Journal of Physical Therapy Science最新文献_第2页

Impact of scoliosis-specific exercises in moderate to severe thoracolumbar curves in three postmenopausal women. 脊柱侧弯专项运动对3名绝经后妇女中度至重度胸腰椎弯曲的影响。

Journal of Physical Therapy Science Pub Date : 2024-12-01 DOI: 10.1589/jpts.36.817

Shu-Yan Ng, Yin-Ling Ng

{"title":"Impact of scoliosis-specific exercises in moderate to severe thoracolumbar curves in three postmenopausal women.","authors":"Shu-Yan Ng, Yin-Ling Ng","doi":"10.1589/jpts.36.817","DOIUrl":"https://doi.org/10.1589/jpts.36.817","url":null,"abstract":"[Purpose] The study investigates whether performing scoliosis-specific exercises is related to curve stabilization in postmenopausal women with a thoracolumbar curve. [Case Description] We describe the outcome of three postmenopausal women with thoracolumbar scoliosis performing scoliosis-specific exercises for around ten years. Case 1 had a normal bone mineral density and thoracolumbar scoliosis over 64° and consistently performed the exercises at home for half an hour daily. Cases 2 and 3 had osteopenia and thoracolumbar curves of 64° and 45°, respectively. They did the exercises sparingly over eight years, particularly during the three years of COVID-19, when they stopped doing the exercises. [Outcome] The outcomes of the three cases differ. Case 1 had the best result, with the thoracolumbar curve stabilized and no pain. Cases 2 and 3 had curve progression and had mild pain, requiring occasional pain medication. [Discussion] Our findings suggest a potential relationship between regular scoliosis-specific exercises, good bone mineral density, and scoliosis stabilization. More research is needed to further our understanding of the interplay between exercise, bone health, and scoliosis progression.","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"36 12","pages":"817-822"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of timing of citrate drink ingestion on blood lactate removal. 枸橼酸饮料摄入时间对血乳酸去除的影响。

Journal of Physical Therapy Science Pub Date : 2024-12-01 DOI: 10.1589/jpts.36.772

Satomi Okano, Honoka Nakayama, Hitomi Nishizawa

{"title":"Effect of timing of citrate drink ingestion on blood lactate removal.","authors":"Satomi Okano, Honoka Nakayama, Hitomi Nishizawa","doi":"10.1589/jpts.36.772","DOIUrl":"https://doi.org/10.1589/jpts.36.772","url":null,"abstract":"[Purpose] Citrate drinks are readily available and effectively remove lactate from blood, improving performance. However, whether they are more beneficial when consumed before or after exercise is unclear. We aimed to examine the effect of citrate drink intake timing on blood lactate removal. [Participants and Methods] We randomly assigned 41 healthy male students to four conditions: citric acid intake before exercise, citric acid intake after, water intake after, and no intake. The participants performed a 5-min ergometer cycle, and we measured the blood lactate levels before and at 0, 5, 10, 20, and 30 min after exercise. We calculated the reduction rate of blood lactate levels by subtracting the respective blood lactate values from those at 0 min and then dividing by the blood lactate value at 0 min (Ex-5, Ex-10, Ex-20, and Ex-30). [Results] The measured blood lactate values or their reduction rates were not significantly different between the four conditions. Significant differences were observed between the pre- and post-citric acid conditions for Ex-5, Ex-10, Ex-20, and Ex-30. [Conclusion] The effects of different timings of citric acid intake on blood lactate removal were not significantly different, and the reduction rate of blood lactate values continued to increase with citric acid intake, regardless of timing.","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"36 12","pages":"772-775"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relationship between functional independence measure scores and timed up-and-go time in postoperative elderly patients with vertebral and hip fractures. 老年椎体和髋部骨折患者术后功能独立测量评分与起跳时间的关系。

Journal of Physical Therapy Science Pub Date : 2024-12-01 DOI: 10.1589/jpts.36.765

