Pub Date : 2024-09-01DOI: 10.1016/j.jcm.2024.05.001
Hannan Gada MS, Saad Parvez PhD, Babar Ahmad PhD
Objective
The purpose of this study was to develop a fuzzy prediction model that could help in determining the musculoskeletal risk involved in the occupation of hand-made carpet weaving.
Methods
A questionnaire-based study involving 193 carpet weavers in Jammu and Kashmir was conducted. The questionnaire collected information on demographics, psychosocial factors, workplace fatigue, and musculoskeletal complaints. A rapid entire-body assessment technique was also used to assess the weaver's working posture for musculoskeletal risk. A fuzzy logic model was used to determines the degree to which a proposition is true or untrue rather of categorizing it as absolute truth (1) or untruth (0). This technique provides for a more subtle examination of accuracy, taking into account the variety of variables and levels that exist between standard binary classification.
Results
Work stress, socio-emotional factors, family-related responsibilities, lack of motivation, sleepiness, lack of energy, physical exertion, and discomfort were found to have a statistically significant relationship with musculoskeletal complaints. Between real and predicted musculoskeletal complaints, a correlation coefficient of 0.46 was calculated. Using the REBA for postural analysis, HSEJSQ for psychosocial job parameters, and SOFI for fatigue, significant predictors of musculoskeletal complaints were identified and analyzed using fuzzy logic. The fuzzy model's predictions showed a moderate correlation with actual musculoskeletal complaints measured by the Nordic questionnaire, underscoring the impact of psychosocial and physical factors on these complaints.
Conclusion
The current model had a moderate relationship with actual musculoskeletal complaints and can be used to assess the musculoskeletal risk associated with work in a timely manner.
{"title":"Fuzzy Logic Modelling of Risk Variables Influencing Musculoskeletal Disorders in Carpet Industry: A Cross-Sectional Study","authors":"Hannan Gada MS, Saad Parvez PhD, Babar Ahmad PhD","doi":"10.1016/j.jcm.2024.05.001","DOIUrl":"10.1016/j.jcm.2024.05.001","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to develop a fuzzy prediction model that could help in determining the musculoskeletal risk involved in the occupation of hand-made carpet weaving.</div></div><div><h3>Methods</h3><div>A questionnaire-based study involving 193 carpet weavers in Jammu and Kashmir was conducted. The questionnaire collected information on demographics, psychosocial factors, workplace fatigue, and musculoskeletal complaints. A rapid entire-body assessment technique was also used to assess the weaver's working posture for musculoskeletal risk. A fuzzy logic model was used to determines the degree to which a proposition is true or untrue rather of categorizing it as absolute truth (1) or untruth (0). This technique provides for a more subtle examination of accuracy, taking into account the variety of variables and levels that exist between standard binary classification.</div></div><div><h3>Results</h3><div>Work stress, socio-emotional factors, family-related responsibilities, lack of motivation, sleepiness, lack of energy, physical exertion, and discomfort were found to have a statistically significant relationship with musculoskeletal complaints. Between real and predicted musculoskeletal complaints, a correlation coefficient of 0.46 was calculated. Using the REBA for postural analysis, HSEJSQ for psychosocial job parameters, and SOFI for fatigue, significant predictors of musculoskeletal complaints were identified and analyzed using fuzzy logic. The fuzzy model's predictions showed a moderate correlation with actual musculoskeletal complaints measured by the Nordic questionnaire, underscoring the impact of psychosocial and physical factors on these complaints.</div></div><div><h3>Conclusion</h3><div>The current model had a moderate relationship with actual musculoskeletal complaints and can be used to assess the musculoskeletal risk associated with work in a timely manner.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 3","pages":"Pages 83-92"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721139","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}
The purpose of this study was to identify the prevalence of chronic musculoskeletal pain (CMSP) and analgesic self-medication. The knowledge and practices of those who self-medicate with analgesics and factors influencing this was also ascertained.
Methods
This study was a quantitative, descriptive cross-sectional study. A survey was conducted amongst 302 participants with musculoskeletal pain (MSP) attending a chiropractic clinic within a South African tertiary university from July to September 2022. The analysis of analgesic self-medication was limited to participants who reported having CMSP. Data were analyzed using appropriate statistical software and methods, utilizing Chi-square, and nonparametric tests.
Results
There was a high prevalence of analgesic self-medication with 80% of respondents reporting self-medicating with analgesics to manage their CMSP, and a point prevalence of 57%. More females (86%) than males (69%) self-medicated with analgesics. Participants between 35 and 44 years were statistically more likely to self-medicate with analgesics (P = .048). The majority (96%) sourced their analgesics from a pharmacy without a prescription. It was found that the most frequently used analgesics were nonsteroidal anti-inflammatory drugs (NSAIDS) (70%) followed by paracetamol (58%) and combination analgesics (54%). A significant number of participants (55%) utilizing public health care services used combination analgesics obtained without a prescription compared to 34% of analgesic users that utilized private health care (P < .030).
