Pub Date : 2025-01-01DOI: 10.1016/j.jcm.2025.09.031
Milone Savla MPT, Charu Eapen PhD, Ashish John Prabhakar PhD
Objective
The study aimed to assess the endurance of core muscles, shoulder range of motion (ROM), strength, and disability in subjects with and without shoulder pain. A secondary aim was to determine a possible connection between core muscle endurance and shoulder pain, along with related variables.
Methods
This cross-sectional study evaluated 50 subjects with shoulder pain (54.60 ± 12.17 years) and 50 without shoulder pain (53.86 ± 12.08 years). Core muscle endurance was assessed using the flexor endurance test and the prone bridge. Shoulder ROM, strength, scapula strength, and SPADI were evaluated.
Results
The mean duration of shoulder pain was 13.77 months. Subjects with shoulder pain had significantly reduced core muscle endurance (P < .001), shoulder strength (P < .001), scapula elevator and depressor muscle strength (P < .05), and passive ROM (P < .05). Correlation was found between core muscle endurance and shoulder muscle strength (r = 0.50; P < .05).
Conclusion
Reduced core muscle endurance was strongly linked to shoulder muscle strength in individuals experiencing shoulder pain. This underscores the necessity of addressing core stability along with shoulder and scapula strength assessment.
{"title":"Evaluation and Association of Core Muscle Endurance, Shoulder Range of Motion and Strength in Subjects With Shoulder Pain","authors":"Milone Savla MPT, Charu Eapen PhD, Ashish John Prabhakar PhD","doi":"10.1016/j.jcm.2025.09.031","DOIUrl":"10.1016/j.jcm.2025.09.031","url":null,"abstract":"<div><h3>Objective</h3><div>The study aimed to assess the endurance of core muscles, shoulder range of motion (ROM), strength, and disability in subjects with and without shoulder pain. A secondary aim was to determine a possible connection between core muscle endurance and shoulder pain, along with related variables.</div></div><div><h3>Methods</h3><div>This cross-sectional study evaluated 50 subjects with shoulder pain (54.60 ± 12.17 years) and 50 without shoulder pain (53.86 ± 12.08 years). Core muscle endurance was assessed using the flexor endurance test and the prone bridge. Shoulder ROM, strength, scapula strength, and SPADI were evaluated.</div></div><div><h3>Results</h3><div>The mean duration of shoulder pain was 13.77 months. Subjects with shoulder pain had significantly reduced core muscle endurance (<em>P</em> < .001), shoulder strength (<em>P</em> < .001), scapula elevator and depressor muscle strength (<em>P</em> < .05), and passive ROM (<em>P</em> < .05). Correlation was found between core muscle endurance and shoulder muscle strength (r = 0.50; <em>P</em> < .05).</div></div><div><h3>Conclusion</h3><div>Reduced core muscle endurance was strongly linked to shoulder muscle strength in individuals experiencing shoulder pain. This underscores the necessity of addressing core stability along with shoulder and scapula strength assessment.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 201-209"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694830","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jcm.2025.09.030
Kanika Thakur PhD, Manu Goyal PhD
Objective
This study aimed to translate, perform cross-cultural adaptation, and evaluate the clinimetric properties of the Hindi version of the Leeds assessment of neuropathic symptom and sign (LANSS) pain scale.
Methods
A cross-sectional study involving 51 patients with DPN was completed. With permission from the original LANSS pain scale authors, the translation into Hindi was conducted following Beaton’s guidelines. The translation process adhered to all 8 steps, involving experts from both medical and nonmedical fields.
Results
The translated scale demonstrated excellent relative reliability (Cronbach’s alpha = 0.96, ICC = 0.99) and absolute reliability (CV% = 0.26, SEM = 0.70). It also showed excellent content validity (I-CVI = 1, S-CVI/Ave = 0.92, S-CVI/U = 0.71). The Minimal Detectable Change at 95% confidence interval (MDC95) and Minimal Clinically Important Difference (MCID) indicated clinical significance. The Smallest Worthwhile Change (SWC) of 1 indicated good sensitivity of the translated version.
Conclusion
The Hindi version of the LANSS pain scale exhibits acceptable clinimetric properties and is suitable for assessing neuropathic pain in patients with Diabetic Peripheral Neuropathy .
