Journal of Manipulative and Physiological Therapeutics最新文献

{"title":"Efficacy of Myofascial Release With Transcutaneous Electrical Nerve Stimulation Conductive Glove for Neck Myofascial Syndrome: A Randomized Clinical Trial Study","authors":"Paris Iakovidis PhD,&nbsp;Dimitrios Lytras PhD,&nbsp;Konstantinos Kasimis MSc,&nbsp;Georgios Koutras PhD,&nbsp;Anastasios Kottaras MSc,&nbsp;Georgios Chasapis MSc,&nbsp;Stefania Rafailia Ntinou MSc,&nbsp;Athanasia Kostoglou PT,&nbsp;Esmeralda Kotsi PT","doi":"10.1016/j.jmpt.2024.02.008","DOIUrl":"10.1016/j.jmpt.2024.02.008","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to assess the efficacy of a myofascial release (MR) protocol applied with a transcutaneous electrical nerve stimulation (TENS) conductive glove.</div></div><div><h3>Methods</h3><div>Eighty individuals with neck myofascial syndrome were randomly divided into 4 groups: (1) MR protocol with a TENS conductive glove (MR+TENS), (2) MR protocol without TENS (MR), (3) conventional TENS protocol (TENS), and (4) placebo TENS (control). All participants attended 6 sessions over a period of 3 weeks. The following measures were evaluated at baseline, at the third week, and at the 1-month follow-up: Pain with the visual analog scale (VAS pain), upper trapezius pressure pain threshold (PPT) with pressure algometry, cervical range of motion (ROM) with goniometry, and disability with the neck disability index (NDI). A 2-way ANOVA with repeated measurements was applied.</div></div><div><h3>Results</h3><div>Significant changes between the 3 intervention groups and the control group were noted in the VAS and the NDI scores (<em>P</em> &lt; .05) with the MR+TENS group exhibiting the biggest difference. Additionally, MR significantly increased PPT compared to TENS, and even further when applied with the conductive glove (<em>P</em> &lt; .05). Regarding lateral flexion ROM, MR was equally effective either alone or in combination with the glove compared to TENS (<em>P</em> &lt; .05). In contrast, TENS did not appear to affect neck PPT and ROM (<em>P</em> &gt; .05). Finally, no difference between the groups was detected in cervical rotation ROM (<em>P</em> &gt; .05).</div></div><div><h3>Conclusion</h3><div>The MR protocol appears to be more effective in dealing with pain, disability, and lateral flexion ROM than conventional TENS. A TENS conductive glove significantly improves the effects of MR, possibly due to the combined mechanical and electrical stimulation of the muscle.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"46 5","pages":"Pages 254-270"},"PeriodicalIF":1.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141912969","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":"Physiotherapeutic Approaches in the Rehabilitation of Patients After Severe Acute Respiratory Syndrome Coronavirus 2: A Scoping Review of In-Hospital Until Outpatient Phase","authors":"Angélica Taciana Sisconetto PT,&nbsp;Kelly Savana Minaré Baldo Sucupira PT,&nbsp;Luciane Aparecida Pascucci Sande De Souza PhD,&nbsp;Gustavo José Luvizutto PhD","doi":"10.1016/j.jmpt.2024.09.003","DOIUrl":"10.1016/j.jmpt.2024.09.003","url":null,"abstract":"<div><h3>Objectives</h3><div>This scoping review aimed to identify studies that address the use of physical therapy in the rehabilitation of adult and elderly patients after SARS-CoV-2 infection.</div></div><div><h3>Methods</h3><div>This scoping review was based on Joanna Briggs Institute methodology: participant (P), represented by adult and elderly patients after SARS-CoV-2; concept (C), main physical therapy interventions; and context (C), recovery period after SARS-CoV-2 (in-hospital or outpatient phase). The following information sources were used: MEDLINE/PubMed, Cochrane Library, PEDro, Scopus, CINAHL, Web of Science, Science Direct, and Springer. The search was conducted between December 2019 and November 2021. Rayyan (Qatar Computing Research Institute, QCRI) was used for study selection process and analysis.</div></div><div><h3>Results</h3><div>A total of 7,568 studies were identified; 11 were included in this review. The most frequent physical therapy interventions were those associated with pulmonary, cardiac, musculoskeletal, neurological, and digestive rehabilitation in adult and elderly patients after SARS-CoV-2. Physiotherapy interventions included aerobic exercises, respiratory muscle training, muscle strength training, breathing exercises, early mobilization, balance training, bronchial hygiene maneuvers, body positioning management, flexibility training, cognitive training, neuromuscular electrical stimulation, and trunk exercises.</div></div><div><h3>Conclusion</h3><div>Our study demonstrated the growing utility of therapeutic interventions, mainly in improving quality of life, as well as body functions after pulmonary, cardiac, neurological, digestive, and musculoskeletal rehabilitation in patients after SARS-CoV-2.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"46 5","pages":"Pages 357-365"},"PeriodicalIF":1.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467562","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)00074-5","DOIUrl":"10.1016/S0161-4754(24)00074-5","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"46 5","pages":"Page A1"},"PeriodicalIF":1.