Journal of chiropractic medicine最新文献

{"title":"Risk Factors of Low Back Pain Among Railway Track-Maintainers in India: A Cross-Sectional Survey","authors":"Banibrata Das Ph.D","doi":"10.1016/j.jcm.2025.09.008","DOIUrl":"10.1016/j.jcm.2025.09.008","url":null,"abstract":"<div><h3>Objectives</h3><div>The objective of this study was to determine the relationship between low back pain (LBP) and ergonomic and psychosocial risk factors encountered by railway track maintainers in India.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted in India. Socio-demographics, ergonomics, and psychosocial risk factors were examined among railway track maintainers. A modified Nordic Musculoskeletal Disorder Questionnaire was also administered to participants. The working posture of the participants was assessed using the Ovako Working Posture Analysis System (OWAS). Univariate logistic regressions were used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) among participants.</div></div><div><h3>Results</h3><div>90.3% of railway track maintainers reported low back pain. In the univariate analysis, repetitive work (OR-2.848; 95% CI-1.34-6.051), awkward posture (OR-33.84; 95% CI-12.334-92.896), pulling loads (MMH) (OR- 6.300; 95% CI-2.802 to 14.166), and long working hours (OR- 4.553; 95% CI-1.910 to 10.854) all demonstrated significant relationships with LBP among participants. Psychosocial factors, such as work demand targeting specific productivity (97.3%), monotony of work (91.8%), perceived inadequacy of income (83.3%), and rigidity in work methods (86.4%), have a relationship with LBP. According to the OWAS posture analysis, most of the working postures of railway track maintainers require immediate correction.</div></div><div><h3>Conclusions</h3><div>The high prevalence of LBP among railway track maintainers and its significant associations with ergonomic and psychosocial risk factors indicate a need to follow suggested preventive measures to avoid LBP.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 239-250"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Warm and Cold Contrast Footbaths on Psychological and Physiological Responses in Healthy Adults","authors":"Takemune Fukuie PhD ,&nbsp;Tomomi Fujimoto PhD ,&nbsp;Koshiro Inoue PhD ,&nbsp;Akihiko Yamaguchi PhD","doi":"10.1016/j.jcm.2025.09.032","DOIUrl":"10.1016/j.jcm.2025.09.032","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to measure whether 3-minute warm/cold-contrast footbaths have psychological and physiological relaxation effects, focusing on the effects of the order of the warm and cold footbaths.</div></div><div><h3>Methods</h3><div>Thirty healthy young adults (age: 19 ± 2 years; 23 female) participated in the study. Participants performed 2 conditions on separate days: a warm-cold footbath condition (WC condition) starting with a warm footbath (42°C warm water) and ending with a cold footbath (15°C to 20°C) and a cold–warm footbath condition (CW condition) starting with a cold footbath and ending with a warm footbath. The warm footbath was performed for 45 seconds and the cold footbath for 15 seconds per set, for a total of 3 sets of 3 minutes in length. Psychological responses were evaluated before and after the footbath using a questionnaire, and physiological responses were evaluated during the footbath by measuring heart rate, heart rate variability, and pupil diameter.</div></div><div><h3>Results</h3><div>Psychological relaxation and leg lightness significantly increased after the footbath under both conditions (<em>P</em> = .04, <em>P</em> &lt; .001). Leg warmth increased significantly after the footbath only in the CW condition (<em>P</em> = .001). Heart rate and pupil diameter decreased significantly from the beginning to the end of the footbath under both conditions (<em>P</em> = .001, <em>P</em> &lt; .001); no change in heart rate variability was observed.</div></div><div><h3>Conclusion</h3><div>Three-minute warm/cold-contrast footbaths had psychological and physiological relaxation effects, regardless of the order of the warm and cold footbaths. The psychological relaxation effect may be greater if the warm footbath is at the end.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 260-267"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilization of Nutritional Supplements by South African Chiropractors in the Management of Musculoskeletal Conditions in Runners: A Qualitative Exploration","authors":"Lori L. Niemand MHSC, ICSC ,&nbsp;Ashura Abdul-Rasheed PhD, MTech ,&nbsp;Yasmeen Thandar PhD","doi":"10.1016/j.jcm.2025.09.029","DOIUrl":"10.1016/j.jcm.2025.09.029","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to explore chiropractors’ utilization methods, types of supplements advised, and their influence in managing musculoskeletal conditions in runners.