{"title":"Hindi Translation, Validation, and Estimation of Clinimetric Properties of the Leeds Assessment of Neuropathic Symptom and Sign Pain Scale in Patients With Diabetic Peripheral Neuropathy","authors":"Kanika Thakur PhD, Manu Goyal PhD","doi":"10.1016/j.jcm.2025.09.030","DOIUrl":"10.1016/j.jcm.2025.09.030","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to translate, perform cross-cultural adaptation, and evaluate the clinimetric properties of the Hindi version of the Leeds assessment of neuropathic symptom and sign (LANSS) pain scale.</div></div><div><h3>Methods</h3><div>A cross-sectional study involving 51 patients with DPN was completed. With permission from the original LANSS pain scale authors, the translation into Hindi was conducted following Beaton’s guidelines. The translation process adhered to all 8 steps, involving experts from both medical and nonmedical fields.</div></div><div><h3>Results</h3><div>The translated scale demonstrated excellent relative reliability (Cronbach’s alpha = 0.96, ICC = 0.99) and absolute reliability (CV% = 0.26, SEM = 0.70). It also showed excellent content validity (I-CVI = 1, S-CVI/Ave = 0.92, S-CVI/U = 0.71). The Minimal Detectable Change at 95% confidence interval (MDC<sub>95</sub>) and Minimal Clinically Important Difference (MCID) indicated clinical significance. The Smallest Worthwhile Change (SWC) of 1 indicated good sensitivity of the translated version.</div></div><div><h3>Conclusion</h3><div>The Hindi version of the LANSS pain scale exhibits acceptable clinimetric properties and is suitable for assessing neuropathic pain in patients with Diabetic Peripheral Neuropathy .</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 210-218"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694831","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jcm.2025.09.011
Sonia V. Joubert DC, ND, MSc , Tiffani B. Alwazan ND, DC, MA, MS, LAc
Objective
The purpose of this case study is to describe the diagnostic characteristics, symptomatology, alternative treatment, and outcome of 2 patients with persistent facial palsy from Ramsay Hunt syndrome (RHS).
Clinical Features
A 38-year-old female and a 55-year-old male presented with right-sided facial paralysis, which affected multiple cranial nerves. The patients displayed difficulty eating and speaking, facial paralysis, vertigo, inability to close eyes on the affected side, and painful blisters. The occurrence of distinguishing characteristics of RHS, such as painful blisters, hearing loss, tinnitus, vertigo, difficulty eating, vision changes due to eye dryness, and speech impairment, was assessed.
Intervention and outcome
In the first case, the patient was treated in 8 weekly sessions with a combination of chiropractic spinal manipulation, acupuncture, cold laser, myofascial release, and homeopathy. In the initial 2 sessions, the patient received weekly acupuncture and cold laser therapy. In the final sessions, the patient reported pain reduction and anxiety relief. In the second case, the patient received acupuncture, cold laser, soft tissue manipulation, and homeopathy for 8 weeks. The patient was initially prescribed a homeopathic remedy, Causticum 30 C, for two weeks. Then he was given Graphites 30 C for 6 weeks. He displayed improved speech, decreased tongue deviation, increased eye closure, increased control of right eyebrow movement and was able to close his eyes fluidly. He no longer experienced double vision or eye dryness.
Conclusions
This article presents a case study of two patients with varying symptoms of RHS. In both cases, patients were treated with conservative care. Improvements in eye closure, speech, capability to eat and drink, tongue moment, and pain were reported by the patients.
