Marc W. Sanders DC, BSc, MSc , Jonathan Field DC, MSc, PhD , Dave Newell PhD , Neil Osborne DC, PhD
{"title":"Use of Remote Consultations by Chiropractors in the United Kingdom During the COVID-19 Pandemic: A Cross-Sectional Survey","authors":"Marc W. Sanders DC, BSc, MSc , Jonathan Field DC, MSc, PhD , Dave Newell PhD , Neil Osborne DC, PhD","doi":"10.1016/j.jcm.2025.07.003","DOIUrl":"10.1016/j.jcm.2025.07.003","url":null,"abstract":"<div><h3>Objectives</h3><div>The purpose of this study was to explore the use of remote consultations (RCs) by chiropractors in the United Kingdom.</div></div><div><h3>Methods</h3><div>All registered practicing UK chiropractors were invited to participate in an online survey during part of the first UK national lockdown period of the COVID-19 pandemic (May 2020 to June 2020). This survey collected information on 1) chiropractor demographics, 2) use of RCs by chiropractors, and 3) chiropractors’ views of RCs. Descriptive and inferential statistics (chi-squared and Spearman’s Rho) were used to analyze the data.</div></div><div><h3>Results</h3><div>The response rate was 17.1% (534/3131). A third of respondents (32.5%) had been using RCs (telephone) prior to the pandemic. Two-thirds (67.2%) used RCs during the first lockdown period and included uptake of video consultations (6.6%), phone consultations (30%), or a combination of video and phone (30.7%). A majority (58.6%) responded that they planned to continue RCs after practice restrictions were lifted. Under half (47.8%) gave their opinion that RCs would not be as effective as face-to-face care, a similar proportion (50.1%) stated they were engaging their patients with active care more than typical. Only around a half of the respondents (52.5%) were confident in carrying out RCs.</div></div><div><h3>Conclusions</h3><div>This survey provides preliminary data on RCs delivered by UK chiropractors - a traditionally ‘hands-on’ profession. Both telephone and video RCs increased during the first UK national lockdown but confidence in carrying out RCs and impressions of their effectiveness was mixed.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 106-118"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694896","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":"Physical Fatigue Assessment, Linguistic Adaptation, and Validation of Fatigue Severity Scale among Type 2 Diabetes Mellitus Population","authors":"Monica Shree Murugan MPT , Ramesh Kumar Jeyaraman PhD , Naveen Kumar Inbaraj MPT","doi":"10.1016/j.jcm.2025.09.028","DOIUrl":"10.1016/j.jcm.2025.09.028","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study was to conduct a cross-cultural adaptation of the Fatigue Severity Scale (FSS) from English to Kannada and to evaluate the content validity and reliability of the Kannada version among individuals with type 2 diabetes mellitus.</div></div><div><h3>Methods</h3><div>This study was conducted in 2 phases. In phase 1, the original English version of the FSS was translated into Kannada using the forward–backward translation method to maintain conceptual equivalence. The preliminary Kannada version was reviewed by 5 healthcare professionals for clarity, cultural relevance, and content comprehensiveness. In phase 2, the final Kannada version (FSS-K) was administered to 80 individuals with type 2 diabetes mellitus, aged between 30 and 70 years, all with a disease duration of more than 10 years. Descriptive statistics were used to summarize demographic details. Internal consistency of the FSS-K was evaluated using Cronbach’s alpha. Test-retest reliability was assessed using the Intraclass Correlation Coefficient (ICC), and inter-item correlation was determined using Pearson’s correlation coefficient. One-way ANOVA was conducted to compare FSS scores across different subgroups, including gender, age, sleep duration, and clinical conditions.</div></div><div><h3>Results</h3><div>The internal consistency of the Kannada version was high, with a Cronbach’s alpha of 0.952. The test-retest reliability showed excellent agreement with an ICC of 0.999. A strong correlation was observed between pre-test and post-test scores of the Kannada FSS, indicating robust reliability.</div></div><div><h3>Conclusion</h3><div>This study showed that the Kannada version of the Fatigue Severity Scale is a valid and reliable tool for assessing fatigue in individuals with type 2 diabetes mellitus.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 293-299"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694849","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":"Chiropractic Referral for Computed-Tomography Angiography to Rule Out Vertebral Artery Dissection: A Case Report","authors":"Steven P. Brown DC , James J. Lehman DC","doi":"10.1016/j.jcm.2025.09.025","DOIUrl":"10.1016/j.jcm.2025.09.025","url":null,"abstract":"<div><h3>Objective</h3><div>This paper describes a case of chiropractic referral to medical emergency services for computed-tomography angiography (CTA) imaging to rule out vertebral artery dissection (VAD).