</div></div><div><h3>Methodology</h3><div>This was a qualitative, exploratory descriptive study. Fifteen South African chiropractors with a minimum of 3 years' experience, who treat runners and recommend nutritional supplements, were interviewed. Data collection took place over about 5 weeks, between July and September 2023. Data were analyzed using Tesch's method for themes and sub-themes.</div></div><div><h3>Results</h3><div>Four main themes emerged, revealing chiropractors' active use of supplements for runners, diverse supplement recommendations, improved treatment outcomes, enhanced recovery and performance, and reduced injury rates. Holistic management of runners was evident.</div></div><div><h3>Conclusion</h3><div>This study offered insights into South African chiropractors' selection, prescription, and dispensation of supplements for runners, revealing recommendations for both musculoskeletal and nonmusculoskeletal conditions.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 268-277"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Omega-3 Fatty Acid Supplementation on Cellular Lipid Profile: A Case Series","authors":"Erica Callahan DC, MSACN,&nbsp;Robert L. Fox DC","doi":"10.1016/j.jcm.2025.07.001","DOIUrl":"10.1016/j.jcm.2025.07.001","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this report is to describe changes in the cellular lipid profile of participants following 120 days of omega-3 fatty acid supplementation.</div></div><div><h3>Methods</h3><div>Six participants received a non-gastric acid-resistant omega-3 fatty acid supplement, with dosages personalized based on preintervention red blood cell (RBC) omega-6 to omega-3 ratios. Blood samples were analyzed pre- and postintervention to determine changes in RBC lipid profiles.</div></div><div><h3>Results</h3><div>Six participants who were either fully or partially compliant with the supplementation showed a mean reduction of 41.2% in their RBC omega-6 to omega-3 ratio, with 2 participants achieving a ratio of 4:1 or lower.</div></div><div><h3>Conclusion</h3><div>Several of the compliant participants with Omega-3 fatty acid supplementation recorded a reduction in the omega-6 to omega-3 ratio in RBC lipid profiles.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 380-385"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Congenital Bilateral Complete Agenesis of the Hallucal Sesamoids: A Case Report","authors":"Dingbo Shi DC ,&nbsp;Aidan E. O’Brien DC ,&nbsp;Jesse D. Politowski DC ,&nbsp;Norman W. Kettner DC","doi":"10.1016/j.jcm.2025.08.016","DOIUrl":"10.1016/j.jcm.2025.08.016","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case report is to describe a patient with bilateral complete hallucal sesamoidal agenesis.</div></div><div><h3>Clinical Features</h3><div>A 23 year-old female presented with left 4th metatarsal head pain that is worse in the morning and prevents her from running. A week later, she had an inversion injury in the right foot while playing flag football.</div></div><div><h3>Interventions and Outcomes</h3><div>Radiography incidentally demonstrated bilateral complete absence of osseous hallucal sesamoids with a round, featureless 1st metatarsal head that does not have sesamoidal grooves nor an intersesamoidal crest and later confirmed lack of fibrocartilaginous nodes on ultrasonography.</div></div><div><h3>Conclusion</h3><div>Bilateral complete agenesis of the hallucal sesamoids is rare. This study describes a case of asymptomatic congenital bilateral complete agenesis of the hallucal sesamoids visualized on radiography and confirmed with ultrasonography.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 386-390"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship of Lumbar Multifidus Activity, Disability, and Pain During Standing in People With Chronic Low Back Pain: Cross-Sectional Study From a Randomized Controlled Trial","authors":"Aftab Ahmed Mirza Baig PhD ,&nbsp;Basit Ansari PhD ,&nbsp;Farhan Ishaque Khan PhD ,&nbsp;Rabia Hassan MSAPT ,&nbsp;Waqas Ahmed Farooqui PhD","doi":"10.1016/j.jcm.2025.09.013","DOIUrl":"10.1016/j.jcm.2025.09.013","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to determine the relationship between pain, disability, and lumbar multifidus activity in people with chronic low back pain while standing.