Journal of chiropractic medicine最新文献_第10页

Demographics and Clinical Profiles of Patients Visiting a Chiropractic Teaching Clinic in Malaysia 马来西亚脊医教学诊所就诊患者的人口学和临床概况

Journal of chiropractic medicine Pub Date : 2021-09-01 DOI: 10.1016/j.jcm.2021.12.001

Sheng Hui Kioh PhD, Tamara Gien Pooke PhD, Siew Fong Chong BSc (Chiro)

{"title":"Demographics and Clinical Profiles of Patients Visiting a Chiropractic Teaching Clinic in Malaysia","authors":"Sheng Hui Kioh PhD, Tamara Gien Pooke PhD, Siew Fong Chong BSc (Chiro)","doi":"10.1016/j.jcm.2021.12.001","DOIUrl":"https://doi.org/10.1016/j.jcm.2021.12.001","url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this study was to describe the demographics and clinical profiles of patients visiting a chiropractic teaching clinic in Malaysia.</p></div><div><h3>Methods</h3><p>A retrospective descriptive study was conducted using existing medical records of all new patients who visited the International Medical University Bukit Jalil teaching clinic between August 2018 and July 2019. Sociodemographic and lifestyle factors, information on location of presenting complaints, duration of complaint and referral sources were reviewed. Descriptive analyses including mean, mode, standard deviations (SDs), and frequencies were performed.</p></div><div><h3>Results</h3><p>Of the 1451 patients included in this study, the mean age was (SD) 34.3 (16.1) with 51.1% female. Most of the patients were Chinese (76.0%), followed by Malay (11.6%), Indian (7.72%), and others such as Punjabi and Sabah and Sarawak native (5.0%). Comparing referral sources, the main referrals were self-referred (26.6%) followed by friends and family referrals (25.0%) and other forms of social media and advertising (10.0%). The most frequent location of complaint was the lumbar and pelvic regions, 562 (38.73%) followed by head and neck 400 (27.57%), lower limb 173 (11.92%), upper limb 154 (10.61%), thoracic 133 (9.17%), and full spine 29 (2%).</p></div><div><h3>Conclusion</h3><p>This study provides important information that allows better understanding of patients presenting to a chiropractic teaching clinic in Malaysia. Such findings may contribute to the benchmark data for future strategic planning to ensure sufficient exposure on case mix among chiropractic interns in Malaysia.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72255515","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}

引用次数: 0

Bilateral Lumbar Radiculopathy Secondary to Myxopapillary Ependymoma: A Case Report 黏乳头状Ependymoma继发双侧腰根病变1例报告

Journal of chiropractic medicine Pub Date : 2021-09-01 DOI: 10.1016/j.jcm.2022.01.004

Joseph C. D'Angiolillo DC , Nitesh V. Patel MD , R. Nick Hernandez MD , Simon Hanft MD

{"title":"Bilateral Lumbar Radiculopathy Secondary to Myxopapillary Ependymoma: A Case Report","authors":"Joseph C. D'Angiolillo DC , Nitesh V. Patel MD , R. Nick Hernandez MD , Simon Hanft MD","doi":"10.1016/j.jcm.2022.01.004","DOIUrl":"https://doi.org/10.1016/j.jcm.2022.01.004","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this case report is to describe the presentation of a patient with bilateral lumbar radiculopathy<span> secondary to myxopapillary ependymoma.</span></p></div><div><h3>Clinical Features</h3><p><span><span>A 45-year-old man presented to a chiropractic office for evaluation and </span>treatment of chronic lower back pain with bilateral lower extremity radiation. The initial onset of pain was related to a lifting injury 6 years prior that never fully resolved. Over the year before presentation, the </span>symptomatology intensified, as the patient's activities now included a 1.5-hour commute to and from work.</p></div><div><h3>Intervention and Outcome</h3><p><span><span>In the interim of waiting for the magnetic resonance imaging (MRI) to be performed, chiropractic manual therapy was initiated using the Cox technique. The patient had 7 treatments, in which </span>lumbar spine pain was reduced from 7 out of 10 to 5 out of 10 on a numeric pain scale and leg pain was reduced from 7 out of 10 to 0 out of 10. The patient obtained an MRI with contrast, which demonstrated a mass at the </span>conus medullaris<span>. An immediate consultation was made with a neurosurgeon. Surgical resection revealed a myxopapillary ependymoma. He was then followed up with by the neurosurgeon at 3 months and 1 year, with sustained improvements and no further symptoms. After surgery, the patient did well without complications.</span></p></div><div><h3>Conclusion</h3><p>A patient with an intradural mass at the level of the conus medullaris presented for chiropractic care and responded positively to treatment but had an underlying condition that was corrected with surgery. For this patient, MRI assisted with evaluation and early diagnosis, and surgical resection facilitated a beneficial outcome.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72255603","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}

