Journal of Manual & Manipulative Therapy最新文献

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From placebos and shams to high-quality control interventions in manual therapy trials to study efficacy and mechanisms. 在人工疗法试验中,从安慰剂和骗局到高质量的对照干预,以研究疗效和机制。
IF 1.9
Journal of Manual & Manipulative Therapy Pub Date : 2025-10-01 Epub Date: 2025-02-22 DOI: 10.1080/10669817.2025.2471477
David Hohenschurz-Schmidt, Lene Vase, Jerry Draper-Rodi
{"title":"From placebos and shams to high-quality control interventions in manual therapy trials to study efficacy and mechanisms.","authors":"David Hohenschurz-Schmidt, Lene Vase, Jerry Draper-Rodi","doi":"10.1080/10669817.2025.2471477","DOIUrl":"10.1080/10669817.2025.2471477","url":null,"abstract":"","PeriodicalId":47319,"journal":{"name":"Journal of Manual & Manipulative Therapy","volume":" ","pages":"376-377"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477018","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
Inter-rater reliability of Mechanical Diagnosis and Therapy (MDT) in evaluating and classifying chronic pelvic pain syndrome. 机械诊断和治疗(MDT)在评估和分类慢性盆腔疼痛综合征中的可靠性。
IF 1.9
Journal of Manual & Manipulative Therapy Pub Date : 2025-10-01 Epub Date: 2025-03-17 DOI: 10.1080/10669817.2025.2475456
Di Wu, Catherine Bednarczyk, Adriana RamonFigueroa, Helen Zhu, Meridith Geer, Richard Rosedale, Shawn M Robbins
{"title":"Inter-rater reliability of Mechanical Diagnosis and Therapy (MDT) in evaluating and classifying chronic pelvic pain syndrome.","authors":"Di Wu, Catherine Bednarczyk, Adriana RamonFigueroa, Helen Zhu, Meridith Geer, Richard Rosedale, Shawn M Robbins","doi":"10.1080/10669817.2025.2475456","DOIUrl":"10.1080/10669817.2025.2475456","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic pelvic pain syndrome (CPPS) involves complex interactions between the musculoskeletal system, nervous system, and psychosocial factors. A major challenge in managing CPPS is the lack of reliable assessment and classification systems. The Mechanical Diagnosis and Therapy (MDT) is a widely used and reliable classification system for assessing and managing painful musculoskeletal conditions affecting the spine and extremities. This study's primary objective was to assess the inter-rater reliability of the MDT assessment in diagnosing CPPS using clinical vignettes. Secondary objectives included determining the prevalence of MDT classification categories.</p><p><strong>Methods: </strong>Five MDT clinicians classified clinical vignettes into three categories: 1) Spinal Derangement, 2) Pelvic Floor Contractile Dysfunction, or 3) MDT OTHER subgroups. The vignettes were developed from the McKenzie Pelvic Pain Assessment Form. Inter-rater reliability among clinicians was calculated using the Fleiss kappa statistic with 95% confidence intervals, and Cohen's kappa examined reliability between pairs of raters.</p><p><strong>Results: </strong>A total of 76 vignettes were developed (40 females and 36 males). Good inter-rater reliability was found among clinicians (Fleiss kappa = 0.616, 95% CI = 0.598-0.633, <i>p</i> < 0.001). Inter-rater reliability was higher when classifying female vignettes (Fleiss kappa = 0.658, 95% CI = 0.634, 0.682) than male vignettes (Fleiss kappa = 0.546, 95% CI = 0.519, 0.573). The most common classification was Spinal Derangement (57%), followed by MDT OTHER subgroups (26%) and Pelvic Floor Contractile Dysfunction (17%).</p><p><strong>Conclusions: </strong>The study indicates good inter-rater reliability among MDT clinicians in classifying pelvic pain syndrome. However, clinical vignettes may not fully capture the complexities of real participant interactions, potentially inflating agreement. Future studies should incorporate direct observation of real participant encounters alongside clinical vignettes to improve validity.</p>","PeriodicalId":47319,"journal":{"name":"Journal of Manual & Manipulative Therapy","volume":" ","pages":"449-456"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651370","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 integrated neuromuscular inhibition technique on subjects with neck pain and forward head posture: a randomized controlled trial. 综合神经肌肉抑制技术对颈部疼痛和头部前倾受试者的影响:一项随机对照试验。
IF 1.9
Journal of Manual & Manipulative Therapy Pub Date : 2025-10-01 Epub Date: 2025-03-11 DOI: 10.1080/10669817.2025.2476662
Rania Reffat Ali, Somaya Nady Mohamed Elsayed, Ragia Mohamed Kamel, Ebtisam Mohamed Fahmy, Hend Ahmed Hamdy