目的探讨2例拉姆齐·亨特综合征（RHS）持续性面瘫的诊断特点、症状学、替代治疗方法及预后。临床特征：女性38岁，男性55岁，表现为右侧面瘫，累及多处颅神经。患者表现为进食和说话困难，面瘫，眩晕，患侧不能闭上眼睛，以及疼痛的水泡。评估RHS的显著特征，如疼痛性水泡、听力丧失、耳鸣、眩晕、进食困难、眼干引起的视力变化和语言障碍的发生情况。干预和结果：在第一个病例中，患者接受了每周一次的治疗，包括脊椎推拿、针灸、冷激光、肌筋膜松解和顺势疗法。在最初的2个疗程中，患者每周接受针灸和冷激光治疗。在最后的疗程中，患者报告疼痛减轻和焦虑缓解。第二例患者接受针灸、冷激光、软组织推拿、顺势疗法治疗8周。患者最初被开了顺势疗法的药物，Causticum 30c，为期两周。然后他被给予石墨30 C 6周。他表现出改善的语言，减少舌偏移，增加闭眼，增加控制右眉运动，并能够流畅地闭上眼睛。他不再有重影或眼睛干涩的感觉。本文报告了两例不同症状的RHS患者的病例研究。在这两个病例中，患者都接受了保守治疗。患者报告了闭眼、语言、饮食能力、舌动和疼痛的改善。
{"title":"Conservative Care and Outcomes for 2 Patients With Ramsay Hunt Syndrome","authors":"Sonia V. Joubert DC, ND, MSc , Tiffani B. Alwazan ND, DC, MA, MS, LAc","doi":"10.1016/j.jcm.2025.09.011","DOIUrl":"10.1016/j.jcm.2025.09.011","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case study is to describe the diagnostic characteristics, symptomatology, alternative treatment, and outcome of 2 patients with persistent facial palsy from Ramsay Hunt syndrome (RHS).</div></div><div><h3>Clinical Features</h3><div>A 38-year-old female and a 55-year-old male presented with right-sided facial paralysis, which affected multiple cranial nerves. The patients displayed difficulty eating and speaking, facial paralysis, vertigo, inability to close eyes on the affected side, and painful blisters. The occurrence of distinguishing characteristics of RHS, such as painful blisters, hearing loss, tinnitus, vertigo, difficulty eating, vision changes due to eye dryness, and speech impairment, was assessed.</div></div><div><h3>Intervention and outcome</h3><div>In the first case, the patient was treated in 8 weekly sessions with a combination of chiropractic spinal manipulation, acupuncture, cold laser, myofascial release, and homeopathy. In the initial 2 sessions, the patient received weekly acupuncture and cold laser therapy. In the final sessions, the patient reported pain reduction and anxiety relief. In the second case, the patient received acupuncture, cold laser, soft tissue manipulation, and homeopathy for 8 weeks. The patient was initially prescribed a homeopathic remedy, Causticum 30 C, for two weeks. Then he was given Graphites 30 C for 6 weeks. He displayed improved speech, decreased tongue deviation, increased eye closure, increased control of right eyebrow movement and was able to close his eyes fluidly. He no longer experienced double vision or eye dryness.</div></div><div><h3>Conclusions</h3><div>This article presents a case study of two patients with varying symptoms of RHS. In both cases, patients were treated with conservative care. Improvements in eye closure, speech, capability to eat and drink, tongue moment, and pain were reported by the patients.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 464-473"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694911","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jcm.2025.08.018
Nate McKee DC , James M. Cox DC , Kurt J. Olding DC
Objective
The purpose of this case report is to increase awareness of the early signs of tandem spinal stenosis with associated degenerative cervical myelopathy and to outline the possible role of chiropractic care in the collaborative management of this condition in the ageing population.
Clinical Features
The patient was a 69-year-old man with left-sided neck pain that radiated into his left shoulder and markedly limited left rotation and extension in the cervical spine. The pain had been present for “months” and, since the pain started, he had noticed a loss of balance and had fallen numerous times. The patient noted that extension of the head was a trigger for his falls. The patient also reported suffering from chronic lower back pain since a disc injury years ago.
Intervention and Outcome
Treatment consisted of Cox Technic Flexion Distraction and Decompression both protocol 1 and 2 to the full spine. The patient experienced only low levels of neck pain after 4 weeks of care, the arm pain totally resolved, and the lower back pain was minimal. At 10 weeks he reported no falls.
Conclusion
Conservative care with Cox Technic Flexion Distraction and Decompression may be an option when early signs of cervical myelopathy are present with tandem stenosis. Co-management with a neurologist or a neurosurgeon, as in this case, was prudent.