Conclusion
This study showed a high prevalence of self-medication with analgesics, particularly NSAIDs and paracetamol, in participants with CMSP. These findings can guide chiropractors in patient education, reducing self-medication risks and complications.
{"title":"Analgesic Self-medication Among Patients With Chronic Musculoskeletal Pain in a South African Chiropractic Teaching Clinic: A Cross-sectional Study","authors":"Donna Engelbrecht MHsc (Chiro) , Yasmeen Thandar PhD (Pharm) , Yomika Venketsamy MTech (Chiro)","doi":"10.1016/j.jcm.2024.02.002","DOIUrl":"10.1016/j.jcm.2024.02.002","url":null,"abstract":"<div><h3>Objectives</h3><div>The purpose of this study was to identify the prevalence of chronic musculoskeletal pain (CMSP) and analgesic self-medication. The knowledge and practices of those who self-medicate with analgesics and factors influencing this was also ascertained.</div></div><div><h3>Methods</h3><div>This study was a quantitative, descriptive cross-sectional study. A survey was conducted amongst 302 participants with musculoskeletal pain (MSP) attending a chiropractic clinic within a South African tertiary university from July to September 2022. The analysis of analgesic self-medication was limited to participants who reported having CMSP. Data were analyzed using appropriate statistical software and methods, utilizing Chi-square, and nonparametric tests.</div></div><div><h3>Results</h3><div>There was a high prevalence of analgesic self-medication with 80% of respondents reporting self-medicating with analgesics to manage their CMSP, and a point prevalence of 57%. More females (86%) than males (69%) self-medicated with analgesics. Participants between 35 and 44 years were statistically more likely to self-medicate with analgesics (<em>P</em> = .048). The majority (96%) sourced their analgesics from a pharmacy without a prescription. It was found that the most frequently used analgesics were nonsteroidal anti-inflammatory drugs (NSAIDS) (70%) followed by paracetamol (58%) and combination analgesics (54%). A significant number of participants (55%) utilizing public health care services used combination analgesics obtained without a prescription compared to 34% of analgesic users that utilized private health care (<em>P</em> < .030).</div></div><div><h3>Conclusion</h3><div>This study showed a high prevalence of self-medication with analgesics, particularly NSAIDs and paracetamol, in participants with CMSP. These findings can guide chiropractors in patient education, reducing self-medication risks and complications.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 1","pages":"Pages 1-12"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140269408","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}
Pub Date : 2024-03-01DOI: 10.1016/j.jcm.2024.02.003
Ada M. González-González PhD, Azael J. Herrero PhD
Objective
The aim of this study was to design and use a headache diary in patients with frequent tension-type headaches (TTH). Another aim was to assess the relationship among oral behaviors, range of motion, and tenderness to palpation of the craniomandibular muscles.
Methods
Thirty-four patients participated in this prospective observational study for a 3-month period at the Adavall Clinic for Physiotherapy and Rehabilitation (Valladolid, Spain) in 2019. Oral behaviors were collected through the Oral Behavior Checklist in the Adavall-TTH diary. Range of motion was measured in the cervical region and in the temporomandibular joint. Tenderness to palpation was measured on 38 myofascial trigger points of the craniomandibular region.
Results
Oral behaviors were directly related to the pain intensity of TTH, the number of days, and the headache diagnostic criteria. Cervical range of motion was indirectly related to the intensity of TTH and the number of days of TTH (from r = −0.341 to r = −0.418, P < .05). Tenderness to palpation was associated with intensity and different diagnostic criteria of TTH in different craniomandibular muscles (from r = 0.342 to r = 0.400, P < .05).
Conclusion
We found associations between examination findings and TTH diagnostic criteria. The headache diary may be a useful tool in the diagnosis and management of TTH and for analyzing the relationship between oral activities and temporomandibular joint tenderness in TTH. Future research should test the validity and reliability of this diary.
