Journal of chiropractic medicine最新文献

{"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}

{"title":"Interpersonal Process of Care Experience of Patients Receiving Care at a Chiropractic Outpatient Teaching Clinic","authors":"Tate Gentile DC, DACCP ,&nbsp;Andrew Whetten PhD ,&nbsp;Joel Alcantara DC, PhD","doi":"10.1016/j.jcm.2025.09.035","DOIUrl":"10.1016/j.jcm.2025.09.035","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to examine the interpersonal process of care (IPC) experience of patients receiving care at 1 chiropractic college.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, respondents attending care at the Sherman College of Chiropractic outpatient clinic completed a survey (July 2016 to June 2017) to provide their sociodemographic and clinical information and complete an adapted version of the IPC-18 to assess their IPC experience with chiropractic care. Principal component analysis and k-means cluster analysis determined natural groupings/clusters of respondents. Random forest modeling determined factors predictive of shared decision-making.</div></div><div><h3>Results</h3><div>Ninety-nine patients (41 males, 44 females, and 14 unknown) responded. The largest group of respondents was aged 40 to 55 years and highly educated. Principal component analysis found that the first dimension was strongly influenced by the IPC-18 subscale of communication (ie, elicited concerns, explained results, and decided together). The second dimension was strongly influenced by interpersonal style (ie, disrespectful office staff). The third and fourth dimensions were strongly influenced by communication (ie, lack of clarity) and interpersonal style (ie, discrimination due to race/ethnicity), respectively. The most important predictors for shared decision-making were communication (ie, chiropractor/intern explained the results of examination findings and elicited the patient’s concerns and took them seriously) and interpersonal style (ie, the patient was treated as an equal). Patient age and presenting symptoms were also important predictors of shared decision-making.</div></div><div><h3>Conclusion</h3><div>The IPC experience of patients under care was dominantly positive, cooperative, and equitable with their chiropractor/interns and office staff. Factors predictive of shared clinical decision-making included good communication and a positive interpersonal style with the provider.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 278-292"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694839","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":"Instrument-Assisted Spinal Manipulation, Soft Tissue Mobilization, and Dietary Supplements for the Management of Pain in a Woman With Fibromyalgia: A Case Report","authors":"Adam J. McRoberts DC, MA, MS ,&nbsp;Brett R. Martin DC, MSAc, MPH","doi":"10.1016/j.jcm.2025.09.018","DOIUrl":"10.1016/j.jcm.2025.09.018","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case report is to describe a multimodal treatment approach for a middle-aged woman with fibromyalgia (FM).</div></div><div><h3>Clinical Features</h3><div>A 52-year-old woman presented with FM. She did not respond to pharmaceutical interventions. Her condition manifested as focal, bilateral pain in her hands, wrists, lumbar spine, thoracic spine, and cervical spine. She experienced pain 75% to 100% of her day, which was exacerbated by carrying or lifting, changing positions, household chores, lying down, raising her arms above her shoulders, and stress. Due to the severity of her condition, she had poor grip strength and transient tremors in her hands. The pain interfered with her sleep every night.</div></div><div><h3>Intervention and Outcome</h3><div>The treatment strategy involved a multimodal approach using instrument-assisted spinal manipulation to the lumbar, thoracic, and cervical spine, hands and wrists soft tissue massage, and supplementation with omega-3 fatty acids, <em>N</em>-acetylcysteine, <span>l</span>-theanine, and valerian once per day. After treatment, her pain was manageable. She reported improvements in her range of motion in her hands, wrists, and lumbar, thoracic, and cervical spine, and improvements in her hand tremors, grip strength, and sleep quality.</div></div><div><h3>Conclusion</h3><div>A female with FM had improvements in her symptoms and quality of life following a multimodal conservative treatment regimen.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 436-442"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694840","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":"Range of Motion and Muscle Endurance of the Neck in Individuals With Shoulder Pain: A Cross-Sectional Study","authors":"Nícia Farias Braga Maciel PhD ,&nbsp;Sandra Cristina Andrade PhD ,&nbsp;Catarina de Oliveira Sousa PhD","doi":"10.1016/j.jcm.2025.09.009","DOIUrl":"10.1016/j.jcm.2025.09.009","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to compare the range of motion and muscle endurance time of the neck between individuals with and without shoulder pain and to determine whether these variables could identify individuals with shoulder pain.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, 102 individuals were divided into 2 groups: with and without shoulder pain. The range of motion (RoM) of the neck (flexion, extension, lateral flexion, and rotation) and the endurance time of the neck muscles (extensors and lateral flexors) were evaluated bilaterally. One-way and 2-way ANOVA were used to compare groups regarding unilateral and bilateral variables, respectively. ROC curves were developed to verify the ability of variables to discriminate between individuals with and without shoulder pain.</div></div><div><h3>Results</h3><div>Individuals with shoulder pain had lower RoM for all movements (<em>P</em> &lt; .01 to <em>P</em> = .04) and lower endurance time for all muscle groups (<em>P</em> &lt; .01 to <em>P</em> = .02). Neck flexion and contralateral rotation (area under the curve [AUC] = 0.70 and 0.73, respectively) and endurance time of ipsilateral lateral flexors (AUC = 0.76) presented acceptable discriminative capacity to identify individuals with shoulder pain. Other variables showed small discriminative capacity (AUC = 0.63-0.67), and bilateral lateral flexion RoM did not present discriminative capacity (<em>P</em> &gt; .05).