Daisuke Ashida, Hisahide Nishio, Mizuho Fujiwara, Nobuhiko Iwai

{"title":"Relationship between functional independence measure scores and timed up-and-go time in postoperative elderly patients with vertebral and hip fractures.","authors":"Daisuke Ashida, Hisahide Nishio, Mizuho Fujiwara, Nobuhiko Iwai","doi":"10.1589/jpts.36.765","DOIUrl":"https://doi.org/10.1589/jpts.36.765","url":null,"abstract":"[Purpose] To analyze the correlation between the timed up-and-go time and functional independence measure total score in postoperative elderly patients with vertebral and hip fractures. [Participants and Methods] The total functional independence measure scores and timed up-and-go times of 87 Japanese patients aged ≥65 years with a history of vertebral or hip fracture surgery were analyzed. Patients were classified based on age (<85 or ≥85 years), sex (female or male), fracture type (vertebral or hip fracture), and postoperative period (early or late). [Results] In the comparative analyses between the two datasets within the groups, significant differences were observed in functional independence measure scores and timed up-and-go times between patients in the early and late postoperative periods. In the correlation analyses using functional independence measure scores and timed up-and-go times, significant negative correlations were observed in all groups, except for one group of patients in the late postoperative period. In the contingency table analyses, several patients with low functional independence measure scores had a timed up-and-go time of >35 s. Receiver operating characteristic curve analysis indicated that a timed up-and-go time of >35 s can be a predictive marker of nursing care requirement in the early postoperative period. [Conclusion] In the present study, we clarified the relationship between functional independence measure score and timed up-and-go time in postoperative elderly patients with vertebral and hip fractures and confirmed that timed up-and-go time is a predictive marker of nursing care requirement.","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"36 12","pages":"765-771"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Brain regions associated with balance function assessed by the Berg Balance Scale in post-stroke patients. 脑卒中后患者用Berg平衡量表评估与平衡功能相关的脑区。

Journal of Physical Therapy Science Pub Date : 2024-12-01 DOI: 10.1589/jpts.36.803

Aki Hirata, Yuki Uchiyama, Midori Mochizuki, Tetsuo Koyama, Kazuhisa Domen

{"title":"Brain regions associated with balance function assessed by the Berg Balance Scale in post-stroke patients.","authors":"Aki Hirata, Yuki Uchiyama, Midori Mochizuki, Tetsuo Koyama, Kazuhisa Domen","doi":"10.1589/jpts.36.803","DOIUrl":"https://doi.org/10.1589/jpts.36.803","url":null,"abstract":"[Purpose] To assess the neural fiber damage causing balance deficits in post-stroke patients. [Participants and Methods] Diffusion tensor imaging was conducted during the second week after stroke onset, and the Berg Balance Scale scores were recorded at discharge from our affiliated rehabilitation facility. The total score of the motor component of the Stroke Impairment Assessment Set and the Functional Independence Measure motor score were also documented. Brain images were analyzed using tract-based spatial statistics to extract the mean fractional anisotropy values from representative neural tracts. Stepwise multivariate analyses were conducted using fractional anisotropy values in the lesioned hemispheres as explanatory variables and clinical outcomes as target values. [Results] This study included 65 patients. The analyses identified the following significant associations: the corticospinal tract and the motor component of the Stroke Impairment Assessment Set score; the corticospinal tract, cingulum bundle, and inferior fronto-occipital fasciculus and the Berg Balance Scale score; and the superior longitudinal fasciculus and inferior fronto-occipital fasciculus and the Functional Independence Measure motor score. [Conclusion] The brain areas associated with balance function include the corticospinal tract and inferior fronto-occipital fasciculus, implying that the balance function links extremity functions to activities of daily living. This finding highlights the importance of rehabilitative training for balance function in post-stroke patients.","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"36 12","pages":"803-809"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examination of evaluation indicators for spasticity in stroke patients using ultrasound imaging equipment. 超声成像设备对脑卒中患者痉挛评价指标的研究。

Journal of Physical Therapy Science Pub Date : 2024-12-01 DOI: 10.1589/jpts.36.776