目的本研究旨在为经常紧张型头痛（TTH）患者设计和使用头痛日记。另一个目的是评估口腔行为、活动范围和颅下颌肌肉触诊触痛之间的关系。方法2019年，34名患者在阿达瓦尔物理治疗和康复诊所（西班牙巴利亚多利德）参加了这项为期3个月的前瞻性观察研究。通过 Adavall-TTH 日记中的口腔行为检查表收集口腔行为。测量颈椎区域和颞下颌关节的活动范围。结果口腔行为与 TTH 的疼痛强度、天数和头痛诊断标准直接相关。颈椎活动范围与 TTH 疼痛强度和 TTH 天数间接相关（从 r = -0.341 到 r = -0.418，P <.05）。触痛与不同颅下颌肌肉的 TTH 强度和不同诊断标准有关（从 r = 0.342 到 r = 0.400，P <.05）。头痛日记可能是诊断和处理 TTH 以及分析 TTH 中口腔活动与颞下颌关节触痛之间关系的有用工具。未来的研究应检验该日记的有效性和可靠性。
{"title":"Development of a Headache Diary and Assessment of Tension-Type Headache Diagnostic Criteria and Oral Behaviors, Joint Range of Motion, and Tenderness to Palpation: An Observational Study","authors":"Ada M. González-González PhD, Azael J. Herrero PhD","doi":"10.1016/j.jcm.2024.02.003","DOIUrl":"10.1016/j.jcm.2024.02.003","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to design and use a headache diary in patients with frequent tension-type headaches (TTH). Another aim was to assess the relationship among oral behaviors, range of motion, and tenderness to palpation of the craniomandibular muscles.</div></div><div><h3>Methods</h3><div>Thirty-four patients participated in this prospective observational study for a 3-month period at the Adavall Clinic for Physiotherapy and Rehabilitation (Valladolid, Spain) in 2019. Oral behaviors were collected through the Oral Behavior Checklist in the Adavall-TTH diary. Range of motion was measured in the cervical region and in the temporomandibular joint. Tenderness to palpation was measured on 38 myofascial trigger points of the craniomandibular region.</div></div><div><h3>Results</h3><div>Oral behaviors were directly related to the pain intensity of TTH, the number of days, and the headache diagnostic criteria. Cervical range of motion was indirectly related to the intensity of TTH and the number of days of TTH (from <em>r</em> = −0.341 to <em>r</em> = −0.418, <em>P</em> < .05). Tenderness to palpation was associated with intensity and different diagnostic criteria of TTH in different craniomandibular muscles (from <em>r</em> = 0.342 to <em>r</em> = 0.400, <em>P</em> < .05).</div></div><div><h3>Conclusion</h3><div>We found associations between examination findings and TTH diagnostic criteria. The headache diary may be a useful tool in the diagnosis and management of TTH and for analyzing the relationship between oral activities and temporomandibular joint tenderness in TTH. Future research should test the validity and reliability of this diary.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 1","pages":"Pages 37-46"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140278599","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 : 2024-03-01DOI: 10.1016/j.jcm.2024.02.007
Jessica F. Billham DC, DACBR, RMSK , Aaron Welk DC, DACBR , Patricia Estrada DC , Norman W. Kettner DC, DACBR, FICC
Objective
The purpose of this report is to describe the presentation of a patient with a pectoralis major tendon (PMJ) tear.
Clinical Features
A 30-year-old male weightlifter presented to a chiropractor with localized left arm pain that began while bench-pressing. Ecchymosis and swelling were present, but no contour abnormalities were seen. All active shoulder ranges of motion were painful with the exception of adduction, which was palliative but weak. A 4-week trial-of-care alleviated pain, but weakness persisted.
Intervention and Outcome
Diagnostic ultrasound (US) and magnetic resonance imaging (MRI) were ordered. Disruption and retraction of the PMJ were identified on US, and MRI confirmed a PMJ tear. The tear was surgically repaired, and the patient achieved optimal recovery.
Conclusion
This case report provides a clinical example that complete PMJ tears may be difficult to clinically differentiate from a partial tear and must be clarified with imaging.
{"title":"Diagnostic Imaging for a Pectoralis Major Muscle Tear in a 30-Year-Old Weightlifter: A Case Report","authors":"Jessica F. Billham DC, DACBR, RMSK , Aaron Welk DC, DACBR , Patricia Estrada DC , Norman W. Kettner DC, DACBR, FICC","doi":"10.1016/j.jcm.2024.02.007","DOIUrl":"10.1016/j.jcm.2024.02.007","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this report is to describe the presentation of a patient with a pectoralis major tendon (PMJ) tear.</div></div><div><h3>Clinical Features</h3><div>A 30-year-old male weightlifter presented to a chiropractor with localized left arm pain that began while bench-pressing. Ecchymosis and swelling were present, but no contour abnormalities were seen. All active shoulder ranges of motion were painful with the exception of adduction, which was palliative but weak. A 4-week trial-of-care alleviated pain, but weakness persisted.</div></div><div><h3>Intervention and Outcome</h3><div>Diagnostic ultrasound (US) and magnetic resonance imaging (MRI) were ordered. Disruption and retraction of the PMJ were identified on US, and MRI confirmed a PMJ tear. The tear was surgically repaired, and the patient achieved optimal recovery.</div></div><div><h3>Conclusion</h3><div>This case report provides a clinical example that complete PMJ tears may be difficult to clinically differentiate from a partial tear and must be clarified with imaging.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 1","pages":"Pages 59-63"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142722392","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 : 2024-03-01DOI: 10.1016/j.jcm.2024.02.005
Parsa Salemi , Majid Hosseini PhD , Aliyeh Daryabor PhD , Sara Fereydounnia PhD , Joseph H. Smith PhD
Objective
The purpose of this review was to evaluate the effectiveness of dry needling (DN) to improve function, proprioception, and balance and to reduce pain in individuals with chronic ankle instability (CAI).