{"title":"Effect of integrated neuromuscular inhibition technique on subjects with neck pain and forward head posture: a randomized controlled trial.","authors":"Rania Reffat Ali, Somaya Nady Mohamed Elsayed, Ragia Mohamed Kamel, Ebtisam Mohamed Fahmy, Hend Ahmed Hamdy","doi":"10.1080/10669817.2025.2476662","DOIUrl":"10.1080/10669817.2025.2476662","url":null,"abstract":"<p><strong>Objective: </strong>Forward head posture (FHP) and neck pain are common musculoskeletal complaints. This study aimed to evaluate the effect of the Integrated Neuromuscular Inhibition Technique (INIT) on the range of motion (ROM) and craniovertebral angle (CVA) in individuals with FHP and neck pain.</p><p><strong>Methods: </strong>A total of 40 physical therapy participants (26 females and 14 males), aged 18 to 23 years (mean age: 20 ± 1.71 years), participated in this study. They were randomized into two groups: Group A received conventional therapy combined with Integrated Neuromuscular Inhibition Technique (INIT) targeting the upper trapezius and suboccipital muscles, while Group B received conventional therapy consisting of strengthening and stretching exercises only. The treatment was administered three times per week for one month.Photographic sessions were conducted using a mobile phone. A Realme 7 Pro camera and CorelDRAW software were employed to analyze the craniovertebral angle (CVA). A pressure algometer was used to measure the pressure pain threshold (PPT), while a visual analogue scale (VAS) was utilized to assess pain severity. Additionally, a clinometer application on an Android device was used to evaluate cervical range of motion (ROM).</p><p><strong>Results: </strong>Both groups demonstrated significant improvements in craniovertebral angle (CVA) and visual analogue scale (VAS) scores, with Group A showing a 16.12% improvement in CVA and a 75.61% reduction in VAS, compared to a 7.20% improvement in CVA and a 57.14% reduction in VAS in Group B.Group A also showed a significantly greater post-treatment increase in CVA (<i>p</i> = 0.01), cervical range of motion (ROM) for flexion (<i>p</i> = 0.002), extension (<i>p</i> = 0.005), right bending (<i>p</i> = 0.001), left bending (<i>p</i> = 0.001), right rotation (<i>p</i> = 0.001), and left rotation (<i>p</i> = 0.001). Additionally, Group A exhibited a significantly greater decrease in VAS (<i>p</i> = 0.003) compared to Group B following treatment.</p><p><strong>Conclusion: </strong>The Integrated Neuromuscular Inhibition (INI) technique, which combines ischemic compression, strain-counterstrain, and muscle energy techniques, yields superior outcomes compared to conventional therapy alone for individuals with forward head posture (FHP) and neck pain. It is particularly effective in improving craniovertebral angle (CVA), reducing pain levels, and enhancing cervical range of motion (ROM).</p>","PeriodicalId":47319,"journal":{"name":"Journal of Manual & Manipulative Therapy","volume":" ","pages":"401-411"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606630","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 clinical guide for physiotherapists to assess and manage cervical musculoskeletal impairment and pain sensitivity in migraine patients. 物理治疗师评估和管理偏头痛患者颈椎肌肉骨骼损伤和疼痛敏感性的临床指南。
IF 1.9
Journal of Manual & Manipulative Therapy Pub Date : 2025-10-01 Epub Date: 2025-05-18 DOI: 10.1080/10669817.2025.2502804
Matteo Castaldo, Lars Arendt-Nielsen, Stefano Di Antonio
{"title":"A clinical guide for physiotherapists to assess and manage cervical musculoskeletal impairment and pain sensitivity in migraine patients.","authors":"Matteo Castaldo, Lars Arendt-Nielsen, Stefano Di Antonio","doi":"10.1080/10669817.2025.2502804","DOIUrl":"10.1080/10669817.2025.2502804","url":null,"abstract":"<p><strong>Introduction: </strong>Migraine is a complex neurological disorder characterized by different signs and symptoms, often presenting with an altered pain sensitivity and cervical musculoskeletal impairments. Thus, the management of migraine patients should include the assessment and eventually a specific treatment of these characteristics.</p><p><strong>Purpose: </strong>Physiotherapists play a key role in identifying and managing cervical musculoskeletal impairments and altered pain sensitivity in migraine patients. This manuscript provides evidence-based guidance on assessment techniques and clinical reasoning strategies to help physiotherapists effectively evaluate and interpret these characteristics in clinical practice.