Journal of chiropractic medicine最新文献

{"title":"Association Between Isokinetic Lower Extremity Muscle Strength and Bone Mineral Density in Elderly Women With and Without Osteoporosis: A Case-Control Study","authors":"Azza M. Abdelmohsen,&nbsp;Omaima E. Saleh","doi":"10.1016/j.jcm.2025.09.023","DOIUrl":"10.1016/j.jcm.2025.09.023","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to explore the relationship between isokinetic hip and knee muscle strength and bone mineral density (BMD) in elderly women with osteoporosis (OP).</div></div><div><h3>Methods</h3><div>The study included 66 elderly women: 33 with OP (case group A) and 33 healthy controls (control group B). BMD at the femoral head was assessed using Dual Energy X-ray Absorptiometry (DEXA). Isokinetic muscle strength of the hip (flexors, extensors, abductors, adductors) and knee (flexors, extensors) was measured using the Biodex System 3 Isokinetic Dynamometer at 60°/sec in concentric mode, with 5 repetitions.</div></div><div><h3>Results</h3><div>The analysis revealed significantly lower strength in all hip muscles in women with OP compared to controls (<em>p</em> &lt; .05). Meanwhile, no significant differences were observed in knee muscle strength between the 2 groups. The findings suggest that reductions in BMD are more closely associated with decreased hip muscle strength than with knee muscle strength.</div></div><div><h3>Conclusion</h3><div>Diminished isokinetic strength of hip muscles is more strongly linked to BMD reduction in elderly women with OP. Low BMD may serve as a risk factor for lower extremity muscle weakness, emphasizing the need to focus on hip muscle strength in this population.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 251-259"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694836","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":"Trendelenburg Test as a Predictor of Pelvic Drop Associated With Hip Abductor Function in Young, Healthy Adults During Gait","authors":"Alexander J. Andrews BHlth & BiomedSc (Hons) ,&nbsp;Phoebe C. Henry BHlth & BiomedSc (Hons) ,&nbsp;Luke McCarney BHlth & BiomedSc (Hons) ,&nbsp;Amanda J. Kimpton PhD ,&nbsp;Dein Vindigni PhD ,&nbsp;Noel Lythgo PhD","doi":"10.1016/j.jcm.2025.09.021","DOIUrl":"10.1016/j.jcm.2025.09.021","url":null,"abstract":"<div><h3>Objective</h3><div>This study explored the link between hip abductor function, assessed through the Trendelenburg test (TT), and pelvic drop during walking and running across various terrains and speeds.</div></div><div><h3>Methods</h3><div>A sample of 19 healthy adults (11 females, 8 males; average age 24.4 years, height 1.74 meters, weight 72.5 kilograms) participated. The TT was conducted on both sides of each participant’s body, followed by walking at three speeds (self-selected, slow, fast) on 3 slopes (–10%, level, 10%) and running at 2 speeds (8 and 10 km/h) on the same slopes, using a motorized treadmill. Pelvic motion was captured with a 3D system to analyze maximum and minimum pelvic motion (<em>P</em>_MAX, <em>P</em>_MIN) and range of angular motion (<em>P</em>_ROM). Participants were divided into “positive” and “negative” groups based on TT results. Independent and paired <em>t</em> tests (with Bonferroni corrections), along with Pearson’s correlations, were used to analyze data.</div></div><div><h3>Results</h3><div>Significant differences in <em>P</em>_MAX and <em>P</em>_MIN were observed between the groups, with the “positive” group showing 5.3° and 5.9° less movement, respectively, than the “negative” group. However, no significant differences were found in <em>P</em>_ROM data between the groups across all gait tasks, and no correlation was identified between TT <em>P</em>_ROM data and <em>P</em>_ROM gait data in different walking conditions.</div></div><div><h3>Conclusion</h3><div>This study showed no association between the effects of hip abductor weakness (as identified by the TT) and pelvic mobility during walking and running gait in a healthy, young population. While the TT may serve as a valuable tool for identifying hip abductor weakness in a clinical setting, its direct applicability to predicting dynamic pelvic motion during walking and running remains limited.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 145-150"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694876","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":"Musculoskeletal Cognitive Competency Among Chiropractic Students at a South African institution: A Cross-Sectional Study","authors":"Jordyn Casey Hawthorne MHSc,&nbsp;Christoper James Yelverton PhD,&nbsp;Fatima Ismail MTech","doi":"10.1016/j.jcm.2025.08.001","DOIUrl":"10.1016/j.jcm.2025.08.001","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to examine the musculoskeletal (MSK) cognitive competency among 1st and 2nd-year Master of Health Science (MHSc) chiropractic students at the University of Johannesburg.</div></div><div><h3>Methods</h3><div>This cross-sectional, quantitative, and exploratory study used an adapted Freedman and Bernstein Basic Competency Examination (BCE) assessment distributed anonymously and online to the MHSc (n = 50) students at University of Johannesburg between 6 December 2022 to 17 March 2023. Statistical analyses included frequencies, descriptive statistics, and cross-tabulations to identify patterns or interrelationships.