Methods
We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for this review. We searched PubMed, ISI Web of Knowledge, Scopus, Science Direct, Google Scholar, and ProQuest databases from inception until July 2022 using the PICO (population, intervention, comparison, outcome) method. Inclusion criteria were as follows: studies that (1) investigated individuals with CAI; (2) used DN as a main intervention; (3) compared DN with exercise therapy, shockwave therapy, and placebo DN; and (4) compared the effect of DN in CAI cases with healthy individuals. The risk of bias assessment was examined through the Downs and Black checklist. Where possible, a meta-analysis was performed using standardized mean difference (SMD; Cohen's d) and 95% CIs. A narrative analysis was conducted where data pooling was not feasible.
Results
Seven studies consisting of 169 individuals with a history of CAI in chronic phase (more than 12 months after the initial injury) were selected for final evaluation. Using DN in fibularis longus may positively have immediate, short-term (1 week), and medium-term (1 month) effects on pain (SMD: −1.31, 95% CI: −3.21 to 0.59), function, proprioception, and static and dynamic postural control compared with before intervention (P < .05). One study reported the superiority of DN over shockwave therapy to significantly improve range of motion of ankle (P < .05) but not for pain. Additionally, the results of 1 study were in favor of the superiority of DN intervention compared with placebo DN with regard to postural control and pre-activation variables. Moreover, spinal plus peripheral DN was not preferable to peripheral DN for improving patients’ outcomes (P > .05).
Conclusion
Although almost all of the reviewed articles showed some immediate, short-term, and medium-term benefits of DN for improving postural control, pain, and function for people with CAI, this review found that there was heterogeneity among included trials and many of them had a high risk of null findings due to insufficient power and inconsistent techniques, control groups, and outcome measures. Therefore, scientific evidence supporting the use of DN for ankle instability is premature, and the results of the current review should be interpreted with caution. This area may be worth exploring by conducting large-scale, placebo-controlled randomized trials.
本综述旨在评估干针疗法（DN）在改善慢性踝关节不稳定（CAI）患者的功能、本体感觉和平衡以及减轻疼痛方面的有效性。我们使用 PICO（人群、干预、比较、结果）方法检索了 PubMed、ISI Web of Knowledge、Scopus、Science Direct、Google Scholar 和 ProQuest 数据库，检索时间从开始到 2022 年 7 月。纳入标准如下：(1) 调查 CAI 患者；(2) 使用 DN 作为主要干预措施；(3) 比较 DN 与运动疗法、冲击波疗法和安慰剂 DN；(4) 比较 DN 对 CAI 患者和健康人的效果。偏倚风险评估是通过唐斯和布莱克核对表进行的。在可能的情况下，使用标准化均值差异（SMD；Cohen's d）和 95% CIs 进行荟萃分析。在无法进行数据汇总的情况下，进行了叙述性分析。结果最终评估选择了七项研究，包括 169 名慢性 CAI 患者（初次损伤后 12 个月以上）。与干预前相比，对腓骨长肌使用 DN 可对疼痛（SMD：-1.31，95% CI：-3.21 至 0.59）、功能、本体感觉以及静态和动态姿势控制产生即时、短期（1 周）和中期（1 个月）的积极影响（P < .05）。一项研究报告称，DN疗法在显著改善踝关节活动范围方面优于冲击波疗法（P <.05），但在疼痛方面却不尽相同。此外，一项研究结果表明，在姿势控制和活动前变量方面，DN 干预优于安慰剂 DN。结论虽然几乎所有的综述文章都显示 DN 对改善 CAI 患者的姿势控制、疼痛和功能有一些直接、短期和中期的益处，但本综述发现，所纳入的试验之间存在异质性，其中许多试验由于功率不足以及技术、对照组和结果测量不一致，出现无效结果的风险很高。因此，支持使用 DN 治疗踝关节不稳的科学证据尚不成熟，对本次综述的结果应谨慎解读。这一领域可能值得通过开展大规模的安慰剂对照随机试验来进行探索。
{"title":"Trigger Point Dry Needling to Reduce Pain and Improve Function and Postural Control in People With Ankle Sprain: A Systematic Review and Meta-Analysis","authors":"Parsa Salemi , Majid Hosseini PhD , Aliyeh Daryabor PhD , Sara Fereydounnia PhD , Joseph H. Smith PhD","doi":"10.1016/j.jcm.2024.02.005","DOIUrl":"10.1016/j.jcm.2024.02.005","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this review was to evaluate the effectiveness of dry needling (DN) to improve function, proprioception, and balance and to reduce pain in individuals with chronic ankle instability (CAI).</div></div><div><h3>Methods</h3><div>We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for this review. We searched PubMed, ISI Web of Knowledge, Scopus, Science Direct, Google Scholar, and ProQuest databases from inception until July 2022 using the PICO (population, intervention, comparison, outcome) method. Inclusion criteria were as follows: studies that (1) investigated individuals with CAI; (2) used DN as a main intervention; (3) compared DN with exercise therapy, shockwave therapy, and placebo DN; and (4) compared the effect of DN in CAI cases with healthy individuals. The risk of bias assessment was examined through the Downs and Black checklist. Where possible, a meta-analysis was performed using standardized mean difference (SMD; Cohen's d) and 95% CIs. A narrative analysis was conducted where data pooling was not feasible.