Takahiro Okazaki, Shota Nagai

{"title":"Examination of evaluation indicators for spasticity in stroke patients using ultrasound imaging equipment.","authors":"Takahiro Okazaki, Shota Nagai","doi":"10.1589/jpts.36.776","DOIUrl":"https://doi.org/10.1589/jpts.36.776","url":null,"abstract":"[Purpose] To compare the muscle evaluation indices obtained by scanning the spastic muscles of stroke patients between the paretic and non-paretic sides using ultrasound imaging equipment, determine whether any features can be detected, and verify whether the evaluation indices that detect differences are valid for measuring the degree of spasticity. [Participants and Methods] The participants were 23 first-ever stroke patients with motor paralysis in one upper or lower limb, admitted to our hospital between 1 and 6 months after onset. The biceps brachii muscle and medial head of the gastrocnemius muscle were evaluated on both sides using ultrasound imaging equipment. The muscle evaluation indices were muscle thickness, muscle echo intensity, muscle stiffness, and muscle-tendon junction displacement. Pennation angles were also measured at the medial head of the gastrocnemius muscle. [Results] Significant differences were found between the paretic and nonparetic sides in the muscle-tendon junction displacement of the biceps brachii muscle and edial head of the gastrocnemius muscle. No significant differences were found in the other muscle evaluation indices. [Conclusion] Muscle-tendon junction displacement was the only index that showed significant differences between the non-paretic and paretic sides. It showed a moderate-to-strong correlation with the Modified Ashworth Scale, suggesting its potential as an alternative evaluation index for muscle strain.","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"36 12","pages":"776-781"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A feasibility study on physical therapist interventions in the Japanese integrated health services and preventive care program for older adults. 日本老年人综合卫生服务和预防保健计划中物理治疗师干预的可行性研究。

Journal of Physical Therapy Science Pub Date : 2024-12-01 DOI: 10.1589/jpts.36.782

Yuta Mori, Ryota Watanabe, Koichi Saito, Masashi Mitani, Masahide Yamamoto, Masako Okabe, Takuya Itou, Mitsuaki Minamide

{"title":"A feasibility study on physical therapist interventions in the Japanese integrated health services and preventive care program for older adults.","authors":"Yuta Mori, Ryota Watanabe, Koichi Saito, Masashi Mitani, Masahide Yamamoto, Masako Okabe, Takuya Itou, Mitsuaki Minamide","doi":"10.1589/jpts.36.782","DOIUrl":"https://doi.org/10.1589/jpts.36.782","url":null,"abstract":"[Purpose] This study examined the feasibility of including physical therapists in the Health Services and Preventive Care program at community gatherings. [Participants and Methods] The participants were 56 older adults from five community gatherings who did not have a long-term care insurance service. As part of the Health Services and Preventive Care program, interventions by physical therapists were conducted for 90 minutes once a month for 6 months at five community gatherings, which involved exercises, and home-based exercises. The feasibility outcomes were dropout rate, number of times people participated in the program, and understanding of frailty. The effectiveness outcomes were frailty, grip strength, walking speed, and five-times-sit-to-stand test. [Results] The feasibility study results showed a dropout rate of 4.3%, 4.7 ± 0.4 times participation, and a 93.2% frailty understanding. Effectiveness outcomes revealed no increase in frailty. The physical indices showed that all participants statistically improved in the five-times-sit-to-stand test (Pre: 7.3 ± 2.3 times, Post: 6.5 ± 7.6 times). [Conclusion] The results of the feasibility study indicate that the program is feasible because of the high rates of completion and frailty prevention understanding.","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"36 12","pages":"782-790"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Decrease in the excitability of spinal nerve function corresponding to the soleus muscle during terminal phase of heel-raise imagery. 与比目鱼肌相对应的脊神经功能兴奋性在提跟想像末期的降低。

Journal of Physical Therapy Science Pub Date : 2024-12-01 DOI: 10.1589/jpts.36.797

