Journal of Manipulative and Physiological Therapeutics最新文献

{"title":"Influence of Instructions and Expectations in Pain Perception on Pupil Diameter and the Cognitive Assessment of Pain","authors":"María García González PhD ,&nbsp;Ignacio Ardizone-García PhD ,&nbsp;Xabier Soto-Goñi PhD ,&nbsp;Laura Jiménez-Órtega PhD","doi":"10.1016/j.jmpt.2024.09.009","DOIUrl":"10.1016/j.jmpt.2024.09.009","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to analyze the influence of pain and no pain expectation on pupil diameter and the cognitive assessment of pain using pupillometry and the visual analog scale (VAS).</div></div><div><h3>Methods</h3><div>This was an experimental cross-sectional study in which painful stimulation of the muscle masseter was produced by palpation with an algometer in a sample of 30 healthy participants. Before the painful stimulation, pain expectation and no pain expectation situations were induced by employing instructional videos. Cognitive and physiological pain responses were measured by the VAS and by pupillometry. Visual analog scale score was assessed at the end of each experimental condition, and pupillometry measurements were recorded at different moments of the experimental process (events).</div></div><div><h3>Results</h3><div>The pain score and larger pupil diameter for all events (except, as expected, for the initial baseline), were statistically significant for the pain expectation condition compared with the no pain expectation.</div></div><div><h3>Conclusion</h3><div>Within the conditions of this study, pain expectation modulated both cognitive assessment of pain (VAS) and pupil diameter. These findings suggest that pupil diameter may be a useful and complementary tool with the VAS for pain assessment. Furthermore, the findings support models postulating that emotion and cognition are important aspects involved in pain perception, which is in line with the recent International Association for the Study of Pain definition of pain.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"47 5","pages":"Pages 155-165"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545932","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":"Influence of Prior Imaging Review on Recommendations for Additional Diagnostic Testing: Retrospective Analysis of Imaging Reports in a Chiropractic Radiology Practice","authors":"Robert D. Vining DC, DHSc ,&nbsp;Kira J. Baca MS, DC ,&nbsp;Emma Forlow DC ,&nbsp;Ian McLean DC","doi":"10.1016/j.jmpt.2024.09.006","DOIUrl":"10.1016/j.jmpt.2024.09.006","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to assess the influence of prior imaging review on recommendations for additional diagnostic testing in an academic chiropractic radiology practice. A secondary aim was to explore the influence of prior imaging review on radiographic interpretation.</div></div><div><h3>Methods</h3><div>We retrospectively reviewed radiology reports generated from July 18, 2022, to July 18, 2023, from the Palmer College of Chiropractic main campus (Davenport, Iowa) clinic system. Imaging interpretation included an automated search for prior images in an internal picture archival and communication system (PACS). Images from regional health system databases were available and sought by radiologists when (1) unclear radiologic findings had potential clinical implications or (2) prior imaging could clarify potential problems detected in a clinical history. Data were abstracted to a secure adaptive electronic questionnaire and analyzed descriptively.</div></div><div><h3>Results</h3><div>We reviewed 1712 radiographic and 165 musculoskeletal diagnostic ultrasound reports for 1552 unique individuals (811 [52.3%] females and 741 [47.7%] males) with a mean age of 42.1 years (range, 2-93 years). Prior imaging was described in 417 (22.2%) reports; 246 (58.9%) indicated images from internal PACS, 192 (46.0%) indicated images from external PACS, and 21 noted both internal and external PACS. Prior imaging findings were credited with answering a clinical question in 98 (23.5%), and a radiographic question in 228 (54.7%) of 417 reports. The process negated the need for follow-up diagnostic testing recommendations in 119 (28.5%) instances, leading to additional imaging recommendations in 19 (4.6%).