</div></div><div><h3>Results</h3><div>Seven studies consisting of 169 individuals with a history of CAI in chronic phase (more than 12 months after the initial injury) were selected for final evaluation. Using DN in fibularis longus may positively have immediate, short-term (1 week), and medium-term (1 month) effects on pain (SMD: −1.31, 95% CI: −3.21 to 0.59), function, proprioception, and static and dynamic postural control compared with before intervention (<em>P</em> < .05). One study reported the superiority of DN over shockwave therapy to significantly improve range of motion of ankle (<em>P</em> < .05) but not for pain. Additionally, the results of 1 study were in favor of the superiority of DN intervention compared with placebo DN with regard to postural control and pre-activation variables. Moreover, spinal plus peripheral DN was not preferable to peripheral DN for improving patients’ outcomes (<em>P</em> > .05).</div></div><div><h3>Conclusion</h3><div>Although almost all of the reviewed articles showed some immediate, short-term, and medium-term benefits of DN for improving postural control, pain, and function for people with CAI, this review found that there was heterogeneity among included trials and many of them had a high risk of null findings due to insufficient power and inconsistent techniques, control groups, and outcome measures. Therefore, scientific evidence supporting the use of DN for ankle instability is premature, and the results of the current review should be interpreted with caution. This area may be worth exploring by conducting large-scale, placebo-controlled randomized trials.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 1","pages":"Pages 23-36"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721735","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}
The purpose of this study was to evaluate the association of pain-related anxiety on abdominal muscles thickness during standing postural tasks among individuals with chronic low back pain (CLBP).
Methods
We obtained responses to a pain-related anxiety symptoms questionnaire from 50 participants with CLBP. We then separated participants into high (11 men, 14 women) and low pain-related anxiety (13 men, 12 women) groups and compared assessments of their lateral abdominal muscles thickness during standing tasks on a computerized balance assessment device, using one static level and 2 movable levels (levels 6 and 3 are represented easy and difficult tasks respectively).
Results
We found a significant interaction effect of standing difficulty (2 levels) and abdominal muscle thickness (transverse abdominis, oblique internal and oblique external muscles) (p< .001, effect size= .7). The high pain-related anxiety group exhibited greater abdominal muscle thickness during standing postural tasks compared with the low pain-related anxiety group (p< .05, mean difference= .04-.06) except for the internal oblique muscle during the difficult standing task (p=.2).
Conclusion
We suggest that, among individuals with CLBP, pain-related anxiety and psychological pain-related anxiety may be possibly associated with abdominal muscles thickness during dynamic standing.
{"title":"Association of Pain-Related Anxiety and Abdominal Muscle Thickness during Standing Postural Tasks in Patients with Non-Specific Chronic Low Back Pain","authors":"Rozita Hedayati PhD, PT , Rasool Bagheri PhD, PT , Fatemeh Ehsani PhD, PT , Mohammad Reza Pourahmadi PhD, PT , Hamid Moghaddasi MSc, PT","doi":"10.1016/j.jcm.2024.02.001","DOIUrl":"10.1016/j.jcm.2024.02.001","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to evaluate the association of pain-related anxiety on abdominal muscles thickness during standing postural tasks among individuals with chronic low back pain (CLBP).</div></div><div><h3>Methods</h3><div>We obtained responses to a pain-related anxiety symptoms questionnaire from 50 participants with CLBP. We then separated participants into high (11 men, 14 women) and low pain-related anxiety (13 men, 12 women) groups and compared assessments of their lateral abdominal muscles thickness during standing tasks on a computerized balance assessment device, using one static level and 2 movable levels (levels 6 and 3 are represented easy and difficult tasks respectively).</div></div><div><h3>Results</h3><div>We found a significant interaction effect of standing difficulty (2 levels) and abdominal muscle thickness (transverse abdominis, oblique internal and oblique external muscles) (<em>p</em>< .001, effect size= .7). The high pain-related anxiety group exhibited greater abdominal muscle thickness during standing postural tasks compared with the low pain-related anxiety group (<em>p</em>< .05, mean difference= .04-.06) except for the internal oblique muscle during the difficult standing task (<em>p</em>=.2).</div></div><div><h3>Conclusion</h3><div>We suggest that, among individuals with CLBP, pain-related anxiety and psychological pain-related anxiety may be possibly associated with abdominal muscles thickness during dynamic standing.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 1","pages":"Pages 47-58"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140786689","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 : 2024-03-01DOI: 10.1016/j.jcm.2024.02.004
Ana C. Panhan PhD , Mauro Gonçalves PhD , Adalgiso C. Cardozo PhD
Objective
The purpose of this case study was to report the effect of an 8-week Pilates intervention on a ballet dancer's strength, balance, and endurance.
