Journal of Manipulative and Physiological Therapeutics最新文献

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Scientific Exercise Approach to Scoliosis in Adolescents With Mild Idiopathic Scoliosis: A Controlled Clinical Trial 轻度特发性脊柱侧凸青少年脊柱侧凸的科学锻炼方法:对照临床试验
IF 1.2 4区 医学
Journal of Manipulative and Physiological Therapeutics Pub Date : 2024-01-01 DOI: 10.1016/j.jmpt.2024.08.015
Gözde Yagcı PT, PhD , Halil Gökhan Demirkıran MD
{"title":"Scientific Exercise Approach to Scoliosis in Adolescents With Mild Idiopathic Scoliosis: A Controlled Clinical Trial","authors":"Gözde Yagcı PT, PhD ,&nbsp;Halil Gökhan Demirkıran MD","doi":"10.1016/j.jmpt.2024.08.015","DOIUrl":"10.1016/j.jmpt.2024.08.015","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the effectiveness of Scientific Exercise Approach to Scoliosis (SEAS) protocol for patients with mild adolescent idiopathic scoliosis (AIS).</div></div><div><h3>Method</h3><div>(A controlled clinical trial) This preliminary study included 32 patients with AIS, aged 10 to 16 years, with Cobb angles ranging from 12° to 25°. The participants were divided into 2 groups: the SEAS group (n = 21) and standard care (n = 11). We assessed Cobb angles via radiographs, axial trunk rotation using the Adams test, spinal deformity from various perspectives with the Spinal Appearance Questionnaire (SAQ), and health-related quality of life with the Scoliosis Research Society-22 (SRS-22) questionnaire, both before and after 1 year of treatment.</div></div><div><h3>Results</h3><div>Repeated measure-ANOVA revealed significant group x time interactions for various parameters: Cobb angle (F<sub>1,30</sub> = 35.757; <em>P</em> &lt; .001), axial trunk rotation (F<sub>1,30</sub> = 39.595; <em>P</em> &lt; .001), SAQ appearance domain for the physiotherapist (F<sub>1,30</sub> = 53.943; <em>P</em> &lt; .001), SAQ appearance (F<sub>1,30</sub> = 14.054; <em>P</em> = .001), expectations (F<sub>1,30</sub> = 9.103; <em>P</em> = .005) domains, the total score (F<sub>1,30</sub> = 23.574; <em>P</em> &lt; .001) for the child, and the SAQ appearance domain for the parent (F<sub>1,29</sub> = 5.412; <em>P</em> = .027). There were no significant differences in SRS-22 scores between the 2 groups. The success rates for the SEAS group and the standard care group were 100% and 72.7%, respectively.</div></div><div><h3>Conclusion</h3><div>After 1 year, the group of patients with mild AIS who received the SEAS method showed greater improvements in the Cobb angle, axial trunk rotation, and spinal appearance than those who received standard care. This preliminary study suggests that larger trials should be completed.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"47 1","pages":"Pages 68-76"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467572","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}
引用次数: 0
Effect of Chiropractic Intervention on Oculomotor and Attentional Visual Outcomes in Young Adults With Long-Term Mild Traumatic Brain Injury: A Randomized Controlled Trial 脊骨神经科干预对长期轻度脑外伤青少年眼球运动和视觉注意力结果的影响:随机对照试验》。
IF 1.2 4区 医学
Journal of Manipulative and Physiological Therapeutics Pub Date : 2024-01-01 DOI: 10.1016/j.jmpt.2024.08.003
Alice E. Cade PhD , Philip R.K. Turnbull PhD
{"title":"Effect of Chiropractic Intervention on Oculomotor and Attentional Visual Outcomes in Young Adults With Long-Term Mild Traumatic Brain Injury: A Randomized Controlled Trial","authors":"Alice E. Cade PhD ,&nbsp;Philip R.K. Turnbull PhD","doi":"10.1016/j.jmpt.2024.08.003","DOIUrl":"10.1016/j.jmpt.2024.08.003","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to establish if chiropractic care can improve oculomotor and cognitive symptoms in individuals with persistent postconcussion syndrome (PPCS).