</div></div><div><h3>Results</h3><div>The survey achieved a 90% response rate (n = 45) from the 2022 MHSc students: 46.7% (n = 21) were 1st-year students and 53.3% (n = 24) were 2nd-year students. The participants of this study achieved a mean score of 79.58% (95% confidence interval, 75.9%-83.7%) for the 20-item Freedman and Bernstein BCE. The minimum score achieved by the participants was 11.50 (57.50%) and the maximum score achieved was 20.00 (100.00%). Statistically significant differences were observed between the 1st- and 2nd-year cohorts on the Freedman and Bernstein BCE, particularly in content and clinically based areas.</div></div><div><h3>Conclusion</h3><div>This study showed that this group of MHSc chiropractic students at the University of Johannesburg demonstrated strong cognitive competency in the MSK system using an adapted standardized assessment, highlighting adequate chiropractic training and student preparedness in managing MSK conditions.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 1-14"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694908","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 2 Interventions on the Acceptability and Usability of a Sensing Glove for Measuring Force-Time Characteristics of Chiropractic Spinal Manipulative Therapy: A Crossover Study","authors":"Marie-Andrée Mercier DC ,&nbsp;Martin Descarreaux DC, PhD ,&nbsp;Andréanne K. Blanchette pht, PhD ,&nbsp;Isabelle Pagé DC, PhD","doi":"10.1016/j.jcm.2025.08.002","DOIUrl":"10.1016/j.jcm.2025.08.002","url":null,"abstract":"<div><h3>Objectives</h3><div>The objective of this study was to assess chiropractors’ and chiropractic students’ acceptability of a sensing glove system for measuring Spinal manipulative therapy (SMT) force-time characteristics and to compare the effectiveness of 2 interventions in improving their acceptability and perceived usability.</div></div><div><h3>Methods</h3><div>Sixteen participants were recruited and initially rated their agreement with 12 statements about the acceptability of the sensing glove system. They then underwent 2 interventions designed to improve their acceptability of the system in a random order: a 7-minute informational video and a 20-minute supervised practice session. After each intervention, participants reassessed their agreement with the acceptability statements and provided feedback on the system’s usability through 10 additional statements. Data analysis used McNemar and Cochran’s Q tests to assess the interventions’ effectiveness.</div></div><div><h3>Results</h3><div>The practice session led to a significantly higher number of participants agreeing with 4 more acceptability statements than at baseline, and with 1 more statement than after the video intervention. Conversely, the video intervention showed an increased proportion of agreement for only 1 statement compared to the baseline. Furthermore, the practice session resulted in a higher proportion of participants agreeing with 2 usability statements compared to the video intervention.</div></div><div><h3>Conclusions</h3><div>The study highlights the importance of supervised hands-on practice in enhancing the acceptability and willingness of chiropractors and chiropractic students to adopt a force-sensing system in their clinical practice.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 44-53"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694889","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 Effect of Percussive Massage Therapy for Chronic Neck Pain Patients With Active Myofascial Trigger Points: A Randomized Trial","authors":"Pattanasin Areeudomwong PhD,&nbsp;Manasiri Kunawuttitrakul BPT,&nbsp;Nisakarn Khumpeera BPT,&nbsp;Nicharee Unanon BPT,&nbsp;Sujittra Kluayhomthong PhD,&nbsp;Vitsarut Buttagat PhD","doi":"10.1016/j.jcm.2025.09.016","DOIUrl":"10.1016/j.jcm.2025.09.016","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to evaluate the short-term effects of percussive massage therapy (PMT) on clinical parameters in patients with chronic neck pain (CNP) with upper trapezius active myofascial trigger points (AMTrPs).</div></div><div><h3>Methods</h3><div>Fifty patients with CNP with upper trapezius AMTrPs were randomized equally to a PMT group and a neck and shoulder stretching (NS) group for six 5-minute sessions over 3 weeks. Resting pain intensity (RPI), pain pressure threshold (PPT), neck disability index (NDI), neck range of motion (ROM), and global perceived effect (GPE) were assessed at baseline, immediately after the first session, and after the 3-week intervention.</div></div><div><h3>Results</h3><div>The groups did not differ significantly in RPI or GPE (<em>P</em> &gt; .05); however, the NS group outperformed the PMT group in immediate GPE reduction (<em>P</em> &lt; .01). The PMT and NS groups showed improvements in these outcomes from baseline (<em>P</em> &lt; .05). Both groups exhibited improved NDI after the intervention (<em>P</em> &lt; .001), whereas the NS group showed a substantial reduction in PPT during the follow-up (<em>P</em> &lt; .001). The PMT group showed greater neck ROM, except for flexion and right rotation, than the NS group (<em>P</em> &lt; .05). Both groups showed similar improvements in neck flexion and right rotation during follow-up (<em>P</em> &lt; .05).