引用次数: 1

Cauda Equina Syndrome Following Lumbar Disc Herniation at L5-S1: A Case Report L5-S1腰椎间盘突出后马尾综合征1例报告

Journal of chiropractic medicine Pub Date : 2021-09-01 DOI: 10.1016/j.jcm.2021.12.007

Rishi T. Bodalia DC, MS , William C. Bogar DC , Hector Rivera-Melo DC

{"title":"Cauda Equina Syndrome Following Lumbar Disc Herniation at L5-S1: A Case Report","authors":"Rishi T. Bodalia DC, MS , William C. Bogar DC , Hector Rivera-Melo DC","doi":"10.1016/j.jcm.2021.12.007","DOIUrl":"https://doi.org/10.1016/j.jcm.2021.12.007","url":null,"abstract":"<div><h3>Objective</h3><p><span>The purpose of this article is to describe a patient presenting to a chiropractic clinic with rapidly progressing </span>cauda equina symptoms.</p></div><div><h3>Clinical Features</h3><p>A 30-year-old woman presented to a chiropractic clinic with the onset of saddle distribution sensory loss and urinary retention<span>. The patient had worsening symptoms 48 hours following evaluation at local emergency and radiology departments.</span></p></div><div><h3>Intervention and Outcomes</h3><p><span>After a brief history and evaluation, the patient was immediately referred back to the emergency department<span><span><span>. Based on the rapidly progressive clinical presentation and previous magnetic resonance study of the lumbar spine, immediate </span>decompressive surgery was performed the same day. Low </span>back pain and neurogenic symptoms persisted following surgery, and that prompted a trial of </span></span>epidural injections<span> and pelvic floor<span> therapy with minimal relief. One year later, the patient returned with back pain for chiropractic treatment<span> to include cupping, cold laser therapy, Cox flexion-distraction, and McKenzie-based at-home exercises for post-laminectomy syndrome. Chiropractic treatment provided a mild decrease in symptoms and severity over the course of 3 months.</span></span></span></p></div><div><h3>Conclusion</h3><p>This case demonstrates that chiropractic physicians should be aware of the clinical manifestations and possible rapid progression of cauda equina symptoms to avoid a delay in diagnosis. The patient responded well to postoperative chiropractic care.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72255605","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}

引用次数: 1

Immediate Effect of Manual Therapy on Tibiotarsal Joint Mobility and Static Balance in Individuals With Diabetes 手法治疗对糖尿病患者胫骨关节活动性和静态平衡的即时影响

Journal of chiropractic medicine Pub Date : 2021-09-01 DOI: 10.1016/j.jcm.2021.10.001

Catarina Clapis Zordão PT , Emilson Sodré Mendonça Junior PT, Msc , Paola Marini Valério PT, PhD , Carla Silva Perez PT, PhD , Ana Paula Ferro PT , Elaine Caldeira de Oliveira Guirro PT, PhD

{"title":"Immediate Effect of Manual Therapy on Tibiotarsal Joint Mobility and Static Balance in Individuals With Diabetes","authors":"Catarina Clapis Zordão PT , Emilson Sodré Mendonça Junior PT, Msc , Paola Marini Valério PT, PhD , Carla Silva Perez PT, PhD , Ana Paula Ferro PT , Elaine Caldeira de Oliveira Guirro PT, PhD","doi":"10.1016/j.jcm.2021.10.001","DOIUrl":"https://doi.org/10.1016/j.jcm.2021.10.001","url":null,"abstract":"<div><h3>Objectives</h3><p>The objective of this study was to evaluate the immediate effect of manual therapy on ankle joint mobility and static balance in patients with diabetes.</p></div><div><h3>Methods</h3><p><span>Forty patients, at a mean age of 59.35 ± 7.85, with type 2 diabetes mellitus and </span>neurologic symptoms<span> according to a Neuropathy<span> Symptom Score protocol with amplitude, were included. The patients were divided into 2 groups: sham group and intervention group, which underwent manual manipulation intervention and 7-day follow-up. Joint range-of-motion analysis was performed using digital goniometry and static discharge of weights assessed by computerized baropodometry with open and closed eyes. The Shapiro-Wilk normality test was used to analyze the distribution. The data showed normal distribution, so the analysis of variance tests followed by Tukey's tests were used. SAS statistical software was used and the significance level was 5%.</span></span></p></div><div><h3>Results</h3><p>The results of the intervention group showed an increase in the variable ankle goniometry over time compared to the sham group. The dorsiflexion movement on the right side obtained major gains over time; in addition, plantar flexion increased.</p></div><div><h3>Conclusion</h3><p>Based on the participants evaluated in this study, manual therapy increased the ankle joint amplitude and improved the static balance in individuals with diabetes.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72256140","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}

