Journal of Manipulative and Physiological Therapeutics最新文献

{"title":"Bilateral Asymmetrical Limb Proprioceptive Neuromuscular Facilitation Effects on Pain, Multifidus Activity, Range of Motion, and Disability in Low Back Pain: A Randomized Controlled Trial","authors":"Aftab Ahmed Mirza Baig MS ,&nbsp;Basit Ansari PhD","doi":"10.1016/j.jmpt.2023.04.005","DOIUrl":"10.1016/j.jmpt.2023.04.005","url":null,"abstract":"<div><h3>Objective</h3><p><span>The purpose of this study was to determine the effects of bilateral asymmetrical limb proprioceptive neuromuscular facilitation (PNF) pattern exercises on lumbar multifidus (LM) activity, pain, disability, and lumbar range of motions (ROMs) compared to Swiss ball exercises </span>in patients with chronic low back pain (CLBP).</p></div><div><h3>Methods</h3><p><span>A randomized controlled trial<span><span><span> was conducted at the Sindh Institute of Physical Medicine and Rehabilitation, Karachi, Pakistan, between March 2020 and January 2021. A sample size of 150 patients with CLBP was randomized into 2 groups. Participants in the intervention group (n = 75) received bilateral asymmetrical limb PNF, while the comparison group (n = 75) received Swiss ball exercises. The scores of the visual analog scale, </span>Oswestry Disability Index, Modified-Modified Schober's test, and percentage of the maximum voluntary contractions of LM (%MVC LM) through </span>surface electromyography were recorded before and after 15 sessions of exercises. The Wilcoxon signed rank and Mann-Whitney </span></span><em>U</em> tests were employed for within-group and between-group comparisons of all outcomes, respectively. The considered level of significance was 0.05. The trial was registered with ClinicalTrials.gov (NCT04206137).</p></div><div><h3>Results</h3><p>Pain (in sitting, standing, and walking), disability on the Oswestry Disability Index, and left side %MVC LM were significantly improved (<em>P</em> &lt; .001) in the PNF group compared to the comparison group except for right side %MVC LM and ROMs on the Modified-Modified Schober's test (<em>P</em> &gt; .05).</p></div><div><h3>Conclusion</h3><p>Bilateral asymmetrical limb PNF exercises showed improvement in pain, disability, and LM activity of patients with CLBP more than those who used Swiss ball exercises.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"45 8","pages":"Pages 604-613"},"PeriodicalIF":1.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10172681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information for Readers","authors":"","doi":"10.1016/S0161-4754(23)00035-0","DOIUrl":"https://doi.org/10.1016/S0161-4754(23)00035-0","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"45 8","pages":"Page A2"},"PeriodicalIF":1.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136489699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inside front cover Editorial board","authors":"","doi":"10.1016/S0161-4754(23)00033-7","DOIUrl":"https://doi.org/10.1016/S0161-4754(23)00033-7","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"45 8","pages":"Page IFC"},"PeriodicalIF":1.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0161475423000337/pdfft?md5=48de318f0bdc389a3f6f49850ce43f45&pid=1-s2.0-S0161475423000337-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136489703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increased Hippocampal Glucocorticoid Receptor Expression and Reduced Anxiety-Like Behavior Following Tuina in a Rat Model With Allergic Airway Inflammation","authors":"YaPing Liu MD ,&nbsp;LiYue Cao MD ,&nbsp;Jing Liu MD ,&nbsp;ZhongYuan Zhang MD ,&nbsp;Pu Fan MD ,&nbsp;Yan Zhu MD ,&nbsp;ShuYing Zhang MD ,&nbsp;Yun Gu MD ,&nbsp;Qian Li MD ,&nbsp;Ying Xiong PhD","doi":"10.1016/j.jmpt.2023.04.008","DOIUrl":"10.1016/j.jmpt.2023.04.008","url":null,"abstract":"<div><h3>Objective</h3><p><span>This study aimed to explore the influence mechanism of Tuina on anxiety-like behavior in immature rats with </span>allergic airway inflammation (AAI).</p></div><div><h3>Methods</h3><p><span><span>A total of 27 Sprague-Dawley male rats (aged ∼5 weeks) were divided randomly into control, AAI, and AAI with Tuina groups (9 rats per group). The anxiety-like behavior was assessed by an open field test and elevated plus-maze test. Allergic airway inflammation was assessed based on the pathological score of the lung, plasma ovalbumin-specific immunoglobulin E, interleukin 4<span>, interleukin 5, and tumor necrosis factor-alpha levels. </span></span>Glucocorticoid receptor<span><span> (GR) messenger RNA and protein expression in the </span>hippocampus<span><span> and lung were detected by polymerase chain reaction and </span>immunohistochemistry, respectively. Meanwhile, corticotropin-releasing hormone (CRH) messenger RNA in the </span></span></span>hypothalamus<span>, the plasma levels of adrenocorticotropic hormone and corticosterone were also determined respectively by polymerase chain reaction and enzyme-linked immunosorbent assay for hypothalamic-pituitary-adrenal axis (HPA) function.