</div></div><div><h3>Conclusion</h3><div>Data obtained in this study suggest that comparing current and previous imaging may help reduce unnecessary additional imaging or follow-up diagnostic testing recommendations. Prior imaging review may also facilitate diagnostic confidence and interpretation clarity.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"47 5","pages":"Pages 125-133"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502145","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":"Effect of Electrical Stimulation of the Vagus Nerve on Inflammation in Rats With Spinal Cord Injury","authors":"Linghan Xie MD ,&nbsp;Bin Zhang MM ,&nbsp;Qiang Chen MM ,&nbsp;Hangyu Ji MM ,&nbsp;Ji Chen MM ,&nbsp;Zanli Jiang MM ,&nbsp;Lei Zhu MM ,&nbsp;Xiaotao Wu PhD","doi":"10.1016/j.jmpt.2024.09.010","DOIUrl":"10.1016/j.jmpt.2024.09.010","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to assess the effect of electroacupuncture stimulation (EAS) of the vagus nerve on the inflammatory response in rat models of spinal cord injury (SCI).</div></div><div><h3>Methods</h3><div>The T10 SCI model in adult male Sprague Dawley rats was established using the modified Allen's method. The EAS group was treated with the therapy on the vagus nerve of rat ear nails, while the SCI group did not receive any EAS treatment. The degree of inflammatory infiltration was reflected by hematoxylin-eosin staining. The inflammatory cytokines in spinal cord tissues, cerebrospinal fluid inflammation, and peripheral blood were detected by enzyme-linked immunosorbent assay. Changes in astrocytes and microglia were assessed using an immunofluorescence assay.</div></div><div><h3>Results</h3><div>Electroacupuncture stimulation treatment inhibited inflammatory infiltration, as well as the concentrations of interleukin-6, interleukin-1β, tumor necrosis factor-α, astrocytes, and microglia at 1, 6, and 24 hours after 1 EAS treatment. Multiple EAS treatments had an obvious effect on SCI inflammation.</div></div><div><h3>Conclusion</h3><div>A single EAS treatment had a limited effect on inflammation, but multiple treatments had a significant inhibitory effect on inflammation.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"47 5","pages":"Pages 166-174"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502141","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":"Effects of Cervical Mobilization on Balance and Proprioception in Patients With Nonspecific Neck Pain","authors":"Nagihan Acet PhD ,&nbsp;Nevin Atalay Güzel PhD ,&nbsp;Zafer Günendi MD","doi":"10.1016/j.jmpt.2024.09.011","DOIUrl":"10.1016/j.jmpt.2024.09.011","url":null,"abstract":"<div><h3>Objective</h3><div>This study investigates the effect of cervical mobilization on balance and cervical proprioception in patients with nonspecific neck pain.</div></div><div><h3>Methods</h3><div>A prospective, double-blind, randomized clinical trial was conducted involving a 3-week treatment protocol for which 66 patients were randomly assigned to 2 groups. Both groups underwent conventional physiotherapy (hot pack and transcutaneous electrical nerve stimulation) twice a week for 3 weeks along with additional cervical mobilization in the mobilization group, and sham mobilization in the sham control group. Static and dynamic balance, cervical proprioception, cervical mobility, and pain intensity were evaluated using a Kinesthetic Skill Training System 3000 device, the “Joint Position Error Test,” Cervical Range-of-Motion Instrument, and the visual analog scale, respectively.</div></div><div><h3>Results</h3><div>After treatment, significant improvements were noted in dynamic balance, mobility, pain intensity (<em>P</em> &lt; .001, <em>P</em> &lt; .001, <em>P</em> &lt; .001, respectively), and proprioception in the left direction of rotation in the mobilization group (<em>P</em> = .003) that were significantly greater than those observed in the sham mobilization group (<em>P</em> &lt; .001, <em>P</em> &lt; .001, <em>P</em> &lt; .001, <em>P</em> = .003, respectively). Although a significant decrease was observed in the deficits of static balance (<em>P</em> = .044) and proprioception in the right direction of rotation (<em>P</em> = .011) after mobilization, the changes were similar in both the mobilization and sham mobilization groups (<em>P</em> = .192, <em>P</em> = .154, respectively).