引用次数: 1

Immediate Effect of Modifying Lumbopelvic Motion During Sitting Knee Extension in People With Low Back Pain: A Repeated-Measures Study 腰背痛患者坐伸膝过程中改变腰背运动的即时效果：一项重复测量研究

Journal of chiropractic medicine Pub Date : 2021-09-01 DOI: 10.1016/j.jcm.2021.12.002

Amin Behdarvandan PhD , Mohammad Jafar Shaterzadeh-Yazdi PhD , Hossein Negahban PhD , Mohammad Mehravar MSc

{"title":"Immediate Effect of Modifying Lumbopelvic Motion During Sitting Knee Extension in People With Low Back Pain: A Repeated-Measures Study","authors":"Amin Behdarvandan PhD , Mohammad Jafar Shaterzadeh-Yazdi PhD , Hossein Negahban PhD , Mohammad Mehravar MSc","doi":"10.1016/j.jcm.2021.12.002","DOIUrl":"https://doi.org/10.1016/j.jcm.2021.12.002","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this study was to investigate the ability of people with low back pain (LBP) to modify the pattern of lumbopelvic rotation (LPR) when actively moving their lower limbs in sitting.</p></div><div><h3>Methods</h3><p>In this repeated-measures study in 38 men with chronic mechanical LBP (mean age, 38.4 ± 10.6 years), the timing and magnitude of LPR were investigated before and during the contraction of abdominal muscles during active knee extension while sitting. The kinematic data were collected using a motion-capture system, and OpenSim software was used for data analysis. The time difference between the start of knee extension and the start of LPR was measured and then adjusted to the movement time of the knee. The maximum LPR angle was also measured.</p></div><div><h3>Results</h3><p>Participants increased the time difference between the start of knee extension and the start of LPR when contracting the abdominal muscles (<em>P</em> < .01). Before and during contraction of abdominal muscles, however, there were no differences in maximum LPR.</p></div><div><h3>Conclusion</h3><p>People with LBP are able to modify early lumbopelvic motion during active lower limb movement while sitting. This may reduce the frequency of lumbopelvic motion during activities of daily living in sitting in these people.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72255516","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}

引用次数: 0

Interrater Reliability of Spine Range of Motion Measurement Using a Tape Measure and Goniometer 用卷尺和测角仪测量脊柱运动范围的中断器可靠性

Journal of chiropractic medicine Pub Date : 2021-09-01 DOI: 10.1016/j.jcm.2021.09.003

Madelyn Johnson OTD, M.J. Mulcahey PhD

{"title":"Interrater Reliability of Spine Range of Motion Measurement Using a Tape Measure and Goniometer","authors":"Madelyn Johnson OTD, M.J. Mulcahey PhD","doi":"10.1016/j.jcm.2021.09.003","DOIUrl":"https://doi.org/10.1016/j.jcm.2021.09.003","url":null,"abstract":"<div><h3>Objective</h3><p><span>The purpose of this study was to examine the interrater reliability of using a tape measure and </span>goniometer to measure thoracolumbar range of motion (ROM).</p></div><div><h3>Methods</h3><p>Seven raters were trained on procedures for evaluating ROM of 4 spine motions, using 12 measurement procedures with a tape measure (n = 8) and a goniometer (n = 4). Three healthy female graduate student volunteers who reported having no injuries and who were able to perform all spinal movements served were stationed in separate rooms, and the 7 raters rotated through the rooms and measured each of the spine motions, using a total of the 12 measurement procedures. Data were analyzed using intraclass correlation coefficient (ICC) with a 95% confidence interval (CI) as an index of reliability.</p></div><div><h3>Results</h3><p>Interrater reliability ranged from ICC of 0.791 to 0.999, indicating good-to-strong reliability. The flexion finger-floor measurement showed strongest reliability, with an ICC of 0.999 (95% CI, 0.998-1.00). Interrater reliability was high for the modified Schober test (ICC, 0.942; 95% CI, 0.875-0.976), left (ICC, 0.985; 95% CI, 0.969-0.993) and right (ICC, 0.961; 95% CI, 0.920-0.983) lateral flexion, forward flexion (ICC, 0.971; 95% CI, 0.938-0.987) and backward extension (ICC, 0.995; 95% CI, 0.990-0.998), and trunk rotation (ICC, 0.933; 95% CI, 0.857-0.989).</p></div><div><h3>Conclusion</h3><p>In this study, thoracolumbar ROM measurements were obtained using a tape measure and goniometer with a good to high degree of reliability among raters who were trained in accurate procedures with the tape measure and goniometer.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72255601","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}