Clinical Features
A healthy 24-year-old ballet dancer (50 kg, 1.66 meters, 12 years of practice and who had no previous experience with Pilates) presented for care. She was evaluated before and after an 8-week Pilates exercise intervention.
Intervention and Outcome
The isokinetic trunk flexion and extension, electromyographic activation of multifidus and internal oblique muscles, neuromuscular efficiency, trunk muscle endurance, and body balance were evaluated. After 8 weeks, we observed increased torque levels, neuromuscular efficiency and time spent in endurance tests and improved body balance.
Conclusion
The ballet dancer in this study demonstrated increased strength, balance, and endurance after an 8-week Pilates intervention.
{"title":"Effect of Pilates Intervention on the Physical Conditioning of a Ballet Dancer: A Single Case Study","authors":"Ana C. Panhan PhD , Mauro Gonçalves PhD , Adalgiso C. Cardozo PhD","doi":"10.1016/j.jcm.2024.02.004","DOIUrl":"10.1016/j.jcm.2024.02.004","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case study was to report the effect of an 8-week Pilates intervention on a ballet dancer's strength, balance, and endurance.</div></div><div><h3>Clinical Features</h3><div>A healthy 24-year-old ballet dancer (50 kg, 1.66 meters, 12 years of practice and who had no previous experience with Pilates) presented for care. She was evaluated before and after an 8-week Pilates exercise intervention.</div></div><div><h3>Intervention and Outcome</h3><div>The isokinetic trunk flexion and extension, electromyographic activation of multifidus and internal oblique muscles, neuromuscular efficiency, trunk muscle endurance, and body balance were evaluated. After 8 weeks, we observed increased torque levels, neuromuscular efficiency and time spent in endurance tests and improved body balance.</div></div><div><h3>Conclusion</h3><div>The ballet dancer in this study demonstrated increased strength, balance, and endurance after an 8-week Pilates intervention.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 1","pages":"Pages 64-69"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721732","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 : 2024-03-01DOI: 10.1016/j.jcm.2024.02.006
Attila Kollarics PT , Harun Gençosmanoğlu PT, MSc , Ede Biró MD , Édua Lilla Zámbó PT , Bence Király PT, MSc , Adrienn Hanzel PT, PhD
Objectives
The present study aimed to assess the feasibility of investigating the effects of manual therapy on ankle functional muscle strength, static balance, and disability in adolescent patients with an ankle sprain.
Methods
The study was a nonrandomized prepost clinical feasibility trial. From September 2021 to February 2022, 31 patients with ankle sprain received manual therapy. Functional muscle strength of plantar flexor muscles and static balance were evaluated using the standing heel-rise and unipedal stance tests on the injured and healthy legs before and after the first and second sessions. Foot and Ankle Disability Index (FADI) assessed the disability at baseline, after the first and second sessions, in the third and sixth weeks.
Results
Within-group analysis of the unipedal stance test with open and closed eyes and the standing heel-rise test showed that injured legs significantly improved after the first and second sessions, compared to uninjured legs (P < .05). Furthermore, there were significant differences among all repeated FADI measures (P < .05).
Conclusions
This study demonstrated that a study was feasible to measure ankle functional muscle strength, static balance, and disability in adolescent patients with an ankle sprain.