</div></div><div><h3>Conclusion</h3><div>Cervical mobilization led to significant improvements in dynamic balance, pain intensity, mobility, and partial improvements to proprioception in a comparison with a sham mobilization group, while the effect on static balance was not significant.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"47 5","pages":"Pages 175-186"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502142","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":"Pelvic and Lower Limb Kinematics in Individuals With Chronic Low Back Pain During Sit-to-Stand Function: A Cross-Sectional Study","authors":"Fatemeh Ghasemi Dehcheshmeh MSc ,&nbsp;Mohammad Reza Nourbakhsh PhD ,&nbsp;Zohreh Shafizadegan PhD ,&nbsp;Zahra Amini Farsani PhD ,&nbsp;Amir Massoud Arab PhD","doi":"10.1016/j.jmpt.2024.08.017","DOIUrl":"10.1016/j.jmpt.2024.08.017","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of this study was to investigate the 3-dimensional movement kinematics of pelvic and lower limb joints in CLBP subjects, compared to healthy individuals, utilizing a functional data analysis (FDA) approach.</div></div><div><h3>Methods</h3><div>In this study, a 7-camera Qualisys motion capture system was employed to record the kinematics of the pelvic, hip, knee, and ankle joints in 20 patients with low back pain (LBP) and 20 control subjects on both sides during the sit-to-stand motion. An FDA statistical approach was utilized to compare the data collected over time between the 2 groups. The STS task was divided into two distinct phases: the prelift off phase (pre-Lo) and the postlift off phase (post-Lo).</div></div><div><h3>Results</h3><div>During the “pre-Lo phase” of the STS motion, our statistical analysis revealed that the only significant difference between the two groups was a decreased medial rotation (<em>P</em> = .00) in the hip joint position of LBP patients on their dominant side, in comparison to healthy subjects. As for the “post-Lo phase,” the LBP group exhibited a more anterior pelvic tilt position (<em>P</em> = .00) and increased pelvic counterclockwise rotation (<em>P</em> = .03) in the sagittal and transverse planes when compared to the control group. Regarding hip joints, the LBP group demonstrated a more flexed position (indicative of reduced extension) on both the dominant (<em>P</em> = .00) and nondominant (<em>P</em> = .00) sides, coupled with diminished abduction (<em>P</em> = .04) and internal rotation (<em>P</em> = .03) of the hip on the dominant side. In relation to the knee and ankle joints, the results indicated a more adducted knee position (<em>P</em> = .00) and decreased ankle joint flexion (<em>P</em> = .02) on the dominant side in CLBP subjects when compared to the healthy group during the STS motion.</div></div><div><h3>Conclusion</h3><div>Our findings indicate that patients with CLBP exhibited distinct kinematic patterns in the pelvic and lower limb joints during the STS motion. These kinematic alterations primarily manifest in the joints of the dominant limb, with most of the differences observed during the second phase (postlift off phase) of the motion. It appears that these changes in pelvic and lower limb joint kinematics should be taken into account when planning future rehabilitation programs for CLBP patients engaged in this task.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"47 1","pages":"Pages 85-95"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467561","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":"TOC","authors":"","doi":"10.1016/S0161-4754(24)00097-6","DOIUrl":"10.1016/S0161-4754(24)00097-6","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"47 1","pages":"Page A1"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143093677","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":"Psychometric Properties of a Digital Goniometer in Upper and Lower Cervical Range of Motion Measurement","authors":"Janey Prodoehl PT, PhD ,&nbsp;Madeline Ringer PT, DPT ,&nbsp;Nicole Morrissey PT, DPT ,&nbsp;Amy Johnson PT, DPT ,&nbsp;Natalie Harding PT, DPT ,&nbsp;Judith Burton Hess PT, DHS","doi":"10.1016/j.jmpt.2024.08.011","DOIUrl":"10.1016/j.jmpt.2024.08.011","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to examine the intrarater reliability and criterion validity of a digital goniometer for measuring cervical range of motion including an active sitting version of the cervical flexion rotation test, an important clinical measure for capturing upper cervical dysfunction.