Clinical Chiropractic最新文献

{"title":"Accuracy and repeatability of sagittal translation of lumbar vertebrae in vitro and in vivo using quantitative fluoroscopy","authors":"Imke H.M. van Loon,&nbsp;Fiona E. Mellor,&nbsp;Alexander Breen","doi":"10.1016/j.clch.2012.09.001","DOIUrl":"https://doi.org/10.1016/j.clch.2012.09.001","url":null,"abstract":"<div><h3>Objective</h3><p><span>Measuring continuous lumbar spine motion </span><em>in vivo</em> and <em>in vitro</em><span><span> could advance our understanding of instability, for example accurately and reliably measuring translation in the sagittal plane may help in the management of spondylolisthesis. The Anglo-European College of </span>Chiropractic (AECC) has developed a method of measuring </span><em>in vivo</em><span> continuous inter-vertebral motion in the spine using fluoroscopy and image processing – a method called OSMIA (objective spinal motion imaging assessment). This method can measure both inter-vertebral rotation and translation; however it is unknown how accurate and repeatable this method is for translation in the sagittal plane. This study has been performed to determine the accuracy </span><em>in vitro</em> and repeatability <em>in vivo</em> of the measurement of inter-vertebral translation using OSMIA.</p></div><div><h3>Design</h3><p>Prospective <em>in vitro</em> accuracy and retrospective <em>in vivo</em> repeatability study.</p></div><div><h3>Setting</h3><p>Anglo-European College of Chiropractic, United Kingdom.</p></div><div><h3>Subjects</h3><p>Continuous lumbar fluoroscopic sequences <em>in vivo</em> were obtained from 10 patients (mean age 38 years, SD 10.2, 42% male) who had previously undergone OSMIA scans using a passive recumbent protocol which negated the action of muscle and motor control on inter-vertebral motion.</p></div><div><h3>Methods</h3><p>For accuracy, calibration model images of the lumbar spine with zero translation were acquired and others’ imaged with digital fluoroscopy at 15<!--> <!-->Hz during continuous flexion and extension. For inter-examiner repeatability, two observers blinded to each other's results analysed 10 <em>in vivo</em><span> lumbar spine fluoroscopy flexion and extension motion sequences for range of translation using automated tracking algorithms. For intra-examiner repeatability, one observer performed the analysis twice. Accuracy was calculated as the root-mean-square (RMS) difference between the known calibration model characteristics and the results acquired from the fluoroscopic sequences. Repeatability was calculated as agreement by standard errors of measurement (SEM) and 95% limits of agreement and reliability by intra class correlation coefficients (ICC) for each inter-vertebral level (L2-S1) from the </span><em>in vivo</em> motion sequences.</p></div><div><h3>Results</h3><p>The RMS error in measuring translation against the reference standard was under 0.8<!--> <span>mm in respect to a standard lumbar vertebra of 35</span> <!-->mm depth. With the exception of L5-S1 extension, the SEMs from the <em>in vivo</em> agreement studies were below 0.5<!--> <!-->mm for all levels and directions (flexion–extension), and for reliability the ICCs were above 0.84.</p></div><div><h3>Conclusions</h3><p>OSMIA successfully measures inter-vertebral translation <em>in vivo</em> and <em>in ","PeriodicalId":100267,"journal":{"name":"Clinical Chiropractic","volume":"15 3","pages":"Pages 135-146"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clch.2012.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91760529","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}

{"title":"Randomized control trial investigating the effects of a structured weight training regime for increasing skeletal muscle mass","authors":"Jonas Nygaard","doi":"10.1016/j.clch.2012.10.017","DOIUrl":"10.1016/j.clch.2012.10.017","url":null,"abstract":"","PeriodicalId":100267,"journal":{"name":"Clinical Chiropractic","volume":"15 3","pages":"Page 185"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clch.2012.10.017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82091980","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}

{"title":"An exploratory study into the ethos of osteopaths working in animal practice","authors":"Julia Clerc-Renaud,&nbsp;Philip Bright,&nbsp;Peter Collins","doi":"10.1016/j.clch.2012.10.034","DOIUrl":"10.1016/j.clch.2012.10.034","url":null,"abstract":"","PeriodicalId":100267,"journal":{"name":"Clinical Chiropractic","volume":"15 3","pages":"Pages 195-196"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clch.2012.10.034","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"100636065","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}

{"title":"Joint hypermobility syndrome: Patients’ experiences of the diagnostic process","authors":"Sarah Nicholls","doi":"10.1016/j.clch.2012.10.025","DOIUrl":"10.1016/j.clch.2012.10.025","url":null,"abstract":"","PeriodicalId":100267,"journal":{"name":"Clinical Chiropractic","volume":"15 3","pages":"Pages 189-190"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clch.2012.10.025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86921672","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}