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143311140","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(24)00073-3","DOIUrl":"10.1016/S0161-4754(24)00073-3","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"46 5","pages":"Page IFC"},"PeriodicalIF":1.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143312109","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":"Exercise Position to Improve Synergy Between the Diaphragm and Pelvic Floor Muscles in Women With Pelvic Floor Dysfunction: A Cross Sectional Study","authors":"Damla Korkmaz Dayican PT ,&nbsp;Irem Keser PT, MSc ,&nbsp;Ozge Celiker Tosun PT, PhD ,&nbsp;Onur Yavuz MD ,&nbsp;Gokhan Tosun MD ,&nbsp;Sefa Kurt MD ,&nbsp;Melda Baser Secer PT, PhD","doi":"10.1016/j.jmpt.2024.02.005","DOIUrl":"10.1016/j.jmpt.2024.02.005","url":null,"abstract":"<div><h3>Objective</h3><div><span>This study aimed to investigate the synergy between the diaphragm and pelvic floor<span> muscles (PFM) according to different exercise positions in women with pelvic floor dysfunction. Our secondary aim was to determine the short-term effects of single-week </span></span>pelvic floor muscle training (PFMT) program on diaphragmatic function.</div></div><div><h3>Methods</h3><div><span>The cross-sectional study included 64 women with pelvic floor dysfunction. The participants' diaphragm and abdominal muscle functions during voluntary PFM contraction and relaxation were assessed by surface electromyography and </span>ultrasonography. The surface electromyography assessments were performed in supine (P1), crawling (P2) and sitting (P3) positions. A single week-PFMT was conducted on women who agreed to determine the short-term responses of the diaphragm function. The muscle functions according to exercise positions were compared with Friedman Analysis of Variance, and the short-term effects of single-week PFMT on diaphragm function was analyzed with Wilcoxon Signed-Ranks Test.</div></div><div><h3>Results</h3><div>The diaphragm activity during voluntary PFM contraction was highest in P2 before and after single-week PFMT (<em>P</em> &lt; .001). Positive significant correlations were found between the activities diaphragm and abdominal muscles in different exercise positions (<em>P</em> &lt; .05). After single-week PFMT, diaphragm thickness increased (<em>P</em> = .030) in P1, but diaphragm activity did not change in all 3 exercise positions (<em>P</em> &gt; .05).</div></div><div><h3>Conclusion</h3><div>The synergy between the diaphragm and PFM was greater in the crawling position in women with pelvic floor dysfunction. The abdominal muscles seemed to contribute to maintaining this synergy. Therefore, PFMT combined with diaphragmatic breathing exercises in the crawling position should be considered. In addition, single-week PFMT may positively affect diaphragm function in the short-term.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"46 4","pages":"Pages 201-211"},"PeriodicalIF":1.2,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140193941","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":"Self-reported Measures of Function Compared to Lower Limb Motor Performance in People With and Without Imaging Evidence of Unilateral Lumbar Nerve Root Compression: A Cross-sectional Study","authors":"Shelley D. Sargent BMR PT, MSc ,&nbsp;Geoffrey M. Gelley DC, PhD ,&nbsp;Steven R. Passmore DC, PhD","doi":"10.1016/j.jmpt.2024.02.002","DOIUrl":"10.1016/j.jmpt.2024.02.002","url":null,"abstract":"<div><h3>Objective</h3><div>The primary objective of the present study was to determine if imaging findings of unilateral lumbar nerve root compression (ULNRC) impact performance on a coordinated motor performance task and to determine if there were correlations between motor performance and self-reported clinical measures.</div></div><div><h3>Methods</h3><div>People with back pain (N = 45) were stratified into 3 groups based on combinations of: lumbar imaging; and clinical presentation for ULNRC. Group 1 included people with imaging of lumbar nerve root compression, who presented with neurological deficit. Group 2 people demonstrated imaging evidence of nerve compression, without motor, sensory or reflex change. Group 3 participants possessed only degenerative changes on lumbar imaging films, and were neurologically intact. Performance measures included behavioral and kinematic variables from an established lower limb Fitts’ Task requiring movements to targets of different difficulties. Self-reported measures of disability, function and pain were collected. Analysis of variance for between and within group variables were conducted, and Pearson correlation compared performance with self-reported measures.</div></div><div><h3>Results</h3><div>All groups yielded main effects for movement time with increasing task difficulty as predicted by Fitts’ Law. A main effect revealed Group 1 participants performed less accurately than Group 3 participants. Positive correlations were predominantly found between self-report measures and motor performance for Group 2 and Group 3.