</div></div><div><h3>Methods</h3><div>A cross-sectional study (<em>n</em> = 18; 78% women) examined total cervical and upper cervical active ranges of motion (flexion, extension, side bending, rotation) measured concurrently using 3 measurement methods (a digital goniometer, the cervical range-of-motion instrument, and 3-dimensional motion analysis). Intraclass correlation coefficient (2,1), Pearson correlation coefficients (digital goniometer versus 3-dimensional motion analysis), and minimum detectable change were calculated.</div></div><div><h3>Results</h3><div>There was moderate to excellent intrarater reliability for the digital goniometer and good to excellent criterion validity of the digital goniometer for all cervical motions except left lateral flexion which was moderate (0.70). The sitting upper cervical flexion rotation test showed good to excellent reliability and validity. The minimal detectable change for the digital goniometer ranged from 3 to 8 degrees across cervical motions.</div></div><div><h3>Conclusion</h3><div>In individuals without neck pain, a digital goniometer device was a reliable, valid, and an easy-to-administer clinical tool for measuring total cervical range of motion as well as for capturing upper cervical motion.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"47 1","pages":"Pages 22-32"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348181","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":"Strengthening the Intrinsic Muscles of the Foot and Its Action on Foot Posture and Self-Reported Function in Individuals With Lower Limb Injuries: Systematic Review and Meta-Analysis","authors":"Paulo Márcio Pereira Oliveira PhD ,&nbsp;Júlio César Matos Monteiro PT ,&nbsp;Laryssa Mendonça Carvalho PT ,&nbsp;Fernanda Oliveira de Carvalho PhD","doi":"10.1016/j.jmpt.2024.08.014","DOIUrl":"10.1016/j.jmpt.2024.08.014","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to systematically review the influence of the intrinsic foot musculature on lower limb injuries, with regard to improving foot posture and self-reported function, and to point out the biomechanical effects of strengthening the intrinsic foot musculature.</div></div><div><h3>Methods</h3><div>A comprehensive literature search using National Library of Medicine (Medline-PubMed), Scopus, Web of Science, Pedro, SportDiscus, and Cochrane was undertaken. Selection Criteria: A literature search was peformed using: Clinical trials of patients with injuries in the lower limbs, and with alterations in the intrinsic musculature of the foot were included and published in the period up to and including April 2023. Data Synthesis: Data analysis was measured as standardized mean difference and confidence interval was set at 95%. Random effects model was used.</div></div><div><h3>Results</h3><div>A total of 1,051 studies were found, but, after evaluation, only 4 were included in the present study. The effect of intrinsic foot musculature strengthening improved medial longitudinal arch height in studies included in the meta-analysis (<em>P</em> &lt; .00001).</div></div><div><h3>Conclusion</h3><div>Based on this systematic review, it is possible to conclude that increasing the strength of intrinsic foot muscles proved to be effective in promoting positive biomechanical changes in the longitudinal arch of the foot of these patients.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"47 1","pages":"Pages 58-67"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545933","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":"Effectiveness of Mulligan Mobilization Technique and Core Stabilization Exercises in Female Patients With Knee Osteoarthritis: A Randomized Controlled Single-Blind Study","authors":"Meryem Buke PT ,&nbsp;Fatma Unver PT ,&nbsp;Serbay Sekeroz PT ,&nbsp;Saadet Nur Sena Oztekin MD","doi":"10.1016/j.jmpt.2024.08.012","DOIUrl":"10.1016/j.jmpt.2024.08.012","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of this study was to compare the effectiveness of the Mulligan mobilization (MM) technique and Core stabilization (CS) exercises added to the conventional physiotherapy (CP) program in female patients with knee osteoarthritis (KOA).