</p><p><strong>Implication: </strong>This manuscript serves as a practical guide for physiotherapists by: Outlining physiotherapy assessment techniques for migraine patients.Providing reference cutoff values to identify increased pain sensitivity and cervical dysfunctions.Supporting individualized clinical reasoning to understand these characteristics within each patient's overall condition.Clarifying the rationale behind physiotherapy interventions and integrating hands-on and hands-off therapeutic approaches based on patient-specific needs.</p>","PeriodicalId":47319,"journal":{"name":"Journal of Manual & Manipulative Therapy","volume":" ","pages":"412-429"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095305","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
Is the integration of education with exercise beneficial for whiplash-associated disorders? A systematic review and meta-analysis. 教育与运动的结合对鞭打相关疾病有益吗?系统回顾和荟萃分析。
IF 1.9
Journal of Manual & Manipulative Therapy Pub Date : 2025-10-01 Epub Date: 2025-03-25 DOI: 10.1080/10669817.2025.2475453
Mario Muñoz-Bustos, Adolfo Soto-Martínez, Andoni Carrasco-Uribarren, Luis Ceballos-Laita
{"title":"Is the integration of education with exercise beneficial for whiplash-associated disorders? A systematic review and meta-analysis.","authors":"Mario Muñoz-Bustos, Adolfo Soto-Martínez, Andoni Carrasco-Uribarren, Luis Ceballos-Laita","doi":"10.1080/10669817.2025.2475453","DOIUrl":"10.1080/10669817.2025.2475453","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to compare the effectiveness of exercise combined with educational strategies to exercise alone or educational strategies alone in patients with WAD on pain or disability.</p><p><strong>Design: </strong>Systematic Review and Meta-Analysis.</p><p><strong>Methods: </strong>The MEDLINE, Cochrane, Scopus, PEDro, and Web of Science databases were searched. Clinical trials investigating the effects of education and exercise combined on pain and disability in adults diagnosed with WAD. PEDro, RoB2 and GRADE were used to assess methodological quality, risk of bias and certainty of evidence, respectively. Random-effects models were applied for meta-analysis.</p><p><strong>Results: </strong>Six trials were included in the final review. Education and exercise compared to education alone showed a statistically significant change in pain (MD = -1.00; 95%CI -1.29, -0.71; 2 studies, 212 patients) in the post-treatment period . There was no statistically significant change in pain during the follow-up period. Likewise, education and exercise compared to exercise alone showed a statistically significant change in pain (MD = -0.61; 95%CI -1.00, -0.23; 6 studies, 386 patients), obtained from mid-long follow-up . There was no statistically significant change in pain in the post-treatment period. The resulting significant changes in the pain variable are not clinically relevant. The results show no significant change in disability over any time period. The certainty of the evidence was downgraded to very low for all comparisons.</p><p><strong>Conclusion: </strong>There are no important clinical differences between a combined exercise and education treatment and an education alone or exercise alone treatment in terms of pain and disability in patients with WAD.</p>","PeriodicalId":47319,"journal":{"name":"Journal of Manual & Manipulative Therapy","volume":" ","pages":"378-391"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487689/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711608","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
Thermal temporal summation has good reliability in the lumbar region. 热时间累加法在腰椎区域具有良好的可靠性。
IF 1.9
Journal of Manual & Manipulative Therapy Pub Date : 2025-10-01 Epub Date: 2025-03-18 DOI: 10.1080/10669817.2025.2481315
Max Jordon, Matthew Grubb, Jessica Hackathorne