</div></div><div><h3>Conclusion</h3><div>Imaging, and self-reported measures alone did not predict function, however, Fitts’ task performance accuracy effectively differentiated groups.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"46 4","pages":"Pages 229-238"},"PeriodicalIF":1.2,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140119797","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(24)00032-0","DOIUrl":"10.1016/S0161-4754(24)00032-0","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"46 4","pages":"Page IFC"},"PeriodicalIF":1.2,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143344352","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 Seated Cervical Spinal Manipulation on Autonomic Nervous System Activity as Measured by Heart Rate Variability and Plasma Norepinephrine Levels: A randomized Pre- and Poststudy","authors":"Brian S. Budgell DC, PhD ,&nbsp;H. Stephen Injeyan DC, PhD ,&nbsp;Julita Teodorczyk-Injeyan PhD","doi":"10.1016/j.jmpt.2024.02.003","DOIUrl":"10.1016/j.jmpt.2024.02.003","url":null,"abstract":"<div><h3>Objective</h3><div><span>The objective of this study was to determine whether seated cervical manipulation produced changes in autonomic nervous system activity, as measured by heart rate variability and plasma </span>norepinephrine levels.</div></div><div><h3>Methods</h3><div><span>Ninety-five healthy young adults (ages 20-48 years) were recruited into a single-blinded physiological study, with 47 randomized to a seated cervical manipulation and 44 randomized to a sham procedure. Heart rate variability in the frequency domain, and plasma </span>norepinephrine levels were measured prior to, immediately following, and 5 minutes following the intervention.</div></div><div><h3>Results</h3><div><span>Electrocardiograms were obtained from 39 subjects in the sham group and 43 subjects in the manipulation group. No statistically significant changes were found in measures of heart rate variability in the frequency domain in either the manipulation or sham groups. Blood samples were obtained from 22 subjects in the sham group and 27 subjects in the manipulation group. Plasma norepinephrine levels, as measured by </span>spectrophotometry, declined in both groups from pre- to immediately postintervention, and they remained at decreased levels 5 minutes after the interventions. There were no statistically significant differences between groups in pre- or postintervention norepinephrine levels.</div></div><div><h3>Conclusions</h3><div>Measures of heart rate variability and plasma norepinephrine<span> levels did not show that seated cervical manipulation produced short-term changes in autonomic nervous system activity compared to a sham procedure in healthy young adults.</span></div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"46 4","pages":"Pages 220-228"},"PeriodicalIF":1.2,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140119796","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(24)00034-4","DOIUrl":"10.1016/S0161-4754(24)00034-4","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"46 4","pages":"Page A2"},"PeriodicalIF":1.2,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143344574","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 Virtual Reality for Postural Control in Chronic Neck Pain: A Single-Blind, Randomized Controlled Study","authors":"Hatice Cetin PT, PhD ,&nbsp;Nezire Kose PT ,&nbsp;Emre Gurses PT ,&nbsp;Ceyhun Turkmen PT, PhD ,&nbsp;Songül Aksoy PT ,&nbsp;Halil Kamil Oge MD","doi":"10.1016/j.jmpt.2024.02.006","DOIUrl":"10.1016/j.jmpt.2024.02.006","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to investigate the effects of virtual reality (VR) on postural control, posture, and kinesiophobia in patients with chronic neck pain (CNP).</div></div><div><h3>Methods</h3><div>Forty-one participants with CNP were randomly allocated to the VR and control groups. The VR group experienced VR with glasses for 20 minutes and then performed motor control (MC) exercises for 20 minutes. The control group received only MC exercises for 40 minutes. Both groups received 18 sessions over 6 weeks. Computerized dynamic posturography<span> outcomes, including sensory organization test (SOT), limits of stability, and unilateral stance tests, gait speed, forward head posture<span> (FHP), shoulder protraction (SP), cervical lordosis angle, kinesiophobia, and exercise compliance were recorded.</span></span></div></div><div><h3>Results</h3><div>The VR group had more effects regarding composite equilibrium (Cohen's <em>d</em> = 1.20) of SOT and kinesiophobia (Cohen's <em>d</em> = −0.96), <em>P</em> &lt; .05). Also, the VR group was more effective in exercise compliance (<em>P</em> &lt; .05). Contrary to these results, the control group was more effective in correcting FHP and SP (Cohen's <em>d</em> &gt; 0.7, <em>P</em> &lt; .05).</div></div><div><h3>Conclusion</h3><div>Virtual reality seemed to have an effect on postural control, posture, and kinesiophobia in patients with chronic neck pain.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"46 4","pages":"Pages 191-200"},"PeriodicalIF":1.2,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141468565","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}