引用次数: 7

Secretory Immunoglobulin A and Upper Cervical Chiropractic: A Preliminary Prospective, Multicenter, Observational Study 分泌性免疫球蛋白A与上颈椎脊医：一项前瞻性、多中心、观察性的初步研究

Journal of chiropractic medicine Pub Date : 2021-09-01 DOI: 10.1016/j.jcm.2021.10.003

Philip R. Schalow DC, DCCJP , Kelly A. Kimball DC , Frederick T. Schurger DC, DCCJP , George R. Sooley DC, DCCJP , Scott P. Bales DC, DCCJP , Roderic P. Rochester DC, FCCJP , Robert T. Brooks DC , Julie M. Hunt DC, FCCJP, DICCP

{"title":"Secretory Immunoglobulin A and Upper Cervical Chiropractic: A Preliminary Prospective, Multicenter, Observational Study","authors":"Philip R. Schalow DC, DCCJP , Kelly A. Kimball DC , Frederick T. Schurger DC, DCCJP , George R. Sooley DC, DCCJP , Scott P. Bales DC, DCCJP , Roderic P. Rochester DC, FCCJP , Robert T. Brooks DC , Julie M. Hunt DC, FCCJP, DICCP","doi":"10.1016/j.jcm.2021.10.003","DOIUrl":"https://doi.org/10.1016/j.jcm.2021.10.003","url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this study was to observe changes in secretory immunoglobulin A (SIgA) after chiropractic care using upper cervical adjusting techniques (UCATs) at the craniocervical junction (CCJ).</p></div><div><h3>Methods</h3><p>Forty-one participants were enrolled from 5 chiropractic offices in North America. Each participant provided a saliva sample at an initial visit before care. A second saliva sample was collected after resting 30 minutes after the first UCAT treatment. A third saliva sample was collected after 2 weeks.</p></div><div><h3>Results</h3><p>There was a significant increase in SIgA observed 30 minutes after the UCAT treatment compared to baseline. After 2 weeks, SIgA levels decreased back to near original levels.</p></div><div><h3>Conclusion</h3><p>Our preliminary findings demonstrate an immediate, temporary increase in SIgA levels after a UCAT treatment at the CCJ.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1556370721000365/pdfft?md5=1f08caf25f9ce5133755a8325cb303ad&pid=1-s2.0-S1556370721000365-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72255606","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

Osteopathic Cranial Manipulation for a Patient With Whiplash-Associated Disorder: A Case Report 骨病性颅骨手法治疗一例Whiplash相关疾病

Journal of chiropractic medicine Pub Date : 2021-09-01 DOI: 10.1016/j.jcm.2021.12.003

Giovanni Parravicini PT, DO, Matteo Ghiringhelli PT, DO

引用次数: 1

Multimodal Care for Headaches, Lumbopelvic Pain, and Dysmenorrhea in a Woman With Endometriosis: A Case Report 子宫内膜异位症妇女头痛、腰痛和痛经的多模式护理：一例报告

Journal of chiropractic medicine Pub Date : 2021-09-01 DOI: 10.1016/j.jcm.2021.10.002