</div></div><div><h3>Methods</h3><div>A single-blind, randomized controlled intervention study recorded baseline computerized eye-tracker assessment (CEA) outcomes in 40 young adults with PPCS following mild traumatic brain injury. Participants were randomly allocated to either a chiropractic or age-matched active control intervention, and the change in CEA outcomes following intervention was compared between the chiropractic and control groups. A battery of CEAs including egocentric localization, fixation stability, pursuit, saccades, Stroop, and the vestibulo-ocular reflex, were used to assess oculomotor function, visual attention/processing, and selective attention.</div></div><div><h3>Results</h3><div>Relative to the control group, participants receiving the chiropractic intervention scored better in the Stroop test (<em>P</em> &lt; .001), had improved gaze stability during both vestibulo-ocular reflex (<em>P</em> &lt; .001) and fixation stability (<em>P</em> = .009), and a lower vertical error in egocentric localization (<em>P</em> &lt; .001). However, performance was poorer in pursuits, where they had an increased tracking error (<em>P</em> &lt; .001).</div></div><div><h3>Conclusion</h3><div>Chiropractic care in participants with PPCS significantly improved static and dynamic gaze stability, and performance in the Stroop test, compared with a control intervention. These results suggest that chiropractic care can offer a novel avenue for alleviating certain visual and cognitive symptoms in patients with PPCS. It also adds to the growing evidence that suggests that some longstanding PPCS visual symptoms may have a spinal or proprioceptive basis.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"47 1","pages":"Pages 1-11"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142580941","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}
引用次数: 0
Information for Readers
IF 1.2 4区 医学
Journal of Manipulative and Physiological Therapeutics Pub Date : 2024-01-01 DOI: 10.1016/S0161-4754(24)00098-8
{"title":"Information for Readers","authors":"","doi":"10.1016/S0161-4754(24)00098-8","DOIUrl":"10.1016/S0161-4754(24)00098-8","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"47 1","pages":"Page A2"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143093678","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}
引用次数: 0
Influence of Changing Hip Position on Electromyographic Activities of Selected Trunk Muscles During Bridging Exercises in Healthy Subjects: A Cross-Sectional Study 健康受试者在桥式运动中改变髋关节位置对部分躯干肌肉肌电活动的影响:一项横断面研究
IF 1.2 4区 医学
Journal of Manipulative and Physiological Therapeutics Pub Date : 2024-01-01 DOI: 10.1016/j.jmpt.2024.08.010
Ahmed M. El Melhat PT, PhD , Ayman El Khatib PT, PhD , Ahmed S.A. Youssef PT, PhD , Moustafa R. Zebdawi PT, DPT , Samar M. Abdelhamid PT, MSc , Hamada Ahmed Hamada PT, PhD , Rami L. Abbas PT, PhD
{"title":"Influence of Changing Hip Position on Electromyographic Activities of Selected Trunk Muscles During Bridging Exercises in Healthy Subjects: A Cross-Sectional Study","authors":"Ahmed M. El Melhat PT, PhD ,&nbsp;Ayman El Khatib PT, PhD ,&nbsp;Ahmed S.A. Youssef PT, PhD ,&nbsp;Moustafa R. Zebdawi PT, DPT ,&nbsp;Samar M. Abdelhamid PT, MSc ,&nbsp;Hamada Ahmed Hamada PT, PhD ,&nbsp;Rami L. Abbas PT, PhD","doi":"10.1016/j.jmpt.2024.08.010","DOIUrl":"10.1016/j.jmpt.2024.08.010","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to investigate how rectus abdominis, external oblique (EO), internal oblique (IO), erector spinae, multifidus (MF), and gluteus maximus (GMax) muscle activities change with different hip positions during back and side bridging exercises.</div></div><div><h3>Methods</h3><div>Thirty-six healthy individuals participated in this cross-sectional study and performed 6 exercises including back bridging (BB) in neutral hip position, BB with internal rotation, BB with external rotation (BB + ER), side bridging with hips in neutral (SB), side bridging with hips in flexion (SB + HF), and side bridging with hips in extension (SB + HE). Muscle activity was observed using surface electromyography, normalized using maximum voluntary isometric contraction. Repeated-measures 1-way analysis of variance compared muscle readings for each position.