Hirokazu Takasaki, Hitoshi Asai, Kenji Suehiro, Takashi Ishihama, Toshiaki Suzuki

{"title":"Decrease in the excitability of spinal nerve function corresponding to the soleus muscle during terminal phase of heel-raise imagery.","authors":"Hirokazu Takasaki, Hitoshi Asai, Kenji Suehiro, Takashi Ishihama, Toshiaki Suzuki","doi":"10.1589/jpts.36.797","DOIUrl":"https://doi.org/10.1589/jpts.36.797","url":null,"abstract":"[Purpose] This study investigated the excitability of spinal nerve function in healthy participants by asking them to imagine raising and lowering their heels in a standing position while varying the timing of stimulation to induce an H-reflex from the soleus muscle during imagery. [Participants and Methods] Participants were instructed to begin their imagery at the fourth metronome sound and imagine that their heels would be maximally raised at the time of the optical signal, which occurred 1,000 ms after the metronome sound; moreover, they would be standing at the metronome sound 1,000 ms later. They were instructed to perform the imagery 21 consecutive times. The timing of the electrical stimulation was set for five conditions: 0, 200, 400, 600, and 800 ms after the metronome sound. [Results] Amplitude H/Mmax ratios were significantly higher at the 0, 200, 400, and 600 ms conditions than in the resting and 800 ms conditions. [Conclusion] The imagery task has the potential to increase the excitability of spinal nerve function from 0 ms to 600 ms after a metronome sound but then decrease it to the resting state at 800 ms.","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"36 12","pages":"797-802"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Characteristics and factors associated with independence in the activities of daily living of patients with amyotrophic lateral sclerosis at diagnosis. 肌萎缩性脊髓侧索硬化症患者在确诊时日常生活自理能力的特征和相关因素。

Journal of Physical Therapy Science Pub Date : 2024-11-01 DOI: 10.1589/jpts.36.692

Naoki Kato, Goichi Hashida, Mizuki Kobayashi, Wataru Sahara

{"title":"Characteristics and factors associated with independence in the activities of daily living of patients with amyotrophic lateral sclerosis at diagnosis.","authors":"Naoki Kato, Goichi Hashida, Mizuki Kobayashi, Wataru Sahara","doi":"10.1589/jpts.36.692","DOIUrl":"10.1589/jpts.36.692","url":null,"abstract":"[Purpose] To investigate the characteristics and factors associated with independence in the activities of daily living in patients with amyotrophic lateral sclerosis at diagnosis based on clinical phenotypes. [Participants and Methods] Fifty-seven participants diagnosed with amyotrophic lateral sclerosis were assessed using the Barthel Index. Participants were classified into three clinical phenotypes (bulbar-onset, upper limb-onset, and lower limb-onset), and the total and subitem scores were compared. To statistically examine factors associated with independence in the activities of daily living, the participants were divided into two groups: Barthel Index of 100 and ≤95. [Results] The total, bulbar-onset, upper limb-onset, and lower limb-onset Barthel Index scores were 87.9 ± 17.7, 96.7 ± 5.9, 92.5 ± 11.9, and 70.0 ± 22.2, respectively. The Total Barthel Index and lower limb-related activities of daily living scores were significantly lower in the lower limb-onset group, and knee extension muscle strength was identified as a factor associated with independence, with a cutoff value of 32.0%. [Conclusion] Patients with lower limb onset had more impairments in lower limb-related activities of daily living than those with other clinical phenotypes. To maintain independence in patients with amyotrophic lateral sclerosis at diagnosis, it is necessary to improve knee extension muscle strength through exercise and perform environment adjustments using the cutoff values as indicators.","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"36 11","pages":"692-698"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11527474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142566992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relationship between preoperative and discharge evaluations in patients receiving around-the-knee osteotomy. 膝关节周围截骨术患者术前评估与出院评估之间的关系。

Journal of Physical Therapy Science Pub Date : 2024-11-01 DOI: 10.1589/jpts.36.717

