Journal of chiropractic medicine最新文献_第5页

Whole Plant Cannabinoid Nonpharmaceutical Treatment Protocols for a Young Male With Dravet Syndrome 全植物大麻素非药物治疗方案的年轻男性与德拉韦综合征

Journal of chiropractic medicine Pub Date : 2025-01-01 Epub Date: 2025-10-09 DOI: 10.1016/j.jcm.2025.09.014

Trent Jones DC , Jake Halverson DC, DACBR , Norman Kettner DC, DACBR

{"title":"Whole Plant Cannabinoid Nonpharmaceutical Treatment Protocols for a Young Male With Dravet Syndrome","authors":"Trent Jones DC , Jake Halverson DC, DACBR , Norman Kettner DC, DACBR","doi":"10.1016/j.jcm.2025.09.014","DOIUrl":"10.1016/j.jcm.2025.09.014","url":null,"abstract":"<div><h3>Objective</h3><div>This case report describes the outcomes of a novel, conservative approach for a young male patient with Dravet syndrome, which is a genetic epileptic encephalopathy resulting in frequent and recalcitrant seizures and developmental delays.</div></div><div><h3>Clinical Features</h3><div>A male infant began to experience seizures before 7 months of age, and genetic testing revealed an SCN1A mutation, confirming the diagnosis of Dravet syndrome. At age 7, despite standard polypharmacy consisting of antibiotics, steroids, and antiepileptic drugs, he continued to suffer from approximately 25 to 28 daily tonic-clonic refractory seizures.</div></div><div><h3>Intervention and Outcome</h3><div>The clinical objective was to restore the function of the endocannabinoid system by integrating very low-dose, whole-plant extracted, naturally chiral, hemp-derived phytocannabinoid formulations, and broad environmental and dietary modifications. Within the first week of treatment, the patient had only 1 to 2 mild seizures per day. Four years later, all pharmaceuticals were discontinued, and by age 12, the patient’s daily hemp formulation was reduced to as-needed status. At the time of this writing, the patient was 16 years of age and had an average of 7 to 10 very mild petit mal seizures per month. The whole plant hemp formulations generated no observable side effects.</div></div><div><h3>Conclusion</h3><div>This case study demonstrates conservative comanagement of a patient with a catastrophic seizure disorder using novel nonpharmaceutical comanagement strategies.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 430-435"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694776","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

Effects of Sound Frequencies on Pain and Comfort During Intramuscular Injection: A Randomized Controlled Study 声音频率对肌肉注射疼痛和舒适的影响：一项随机对照研究

Journal of chiropractic medicine Pub Date : 2025-01-01 Epub Date: 2025-10-11 DOI: 10.1016/j.jcm.2025.09.010

Saeed Mohammadi MD , Ebrahim Ezzati PhD , Rooghaye Mahooti Bs , Fatemeh Kavyannejad Bs , Rasoul Kavyannejad PhD

{"title":"Effects of Sound Frequencies on Pain and Comfort During Intramuscular Injection: A Randomized Controlled Study","authors":"Saeed Mohammadi MD , Ebrahim Ezzati PhD , Rooghaye Mahooti Bs , Fatemeh Kavyannejad Bs , Rasoul Kavyannejad PhD","doi":"10.1016/j.jcm.2025.09.010","DOIUrl":"10.1016/j.jcm.2025.09.010","url":null,"abstract":"<div><h3>Objective</h3><div>The present study aimed to evaluate the effects of sound frequencies on pain induced by intramuscular injection (IMI).</div></div><div><h3>Methods</h3><div>This was a double-blind study involving IMI candidates who were randomly divided into 10 equal groups, including intervention, inactive, and control groups (30 patients per group). In the intervention groups, patients received sound stimulation at frequencies ranging from 10 to 200 Hz at 50 dB during IMI. No sound stimulation was provided in the control and inactive groups. Pain and comfort levels were assessed using a visual analog scale, along with monitoring changes in blood pressure and heart rate.</div></div><div><h3>Results</h3><div>The study results indicated that as sound frequency increased, pain levels decreased compared to the control and inactive groups. The reduction in pain and increase in comfort scores were most significant at frequencies of 150 and 200 Hz. Tachycardia intensity at 150 and 200 Hz was significantly lower than in the inactive and 10 Hz groups. The increase in systolic blood pressure at frequencies of 40 to 200 Hz was significantly lower than in the inactive group, and also at 200 Hz compared to the control and 10 to 50 Hz groups. Additionally, diastolic blood pressure at 200 Hz was significantly lower than in the control, inactive, and 10 to 50 Hz groups.</div></div><div><h3>Conclusion</h3><div>The study concluded that sound can reduced IMI pain, as well as postinjection changes in blood pressure and heart rate. This nonpharmacological and noninvasive intervention demonstrated greater changes at higher frequencies.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 185-193"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694828","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