{"title":"Thermal temporal summation has good reliability in the lumbar region.","authors":"Max Jordon, Matthew Grubb, Jessica Hackathorne","doi":"10.1080/10669817.2025.2481315","DOIUrl":"10.1080/10669817.2025.2481315","url":null,"abstract":"<p><strong>Objectives: </strong>Temporal summation (TS) via a thermal stimulus is a form of dynamic quantitative sensory testing that is often used as an indirect measure of central sensitization. While TS is frequently used as an outcome measure to assess the effectiveness of various interventions, the reliability of this measure has yet to be fully assessed in the lumbar spine. Therefore, the primary purpose of this study was to determine the test-retest reliability of TS using a thermal stimulus at the lumbar spine (LS). The secondary purpose was to compare the thermal TS values in the LS to that of the tibialis anterior (TA) and the thenar eminence (TE).</p><p><strong>Methods: </strong>Adults with no activity limiting pain conditions between the ages of 18 and 40 were recruited to participate in this study. TS was measured following a series of heat-pulses administered by the Medoc Thermal Sensory Analyzer-II system. After undergoing an optimization session, TS was taken at the LS, the muscle belly of the TA, and the TE, all on the right side. A second thermal TS measurement was taken once again a week later.</p><p><strong>Results: </strong>A total of 25 (<i>n</i> = 11 female) individuals participated in this study. ICC values in the lumbar spine ranged from moderate to good (0.591 to 0.836) depending on the calculation method. This compared to the TA with ICC values ranging from 0.621 to 0.772 and the TE with values ranging from 0.572 to 0.751. Correlations of the thermal TS values were high between the LS and the TA (<i>r</i> = 0.745), moderate between the TA and the TE (<i>r</i> = 0.631), and weak between the LS and the TE (<i>r</i> = 0.443).</p><p><strong>Discussion/conclusion: </strong>Thermal TS taken at the LS is a reliable measure with ICC values that are comparable to ICC values found at the TA and the TE.</p>","PeriodicalId":47319,"journal":{"name":"Journal of Manual & Manipulative Therapy","volume":" ","pages":"457-462"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659008","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
Reflecting on IFOMPT's 50-year legacy: celebrating the Gran Canaria milestone and the power of international alliances. 回顾IFOMPT 50年的遗产:庆祝大加那利岛里程碑和国际联盟的力量。
IF 1.9
Journal of Manual & Manipulative Therapy Pub Date : 2025-10-01 Epub Date: 2025-09-15 DOI: 10.1080/10669817.2025.2553467
Sebastián Eustaquio Martín Pérez, Isidro Miguel Martín Pérez
{"title":"Reflecting on IFOMPT's 50-year legacy: celebrating the Gran Canaria milestone and the power of international alliances.","authors":"Sebastián Eustaquio Martín Pérez, Isidro Miguel Martín Pérez","doi":"10.1080/10669817.2025.2553467","DOIUrl":"10.1080/10669817.2025.2553467","url":null,"abstract":"","PeriodicalId":47319,"journal":{"name":"Journal of Manual & Manipulative Therapy","volume":" ","pages":"373-375"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066067","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 description of serious adverse events following spinal manipulative therapy for adults with history of spine surgery: a single institution retrospective chart review. 有脊柱手术史的成人脊柱推拿治疗后严重不良事件的描述:单一机构回顾性图表回顾。
IF 1.9
Journal of Manual & Manipulative Therapy Pub Date : 2025-10-01 Epub Date: 2025-05-03 DOI: 10.1080/10669817.2025.2501054
Jordan A Gliedt, Jacob Gruttke, Aubrianna Jones, Jeff King, Antoinette L Spector, Clinton J Daniels, Marjorie C Wang
{"title":"A description of serious adverse events following spinal manipulative therapy for adults with history of spine surgery: a single institution retrospective chart review.","authors":"Jordan A Gliedt, Jacob Gruttke, Aubrianna Jones, Jeff King, Antoinette L Spector, Clinton J Daniels, Marjorie C Wang","doi":"10.1080/10669817.2025.2501054","DOIUrl":"10.1080/10669817.2025.2501054","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to describe patient demographics and medical history, clinical care characteristics, and short-term serious adverse events associated with SMT in adults with prior spine surgery.</p><p><strong>Methods: </strong>This study was a retrospective chart review of adult (at least 18 years of age) patients with any prior spine surgery who underwent SMT between January 2010 and December 2021 at an academic medical center in the United States. Eligible charts were reviewed, and data were extracted and transcribed onto an a priori Microsoft Excel data extraction tool. Adverse events were defined as vertebral artery dissection, cauda equina syndrome, fracture in the location of SMT, or spine surgery hardware failure in the same spinal region of SMT within 10-days following SMT.