</div></div><div><h3>Methods</h3><div>The study included 42 female patients diagnosed with bilateral KOA. Participants were randomly divided into 3 groups as CP group (mean age: 57.79 ± 7.43 years), MM group (mean age: 56.14 ± 6.95 years), and CS group (mean age: 54.36 ± 6.56 years). They were divided into 3 groups and treated 3 sessions per week for 4 weeks. Pain intensity, range of motion (ROM), and muscle strength were evaluated with visual analog scale, universal goniometer, and handheld dynamometer, respectively. Balance, aerobic capacity, and functional level were assessed with 30-second sit-to-stand test, 6-minute walk test, and Western Ontario and McMaster Universities Osteoarthritis Index. The quality of life of the participants was evaluated with the Nottingham Health Profile.</div></div><div><h3>Results</h3><div>After treatment, significant improvement was achieved in the all parameters evaluated in the groups (<em>P</em> &lt; .05). CS was found to be more effective in reducing resting pain intensity than the other two treatment approaches (<em>P</em> = .001). It was observed that MM technique increased knee flexion ROM more (<em>P</em> = .001). There was no superiority of MM group and CS group over each other in balance, functional level, aerobic capacity, and quality of life assessments (<em>P</em> &gt; .05).</div></div><div><h3>Conclusion</h3><div>Our study showed that CP, MM technique, and CS exercises were effective treatment approaches in the management of KOA in female patients. Results revealed that the MM technique was more effective in increasing knee flexion ROM, and the CS exercise was more effective in reducing resting pain intensity in female patients with KOA.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"47 1","pages":"Pages 33-44"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348177","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":"Patient-Determined Important Change for the Neck Disability Index With Application of Credibility Analysis: An Exploratory Study","authors":"Brian A. Young PT, DSc ,&nbsp;David M. Boland DPT, PhD ,&nbsp;Shane L. Koppenhaver PT, PhD ,&nbsp;Emilio J. Puentedura DPT, PhD ,&nbsp;Joshua A. Cleland DPT, PhD","doi":"10.1016/j.jmpt.2024.08.016","DOIUrl":"10.1016/j.jmpt.2024.08.016","url":null,"abstract":"<div><h3>Objective</h3><div>The purposes of this study were to preliminarily report patient-identified change for the neck disability index (NDI) as either important or not important with time between follow-up of approximately 7 to 10 days and assess the credibility of the preliminary results with the use of a recently established credibility instrument.</div></div><div><h3>Methods</h3><div>This study was a secondary analysis from a primary randomized clinical trial assessing short-term physical therapist care for individuals with mechanical neck pain. Neck disability index scores and participant-reported importance of global rating of change scores from 42 participants were analyzed from a randomized clinical trial assessing short-term responses to thoracic manipulation and dry needling for neck pain. Patient-important change was computed using receiver operating characteristic curves, and statistical error of the measurement was calculated using (SD × [1 − r]^1/2) × 1.96 to assess measurement error at the 95% CI.</div></div><div><h3>Results</h3><div>Thirty-six participants rated global rating of change as important, and 6 rated it as not important. Patient-important change was calculated at 3.5 NDI points on a 0 to 50 NDI scoring scale. This value exceeded the statistical error, which was calculated at 2.16 NDI points. The credibility analysis revealed that 4 of 5 criteria showed strong credibility for the patient-important change estimate.</div></div><div><h3>Conclusion</h3><div>Using patient-determined importance to dichotomize improvement may yield a lower threshold than current researcher-defined methods. Clinically, these results may be more responsive to patient-centric change than using previously reported minimal clinically important difference data.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"47 1","pages":"Pages 77-84"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467560","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}