Evaluation and Association of Core Muscle Endurance, Shoulder Range of Motion and Strength in Subjects With Shoulder Pain 肩痛患者核心肌耐力、肩部活动范围和力量的评估与关联

Journal of chiropractic medicine Pub Date : 2025-01-01 Epub Date: 2025-10-16 DOI: 10.1016/j.jcm.2025.09.031

Milone Savla MPT, Charu Eapen PhD, Ashish John Prabhakar PhD

{"title":"Evaluation and Association of Core Muscle Endurance, Shoulder Range of Motion and Strength in Subjects With Shoulder Pain","authors":"Milone Savla MPT, Charu Eapen PhD, Ashish John Prabhakar PhD","doi":"10.1016/j.jcm.2025.09.031","DOIUrl":"10.1016/j.jcm.2025.09.031","url":null,"abstract":"<div><h3>Objective</h3><div>The study aimed to assess the endurance of core muscles, shoulder range of motion (ROM), strength, and disability in subjects with and without shoulder pain. A secondary aim was to determine a possible connection between core muscle endurance and shoulder pain, along with related variables.</div></div><div><h3>Methods</h3><div>This cross-sectional study evaluated 50 subjects with shoulder pain (54.60 ± 12.17 years) and 50 without shoulder pain (53.86 ± 12.08 years). Core muscle endurance was assessed using the flexor endurance test and the prone bridge. Shoulder ROM, strength, scapula strength, and SPADI were evaluated.</div></div><div><h3>Results</h3><div>The mean duration of shoulder pain was 13.77 months. Subjects with shoulder pain had significantly reduced core muscle endurance (<em>P</em> < .001), shoulder strength (<em>P</em> < .001), scapula elevator and depressor muscle strength (<em>P</em> < .05), and passive ROM (<em>P</em> < .05). Correlation was found between core muscle endurance and shoulder muscle strength (r = 0.50; <em>P</em> < .05).</div></div><div><h3>Conclusion</h3><div>Reduced core muscle endurance was strongly linked to shoulder muscle strength in individuals experiencing shoulder pain. This underscores the necessity of addressing core stability along with shoulder and scapula strength assessment.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 201-209"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694830","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

Hindi Translation, Validation, and Estimation of Clinimetric Properties of the Leeds Assessment of Neuropathic Symptom and Sign Pain Scale in Patients With Diabetic Peripheral Neuropathy 糖尿病周围神经病变患者的神经症状和体征疼痛量表的利兹评估的印地语翻译、验证和临床特性的估计

Journal of chiropractic medicine Pub Date : 2025-01-01 Epub Date: 2025-10-17 DOI: 10.1016/j.jcm.2025.09.030

Kanika Thakur PhD, Manu Goyal PhD

{"title":"Hindi Translation, Validation, and Estimation of Clinimetric Properties of the Leeds Assessment of Neuropathic Symptom and Sign Pain Scale in Patients With Diabetic Peripheral Neuropathy","authors":"Kanika Thakur PhD, Manu Goyal PhD","doi":"10.1016/j.jcm.2025.09.030","DOIUrl":"10.1016/j.jcm.2025.09.030","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to translate, perform cross-cultural adaptation, and evaluate the clinimetric properties of the Hindi version of the Leeds assessment of neuropathic symptom and sign (LANSS) pain scale.</div></div><div><h3>Methods</h3><div>A cross-sectional study involving 51 patients with DPN was completed. With permission from the original LANSS pain scale authors, the translation into Hindi was conducted following Beaton’s guidelines. The translation process adhered to all 8 steps, involving experts from both medical and nonmedical fields.</div></div><div><h3>Results</h3><div>The translated scale demonstrated excellent relative reliability (Cronbach’s alpha = 0.96, ICC = 0.99) and absolute reliability (CV% = 0.26, SEM = 0.70). It also showed excellent content validity (I-CVI = 1, S-CVI/Ave = 0.92, S-CVI/U = 0.71). The Minimal Detectable Change at 95% confidence interval (MDC<sub>95</sub>) and Minimal Clinically Important Difference (MCID) indicated clinical significance. The Smallest Worthwhile Change (SWC) of 1 indicated good sensitivity of the translated version.</div></div><div><h3>Conclusion</h3><div>The Hindi version of the LANSS pain scale exhibits acceptable clinimetric properties and is suitable for assessing neuropathic pain in patients with Diabetic Peripheral Neuropathy .</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 210-218"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694831","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