{"title":"Complementary therapies and sports injuries: A retrospective survey of UK triathletes","authors":"Linda Kuhlmann,&nbsp;Adrian Hunnisett,&nbsp;Christina Cunliffe","doi":"10.1016/j.clch.2012.10.031","DOIUrl":"10.1016/j.clch.2012.10.031","url":null,"abstract":"","PeriodicalId":100267,"journal":{"name":"Clinical Chiropractic","volume":"15 3","pages":"Page 194"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clch.2012.10.031","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92619124","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}

{"title":"Perceived barriers to, and facilitators of adherence to treatment recommendations in outpatient musculoskeletal physiotherapy: A meta ethnography","authors":"Devdeep Ahuja,&nbsp;Sionnadh McLean,&nbsp;Nasrin Nasr,&nbsp;Tanzila Potia","doi":"10.1016/j.clch.2012.10.007","DOIUrl":"10.1016/j.clch.2012.10.007","url":null,"abstract":"","PeriodicalId":100267,"journal":{"name":"Clinical Chiropractic","volume":"15 3","pages":"Pages 178-179"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clch.2012.10.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87702223","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}

{"title":"","authors":"Tracy L. Rowan","doi":"10.1016/j.clch.2012.09.003","DOIUrl":"10.1016/j.clch.2012.09.003","url":null,"abstract":"","PeriodicalId":100267,"journal":{"name":"Clinical Chiropractic","volume":"15 3","pages":"Page 202"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clch.2012.09.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85160890","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}

{"title":"Immediate effect of muscle energy technique on latent trigger point of upper trapezius muscle, Clinical Chiropractic, Volume 15, Issues 3–4, December 2012, Pages 112–120","authors":"Martin Young MPhil, FRCC, FRSM","doi":"10.1016/S1479-2354(15)30001-8","DOIUrl":"10.1016/S1479-2354(15)30001-8","url":null,"abstract":"","PeriodicalId":100267,"journal":{"name":"Clinical Chiropractic","volume":"15 3","pages":"Page e1"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1479-2354(15)30001-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"110803988","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}

{"title":"Immediate effects of atlas manipulation on cardiovascular physiology","authors":"John Ward ,&nbsp;Ken Tyer ,&nbsp;Jesse Coats ,&nbsp;Gabbrielle Williams ,&nbsp;Shauna Weigand ,&nbsp;Danielle Cockburn","doi":"10.1016/j.clch.2012.10.036","DOIUrl":"10.1016/j.clch.2012.10.036","url":null,"abstract":"<div><h3>Objective</h3><p><span>The aims of this study were (1) to determine if there were any statistically significant immediate effects of atlas Chiropractic Manipulative Therapy (CMT) on </span>cardiovascular physiology among normotensive individuals and (2) to quantify those responses if they were found.</p></div><div><h3>Design</h3><p>A single-blind, randomized controlled trial.</p></div><div><h3>Setting</h3><p>Human physiology lab.</p></div><div><h3>Subjects</h3><p>Forty-eight college students (age<!--> <!-->=<!--> <!-->25.9<!--> <!-->±<!--> <!-->3.4 years, height<!--> <!-->=<!--> <!-->1.70<!--> <!-->±<!--> <!-->0.10<!--> <!-->m, body mass<!--> <!-->=<!--> <!-->76.2<!--> <!-->±<!--> <!-->20.1<!--> <!-->kg: mean<!--> <!-->±<!--> <!-->SD) were sampled in this study.</p></div><div><h3>Methods</h3><p><span><span>Participants were equally randomized into four study groups: left head-turn control, no contact control, left atlas manipulation, and right atlas manipulation. The CMT provided was a cervical break. Electrocardiogram (ECG), bilateral pulse oximetry, and bilateral </span>blood pressure measurement were performed at baseline, post 1-min intervention, post 10-min intervention, and approximately post 24-h (±1</span> <!-->h) intervention. Between-group dependent variables were analyzed through one-way analysis of variance (ANOVA) at each time point.</p></div><div><h3>Results</h3><p>No statistically significant difference was shown among any between-group cardiovascular dependent variables in this study.</p></div><div><h3>Conclusions</h3><p>The results of this research suggest cardiovascular physiology is not affected by CMT of the atlas in normotensive individuals. These findings in relation to existing research suggest future cervical spine CMT studies should be performed focusing on hypertensive patients.</p></div>","PeriodicalId":100267,"journal":{"name":"Clinical Chiropractic","volume":"15 3","pages":"Pages 147-157"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clch.2012.10.036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88404383","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}

{"title":"Emotional processing and its relationship to chronic low back pain","authors":"Laura Wheatley","doi":"10.1016/j.clch.2012.10.005","DOIUrl":"https://doi.org/10.1016/j.clch.2012.10.005","url":null,"abstract":"","PeriodicalId":100267,"journal":{"name":"Clinical Chiropractic","volume":"15 3","pages":"Page 177"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clch.2012.10.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136940595","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}