{"title":"Chiropractic Management using Cox Technic Flexion Distraction for a Patient With Tandem Spinal Stenosis","authors":"Nate McKee DC , James M. Cox DC , Kurt J. Olding DC","doi":"10.1016/j.jcm.2025.08.018","DOIUrl":"10.1016/j.jcm.2025.08.018","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case report is to increase awareness of the early signs of tandem spinal stenosis with associated degenerative cervical myelopathy and to outline the possible role of chiropractic care in the collaborative management of this condition in the ageing population.</div></div><div><h3>Clinical Features</h3><div>The patient was a 69-year-old man with left-sided neck pain that radiated into his left shoulder and markedly limited left rotation and extension in the cervical spine. The pain had been present for “months” and, since the pain started, he had noticed a loss of balance and had fallen numerous times. The patient noted that extension of the head was a trigger for his falls<em>.</em> The patient also reported suffering from chronic lower back pain since a disc injury years ago.</div></div><div><h3>Intervention and Outcome</h3><div>Treatment consisted of Cox Technic Flexion Distraction and Decompression both protocol 1 and 2 to the full spine. The patient experienced only low levels of neck pain after 4 weeks of care, the arm pain totally resolved, and the lower back pain was minimal. At 10 weeks he reported no falls.</div></div><div><h3>Conclusion</h3><div>Conservative care with Cox Technic Flexion Distraction and Decompression may be an option when early signs of cervical myelopathy are present with tandem stenosis. Co-management with a neurologist or a neurosurgeon, as in this case, was prudent.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 416-423"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694774","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jcm.2025.08.005
Jason Bartholomew DAT , Shayane V. Santiago DAT , Moni Syeda DAT , Russell Baker PhD, DAT
Objective
The purpose of this case study was to describe the use of the Mulligan Concept (MC) Manual Lateral Glide Mobilization with Movement (MWM) with gripping on an adult tennis player with lateral epicondylalgia (LE).
Clinical Features
A 40-year-old adult male tennis player presented with pain and perceived weakness at the lateral elbow while lifting, pulling, and gripping. Clinical examination noted pain with elbow extension and wrist flexion, tenderness to palpation at the origin of the common extensor tendon, and positive Cozen test. The working diagnosis was LE with a differential diagnosis of radial nerve entrapment.
Intervention and Outcome
The patient completed 5 treatments of MC Manual Lateral Glide MWM with gripping over 13 days. The MC Manual Lateral Glide MWM with gripping was composed of the clinician providing a laterally directed glide across the elbow joint while the patient performed pain-free gripping. Patient outcomes, including Numeric Rating Scale for pain, the Patient-Specific Functional Scale, Patient-Rated Tennis Elbow Evaluation, the Disablement in the Physically Active Scale Short Form-8, grip strength (ie, hand dynamometer measurements), and algometer pressure pain threshold measurements were collected. Improvements exceeding minimal clinically important differences and minimal detectable change values were noted on all outcomes after the third treatment. After 5 treatment sessions, spanning a total of 13 days, clinical evaluation was performed, noting total resolution of symptoms. Patient outcomes supported clinical findings, and the patient was discharged.
Conclusion
Following 5 visits, the patient in this case study achieved restored function, pain reduction, and resolution of LE symptoms. The patient also maintained this at the 1-year follow-up.
{"title":"Mulligan Concept for the Conservative Treatment of Lateral Epicondylalgia: A Case Report","authors":"Jason Bartholomew DAT , Shayane V. Santiago DAT , Moni Syeda DAT , Russell Baker PhD, DAT","doi":"10.1016/j.jcm.2025.08.005","DOIUrl":"10.1016/j.jcm.2025.08.005","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case study was to describe the use of the Mulligan Concept (MC) Manual Lateral Glide Mobilization with Movement (MWM) with gripping on an adult tennis player with lateral epicondylalgia (LE).</div></div><div><h3>Clinical Features</h3><div>A 40-year-old adult male tennis player presented with pain and perceived weakness at the lateral elbow while lifting, pulling, and gripping. Clinical examination noted pain with elbow extension and wrist flexion, tenderness to palpation at the origin of the common extensor tendon, and positive Cozen test. The working diagnosis was LE with a differential diagnosis of radial nerve entrapment.</div></div><div><h3>Intervention and Outcome</h3><div>The patient completed 5 treatments of MC Manual Lateral Glide MWM with gripping over 13 days. The MC Manual Lateral Glide MWM with gripping was composed of the clinician providing a laterally directed glide across the elbow joint while the patient performed pain-free gripping. Patient outcomes, including Numeric Rating Scale for pain, the Patient-Specific Functional Scale, Patient-Rated Tennis Elbow Evaluation, the Disablement in the Physically Active Scale Short Form-8, grip strength (ie, hand dynamometer measurements), and algometer pressure pain threshold measurements were collected. Improvements exceeding minimal clinically important differences and minimal detectable change values were noted on all outcomes after the third treatment. After 5 treatment sessions, spanning a total of 13 days, clinical evaluation was performed, noting total resolution of symptoms. Patient outcomes supported clinical findings, and the patient was discharged.</div></div><div><h3>Conclusion</h3><div>Following 5 visits, the patient in this case study achieved restored function, pain reduction, and resolution of LE symptoms. The patient also maintained this at the 1-year follow-up.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 474-481"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694912","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}
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