</div></div><div><h3>Clinical Features</h3><div>A 50-year-old female presented to a chiropractic physician with an idiopathic onset of neck pain, headache, nausea, and dizziness. Differential diagnosis included VAD, internal carotid artery dissection (ICAD), as well as cerebral aneurysm or other intracranial abnormality. Due to symptoms of potential VAD, the patient was referred to medical emergency services for CTA imaging to rule out VAD. CTA revealed a possible posterior communicating artery (PCom) aneurysm vs. infundibulum, and left C3-C4 facet arthropathy. No VAD was noted.</div></div><div><h3>Intervention/Outcome</h3><div>The patient was referred to a neurosurgeon who concluded the patient’s abnormality was an incidental finding of infundibulum, not an aneurysm. The patient was referred to physical therapy for treatment of the C3-C4 facet arthropathy, which resolved her symptoms.</div></div><div><h3>Conclusion</h3><div>This case report highlights the role of chiropractors in interdisciplinary care by referring suspected non-neuromusculoskeletal conditions to medical emergency services for advanced imaging to ensure patient safety.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 459-463"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694910","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":"Visual Assessment of Movement Impairment During Walking in Subjects With Tibiofemoral Rotation Syndrome: A Concurrent Validity Study","authors":"Mehrnaz Kajbafvala PhD , Ismail Ebrahimi Takamjani PhD , Reza Salehi PhD , Abbas Farjad Pezeshk PhD , Fahimeh Firoozeh MSc , Shahab Asgari MSc , Abbas Tabatabaei PhD","doi":"10.1016/j.jcm.2025.08.007","DOIUrl":"10.1016/j.jcm.2025.08.007","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to assess the validity of visual assessment in diagnosing lower extremity impairments during level walking.</div></div><div><h3>Methods</h3><div>Twenty-eight subjects (17 women, 11 men) with tibiofemoral rotation syndrome (TFRS) were examined using visual assessment as the index test and 3-dimensional (3D) motion analysis as the reference test. Both knee joint movements and the index and reference tests were evaluated simultaneously.</div></div><div><h3>Results</h3><div>The sensitivity and specificity of visual assessment for detecting movement impairments were Se: 98% and Sp: 16.7%, respectively. The positive and negative predictive values were PPV: 81.5% and NPV: 50%, respectively. The positive and negative likelihood ratios were PLR: 1.18 and NLR: 0.12.</div></div><div><h3>Conclusion</h3><div>The results demonstrate excellent validity of visual assessment for identifying movement impairments in subjects with TFRS during level walking. However, this test's validity for detecting the absence of movement impairments in subjects without TFRS was poor.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 76-83"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694893","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}
Muhammad Auwal Saliu MSc, Aliyu Salihu PhD, Sanusi Bello Mada PhD
{"title":"Iron Deficiency Anemia and Associated Factors During Pregnancy: A Longitudinal Study of Women Attending Antenatal Care Facility in Nigeria","authors":"Muhammad Auwal Saliu MSc, Aliyu Salihu PhD, Sanusi Bello Mada PhD","doi":"10.1016/j.jcm.2025.08.008","DOIUrl":"10.1016/j.jcm.2025.08.008","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to investigate iron deficiency anemia (IDA), its associated factors, and intake of iron/folate supplements among pregnant women in the antenatal care facility of Aminu Kano Teaching Hospital, Kano, Nigeria.</div></div><div><h3>Methods</h3><div>The study was longitudinally designed, and 112 pregnant women in the second trimester were recruited and followed up through the third trimester. Sociodemographic characteristics, medical/obstetrical history, consumption pattern, and iron indices were assessed using standard methods.</div></div><div><h3>Results</h3><div>This study showed that 58.0% of the pregnant women investigated have attained a tertiary level of education, and 50.0% were full-time housewives. Among the pregnant women, 56.4% were iron/folate supplement-compliant, and 83.0% and 67.8% were multigravida and multipara, respectively. The study reported that approximately 24.8% of the pregnant women consumed heme iron food sources at least 1 to 3 times daily, while approximately 64.8% did not have a daily intake of at least 1 nonheme iron–rich food source. Iron deficiency anemia prevalence in the second trimester was 10.7%, increasing to 16.5% in the third trimester (<em>P</em> < .05). Similarly, all-cause anemia increased from 37.5% to 65.9% and iron deficiency from 14.3% to 23.5% (<em>P</em> < .05 for both).</div></div><div><h3>Conclusion</h3><div>Progression from the second to third trimesters was associated with an increased risk of anemia, iron deficiency, and IDA among pregnant women. Pregnant women taking iron/folate supplements had higher iron indices than the noncompliant pregnant women. Consumption of iron-rich foods among pregnant women was low and had little effect on the iron indices estimated, while supplement intake and birth spacing had a significant negative association with anemia, iron deficiency, and IDA.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 125-136"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694898","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}
Alesha Elaine Fleming DC , Romeia Al-Hajeri BS , Kendyl Taylor BS , Thomas Young DC