</div></div><div><h3>Results</h3><div>Back bridging with internal rotation showed significant differences in EO (<em>P</em> = .01) and IO (<em>P</em> &lt; .001) compared with other BB positions. Multifidus and GMax differed significantly in BB + ER (<em>P</em> = .04). Side bridging exhibited significant differences in EO (<em>P</em> = .02; <em>P</em> &lt; .001) and IO (<em>P</em> &lt; .001) compared with the other 2 SB positions, with peak in SB + HF. Erector spinae, MF, and GMax also differed significantly (<em>P</em> &lt; .001, <em>P</em> = .02, <em>P</em> &lt; .001, respectively) with peak in SB + HE.</div></div><div><h3>Conclusion</h3><div>The findings revealed that EO and IO muscles were most active during BB with internal rotation, whereas the MF and GMax muscles were most active during BB + ER. In terms of SB, the EO and IO muscles were most active with either SB + HF or SB + HE, whereas the erector spinae, MF, and GMax muscles were most active with SB + HE.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"47 1","pages":"Pages 12-21"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502143","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}
引用次数: 0
Inside front cover Editorial board
IF 1.2 4区 医学
Journal of Manipulative and Physiological Therapeutics Pub Date : 2024-01-01 DOI: 10.1016/S0161-4754(24)00096-4
{"title":"Inside front cover Editorial board","authors":"","doi":"10.1016/S0161-4754(24)00096-4","DOIUrl":"10.1016/S0161-4754(24)00096-4","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"47 1","pages":"Page IFC"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143093679","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}
引用次数: 0
Cervical Spine Vibration Modifies Oculomotor Function in Young Adults with Traumatic Brain Injury 颈椎振动改变脑外伤青年的眼球运动功能
IF 1.2 4区 医学
Journal of Manipulative and Physiological Therapeutics Pub Date : 2024-01-01 DOI: 10.1016/j.jmpt.2024.08.001
Alice E. Cade PhD, Philip R.K. Turnbull PhD
{"title":"Cervical Spine Vibration Modifies Oculomotor Function in Young Adults with Traumatic Brain Injury","authors":"Alice E. Cade PhD,&nbsp;Philip R.K. Turnbull PhD","doi":"10.1016/j.jmpt.2024.08.001","DOIUrl":"10.1016/j.jmpt.2024.08.001","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to investigate if vibrational interference of spinal proprioception affects oculomotor function, visual attention and processing, and selective attention in individuals with mild traumatic brain injury (mTBI) compared to healthy age-matched controls.</div></div><div><h3>Methods</h3><div>This study was a parallel design, single-session intervention with 20 young adults with mTBI and 20 age-matched controls. Each completed a battery of computerized eye-tracking assessments (CEAs), including egocentric localization, fixational stability, smooth pursuit, saccades, Stroop, and the vestibulo-ocular reflex (VOR), and then had their cervical spine function (flexion-relaxation ratio) recorded at baseline. Spinal vibration (100 Hz) was applied to the cervical spine and the CEA battery was repeated. CEA outcomes were compared to baseline and between mTBI and control groups.</div></div><div><h3>Results</h3><div>Following cervical vibration, significant pre to post-differences were seen in both the mTBI and control group for egocentric localization, fixation stability, pursuit, saccades, Stroop, and VOR. At baseline, there was a significant difference between the mTBI and control groups across many CEA measures, with the mTBI group performing more poorly in egocentric localization, pursuit, saccades, Stroop, and VOR. The mTBI group also had a poorer flexion-relaxation ratio than the control group.</div></div><div><h3>Conclusion</h3><div>Cervical spine vibration improved cognitive and oculomotor performance in the mTBI group for VOR, Stroop, and pursuit, but had mixed effects on the control group. These findings suggest that some optometric mTBI symptoms may result from spinal or proprioceptive dysfunction, as altering proprioceptive input appears to positively impact visual outcomes.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"47 1","pages":"Pages 96-105"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467544","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}