</span></p></div><div><h3>Results</h3><p>The AAI group had obvious anxiety-like behavior and hyperactive HPA axis, along with decreased GR expression in the hippocampus and lung. Following Tuina, AAI and the anxiety-like behavior were efficiently reduced, and the hyperactivity of HPA axis was efficiently inhibited, along with enhanced GR expression in the hippocampus and lung.</p></div><div><h3>Conclusion</h3><p>Glucocorticoid receptor expression in the hippocampus and lung was enhanced, and anxiety-like behavior was reduced following Tuina in rats with AAI.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"45 8","pages":"Pages 586-594"},"PeriodicalIF":1.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10154915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of Spin in the Reporting of Studies on Electroanalgesia for Musculoskeletal Pain","authors":"Amanda K.S. Batista,&nbsp;Francilene L. Matias MS,&nbsp;Cristina K.T.T. Mendes PhD,&nbsp;José J.A. Ferreira PhD,&nbsp;Palloma R. Andrade PhD,&nbsp;Valéria M.A. de Oliveira PhD","doi":"10.1016/j.jmpt.2023.04.006","DOIUrl":"10.1016/j.jmpt.2023.04.006","url":null,"abstract":"<div><h3>Objective</h3><p><span>The purpose of this study was to analyze the quality of reporting and presence of spin in abstracts of randomized clinical trials (RCTs) on the use of </span>electroanalgesia<span> for musculoskeletal pain.</span></p></div><div><h3>Methods</h3><p>The Physiotherapy Evidence Database (PEDro) was searched from 2010 to June 2021. Inclusion criteria were RCTs using electroanalgesia in individuals with musculoskeletal pain, written in any language, comparing 2 or more groups, and with pain as 1 of the outcomes. Two blinded, independent, and calibrated evaluators (Gwet's AC1 agreement analysis) performed eligibility and data extraction. General characteristics, report of outcomes, quality of reporting (Consolidated Standards of Reporting Trials for Abstracts [CONSORT-A]), and spin analysis (7-item spin checklist and spin analysis per section) were extracted from abstracts.</p></div><div><h3>Results</h3><p>Of 989 studies selected, 173 abstracts were analyzed after screening and eligibility criteria. Mean risk of bias on the PEDro scale was 6.02 ± 1.6 points. Most abstracts did not report significant differences for primary (51.4%) and secondary (63%) outcomes. Mean quality of reporting was 5.10 ± 2.4 points in the CONSORT-A, and spin was 2.97 ± 1.7. Abstracts had at least 1 type of spin (93%), and the conclusion presented the greatest number of spin types. More than 50% of abstracts recommended an intervention without significant differences between groups.</p></div><div><h3>Conclusion</h3><p>This study found that the majority of RCT abstracts on electroanalgesia for musculoskeletal conditions in our sample had a moderate to high risk of bias, incomplete or missing information, and some type of spin. We recommend that health care providers who use electroanalgesia and the scientific community be aware of spin in published studies.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"45 8","pages":"Pages 595-603"},"PeriodicalIF":1.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9788684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated With Pain Medication Use and the Relationship to Chiropractic Treatment Outcomes for Patients With Low Back and Neck Pain: A Cross-Sectional Study","authors":"Corinne R. Minder MChiroMed ,&nbsp;Christoph Gorbach DC, MD ,&nbsp;Cynthia K. Peterson RN, DC, MMedEd","doi":"10.1016/j.jmpt.2023.03.002","DOIUrl":"10.1016/j.jmpt.2023.03.002","url":null,"abstract":"<div><h3>Objective</h3><p>The study objectives were to identify baseline factors associated with pain medication use and determine any differences in chiropractic treatment outcomes in patients with low back pain (LBP) and neck pain (NP) depending on their use of pain medication.</p></div><div><h3>Methods</h3><p>This cross-sectional, prospective outcomes study included 1077 adults with acute or chronic LBP and 845 adults with acute or chronic NP recruited from Swiss chiropractors in their offices within 4 years. Demographic data and the responses to the Patient's Global Impression of Change scale collected at 1 week, 1 month, 3 months, 6 months, and 1 year were analyzed with the χ² test. Baseline pain and disability levels were measured using the numeric rating scale (NRS), Oswestry questionnaire for LBP, and Bournemouth questionnaire for patients with NP and analyzed with the Mann-Whitney <em>U</em> test between the 2 groups. To detect significant predictors of medication use at baseline, logistic regression analysis was performed.