Journal of Manipulative and Physiological Therapeutics最新文献

{"title":"Association of Chiropractic Care With Receiving an Opioid Prescription for Noncancer Spinal Pain Within a Canadian Community Health Center: A Mixed Methods Analysis","authors":"Peter C. Emary DC, MSc ,&nbsp;Amy L. Brown DC ,&nbsp;Mark Oremus MSc, PhD ,&nbsp;Lawrence Mbuagbaw MD, MPH, PhD ,&nbsp;Douglas F. Cameron DC ,&nbsp;Jenna DiDonato HBSc(Kin) ,&nbsp;Jason W. Busse DC, MSc, PhD","doi":"10.1016/j.jmpt.2022.06.009","DOIUrl":"10.1016/j.jmpt.2022.06.009","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to examine the association between receipt of chiropractic services and initiating a prescription for opioids among adult patients with noncancer spinal pain in a Canadian community health center.</p></div><div><h3>Methods</h3><p>In this sequential explanatory mixed methods analysis, we conducted a retrospective study of 945 patient records (January 2014 to December 2020) and completed interviews with 14 patients and 9 general practitioners. We used Cox proportional hazards regression analyses, adjusted for patient demographics, comorbidities, visit frequency, and calendar year to evaluate the association between receipt of chiropractic care and time to first opioid prescription up to 1 year after presentation. Qualitative data were analyzed thematically and integrated with our quantitative findings.</p></div><div><h3>Results</h3><p>There were 24% of patients (227 of 945) with noncancer spinal pain who received a prescription for opioids. The risk of initiating a prescription for opioids at 1 year after presentation was 52% lower in chiropractic recipients vs nonrecipients (hazard ratio [HR], 0.48; 99% confidence interval [CI], 0.29-0.77) and 71% lower in patients who received chiropractic services within 30 days of their index visit (HR, 0.29; 99% CI, 0.13-0.68). Patients whose index visit date was in a more recent calendar year were also less likely to receive opioids (HR, 0.86; 99% CI, 0.76-0.97). Interviews suggested that self-efficacy, access to chiropractic services, opioid stigma, and treatment impact were influencing factors.</p></div><div><h3>Conclusion</h3><p>Patients with noncancer spinal pain who received chiropractic care were less likely to obtain a prescription for opioids than patients who did not receive chiropractic care.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0161475422000860/pdfft?md5=b4da22a85eeffd4d1d0511ec633bafff&pid=1-s2.0-S0161475422000860-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40637884","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":"Inside front cover Editorial board","authors":"","doi":"10.1016/S0161-4754(22)00122-1","DOIUrl":"https://doi.org/10.1016/S0161-4754(22)00122-1","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0161475422001221/pdfft?md5=bb31be7e748b0a54ed82cbd04c24bac1&pid=1-s2.0-S0161475422001221-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137061962","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(22)00123-3","DOIUrl":"https://doi.org/10.1016/S0161-4754(22)00123-3","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0161475422001233/pdfft?md5=a424835bce09e654a5f011834ef1b356&pid=1-s2.0-S0161475422001233-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137061961","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(22)00124-5","DOIUrl":"https://doi.org/10.1016/S0161-4754(22)00124-5","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137061963","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":"Pulmonary Functions in Patients With Chronic Neck Pain: A Case-Control Study","authors":"Figen Dağ PhD, PT ,&nbsp;Serkan Taş PhD, PT ,&nbsp;Özlem Bölgen Çimen MD","doi":"10.1016/j.jmpt.2022.07.002","DOIUrl":"10.1016/j.jmpt.2022.07.002","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of the study was to investigate pulmonary functions of patients with chronic neck pain and compare them with those of asymptomatic controls.</p></div><div><h3>Methods</h3><p><span><span>This case-control study was conducted with 25 patients with chronic neck pain (age, 26.84 ± 7.89 years) and 27 age-matched asymptomatic controls (age, 25.96 ± 7.13 years). Pulmonary function tests<span> were performed using spirometry (Quark PFT, COSMED, Rome, Italy). </span></span>Forced vital capacity<span> (FVC), forced expiratory volume in the first second (FEV</span></span>₁<span><span>), forced expiratory flow<span> at 25% to 75% vital capacity, peak expiratory flow, </span></span>maximum voluntary ventilation, and the FEV</span>₁/FVC ratio were measured and are expressed as (%) predicted value for patients with chronic neck pain and asymptomatic controls.</p></div><div><h3>Results</h3><p>The chronic neck pain group had lower FEV₁ (<em>P</em> = .015), FVC (<em>P</em> = .029), forced expiratory flow at 25% to 75% vital capacity (<em>P</em> = .040), and maximum voluntary ventilation (<em>P</em> = .042) compared with asymptomatic controls; however, FEV₁/FVC (<em>P</em> = .470) and peak expiratory flow (<em>P</em> = .183) were similar in both groups.