{"title":"Effects of Manual Therapy on Fascial Distortion Model in Adolescent Ankle Sprain: A Pilot Study","authors":"Attila Kollarics PT , Harun Gençosmanoğlu PT, MSc , Ede Biró MD , Édua Lilla Zámbó PT , Bence Király PT, MSc , Adrienn Hanzel PT, PhD","doi":"10.1016/j.jcm.2024.02.006","DOIUrl":"10.1016/j.jcm.2024.02.006","url":null,"abstract":"<div><h3>Objectives</h3><div>The present study aimed to assess the feasibility of investigating the effects of manual therapy on ankle functional muscle strength, static balance, and disability in adolescent patients with an ankle sprain.</div></div><div><h3>Methods</h3><div>The study was a nonrandomized prepost clinical feasibility trial. From September 2021 to February 2022, 31 patients with ankle sprain received manual therapy. Functional muscle strength of plantar flexor muscles and static balance were evaluated using the standing heel-rise and unipedal stance tests on the injured and healthy legs before and after the first and second sessions. Foot and Ankle Disability Index (FADI) assessed the disability at baseline, after the first and second sessions, in the third and sixth weeks.</div></div><div><h3>Results</h3><div>Within-group analysis of the unipedal stance test with open and closed eyes and the standing heel-rise test showed that injured legs significantly improved after the first and second sessions, compared to uninjured legs (<em>P</em> < .05). Furthermore, there were significant differences among all repeated FADI measures (<em>P</em> < .05).</div></div><div><h3>Conclusions</h3><div>This study demonstrated that a study was feasible to measure ankle functional muscle strength, static balance, and disability in adolescent patients with an ankle sprain.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 1","pages":"Pages 13-22"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721734","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 : 2023-11-18DOI: 10.1016/j.jcm.2023.10.002
Muhammad Azharuddin MPT, Sarah Parveen MPT, Majumi M. Noohu PhD
Objective
The purpose of this scoping review was to explore the effects of neural mobilization (NM) on outcomes in adults with diabetic peripheral neuropathy (DPN).
Methods
Five databases were searched—PubMed, Web of Science (Web of Science Core Collection), Physiotherapy Evidence Database (PEDro), and Scopus—from inception to January 2022. The studies included were randomized controlled trials, pre-post single group design, multiple case studies, controlled case studies, quasi-experimental studies, and single case studies, which are published in full text in English.
Results
Six studies were included in this review, and most were of low-level evidence. The sample size of the studies ranges from 20 to 43, except for 1 case study, with a total of 158 participants in all the studies combined. In 4 out of 6 studies, only NM was given, whereas in 2 studies, NM was used along with other treatment strategies. The tibial nerve was the most studied nerve, whereas 1 study administered NM to nerves of the upper limbs, and only 1 trial examined the sciatic nerve. The outcomes included the Michigan Neuropathy Screening Instrument questionnaire, nerve conduction velocity, vibration perception threshold, heat/cold perception threshold, weight-bearing asymmetry and range of motion of lower limb, quality of life, and magnetic imaging changes.
Conclusion
At present, only a few low-level studies exist on the use of NM for the treatment of adults with DPN. The evidence for use of NM on DPN is still limited and insufficient.
目的探讨神经活动(NM)对成人糖尿病周围神经病变(DPN)预后的影响。方法对pubmed、Web of Science (Web of Science核心馆藏)、物理治疗证据数据库(PEDro)和scopus 5个数据库进行检索，检索时间为建库至2022年1月。纳入的研究包括随机对照试验、前后单组设计、多病例研究、对照研究、准实验研究和单病例研究，均以英文全文发表。结果本综述纳入6项研究，大多数为低水平证据。这些研究的样本量为20 ~ 43个，除1个案例研究外，所有研究的受试者总数为158人。在6项研究中，有4项研究仅给予NM，而在2项研究中，NM与其他治疗策略一起使用。胫骨神经是研究最多的神经，而1项研究将NM用于上肢神经，只有1项试验检查了坐骨神经。结果包括密歇根神经病变筛查仪问卷、神经传导速度、振动感知阈值、冷热感知阈值、负重不对称性和下肢活动范围、生活质量、磁共振成像变化。结论目前，关于NM治疗成人DPN的低水平研究较少。使用NM治疗DPN的证据仍然有限和不足。
{"title":"Effects of Neural Mobilization in Diabetic Peripheral Neuropathy: A Scoping Review","authors":"Muhammad Azharuddin MPT, Sarah Parveen MPT, Majumi M. Noohu PhD","doi":"10.1016/j.jcm.2023.10.002","DOIUrl":"https://doi.org/10.1016/j.jcm.2023.10.002","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this scoping review was to explore the effects of neural mobilization (NM) on outcomes in adults with diabetic peripheral neuropathy (DPN).</p></div><div><h3>Methods</h3><p>Five databases were searched—PubMed, Web of Science (Web of Science Core Collection), Physiotherapy Evidence Database<span> (PEDro), and Scopus—from inception to January 2022. The studies included were randomized controlled trials, pre-post single group design, multiple case studies, controlled case studies, quasi-experimental studies, and single case studies, which are published in full text in English.</span></p></div><div><h3>Results</h3><p><span>Six studies were included in this review, and most were of low-level evidence. The sample size of the studies ranges from 20 to 43, except for 1 case study, with a total of 158 participants in all the studies combined. In 4 out of 6 studies, only NM was given, whereas in 2 studies, NM was used along with other treatment strategies. The </span>tibial nerve<span><span><span> was the most studied nerve, whereas 1 study administered NM to nerves of the upper limbs, and only 1 trial examined the sciatic nerve. The outcomes included the Michigan </span>Neuropathy Screening Instrument questionnaire, </span>nerve conduction velocity<span><span>, vibration perception threshold, heat/cold perception threshold, weight-bearing asymmetry and range of motion of lower limb, </span>quality of life, and magnetic imaging changes.</span></span></p></div><div><h3>Conclusion</h3><p>At present, only a few low-level studies exist on the use of NM for the treatment of adults with DPN. The evidence for use of NM on DPN is still limited and insufficient.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"22 4","pages":"Pages 313-321"},"PeriodicalIF":0.0,"publicationDate":"2023-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138394874","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 : 2023-11-18DOI: 10.1016/j.jcm.2023.10.004
Ushani Ambalavanar MHSc , Victoria Berkers BHSc , Heidi Haavik PhD, DC , Bernadette Ann Murphy PhD, DC
Objectives
The purpose of this study was to determine effect sizes (ES) for changes in self-reported measures of musculoskeletal pain and dysfunction resulting from the one-to-zero method using a repeated measures study design.