{"title":"Resolution of Resting Tremors and Cervical Radiculopathy Following Chiropractic Treatment In a 58-Year-Old Male: A Case Report With 2-Year Follow-Up","authors":"Alesha Elaine Fleming DC , Romeia Al-Hajeri BS , Kendyl Taylor BS , Thomas Young DC","doi":"10.1016/j.jcm.2025.08.009","DOIUrl":"10.1016/j.jcm.2025.08.009","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case report is to describe chiropractic management of a patient with neck pain, cervical kyphosis, cervical radiculopathy, and resting tremors of the left arm.</div></div><div><h3>Clinical Features</h3><div>A 58-year-old White male presented with an insidious onset of severe neck pain and burning pain down the left arm with accompanying involuntary resting tremors of the left arm. The pain and tremors limited his ability to sit, walk, work, drive, sleep, and perform household chores, with driving and sleeping reportedly being the most substantial activities affected. Clinical testing revealed left cervical radiculopathy with severe myospasm in the scalene and levator scapulae muscles. Radiographs revealed reversed cervical curvature and degenerative spondylosis with neural foraminal encroachment at C4-C5, C5-C6, and C6-C7.</div></div><div><h3>Intervention and Outcome</h3><div>The patient was initially managed with soft tissue therapy to the upper trapezius and levator scapulae, and gentle manual cervical traction for 4 visits over the course of 1 week. This was followed by incorporation of cervical spinal manipulation using low force adjustments, manual cervical traction, and thoracic spinal manipulation using diversified technique 3 times a week for 3 additional weeks. After active treatment, a monthly maintenance plan was prescribed. At the start of treatment, the Numeric Pain Rating (NPR) was recorded at 8/10, and the Neck Disability Index (NDI) Score was 26%. At 1- and 2-year follow-ups, NPR was recorded as 0/10 and 0/10, respectively, and NDI Score was 4% and 0%, respectively.</div></div><div><h3>Conclusion</h3><div>Neck and arm pain and debilitating tremors resolved in a patient who received chiropractic care. These improvements were maintained 2 years after the start of treatment.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 391-401"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694825","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}
Tyler E. Barton DC , Derek J. Golley DC, MHA , Jonathan J. Danner DC , Andrew S. Dunn DC, MS, MEd
{"title":"Degenerative Cervical Myelopathy in a Veteran Chiropractic Patient Referred for Lumbar Radicular Pain: A Case Report","authors":"Tyler E. Barton DC , Derek J. Golley DC, MHA , Jonathan J. Danner DC , Andrew S. Dunn DC, MS, MEd","doi":"10.1016/j.jcm.2025.08.011","DOIUrl":"10.1016/j.jcm.2025.08.011","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this report is to describe a patient with progressive neurological signs during a trial of chiropractic care for lumbar radicular pain.</div></div><div><h3>Clinical Features</h3><div>A 72-year-old male US Veteran presented for chiropractic care with left lower extremity pain and numbness and tingling in both hands and feet. The patient’s comorbidities included stage IV b-cell lymphocytic leukemia currently in remission, scleroderma, diabetes mellitus with previously diagnosed peripheral neuropathy, hemolytic anemia, and osteoporosis from long-term corticosteroid use. Initial evaluation was unremarkable for neurological findings, a re-evaluation revealed new signs suggestive of myelopathy including brisk patellar reflexes and a unilateral Hoffman’s sign. Lumbar spine radiographs were requested and demonstrated moderate, diffuse spine-related degenerative changes.</div></div><div><h3>Intervention and Outcome</h3><div>After 5 sessions of chiropractic flexion-distraction manipulation to the lumbar spine, soft-tissue therapy, and sciatic nerve mobilization exercises, the patient improved. However, at re-evaluation progressive neurological findings warranted primary care coordination for the request of advanced imaging due to suspicion of cervical myelopathy. A cervical MRI revealed severe cervical spinal stenosis with impingement upon the cervical cord at C3-C4. A neurosurgical consult was placed by the requesting physician for surgical consideration.</div></div><div><h3>Conclusion</h3><div>This case highlights the challenges associated with early signs of degenerative cervical myelopathy and its variable presentation. It highlights the importance of performing routine re-evaluations when managing multimorbid neuromusculoskeletal conditions and how signs of chronic conditions, such as degenerative cervical myelopathy, may rapidly manifest.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 409-415"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694827","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}
Christopher B. Roecker DC, MS , Samuel M. Schut DC , Zachary E. Scott DC