Brett R. Martin DC, MSAc, MPH

{"title":"Multimodal Care for Headaches, Lumbopelvic Pain, and Dysmenorrhea in a Woman With Endometriosis: A Case Report","authors":"Brett R. Martin DC, MSAc, MPH","doi":"10.1016/j.jcm.2021.10.002","DOIUrl":"https://doi.org/10.1016/j.jcm.2021.10.002","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this case report is to describe the conservative management of a patient with headaches, lumbopelvic pain, and dysmenorrhea.</p></div><div><h3>Clinical Features</h3><p><span>A 36-year-old woman presented with intense pelvic and daily lumbar pain. She had difficulty sleeping and focusing and had 3 to 4 headaches per week. Before, during, or after her menses, she would have migraine headaches. During her menses, she experienced severe lumbopelvic pain and dysmenorrhea with moderate bloating, constipation, nausea, and diarrhea. When she was 32 years old, her gynecologist diagnosed </span>endometriosis<span> and prescribed nonsteroidal anti-inflammatory drugs and hormonal oral contraceptives, which failed to alleviate her symptoms. She sought an alternative approach to help control her symptoms.</span></p></div><div><h3>Intervention and Outcome</h3><p><span><span>A multimodal approach was selected for this patient, which consisted of acupuncture combined with supplements of </span>magnesium citrate, B-100 complex and botanicals turmeric (</span><em>Curcuma longa/root extract</em><span>), bromelain (</span><em>Ananas comosus</em> [pineapple stem]) and black cohosh (<em>Cimicifuga racemosa</em><span>). After an initial trial of care, her daily lumbopelvic pain was reduced, and she was sleeping better and feeling more focused and less fatigued. She rarely had tension headaches during the week or migraine headaches or dysmenorrhea before, during, or after menses. Her lumbopelvic pain and gastrointestinal symptoms were reduced.</span></p></div><div><h3>Conclusion</h3><p>A patient who was experiencing headaches, lumbopelvic pain, and dysmenorrhea responded favorably to a course of care that included a combination of botanicals, supplements, and acupuncture.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72255602","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}

引用次数: 4

Prevalence of Back Pain and Idiopathic Scoliosis in Adolescents From the Semiarid Region of Brazil: A Cross-sectional Study 巴西半干旱地区青少年背部疼痛和特发性脊柱侧凸患病率:一项横断面研究

Journal of chiropractic medicine Pub Date : 2021-09-01 DOI: 10.1016/j.jcm.2021.12.004

Milla Gabriela Belarmino Dantas PhD , Aron Nogueira Aquino BSc , Heloisa Jacomé Correia BSc , Karina Pires Ferreira BSc , Breno Borges Do Nascimento BSc , Leonildo de Santana Silva BSc , Abilene Pinheiro Santos Da Silva BSc , Patrícia Jundi Penha PhD , Silvia Maria Amado João PhD

{"title":"Prevalence of Back Pain and Idiopathic Scoliosis in Adolescents From the Semiarid Region of Brazil: A Cross-sectional Study","authors":"Milla Gabriela Belarmino Dantas PhD , Aron Nogueira Aquino BSc , Heloisa Jacomé Correia BSc , Karina Pires Ferreira BSc , Breno Borges Do Nascimento BSc , Leonildo de Santana Silva BSc , Abilene Pinheiro Santos Da Silva BSc , Patrícia Jundi Penha PhD , Silvia Maria Amado João PhD","doi":"10.1016/j.jcm.2021.12.004","DOIUrl":"10.1016/j.jcm.2021.12.004","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to estimate the prevalence of adolescent idiopathic scoliosis<span> (AIS), and back pain and its risk factors, in schoolchildren from the semiarid region of Brazil.</span></p></div><div><h3>Methods</h3><p>A total of 520 adolescents aged 10 to 16 years old were assessed. The students were administered the self-reported Back Pain and Body Posture Evaluation Instrument questionnaire. The screening for AIS included measuring the angle of trunk rotation using a scoliometer in the Adams forward-bend test. Participants with an angle of trunk rotation ≥ 7° were referred for radiography. The prevalence ratio was estimated by multivariable analysis using a Poisson regression model (α = 0.05).</p></div><div><h3>Results</h3><p>Among the participants, 3.1% (95% confidence interval, 3.2%-6.9%) had a confirmed AIS diagnosis: 1.9% girls and 1.1% boys. There was no difference between boys and girls in AIS prevalence. The prevalence of back pain in the previous 3 months was 63.7% (95% confidence interval, 59.5%-67.7%), at a moderate level (visual analog scale = 3.83; 95% confidence interval, 3.57-4.08). Multivariable analysis showed that back pain is associated with postural variables, sex, and age.</p></div><div><h3>Conclusion</h3><p>The prevalence of AIS in the semiarid region of Brazil was 3.1%, and that of back pain was 63.7%. Only body mass index was different between adolescents with and without AIS, with those with AIS having a lower mean body mass index. Back pain was higher in girls and increased in older adolescents. Furthermore, behavioral and postural habits and hereditary factors were associated with an increased chance of back pain.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81663171","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}

引用次数: 8