</div></div><div><h3>Methods</h3><div>This cross-sectional study included baseline analysis of a randomized controlled trial of 150 patients with chronic low back pain. Pain intensity during standing, disability, and lumbar multifidus activity was assessed using a visual analog scale, the Oswestry Disability Index questionnaire, and surface electromyography, respectively. Multiple linear regression was used to analyze the association between lumbar multifidus activity, pain during standing, and disability.</div></div><div><h3>Results</h3><div>Lumbar multifidus (LM) activity on the right side did not significantly correlate with pain intensity during standing, except for the left-side percent maximum voluntary contraction of the LM, which showed a significant positive correlation with pain intensity (r = 0.328, <em>P</em> &lt; .001). There was a positive correlation of functional disability with right-side LM activity (r = 0.180, <em>p</em> &lt; .05) and left-side LM activity (r = 0.351, <em>p</em> &lt; .001).</div></div><div><h3>Conclusion</h3><div>An increase in lumbar multifidus activity is correlated with increased pain during standing and disability.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 179-184"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kinematic Evaluation of Sagittal Spine Motion During Walking With Internal Frame and Frameless Backpacks","authors":"Lori Beth A. Bryson DC ,&nbsp;Jonathan D. Bryson DC ,&nbsp;Brent S. Russell MS, DC ,&nbsp;Ronald S. Hosek PhD, DC, MPH","doi":"10.1016/j.jcm.2025.09.020","DOIUrl":"10.1016/j.jcm.2025.09.020","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to examine sagittal spinal movements during walking with frameless and internal frame backpacks.</div></div><div><h3>Methods</h3><div>Twenty adult students from a chiropractic college walked on a treadmill while wearing inertial measurement units mounted on the head, T1 and T12 vertebrae, and sacrum. They walked without a backpack, with a backpack loaded with 6.8 kg, and after 15 minutes walking with the loaded pack. Day 1, they wore a backpack with no structural support; day 2, they wore an internal frame backpack with a hip belt and chest compression straps. Cyclic sagittal flexion and extension endpoints were identified using an application written in the R language.</div></div><div><h3>Results</h3><div>Participants walked with the lumbar spine in slight flexion throughout all trials with both packs; flexion significantly increased with load and with time, more so with the frameless pack. The thoracic region showed progressive extension with load and time, significant only for the frameless pack. The cervical region trended toward progressive extension with load and time, with no significant changes for either pack.</div></div><div><h3>Conclusion</h3><div>In this group of adult students walking on a treadmill, there were trends of increasing lumbar flexion, thoracic extension, and cervical extension, with changes more pronounced with a frameless backpack than one with an internal frame.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 137-144"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coordination of Care Between a Primary Care Physician and a Chiropractic Resident for the Management of Meralgia Paresthetica: A Case Report","authors":"Braden M. Sims DC ,&nbsp;Eric J. Kirk DC ,&nbsp;Christopher T. Arick DC, MS, EdD ,&nbsp;Daniel Sajdak DO","doi":"10.1016/j.jcm.2025.09.019","DOIUrl":"10.1016/j.jcm.2025.09.019","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case report is to describe the collaborative management between a primary care physician and a chiropractic resident in a large private-sector integrated healthcare system for the evaluation and treatment of a patient with meralgia paresthetica.</div></div><div><h3>Clinical Features</h3><div>A 46-year-old male presented to a Family Medicine department within a large integrated healthcare system’s outpatient clinic for an annual physical and evaluation in which he reported the presence of upper left anterior thigh numbness of 2 days duration.</div></div><div><h3>Intervention and Outcome</h3><div>The primary care physician and chiropractic resident collaborated on differential diagnosis and agreed upon a coordinated plan of care inclusive of a referral for chiropractic management. A case appropriate history and problem focused physical examination was conducted, which revealed clinical findings consistent with meralgia paresthetica. A treatment plan consisting of anti-inflammatory medication, therapeutic exercise, soft tissue mobilization techniques, patient education, and ergonomic instruction was initiated as part of an evidence-informed approach. The patient responded favorably to collaborative care and demonstrated improved patient reported outcomes as assessed with a verbal numerical rating scale.