Chiropractic Management using Cox Technic Flexion Distraction for a Patient With Tandem Spinal Stenosis 采用Cox技术屈曲牵引治疗串联式椎管狭窄患者的捏脊治疗

Journal of chiropractic medicine Pub Date : 2025-01-01 Epub Date: 2025-10-09 DOI: 10.1016/j.jcm.2025.08.018

Nate McKee DC , James M. Cox DC , Kurt J. Olding DC

{"title":"Chiropractic Management using Cox Technic Flexion Distraction for a Patient With Tandem Spinal Stenosis","authors":"Nate McKee DC , James M. Cox DC , Kurt J. Olding DC","doi":"10.1016/j.jcm.2025.08.018","DOIUrl":"10.1016/j.jcm.2025.08.018","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case report is to increase awareness of the early signs of tandem spinal stenosis with associated degenerative cervical myelopathy and to outline the possible role of chiropractic care in the collaborative management of this condition in the ageing population.</div></div><div><h3>Clinical Features</h3><div>The patient was a 69-year-old man with left-sided neck pain that radiated into his left shoulder and markedly limited left rotation and extension in the cervical spine. The pain had been present for “months” and, since the pain started, he had noticed a loss of balance and had fallen numerous times. The patient noted that extension of the head was a trigger for his falls<em>.</em> The patient also reported suffering from chronic lower back pain since a disc injury years ago.</div></div><div><h3>Intervention and Outcome</h3><div>Treatment consisted of Cox Technic Flexion Distraction and Decompression both protocol 1 and 2 to the full spine. The patient experienced only low levels of neck pain after 4 weeks of care, the arm pain totally resolved, and the lower back pain was minimal. At 10 weeks he reported no falls.</div></div><div><h3>Conclusion</h3><div>Conservative care with Cox Technic Flexion Distraction and Decompression may be an option when early signs of cervical myelopathy are present with tandem stenosis. Co-management with a neurologist or a neurosurgeon, as in this case, was prudent.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 416-423"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694774","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

Mulligan Concept for the Conservative Treatment of Lateral Epicondylalgia: A Case Report Mulligan概念保守治疗外侧上髁痛1例报告

Journal of chiropractic medicine Pub Date : 2025-01-01 Epub Date: 2025-10-23 DOI: 10.1016/j.jcm.2025.08.005

Jason Bartholomew DAT , Shayane V. Santiago DAT , Moni Syeda DAT , Russell Baker PhD, DAT

{"title":"Mulligan Concept for the Conservative Treatment of Lateral Epicondylalgia: A Case Report","authors":"Jason Bartholomew DAT , Shayane V. Santiago DAT , Moni Syeda DAT , Russell Baker PhD, DAT","doi":"10.1016/j.jcm.2025.08.005","DOIUrl":"10.1016/j.jcm.2025.08.005","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case study was to describe the use of the Mulligan Concept (MC) Manual Lateral Glide Mobilization with Movement (MWM) with gripping on an adult tennis player with lateral epicondylalgia (LE).</div></div><div><h3>Clinical Features</h3><div>A 40-year-old adult male tennis player presented with pain and perceived weakness at the lateral elbow while lifting, pulling, and gripping. Clinical examination noted pain with elbow extension and wrist flexion, tenderness to palpation at the origin of the common extensor tendon, and positive Cozen test. The working diagnosis was LE with a differential diagnosis of radial nerve entrapment.</div></div><div><h3>Intervention and Outcome</h3><div>The patient completed 5 treatments of MC Manual Lateral Glide MWM with gripping over 13 days. The MC Manual Lateral Glide MWM with gripping was composed of the clinician providing a laterally directed glide across the elbow joint while the patient performed pain-free gripping. Patient outcomes, including Numeric Rating Scale for pain, the Patient-Specific Functional Scale, Patient-Rated Tennis Elbow Evaluation, the Disablement in the Physically Active Scale Short Form-8, grip strength (ie, hand dynamometer measurements), and algometer pressure pain threshold measurements were collected. Improvements exceeding minimal clinically important differences and minimal detectable change values were noted on all outcomes after the third treatment. After 5 treatment sessions, spanning a total of 13 days, clinical evaluation was performed, noting total resolution of symptoms. Patient outcomes supported clinical findings, and the patient was discharged.</div></div><div><h3>Conclusion</h3><div>Following 5 visits, the patient in this case study achieved restored function, pain reduction, and resolution of LE symptoms. The patient also maintained this at the 1-year follow-up.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 474-481"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694912","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