</p><p><strong>Results: </strong>A total of 418 unique patient's charts were eligible for review. The mean patient age was 50.6 years. The majority of patients were female (52.6%), White (90.7%), and non-Hispanic (97.8%). The most common types of spine surgeries were lumbar fusion (28.7%), cervical fusion (27.8%), and lumbar discectomy with laminectomy/foraminotomy (34.7%). The median time after surgery to first SMT was 311 days. There were no short-term incidents of vertebrobasilar/cervical artery injury, acute cauda equina, fractures in the same region of SMT application, or hardware failure.</p><p><strong>Conclusion: </strong>There were no incidents of serious adverse events in the short-term following SMT in individuals with prior spine surgery in this study. Findings from this study aid in evaluating the safety profile of SMT for patients with prior spine surgery. In addition, findings contribute to the development of future high-quality study designs for investigating the clinical effectiveness of SMT in this patient population.</p>","PeriodicalId":47319,"journal":{"name":"Journal of Manual & Manipulative Therapy","volume":" ","pages":"430-440"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054004","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
Dry needling of the gluteus-medius muscle, combined with standard care, for chronic low back pain - a pilot randomized sham-controlled trial. 干针刺臀中肌,结合标准护理,治疗慢性腰痛-一项随机随机假对照试验。
IF 1.9
Journal of Manual & Manipulative Therapy Pub Date : 2025-10-01 Epub Date: 2025-02-15 DOI: 10.1080/10669817.2025.2465726
Gali Dar, Alon Goldberg
{"title":"Dry needling of the gluteus-medius muscle, combined with standard care, for chronic low back pain - a pilot randomized sham-controlled trial.","authors":"Gali Dar, Alon Goldberg","doi":"10.1080/10669817.2025.2465726","DOIUrl":"10.1080/10669817.2025.2465726","url":null,"abstract":"<p><strong>Background: </strong>Individuals with low back pain (LBP) often exhibit weakness and the presence of trigger points in their Gluteus Medius (GMe) muscle.</p><p><strong>Objectives: </strong>To examine the effectiveness of adding dry needling (DN) for the GMe to standard care of active physical therapy in patients with chronic nonspecific LBP.</p><p><strong>Methods: </strong>A randomized, prospective, sham-controlled trial was conducted. Participants with chronic nonspecific LBP (<i>N</i> = 22, age range: 31-55 years) were randomly divided into intervention and control groups. Both groups received active physical therapy including exercises for 6 treatments. In addition, at each session, the intervention group received deep DN to their GMe muscle, and the control group received sham needling. Outcome measures included level of pain (using VAS scale), function (Oswestry disability index ODI), low back range of motion (ROM) (forward flexion and schober tests), and global rating of change. The research group was further divided into moderate and minimal disability according to the ODI.</p><p><strong>Results: </strong>The research group showed greater improvement in pain level compared with control (<i>p</i> = 0.01). The change in ODI was higher in the moderate LBP group compared with the control group (B = 5.25, <i>p</i> < 0.05). The change in forward flexion distance test was higher in the moderate disability LBP group compared with the control group (B = 6.31, <i>p</i> < 0.01). Simple mean analysis also revealed a significant difference between the moderate and minimal disability groups (B = 6.16, <i>p</i> = 0.01).</p><p><strong>Conclusions: </strong>Incorporating DN into physical therapy treatments for chronic nonspecific low back pain, can improve pain level and function.</p><p><strong>Clinical trials registration no: </strong>NCT04498572 (clinicaltrial.gov).</p>","PeriodicalId":47319,"journal":{"name":"Journal of Manual & Manipulative Therapy","volume":" ","pages":"392-400"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426430","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
Information needs for people with neck pain seeking physiotherapy neck manipulation or mobilization: an exploratory study. 寻求物理治疗颈部操作或活动的颈部疼痛患者的信息需求:一项探索性研究。
IF 1.9
Journal of Manual & Manipulative Therapy Pub Date : 2025-10-01 Epub Date: 2025-03-16 DOI: 10.1080/10669817.2025.2472374
Michelle Lumasag, Anita Gross, Derek Clewley, Pasqualina Santaguida
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