, age, ethnicity, and education background, along with their dimensions of trust.

Results

There were 106 male respondents (35.1%) and 196 female respondents (64.9%) between 21 and 40 years of age. In all of the trust dimensions, education background was the only statistically significant variable (P < .05).

Conclusion

Several sociodemographic factors were associated highly with the trust dimensions explored. Patients’ education background was the only sociodemographic factor to show a statistically significant relationship to all 10 trust dimensions. Sex, age, and ethnicity showed significant associations with some of the trust dimensions explored in this study.

目的本研究的目的是调查马来西亚患者的社会人口学因素(年龄、性别、种族和教育背景)与患者对脊医信任的关系。方法本横断面研究在国际医科大学保健捏脊中心进行，共302名被调查者。自行填写的问卷被装在信封里，由研究人员发给参与者。描述性统计以表格和图表的形式呈现。将患者信任的各个维度与社会人口学因素进行比较。变量包括性别、年龄、种族和教育背景，以及他们的信任维度。结果21 ~ 40岁男性106人(35.1%)，女性196人(64.9%)。在所有的信任维度中，教育背景是唯一具有统计学意义的变量(P <. 05)。结论几个社会人口学因素与所探索的信任维度高度相关。患者的教育背景是唯一一个与所有10个信任维度有统计学显著关系的社会人口学因素。性别、年龄和种族与本研究探讨的一些信任维度有显著关联。

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引用次数: 0

Effect of Adding Vertical Correction to Dynamic Scapular Recognition on Scapular Dyskinesis and Shoulder Disability in Patients With Adhesive Capsulitis: A Randomized Clinical Study 在动态肩胛骨识别中加入垂直矫正对粘连性囊炎患者肩胛骨运动障碍和肩部残疾的影响:一项随机临床研究

Journal of chiropractic medicine

Pub Date : 2022-06-01 DOI: 10.1016/j.jcm.2022.02.002

Ayman A. Mohamed PhD, MSc, PT , Motaz Alawna PhD, MSc, PT

Objective

The purpose of this study was to measure the effect of adding vertical downward correction to dynamic scapular recognition exercise on scapular dyskinesis and shoulder pain and disability in people with adhesive capsulitis.

Methods

Sixty-seven participants with adhesive capsulitis were randomized into 2 groups. The taping intervention group performed a dynamic scapular recognition exercise using a wireless biofeedback system and a continual vertical downward correction using rigid taping with 50% to 75% tension. The comparison group performed a similar dynamic scapular recognition exercise but with sham taping. The primary outcome measures were scapular dyskinesis, scapular upward rotation, and Shoulder Pain and Disability Index, and the secondary outcome measures were shoulder flexion, abduction, and external rotation.

Results

After 2 weeks, there were significant differences between the taping intervention group and the comparison group in scapular dyskinesis, scapular upward rotation, shoulder flexion, abduction, and Shoulder Pain and Disability Index (P < .05), and nonsignificant differences in shoulder external rotation (P > .05). After 2 and 6 months, there were significant differences between groups in all dependent outcome measures (P < .05).

Conclusion

This study demonstrated that from adding taping with a vertical downward correction to dynamic scapular recognition exercises, significant short-term and long-term improvements in scapular dyskinesis and shoulder pain and disability in people with adhesive capsulitis were observed. These improvements persisted for 6 months after intervention.

目的观察在动态肩胛骨识别运动中加入垂直向下矫正对粘连性囊炎患者肩胛骨运动障碍及肩部疼痛和残疾的影响。方法将67例粘连性囊炎患者随机分为两组。胶带干预组使用无线生物反馈系统进行动态肩胛骨识别练习，并使用50%至75%张力的刚性胶带进行持续垂直向下矫正。对照组进行了类似的动态肩胛骨识别练习，但采用假带。主要指标是肩胛骨运动障碍、肩胛骨向上旋转、肩关节疼痛和残疾指数，次要指标是肩关节屈曲、外展和外旋。结果2周后，贴膜干预组与对照组肩胛骨运动障碍、肩胛骨上旋、肩关节屈曲、外展、肩关节疼痛与失能指数(P <.05)，肩关节外旋无显著差异(P >. 05)。2个月和6个月后，两组间所有依赖结果测量均有显著差异(P <. 05)。结论:本研究表明，在动态肩胛骨识别练习中加入垂直向下矫正的胶布，可显著改善粘连性囊炎患者的肩胛骨运动障碍、肩部疼痛和残疾。这些改善在干预后持续了6个月。

{"title":"Effect of Adding Vertical Correction to Dynamic Scapular Recognition on Scapular Dyskinesis and Shoulder Disability in Patients With Adhesive Capsulitis: A Randomized Clinical Study","authors":"Ayman A. Mohamed PhD, MSc, PT , Motaz Alawna PhD, MSc, PT","doi":"10.1016/j.jcm.2022.02.002","DOIUrl":"10.1016/j.jcm.2022.02.002","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to measure the effect of adding vertical downward correction to dynamic scapular recognition exercise on scapular dyskinesis and shoulder pain and disability in people with adhesive capsulitis.</p></div><div><h3>Methods</h3><p>Sixty-seven participants with adhesive capsulitis were randomized into 2 groups. The taping intervention group performed a dynamic scapular recognition exercise using a wireless biofeedback system<span> and a continual vertical downward correction using rigid taping with 50% to 75% tension. The comparison group performed a similar dynamic scapular recognition exercise but with sham taping. The primary outcome measures were scapular dyskinesis, scapular upward rotation, and Shoulder Pain and Disability Index, and the secondary outcome measures were shoulder flexion, abduction, and external rotation.</span></p></div><div><h3>Results</h3><p>After 2 weeks, there were significant differences between the taping intervention group and the comparison group in scapular dyskinesis, scapular upward rotation, shoulder flexion, abduction, and Shoulder Pain and Disability Index (<em>P</em> < .05), and nonsignificant differences in shoulder external rotation (<em>P</em> > .05). After 2 and 6 months, there were significant differences between groups in all dependent outcome measures (<em>P</em> < .05).</p></div><div><h3>Conclusion</h3><p>This study demonstrated that from adding taping with a vertical downward correction to dynamic scapular recognition exercises, significant short-term and long-term improvements in scapular dyskinesis and shoulder pain and disability in people with adhesive capsulitis were observed. These improvements persisted for 6 months after intervention.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40551257","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: 1