Takashi Hasegawa, Keita Nishi, Shinichi Matsumoto, Yuh Yamashita, Takefumi Moriuchi, Toshio Higashi

{"title":"Relationship between preoperative and discharge evaluations in patients receiving around-the-knee osteotomy.","authors":"Takashi Hasegawa, Keita Nishi, Shinichi Matsumoto, Yuh Yamashita, Takefumi Moriuchi, Toshio Higashi","doi":"10.1589/jpts.36.717","DOIUrl":"10.1589/jpts.36.717","url":null,"abstract":"[Purpose] This study aimed to determine the relationship between preoperative and discharge assessments in patients undergoing around-the-knee osteotomy. [Participants and Methods] We enrolled patients admitted to our hospital who underwent around-the-knee osteotomy. We measured knee joint range of motion, pain numeric rating scale, pain catastrophizing scale, hospital anxiety and depression scale, and 10-m walk time were measured preoperatively and before discharge. Pre-post comparisons and correlation testing were performed. [Results] A total of 18 patients were analyzed. Resting and exercise pain numeric rating scale, knee flexion and extension range of motion, and pain catastrophizing scale were significantly better during discharge. A significant correlation was observed between the preoperative pain catastrophizing scale total score and 10-m walking time, knee flexion and extension range of motion, pain catastrophizing scale total score, and hospital anxiety and depression scale-depression subscale preoperatively. [Conclusion] Appropriate postoperative rehabilitation after around-the-knee osteotomy improved physical function and cognitive/psychological evaluation at discharge. The correlation between the preoperative pain catastrophizing scale total score and 10-m walking time at discharge suggests that the prolonged walking pain that occurred preoperatively may have affected the cognitive and psychological evaluation of pain.","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"36 11","pages":"717-720"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11527468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142568012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Non-surgical reduction in thoracolumbar kyphosis and sagittal vertical axis corresponding with improved sensorimotor control in an older adult with spinal deformity: a Chiropractic Biophysics^® case report. 脊椎畸形老年人胸腰椎后凸和矢状纵轴的非手术减小与感知运动控制能力的改善：脊骨神经科学生物物理学®病例报告。

Journal of Physical Therapy Science Pub Date : 2024-11-01 DOI: 10.1589/jpts.36.756

Paul A Oakley, William H Gage, Deed E Harrison, George Mochizuki

{"title":"Non-surgical reduction in thoracolumbar kyphosis and sagittal vertical axis corresponding with improved sensorimotor control in an older adult with spinal deformity: a Chiropractic Biophysics® case report.","authors":"Paul A Oakley, William H Gage, Deed E Harrison, George Mochizuki","doi":"10.1589/jpts.36.756","DOIUrl":"10.1589/jpts.36.756","url":null,"abstract":"[Purpose] We document the significant improvement in posturography and spinal deformity by Chiropractic BioPhysics® (CBP®) technique methods. [Participant and Methods] A 78-year-old male presented with 20 years of chronic hip and lower back pain and stiffness. The pain was 5/10 and disability was 38%. The patient also complained of walking difficulty and balance problems. Radiographic assessment demonstrated a significant thoracolumbar kyphosis and anterior C7-S1 sagittal vertical axis (SVA). Force plate posturography showed high centre of pressure (COP) parameter values including the total path length, particularly for the vestibular condition of the modified clinical test of sensory integration and balance (mCTSIB). [Results] The patient was treated with 36 sessions of CBP corrective exercises and spinal traction as well as PowerPlate balance and gait exercises. Assessment after 4-months showed improvements in sleep, pain, disability, and mobility. There was a 79 mm reduction in SVA and improved postural control in many parameters including a 49 cm and 22 cm reduction in COP total path length for the vestibular and visual trials on the mCTSIB, respectively. The pain and disability were reduced to 0/10 and 22%. [Conclusion] This case demonstrates the significant improvement in postural control as quantified by the mCTSIB with the reduction of excessive SVA as demonstrated on post-treatment x-rays.","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"36 11","pages":"756-764"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11527466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0