</p></div><div><h3>Conclusion</h3><p>These results demonstrated that dynamic lung volumes were lower in patients with chronic neck pain compared with asymptomatic controls.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40343843","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":"Masseter Muscle Thickness And Elasticity in Bruxism After Exercise Treatment: A Comparison Trial","authors":"İlyas Uçar PT, PhD ,&nbsp;Caner Kararti PT, PhD ,&nbsp;Yeliz Dadali MD ,&nbsp;Anıl Özüdoğru PT, PhD ,&nbsp;Mehmet Okçu MD","doi":"10.1016/j.jmpt.2022.07.004","DOIUrl":"10.1016/j.jmpt.2022.07.004","url":null,"abstract":"<div><h3>Objective</h3><p><span>The purpose of this study was to evaluate the effects of Rocabado's 6 × 6 exercises on masseter muscle thickness, muscle elasticity, and pain scores </span>in patients<span> with bruxism.</span></p></div><div><h3>Methods</h3><p>A total of 58 participants with bruxism were divided into 2 groups as the exercise group (EG) and control group (CG). A self-care program was applied for the participants in the CG. For those in the EG, in addition to the self-care program, an exercise treatment<span><span> was performed for 6 days per week for a total of 8 weeks. Using ultrasonography<span>, bilateral masseter muscle thickness and elasticity were assessed before and after treatment. Pain was measured using a </span></span>visual analog scale. Changes over time within the groups and group–time interactions for continuous variables were assessed using mixed 2-way repeated measures analysis of variance.</span></p></div><div><h3>Results</h3><p>The improvement in muscle elasticity (<em>P</em> = .015; <em>P</em> = .004) and pain values (<em>P</em> = .049; <em>P</em> = .040) were greater in the EG compared with the CG. There was no significant difference between the 2 groups for masseter muscle thickness (<em>P &gt; .</em>05).</p></div><div><h3>Conclusion</h3><p>This study suggests that Rocabado's 6 × 6 exercises are effective in the treatment of muscle elasticity and pain values in participants with bruxism.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40345709","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":"Inter-rater Accuracy and Reliability of a Palpation Protocol of the C7 Spinous Process Comprising a Combination of 3 Traditional Palpation Techniques","authors":"Priscila M.N.M. Albuquerque MSc ,&nbsp;Ericka P.C. Da Silva ,&nbsp;Thania M. de S. Melo MSc ,&nbsp;Eduardo J.N. Montenegro PT ,&nbsp;Daniella A. de Oliveira PT ,&nbsp;Marcelo R. Guerino PT ,&nbsp;Gisela R. De Siqueira PhD","doi":"10.1016/j.jmpt.2022.06.001","DOIUrl":"10.1016/j.jmpt.2022.06.001","url":null,"abstract":"<div><h3>Objective</h3><p><span>The purpose of this study was to determine the accuracy and intrarater reliability of a palpatory protocol based on a combination of 3 palpatory methods to identify both the C7 </span>spinous process (C7 SP) and the factors that affect the errors and inaccuracy of palpation.</p></div><div><h3>Methods</h3><p><span>Twenty-five women between the ages of 18 and 60 years were submitted to a palpation protocol of the C7 SP, and a radiopaque marker was fixed on the skin at the possible location of the vertebrae<span>. A radiograph and a photograph<span><span> of the cervical spine were obtained in the same posture by a first rater. A second rater performed the same palpation protocol and took a second photograph. The accuracy and measurement error of the palpation protocol of C7 SP were assessed through radiographic images. The inter-rater reliability was estimated by the interclass </span>correlation coefficient and assessed using photographs of each rater. The Pearson's correlation coefficients (</span></span></span><em>r</em><span>), the Fisher exact test, and the χ</span>² test were used to identify the factors associated with the error and inaccuracy of palpation.</p></div><div><h3>Results</h3><p>Accuracy of the C7 palpation was 76% with excellent reliability (interclass correlation coefficient = 0.99). There was a moderate correlation between weight and the measurement of palpation error (<em>r</em> = –0.6; <em>P</em> = .003). One hundred percent of inaccuracy palpation was related to the increased soft-tissue thickness (<em>P =</em> .005) in the cervical region.</p></div><div><h3>Conclusion</h3><p>The palpation protocol described in this study was accurate and presented excellent reliability in identifying the C7 SP. Increased weight and dorsocervical fat pad were associated to error and palpation inaccuracy, respectively.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40553967","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":"Influence of Neck Pain, Cervical Extensor Muscle Fatigue, and Manual Therapy on Wrist Proprioception","authors":"Ashley Reece MSc ,&nbsp;Francesca Marini PhD ,&nbsp;Maddalena Mugnosso PhD ,&nbsp;Gail Frost PhD ,&nbsp;Philip Sullivan PhD ,&nbsp;Mahboobeh Zabihhosseinian PhD ,&nbsp;Jacopo Zenzeri PhD ,&nbsp;Michael W.R. Holmes PhD","doi":"10.1016/j.jmpt.2022.06.002","DOIUrl":"10.1016/j.jmpt.2022.06.002","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to examine the effects of submaximal isometric neck muscle fatigue and manual therapy on wrist joint position sense (JPS) within healthy individuals and individuals with subclinical neck pain (SCNP).