引用次数: 0
Correlation between physical activity and anthropometric measurements among children and adolescents 儿童和青少年体育活动与人体测量之间的相关性。
IF 1.2 4区 医学
Journal of Manipulative and Physiological Therapeutics Pub Date : 2024-01-01 DOI: 10.1016/j.jmpt.2024.08.013
Barbarah Kelly Gonçalves de Carvalho PhD , Ana Paula Ribeiro PhD , Sílvia Maria Amado João PhD
{"title":"Correlation between physical activity and anthropometric measurements among children and adolescents","authors":"Barbarah Kelly Gonçalves de Carvalho PhD ,&nbsp;Ana Paula Ribeiro PhD ,&nbsp;Sílvia Maria Amado João PhD","doi":"10.1016/j.jmpt.2024.08.013","DOIUrl":"10.1016/j.jmpt.2024.08.013","url":null,"abstract":"<div><h3>Objectives</h3><div>The purpose of this study was to measure the association between the level of physical activity and sedentary conditions with anthropometric measurements of children and adolescents.</div></div><div><h3>Methods</h3><div>This cross-sectional descriptive study consisted of a convenience sample of 400 children and adolescents from public schools in Itapevi-SP, Brazil. The Physical Activity Checklist Interview or LAF “Lista de Atividades Físicas” in a Brazilian version, was administered in a face-to-face interview on a school day and allowed assessment of sedentary behavior and physical activity on the previous day. Anthropometric measurements included body weight, sex, age, and lower limb posture. The participants were photographed in the frontal and sagittal planes, and the photos were analyzed using postural assessment software (PAS/SAPO). Pearson's tests were applied to analyze correlations.</div></div><div><h3>Results</h3><div>Children and adolescents show a greater tendency toward valgus knees with increasing body mass (<em>r</em> = ‒0.33). On average, girls have a larger Q angle. Ankles are less likely to become valgus with increasing age and mass (<em>r</em> = ‒0.18 and ‒0.23, respectively). The horizontal alignment of the pelvis is mostly in anteversion with a significant increase with age (<em>r</em> = 0.27) and a slight increase with mass (<em>r</em> = 0.15). The knee and ankle tend to be less hyperextended and more dorsiflexed from the age of 10, with no correlation with the other variables. It was not possible to observe a clear relationship between the time spent in physical activity and sedentary behavior and the postural angles mentioned above.</div></div><div><h3>Conclusion</h3><div>Although correlations were found between age, sex and body mass, and postural angles, notably pelvis alignment, Q angle, knee, ankle, sex, and body weight, there was no correlation between the time spent in physical activity, sedentary behavior, and lower limb posture.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"47 1","pages":"Pages 45-57"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467557","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}
引用次数: 0
Short-Term Effects of Manual Therapy on Balance: A Multicenter, Randomized, Double-Blind Controlled Trial. 徒手疗法对平衡的短期影响:多中心、随机、双盲对照试验。
IF 1.3 4区 医学
Journal of Manipulative and Physiological Therapeutics Pub Date : 2023-12-01 DOI: 10.1016/j.jmpt.2023.11.003
G. Espí-López, D. Pavlů, Anna Arnal-Gómez, E. Muñoz-Gómez, A. Martínez-Millana, E. Marqués-Sulé
{"title":"Short-Term Effects of Manual Therapy on Balance: A Multicenter, Randomized, Double-Blind Controlled Trial.","authors":"G. Espí-López, D. Pavlů, Anna Arnal-Gómez, E. Muñoz-Gómez, A. Martínez-Millana, E. Marqués-Sulé","doi":"10.1016/j.jmpt.2023.11.003","DOIUrl":"https://doi.org/10.1016/j.jmpt.2023.11.003","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"81 2","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139025222","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}