</p></div><div><h3>Results</h3><p>Patients with acute LBP and NP were more likely than those with chronic pain to take pain medication (<em>P</em> &lt; .001 LBP; <em>P</em> = .003 NP). Medication use was more likely with patients with radiculopathy (<em>P</em> &lt; .001 LBP; <em>P</em> = .05 NP) who were smokers (<em>P</em> = .008 LBP; <em>P</em> = .024 NP) and those reporting below-average general health (<em>P</em> &lt; .001 LBP and NP). Pain medication users had higher baseline pain (<em>P</em> &lt; .001 LBP and NP) and disability (<em>P</em> &lt; .001 LBP and NP) scores.</p></div><div><h3>Conclusion</h3><p>Patients with LBP and NP had significantly higher pain and disability levels at baseline, tended to have radiculopathy and poor health, were smokers, and presented during the acute phase. However, for this sample of patients, there were no differences in subjective improvement between users and non-users of pain medication for any data collection time point, which has management implications.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"45 8","pages":"Pages 575-585"},"PeriodicalIF":1.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0161475423000106/pdfft?md5=45b1baaf5ec582b56b6265890b23f4d6&pid=1-s2.0-S0161475423000106-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9788683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"TOC","authors":"","doi":"10.1016/S0161-4754(23)00034-9","DOIUrl":"https://doi.org/10.1016/S0161-4754(23)00034-9","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"45 8","pages":"Page A1"},"PeriodicalIF":1.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0161475423000349/pdfft?md5=29b3877b9980f2dec799aadd777a5be8&pid=1-s2.0-S0161475423000349-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136489704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Best Practices for Chiropractic Management of Adult Patients With Mechanical Low Back Pain: A Clinical Practice Guideline for Chiropractors in the United States","authors":"Wayne M. Whalen DC ,&nbsp;Cheryl Hawk DC, PhD ,&nbsp;Ronald J. Farabaugh DC ,&nbsp;Clinton J. Daniels DC, MS ,&nbsp;David N. Taylor DC ,&nbsp;Kristian R. Anderson DC, MS ,&nbsp;Louis S. Crivelli DC, MS ,&nbsp;Derek R. Anderson PhD ,&nbsp;Lisa M. Thomson DC ,&nbsp;Richard L. Sarnat MD","doi":"10.1016/j.jmpt.2023.04.010","DOIUrl":"10.1016/j.jmpt.2023.04.010","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this paper was to update the previously published 2016 best-practice recommendations for chiropractic management of adults with mechanical low back pain (LBP) in the United States.</p></div><div><h3>Methods</h3><p>Two experienced health librarians conducted the literature searches for clinical practice guidelines and other relevant literature, and the investigators performed quality assessment of included studies. PubMed was searched from March 2015 to September 2021. A steering committee of 10 experts in chiropractic research, education, and practice used the most current relevant guidelines and publications to update care recommendations. A panel of 69 experts used a modified Delphi process to rate the recommendations.</p></div><div><h3>Results</h3><p>The literature search yielded 14 clinical practice guidelines, 10 systematic reviews, and 5 randomized controlled trials (all high quality). Sixty-nine members of the panel rated 38 recommendations. All but 1 statement achieved consensus in the first round, and the final statement reached consensus in the second round. Recommendations covered the clinical encounter from history, physical examination, and diagnostic considerations through informed consent, co-management, and treatment considerations for patients with mechanical LBP.</p></div><div><h3>Conclusion</h3><p>This paper updates a previously published best-practice document for chiropractic management of adults with mechanical LBP.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"45 8","pages":"Pages 551-565"},"PeriodicalIF":1.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0161475423000167/pdfft?md5=84637cc8a238989fd64cb0d5d7ea28c1&pid=1-s2.0-S0161475423000167-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9952268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information for Readers","authors":"","doi":"10.1016/S0161-4754(23)00004-0","DOIUrl":"https://doi.org/10.1016/S0161-4754(23)00004-0","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"45 7","pages":"Page A2"},"PeriodicalIF":1.3,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137137534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inside front cover Editorial board","authors":"","doi":"10.1016/S0161-4754(23)00002-7","DOIUrl":"https://doi.org/10.1016/S0161-4754(23)00002-7","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"45 7","pages":"Page IFC"},"PeriodicalIF":1.3,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0161475423000027/pdfft?md5=0f387b5d4969c1bf23d109cf32ff43ac&pid=1-s2.0-S0161475423000027-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137137558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}