Methods
Twenty participants presenting with articular dysfunction of the occipito-atlantal (C0-C1) complex were treated using the one-to-zero method, a high-velocity low-amplitude thrust administered between the C0-C1 complex before treating other restrictive segments in a cephalocaudal direction. The participants completed online questionnaires using Google Forms that assessed aspects of the biopsychosocial model of pain at baseline and within a week after treatment. The questionnaires included the following: (1) Demographic and Health Behavior Survey; (2) Neck Bournemouth Questionnaire (NBQ) or Neck Disability Index (NDI); (3) Beck Anxiety Index (BAI); (4) Insomnia Severity Index (ISI); and (5) 36-Item Short Form Health Survey (SF-36). Paired t test or Wilcoxon signed ranks test was performed, dependent on normality. Cohen's d values were calculated for each questionnaire score (0.20 indicative of small; ≥0.50 medium; and ≥0.80 large ES).
Results
The NDI, NBQ, BAI, and ISI had a large ES (all d ≥ 0.80). In the SF-36, 4 subscales had a small to near-medium ES, 1 subscale had a medium to near-large ES, and the remaining 2 had a large ES (d ≥ 0.80). The physical and mental component summary had a large (d = 0.88) and small ES (d = 0.35), respectively.
Conclusion
The effect sizes suggest the one-to-zero treatment induces change in various aspects of the biopsychosocial model.
{"title":"Effect Sizes for Changes in Health and Well-Being Following Treatment With the One-To-Zero Technique in Individuals With Occipito-Atlantal Joint Dysfunction: A Repeated Measures Study","authors":"Ushani Ambalavanar MHSc , Victoria Berkers BHSc , Heidi Haavik PhD, DC , Bernadette Ann Murphy PhD, DC","doi":"10.1016/j.jcm.2023.10.004","DOIUrl":"https://doi.org/10.1016/j.jcm.2023.10.004","url":null,"abstract":"<div><h3>Objectives</h3><p>The purpose of this study was to determine effect sizes (ES) for changes in self-reported measures of musculoskeletal pain and dysfunction resulting from the one-to-zero method using a repeated measures study design.</p></div><div><h3>Methods</h3><p><span>Twenty participants presenting with articular dysfunction of the occipito-atlantal (C0-C1) complex were treated using the one-to-zero method, a high-velocity low-amplitude thrust administered between the C0-C1 complex before treating other restrictive segments in a cephalocaudal direction. The participants completed online questionnaires using Google Forms that assessed aspects of the biopsychosocial model<span><span> of pain at baseline and within a week after treatment. The questionnaires included the following: (1) Demographic and Health Behavior Survey; (2) Neck Bournemouth Questionnaire (NBQ) or </span>Neck Disability Index<span> (NDI); (3) Beck Anxiety Index (BAI); (4) Insomnia Severity Index (ISI); and (5) 36-Item Short Form Health Survey (SF-36). Paired </span></span></span><em>t</em><span> test or Wilcoxon signed ranks test was performed, dependent on normality. Cohen's </span><em>d</em> values were calculated for each questionnaire score (0.20 indicative of small; ≥0.50 medium; and ≥0.80 large ES).</p></div><div><h3>Results</h3><p>The NDI, NBQ, BAI, and ISI had a large ES (all <em>d</em> ≥ 0.80). In the SF-36, 4 subscales had a small to near-medium ES, 1 subscale had a medium to near-large ES, and the remaining 2 had a large ES (<em>d</em> ≥ 0.80). The physical and mental component summary had a large (<em>d</em> = 0.88) and small ES (<em>d</em> = 0.35), respectively.</p></div><div><h3>Conclusion</h3><p>The effect sizes suggest the one-to-zero treatment induces change in various aspects of the biopsychosocial model.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"22 4","pages":"Pages 302-312"},"PeriodicalIF":0.0,"publicationDate":"2023-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138394873","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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