</div></div><div><h3>Conclusion</h3><div>The combined management demonstrated key themes of effective healthcare collaboration and resulted in the resolution of the patient's condition.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 482-486"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ununited Mobile Odontoid Fracture: Clinical and Imaging Findings With Subsequent Management: A Case Report","authors":"Inger K. Roug DC, DACBR ,&nbsp;Jane Cook DC, DACBR, MSc(APD), MSc US (MSK) ,&nbsp;Vijay Kumar Pabbathi BSc, BVSc, MSc, PhD ,&nbsp;John Andrew Radin DC, DACNB","doi":"10.1016/j.jcm.2025.08.017","DOIUrl":"10.1016/j.jcm.2025.08.017","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case study is to describe the clinical presentation and imaging evaluation of an acute type II dens fracture that failed to unite with immobilization. Subsequent management aimed at optimizing the patient’s quality of life is discussed.</div></div><div><h3>Clinical Presentation</h3><div>An 84-year-old male presented to a chiropractic clinic 4 days after a ground-level fall onto his face. He demonstrated facial bruising, severe pain of the neck and severely limited cervical rotation. Based on the clinical findings and history, the attending chiropractor suspected a cervical spine fracture.</div></div><div><h3>Intervention and outcome</h3><div>The chiropractor proceeded to take cervical spine radiographs which showed a type II dens fracture and anterior translation of C1. The patient was then transported to the hospital by ambulance, where computed tomography (CT) confirmed the presence of a type II odontoid fracture. Following immobilization, initially with a hard collar and later a soft collar, the dens fracture healed but with non-union. A magnetic resonance imaging scan with flexion and extension showed translation of the dens, however no spinal cord compromise was demonstrated. Surgery was not advised due to the patient’s age and lack of cord compromise. The chiropractor resumed management after medical clearance, focusing on fall prevention strategies, neck strengthening exercises and gentle soft tissue work.</div></div><div><h3>Conclusion</h3><div>Upright magnetic resonance imaging with flexion and extension was helpful for evaluation and further management of a non-united mobile type II dens fracture. Patients who experience non-union of type II odontoid fracture may benefit from conservative measures aimed at falls prevention, such as balance exercises, bone and heart health evaluation, muscle strengthening, cataract evaluation and scrutiny for hazards in the home.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 402-408"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Algorithm for Temporomandibular Disorders With Osteopathic Manipulative Therapy: An Expert Consensus","authors":"Llanos De-La-Iglesia MSc ,&nbsp;Cristina Bravo MSc, PhD ,&nbsp;Cristian Justribó-Manion MSc ,&nbsp;Anna Montmany ,&nbsp;Toni Roman-Arias MSc ,&nbsp;Isabelle Hue PhD ,&nbsp;P-M Dugailly MSc, PhD ,&nbsp;Stefano Colasanto ,&nbsp;Philip Van-Caille ,&nbsp;Francesc Rubí-Carnacea MSc, PhD","doi":"10.1016/j.jcm.2025.09.034","DOIUrl":"10.1016/j.jcm.2025.09.034","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to create a consensus algorithm for the osteopathic approach to temporomandibular dysfunctions<strong>.</strong></div></div><div><h3>Methods</h3><div>A conventional Delphi method of at least 3 rounds of questionnaires was carried out by a panel of experts to reach a consensus on a flowchart algorithm for the diagnosis and treatment of temporomandibular disorders with osteopathic manipulative therapy<strong>.</strong></div></div><div><h3>Results</h3><div>During the 3 rounds, a total of 7 panellists participated. Consensus was reached on 182 items (70.54% = 182/258). The algorithm has a numerical code with which the direction of each option can be followed, and a color code that shows the classification of each of the items (anamnesis, examination, observation, referral, palpation and treatment). The algorithm begins with 4 main categories: psychological aspects, exclusion criteria, physical aspects, and other issues, which are further subdivided into specific items that will be addressed according to the findings obtained during the patient visit.</div></div><div><h3>Conclusion</h3><div>This study created an algorithm for the osteopathic approach to temporomandibular dysfunctions.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 219-225"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}