</div></div><div><h3>Conclusion</h3><div>PMT and NS improved RPI, neck disability, neck flexion and right rotation, and patient satisfaction in patients with CNP with upper trapezius AMTrPs. The PMT group exhibited greater improvement in other neck movements.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 151-162"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694847","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":"Failed Back Surgery Syndrome Patients Undergoing Flexion Distraction Chiropractic Treatment: A Case Series","authors":"Ralph A. Kruse Jr. DC ,&nbsp;Bret A. White DC ,&nbsp;Casey J. Rogers DC ,&nbsp;Jason Klamson BA ,&nbsp;Maruti R. Gudavalli PhD","doi":"10.1016/j.jcm.2025.08.004","DOIUrl":"10.1016/j.jcm.2025.08.004","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case series is to describe the outcomes of chiropractic therapy using Cox technic flexion distraction decompression spinal manipulation for patients with cervical and lumbar failed back surgery syndrome (FBSS) who were experiencing pain in the areas where they had previously undergone surgery.</div></div><div><h3>Methods</h3><div>This case series includes clinical outcome measures from 61 patients with FBSS treated by 21 certified Cox Doctors of Chiropractic from multiple clinic locations. Primary outcomes were pain severity and function, assessed using Patient-Reported Outcomes Measurement System-29 v1.0, Neck Disability Index, and Numerical Pain Rating Scale (NPRS) questionnaires. Data were analyzed with SPSS software (version 28, IBM Corp). Demographic data were summarized with descriptive statistics. NPRS for neck pain was analyzed using the Friedman test. Repeated measures ANOVA was used to compare initial visit data with data at 3 and 12 months after the onset of care.</div></div><div><h3>Results</h3><div>The cohort received a mean (SD) of 12.9 (8.0) treatments over 56.3 (35.2) days. Pain relief reported by doctors was 67.2% (28.5%) and by patients was 65.9% (29.3%). Neck Disability Index scores had reduced by 6.4 (SD 6.9) and 2.67 (5.1) at 3 and 12 months, respectively. NPRS showed reduced pain for cervical and lumbar patients at 3 and 12 months. Patient-Reported Outcomes Measurement System-29 v1.0 scores improved in physical function, anxiety, depression, fatigue, pain interference, average pain, spine pain, leg and arm pain, sleep disturbance, and social roles.</div></div><div><h3>Conclusion</h3><div>Patients with FBSS who received specialized chiropractic flexion distraction spinal manipulation in this study experienced relief of pain and disability.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 15-24"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694914","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":"A Comparative Study on the Effects of the Whole-Body Vibration Training and Balance Exercise Program on the Muscle Geometry in the Patients With Chronic Nonspecific Low Back Pain: A Randomized Control Trial","authors":"Farahnaz Emami PhD ,&nbsp;Amin Kordi Yoosefinejad PhD ,&nbsp;Mohsen Razeghi PhD","doi":"10.1016/j.jcm.2025.08.019","DOIUrl":"10.1016/j.jcm.2025.08.019","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to compare the effects of trunk balance exercise and whole-body vibration (WBV) training on the muscle dimensions of patients with chronic nonspecific low back pain (cNLBP).</div></div><div><h3>Methods</h3><div>Fifty patients with cNLBP were randomly assigned to either the trunk balance (<em>n</em> = 25) or the WBV (<em>n</em> = 25) group. Both groups performed the training exercises 3 times a week for 6 weeks. The geometry of bilateral abdominal and lumbar multifidus muscles was measured before and after the interventions using diagnostic ultrasound.</div></div><div><h3>Results</h3><div>Both interventions increased the dimensions of the abdominal and multifidus muscles during rest and contraction (<em>P</em> ≤ .001). There was no significant difference between the groups (<em>P</em> ≥ .08). Cohen’s <em>d</em>, the between-group effect size, was ≤0.68.</div></div><div><h3>Conclusion</h3><div>In a 6-week period, WBV training was as effective as trunk balance exercises at improving the muscle geometry in patients with cNLBP.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 92-105"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694895","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":"Describing Congruence Between ICD-10 Coding and Medical Record Text in Veterans Health Administration Chiropractic Notes","authors":"Nikhil Sharma DC ,&nbsp;Sarah E. Graham DC, MPH ,&nbsp;Anna R. Sites MSN, RN ,&nbsp;Brian C. Coleman DC, MHS ,&nbsp;Anthony J. Lisi DC","doi":"10.1016/j.jcm.2025.08.014","DOIUrl":"10.1016/j.jcm.2025.08.014","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to describe the congruence between International Classification of Diseases, 10th Ed (ICD-10) codes and documented text diagnoses from chiropractic notes in the Veterans Health Administration (VHA).