引用次数: 0
Chiropractic Care in a Multidisciplinary Sports Health Care Environment: A Survey of Canadian National Team Athletes 多学科运动保健环境中的脊骨神经治疗:加拿大国家队运动员调查
IF 1.3 4区 医学
Journal of Manipulative and Physiological Therapeutics Pub Date : 2023-12-01 DOI: 10.1016/j.jmpt.2023.11.001
Scott D. Howitt, Patrick Welsh, Christopher DeGraauw
{"title":"Chiropractic Care in a Multidisciplinary Sports Health Care Environment: A Survey of Canadian National Team Athletes","authors":"Scott D. Howitt, Patrick Welsh, Christopher DeGraauw","doi":"10.1016/j.jmpt.2023.11.001","DOIUrl":"https://doi.org/10.1016/j.jmpt.2023.11.001","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"51 4","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139013198","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}
引用次数: 0
High-Velocity Low-Amplitude Techniques for the Management of Discogenic Lumbosacral Radicular Syndrome: A Systematic Review 治疗椎间盘源性腰骶椎综合征的高速度低振幅技术:系统回顾。
IF 1.2 4区 医学
Journal of Manipulative and Physiological Therapeutics Pub Date : 2023-06-01 DOI: 10.1016/j.jmpt.2024.08.008
Riccardo Serio MSc , Gianluca Bertoni MSc , Federico Andreoletti MSc , Filippo Maselli PhD , Marco Testa PhD , Simone Battista PhD
{"title":"High-Velocity Low-Amplitude Techniques for the Management of Discogenic Lumbosacral Radicular Syndrome: A Systematic Review","authors":"Riccardo Serio MSc ,&nbsp;Gianluca Bertoni MSc ,&nbsp;Federico Andreoletti MSc ,&nbsp;Filippo Maselli PhD ,&nbsp;Marco Testa PhD ,&nbsp;Simone Battista PhD","doi":"10.1016/j.jmpt.2024.08.008","DOIUrl":"10.1016/j.jmpt.2024.08.008","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to investigate the effect of high-velocity low-amplitude techniques (HVLATs) on discogenic lumbosacral radicular syndrome (LSRS).</div></div><div><h3>Methods</h3><div>This was a systematic review of randomized controlled trials (RCTs). Cochrane Central Register of Controlled Trials (CENTRAL), Medical Literature Analysis and Retrieval System Online (MEDLINE), Excerpta Medica Database (EMBASE), Physiotherapy Evidence Database (PEDro) and Web of Science (WoS) were searched from inception until 19 November 2023. Eligible RCTs involved adults with LSRS and compared HVLATs with other nonsurgical treatments, sham HVLATs or no intervention. Data related to pain, disability, health-related quality of life (HRQoL) and adverse events were extracted. The methodological quality was assessed with the ‘Cochrane Risk of Bias (RoB) Tool 2.0’ and the certainty of the evidence with the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE).</div></div><div><h3>Results</h3><div>Three of the 415 retrieved records met the inclusion criteria. One study investigated acute LSRS, comparing HVLAT versus sham HVLAT. The second study investigated subacute and chronic LSRS, comparing the same intervention with the intervention group receiving 3 adjunctive sessions of HVLAT. The third study investigated chronic LSRS, comparing HVLATs to another manual therapy technique. Totally, 186 people were involved (<em>n</em> = 95 intervention group; <em>n</em> = 91 control group). The first study reported greater improvement in pain and disability in favor of HVLATs. The second study found no differences in pain in favor of HVLATs. The third study found greater improvement for pain, disability and HRQoL in the control group. No adverse events were reported. Two studies were at high RoB and highly heterogeneous; 1 was considered of some concern. The certainty of the evidence was “very low.”</div></div><div><h3>Conclusions</h3><div>There is insufficient evidence to conclude whether HVLATs can be helpful in LSRS. Future high-quality RCTs are necessary.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"46 5","pages":"Pages 346-356"},"PeriodicalIF":1.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348178","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}
引用次数: 0
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