{"title":"Chiropractic Palliative Care for a Veteran With Chronic Low Back Pain and Advancing Testicular Cancer: A Case Report","authors":"Christopher B. Roecker DC, MS , Samuel M. Schut DC , Zachary E. Scott DC","doi":"10.1016/j.jcm.2025.09.017","DOIUrl":"10.1016/j.jcm.2025.09.017","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case report is to describe the management of chronic low back pain in a Veteran with advanced testicular cancer.</div></div><div><h3>Clinical Features</h3><div>A 34-year-old with testicular cancer, status post orchiectomy, was referred to the chiropractor for his chronic thoracolumbar pain at a VA medical center.</div></div><div><h3>Intervention and Outcomes</h3><div>Palliative treatment included lifestyle counseling, exercise, soft-tissue therapy, spinal mobilization, and low-force drop manipulation. A total of 13 visits occurred over 14 months. Pain intensity temporarily reduced from 5/10 to 3/10 for about 2 to 4 weeks following treatments. Despite persistent urging from multiple healthcare providers, the patient delayed follow-up on a concerning pelvic lesion. Metastatic spread to the lumbar spine was identified 14 months after his referral, and 5 months later he experienced a pathologic L3 vertebral fracture. Nine months after this fracture, widespread metastasis combined with a COVID-19 infection led to his death.</div></div><div><h3>Conclusions</h3><div>In this case, chiropractic care was provided as palliative care in the context of testicular cancer. His back pain temporarily improved after chiropractic treatment.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 443-451"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694841","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 Between Trunk Muscle Thickness, Disability, and Pain in Middle and Old Aged Patients With Low Back Pain","authors":"Ruchi Basista PhD , Deepika Singla PhD , Abhinav Jain MBBS, DNB, MNAMS","doi":"10.1016/j.jcm.2025.09.027","DOIUrl":"10.1016/j.jcm.2025.09.027","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to investigate the relationship between trunk muscle thickness, disability, and pain in low back pain in middle age and old age.</div></div><div><h3>Methods</h3><div>Forty-two patients with low back pain were included in this study. Pain intensity was analyzed using the Brief Pain Inventory (BPI), disability was assessed using the Oswestry Disability Index (ODI), and ultrasonography imaging was used to determine the thickness of the rectus abdominis, lumbar multifidus, and erector spinae muscles.</div></div><div><h3>Results</h3><div>The thickness of the lumbar multifidus and erector spinae muscles was significantly negatively associated with the disability in middle-aged and old-aged patients with low back pain (<em>p</em> < .01). Also, there is a significant relationship between the lumbar multifidus muscle and pain (<em>p</em> < .01) in both middle and old-aged patients. A significant positive association was found between disability and pain (<em>p</em> < .01).</div></div><div><h3>Conclusion</h3><div>The results of this study suggest that pain and disability are strongly associated with the thickness of the lumbar muscles in low back pain in middle age and old age. An investigation into the muscular characteristics of the lumbar area can give valuable insights into the condition of low back pain patients and offer information relevant to the development of patient treatment techniques in clinical settings.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 318-327"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694844","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 Transfer Energy Capacitive and Resistive Therapy on Shoulder Pain, Disability, and Passive Range of Motion in Patients With Shoulder Adhesive Capsulitis: A Preliminary Randomized Trial","authors":"Maryam Raeisi MSc , Hosein Kouhzad Mohammadi PhD , Mojtaba Heshmatipour MSc , Mohammad Javad Tarrahi PhD , Navid Taheri PhD","doi":"10.1016/j.jcm.2025.09.015","DOIUrl":"10.1016/j.jcm.2025.09.015","url":null,"abstract":"<div><h3>Objective</h3><div>This study evaluated the effects of transfer energy capacitive and resistive (TECAR) therapy on primary shoulder adhesive capsulitis by assessing the Shoulder Pain and Disability Index (SPADI) and shoulder passive range of flexion, abduction, and external rotation.</div></div><div><h3>Methods</h3><div>Thirty subjects with shoulder adhesive capsulitis, having a minimum 3 months history of shoulder pain, aged 41 to 72 years, were randomized to receive either physiotherapy (PT) or PT plus TECAR therapy (TT). Both groups received 8 sessions of PT treatment, including modalities and exercises, and the TT group received an additional 10 minutes of TECAR treatment in the resistive mode. SPADI and shoulder passive range of motion were evaluated before treatment, 1 day after the 8th session, and after 1 month.</div></div><div><h3>Results</h3><div>Significant changes in all variables were observed in both groups (<em>P</em> < .001), except the passive external rotation range and disability subscale of SPADI, which were significant only in the TT group. Changes in all variables (except the disability subscale of SPADI and total SPADI scores) did not have any relationship with the membership of patients in the groups, means there was no interaction between time and type of intervention. There were no significant between-group differences (<em>P</em> > .05).</div></div><div><h3>Conclusion</h3><div>In this preliminary study, TT and PT treatment both showed improvements in shoulder passive ROM, pain, and disability. There were no significant differences between the groups.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 194-200"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694829","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}