</div></div><div><h3>Methods</h3><div>This was a cross-sectional analysis of VHA national administrative data. We randomly sampled 1000 on-station VHA chiropractic visits occurring from October 1, 2017, and September 30, 2018 from patients with no such visits within the prior 12 months. ICD-10 and documented text diagnoses were extracted and mapped to 10 defined categories based on body region, presence of radiculopathy, nonspecific musculoskeletal conditions, and nonmusculoskeletal conditions. A rating system evaluated the congruence between ICD-10 and text diagnoses.</div></div><div><h3>Results</h3><div>Of the 978 identified and abstracted notes, ICD-10 and text diagnoses were perfectly congruent in 441 (45.1%). With cases of partial congruence, ICD-10 codes contained less detail/fewer conditions than text in 194 (19.8%) and contained more detail/more conditions than text in 178 (18.2%). Mixed findings were present in 101 cases (10.3%), with ICD-10 and text both containing diagnoses not found in the other. Lastly, there were 64 cases (6.5%) where the 2 groups had no degree of congruence.</div></div><div><h3>Conclusion</h3><div>VHA chiropractic diagnostic coding and text documentation shows considerable congruence with variability in diagnostic detail. This provides a foundation for further study that may ultimately improve the quality of these data for clinical, research, and administrative uses.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 119-124"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694897","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 Management of a Migraine With Aura in a 28-Year-Old Female Using a Multimodal Approach: A Case Report","authors":"Adam J. McRoberts DC, MA, MS","doi":"10.1016/j.jcm.2025.09.005","DOIUrl":"10.1016/j.jcm.2025.09.005","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this report was to describe a chiropractic multimodal treatment approach for a patient with a migraine headache.</div></div><div><h3>Clinical Features</h3><div>A 28-year-old woman with a 14-year history of migraines presented with symptoms of visual disturbances with head and neck pain.</div></div><div><h3>Intervention and Outcome</h3><div>A multimodal approach of chiropractic care, including chiropractic manipulative therapy and soft tissue therapy for suboccipital, levator scapula, and trapezius muscles, was used. Treatment included 2 visits that were spaced 2 days apart. Based on patient-reported symptoms, the clinician observed clinical improvement and no additional migraine symptoms. Seven months after the initiation of chiropractic care, the patient reported no migraine episodes.</div></div><div><h3>Conclusion</h3><div>A nonpharmacologic chiropractic approach employing multiple therapies resulted in observable clinical progress for a patient who reported migraine with aura symptoms.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 424-429"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694775","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":"Conservative Care and Outcomes for 2 Patients With Ramsay Hunt Syndrome","authors":"Sonia V. Joubert DC, ND, MSc ,&nbsp;Tiffani B. Alwazan ND, DC, MA, MS, LAc","doi":"10.1016/j.jcm.2025.09.011","DOIUrl":"10.1016/j.jcm.2025.09.011","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case study is to describe the diagnostic characteristics, symptomatology, alternative treatment, and outcome of 2 patients with persistent facial palsy from Ramsay Hunt syndrome (RHS).</div></div><div><h3>Clinical Features</h3><div>A 38-year-old female and a 55-year-old male presented with right-sided facial paralysis, which affected multiple cranial nerves. The patients displayed difficulty eating and speaking, facial paralysis, vertigo, inability to close eyes on the affected side, and painful blisters. The occurrence of distinguishing characteristics of RHS, such as painful blisters, hearing loss, tinnitus, vertigo, difficulty eating, vision changes due to eye dryness, and speech impairment, was assessed.</div></div><div><h3>Intervention and outcome</h3><div>In the first case, the patient was treated in 8 weekly sessions with a combination of chiropractic spinal manipulation, acupuncture, cold laser, myofascial release, and homeopathy. In the initial 2 sessions, the patient received weekly acupuncture and cold laser therapy. In the final sessions, the patient reported pain reduction and anxiety relief. In the second case, the patient received acupuncture, cold laser, soft tissue manipulation, and homeopathy for 8 weeks. The patient was initially prescribed a homeopathic remedy, Causticum 30 C, for two weeks. Then he was given Graphites 30 C for 6 weeks. He displayed improved speech, decreased tongue deviation, increased eye closure, increased control of right eyebrow movement and was able to close his eyes fluidly. He no longer experienced double vision or eye dryness.</div></div><div><h3>Conclusions</h3><div>This article presents a case study of two patients with varying symptoms of RHS. In both cases, patients were treated with conservative care. Improvements in eye closure, speech, capability to eat and drink, tongue moment, and pain were reported by the patients.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 464-473"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694911","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}