</div></div><div><h3>Conclusion</h3><div>Individuals with shoulder pain had reduced mobility and endurance of the neck. Flexion and contralateral rotation RoM and the endurance of ipsilateral lateral flexors identified those with shoulder pain. Results suggest a regional interdependence between the shoulder and the neck.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 163-171"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694848","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 Abdominal Training With Whole-Body Vibration on Erector Spinae Stiffness: A Randomized Trial Using Shear Wave Elastography","authors":"Ryo Miyachi PhD ,&nbsp;Takaaki Nishimura PhD ,&nbsp;Sachiko Madokoro PhD ,&nbsp;Toshiaki Yamazaki PhD","doi":"10.1016/j.jcm.2025.08.003","DOIUrl":"10.1016/j.jcm.2025.08.003","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to compare the effects of 4 weeks of conventional abdominal training and training combined with whole-body vibration (WBV) on erector spinae (ES) stiffness, assessed using ultrasound shear wave elastography.</div></div><div><h3>Methods</h3><div>Twenty-four healthy university students were randomly assigned to either a WBV or non-WBV group and performed the same exercise on the floor. The participants held a sit-up position for training, 3 times per week for 4 weeks. The primary outcome was ES stiffness measured using shear wave elastography. Secondary outcomes included pressure pain threshold of the ES, lumbar proprioception, and maximum lumbar flexion angle. Split-plot ANOVA was used to analyze the data.</div></div><div><h3>Results</h3><div>There was no significant group × period interaction for ES stiffness. However, the WBV group showed a significant reduction in ES stiffness and an improvement in lumbar proprioception after the intervention. In contrast, the non-WBV group showed a decrease in ES pressure pain threshold.</div></div><div><h3>Conclusion</h3><div>Abdominal training with WBV reduced ES stiffness and enhanced lumbar proprioception in asymptomatic adults. These findings suggest that WBV may improve trunk muscle properties and sensorimotor function.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 25-33"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694915","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":"Short-Term Therapeutic Benefits of Foam Rolling for Clinical Outcomes in Chronic Nonspecific Neck Pain Patients: A Randomized Single-blind Trial","authors":"Pattanasin Areeudomwong PhD,&nbsp;Thongchai Sirivilaisak BPT,&nbsp;Thuncharin Kunsuwannaroj BPT,&nbsp;Janisata Nisakorn BPT,&nbsp;Vitsarut Buttagat PhD","doi":"10.1016/j.jcm.2024.11.001","DOIUrl":"10.1016/j.jcm.2024.11.001","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to investigate the short-term effects of foam rolling (FR) on the clinical parameters of individuals with chronic nonspecific neck pain (CNNP).</div></div><div><h3>Methods</h3><div>Fifty-eight CNNP participants were randomly equally allocated into FR and Swedish massage (SM) groups for 2 weeks. Resting pain intensity (RPI), pain pressure threshold (PPT), neck disability index (NDI), neck range of motion (NROM), and global perceived effect (GPE) were measured at baseline, immediately after the first intervention session, at the 2-week intervention visit, and at the 1-week follow-up visit.</div></div><div><h3>Results</h3><div>There were no significant differences between the FR and SM groups in RPI and patient satisfaction (<em>P</em> &gt; .05), although both groups showed greater improvement in these outcomes over time from baseline (<em>P</em> &lt; .01). There were no significant interactions between time-points and groups, and the main effects of group for PPT, NDI, and NROM (<em>P</em> &gt; .05). However, these outcomes improved significantly from baseline over the follow-up periods judging from the significant main effects of time when the data of both groups were pooled (<em>P</em> &lt; .05).</div></div><div><h3>Conclusion</h3><div>Two weeks of FR treatment reduced resting neck pain, improved NROM and neck disability, and increased patient satisfaction with short-term recovery among young adults with CNNP. Because FR was as effective as massage, people with CNNP may benefit from home-based self-treatments if they are educated by therapists on how to practice FR themselves.</div></div><div><h3>Clinical Trial</h3><div>Thai Clinical Trial Registry (TCTR20230221006) <span><span>https://www.thaiclinicaltrials.org/</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 34-43"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694916","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":"Radiomorphometric Analysis of Trabecular and Cortical Bone of the Mandible in Patients with Behçet Disease","authors":"Sema Kaya PhD,&nbsp;Alaettin Koç DDS, MSc","doi":"10.1016/j.jcm.2025.08.010","DOIUrl":"10.1016/j.jcm.2025.08.010","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to analyze the radiomorphometric parameters of trabecular and cortical bone of the mandible in patients with Behçet disease.</div></div><div><h3>Methods</h3><div>This study comprised 24 patients diagnosed with Behçet disease, consisting of 16 women and 8 men age and sex matched healthy individuals. The radiomorphometric parameters examined included fractal dimension, mandibular cortical width, and mandibular cortical index.</div></div><div><h3>Results</h3><div>The mean fractal dimension values of the all regions were higher in the patients of Behçet disease group in the control group. But there were no significant differences in the mean fractal dimensions of selected regions between the 2 groups, except anterior region (<em>P</em> &lt; .05). There were no significant differences in mandibular cortical width between the 2 groups (<em>P</em> &gt; .05). The mean mandibular cortical width was 4.66 mm in the patients with Behçet disease and 5.23 mm in the control group.</div></div><div><h3>Conclusion</h3><div>Patients with Behçet disease showed reduced mandibular bone quality, possibly due to malabsorption. This condition is associated with increased cortical bone porosity and a thinner cortex.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 68-75"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694892","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}