</p></div><div><h3>Methods</h3><p>Twelve healthy participants and 12 participants with SCNP were recruited. Each group completed 2 sessions, with 48 hours between sessions. On day 1, both groups performed 2 wrist JPS tests using a robotic device. The tests were separated by a submaximal isometric fatigue protocol for the cervical extensor muscles<span> (CEM). On day 2, both groups performed a wrist JPS test, followed by a cervical treatment consisting of manual therapy (SCNP) or neck rest (20 minutes, control group) and another wrist JPS test. Joint position sense was measured as the participant's ability to recreate a previously presented wrist angle. Each wrist JPS test included 12 targets, 6 into wrist flexion and 6 into wrist extension. Kinematic data from the robot established absolute, variability, and constant error.</span></p></div><div><h3>Results</h3><p>Absolute error significantly decreased (<em>P</em> = .01) from baseline to post-fatigue in the SCNP group (baseline = 4.48 ± 1.58°; post-fatigue = 3.90 ± 1.45°) and increased in the control group (baseline = 3.12 ± 0.98°; post-fatigue = 3.81 ± 0.90°). The single session of manual cervical treatment significantly decreased absolute error in participants with SCNP (<em>P</em> = .004).</p></div><div><h3>Conclusion</h3><p>This study demonstrated that neck pain or fatigue can lead to altered afferent input to the central nervous system<span> and can affect wrist JPS. Our findings demonstrate that acute wrist proprioception may be improved in individuals with SCNP by a single cervical manual therapy session.</span></p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40646485","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":"Differing Characteristics of Human-Shaped Visual Stimuli Affect Clinicians’ Dosage of a Spinal Manipulative Thrust on a Low-Fidelity Model: A Cross-Sectional Study","authors":"Steven R. Passmore DC, PhD ,&nbsp;Quinn Malone BSc ,&nbsp;Brian MacNeil PhD ,&nbsp;Elizabeth Sanli PhD ,&nbsp;David Gonzalez PhD","doi":"10.1016/j.jmpt.2022.06.005","DOIUrl":"10.1016/j.jmpt.2022.06.005","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to determine whether chiropractic clinicians modulate spinal manipulation (SM) thrust characteristics based on visual perception of simulated human silhouette attributes.</p></div><div><h3>Methods</h3><p>We performed a cross-sectional within-participant design with 8 experienced chiropractors. During each trial, participants observed a human-shaped life-sized silhouette of a mock patient and delivered an SM thrust on a low-fidelity thoracic spine model based on their visual perception. Silhouettes varied on the following 3 factors: apparent sex (male or female silhouette), height (short, average, tall), and body mass index (BMI) (underweight, healthy, obese). Each combination was presented 6 times for a total of 108 trials in random order. Outcome measures included peak thrust force, thrust duration, peak preload force, peak acceleration, time to peak acceleration, and rate of force application. A 3-way repeated measures analysis of variance model was used to for each variable, followed by Tukey's honestly significant difference on significant interactions.</p></div><div><h3>Results</h3><p>Peak thrust force was reduced when apparent sex of the presented silhouette was female (F_1,7 = 5.70, <em>P</em> = .048). Thrust duration was largely invariant, except that a BMI by height interaction revealed a longer duration occurred for healthy tall participants than healthy short participants (F_4,28 = 4.34, <em>P</em> = .007). Compared to an image depicting obese BMI, an image appearing underweight lead to reduced peak acceleration (F_2,5 = 6.756, <em>P</em> = .009). Clinician time to peak acceleration was reduced in short compared to tall silhouettes (t₇ = 2.20, <em>P</em> = .032).</p></div><div><h3>Conclusion</h3><p>Visual perception of simulated human silhouette attributes, including apparent sex, height, and BMI, influenced SM dose characteristics through both kinetic and kinematic measures. The results suggest that visual information from mock patients affects the decision-making of chiropractic clinicians delivering SM thrusts.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0161475422000471/pdfft?md5=53b06591e47e9459f67faabf9e497adc&pid=1-s2.0-S0161475422000471-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40650990","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(22)00104-X","DOIUrl":"https://doi.org/10.1016/S0161-4754(22)00104-X","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91650331","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}