Effect of Counterforce Brace Placement on Muscle Activation in Healthy Adults 反力支具放置对健康成人肌肉激活的影响

Journal of chiropractic medicine Pub Date : 2025-01-01 Epub Date: 2025-10-31 DOI: 10.1016/j.jcm.2025.09.012

Mohsen Radpasand MD, DC, MS , Hamed Radpasand DC

{"title":"Effect of Counterforce Brace Placement on Muscle Activation in Healthy Adults","authors":"Mohsen Radpasand MD, DC, MS , Hamed Radpasand DC","doi":"10.1016/j.jcm.2025.09.012","DOIUrl":"10.1016/j.jcm.2025.09.012","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to determine the optimal placement of a counterforce brace in muscle activation and strength in healthy participants.</div></div><div><h3>Methods</h3><div>Seven healthy participants (14 hands) with no history of lateral humeral epicondylitis were randomly assigned to two groups from an initial pool of 12 participants. Group A (4 participants, 8 hands) wore a hard knob-padded counterforce brace near the lateral epicondyle, while Group B (Control Group) (3 participants, 6 hands) wore the brace in its customary location, aligned with the lateral epicondyle over the proximal third of the forearm near the muscle belly. Brace placement was assigned to the dominant hand for each participant, while the nondominant hand received the alternative brace placement (ie, the other position of the counterforce brace). Acceleration amplitude and integrals were dependent variables. The design allowed for comparison of outcomes from 2 different brace placements within the same individual.</div></div><div><h3>Results</h3><div>The hard knob-padded counterforce brace positioned near the lateral epicondyle demonstrated better outcomes compared to the customary placement.</div></div><div><h3>Conclusion</h3><div>This study offers insights into the influence of counterforce brace placement on muscle activation and strength in healthy participants. In this study, placement of the brace at the lateral epicondyle showed better muscle strength and reduced acceleration amplitude, compared to traditional placement.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 300-307"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694842","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

Goniometric and 3D Motion Analysis in Shoulder ROM Assessment: A Reliability and Agreement Study Comparing Patients With Restricted Shoulder Range of Motion to Healthy Subjects 肩关节活动度评估中的角度测量和三维运动分析：一项比较肩关节活动度受限患者与健康受试者的可靠性和一致性研究

Journal of chiropractic medicine Pub Date : 2025-01-01 Epub Date: 2025-11-09 DOI: 10.1016/j.jcm.2025.08.015

Sezen Karaşin MSc , Yılmaz Yıldırım MSc , Kadriye Tombak PhD , İlhan Sezer MD , Özkan Köse MD , Umut Özsoy PhD

{"title":"Goniometric and 3D Motion Analysis in Shoulder ROM Assessment: A Reliability and Agreement Study Comparing Patients With Restricted Shoulder Range of Motion to Healthy Subjects","authors":"Sezen Karaşin MSc , Yılmaz Yıldırım MSc , Kadriye Tombak PhD , İlhan Sezer MD , Özkan Köse MD , Umut Özsoy PhD","doi":"10.1016/j.jcm.2025.08.015","DOIUrl":"10.1016/j.jcm.2025.08.015","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to examine the reliability and agreement of goniometric measurements in assessing the range of motion (ROM) within the shoulder joint utilizing a 3D marker-based motion analysis system.</div></div><div><h3>Methods</h3><div>The study comprised 30 healthy volunteers and 35 patients diagnosed with unilateral restricted shoulder range of motion (ROM). Agreement analysis was conducted using Bland–Altman methods, while intra- and interobserver reliability for flexion, abduction, internal rotation, and external rotation measurements was assessed using the Intraclass Correlation Coefficient (ICC).</div></div><div><h3>Results</h3><div>When goniometric measurements were compared with the 3D method, ICC values in the patient group were found to be 0.85 for flexion, 0.81 for abduction, 0.80 for external rotation, and 0.74 for internal rotation. In healthy individuals, the values were found to be 0.80, 0.90, 0.56, and 0.69. Additionally, all measurements fell within acceptable limits of agreement, with no significant differences in measurement biases, except for internal rotation.</div></div><div><h3>Conclusion</h3><div>This study highlights that the goniometer exhibited higher reliability when assessing movements with larger ROM, particularly within heterogeneous groups like those with injured shoulders. However, its reliability decreased when used in homogeneous groups, such as healthy individuals, especially when evaluating movements with narrower ROM, such as rotations. These findings emphasize the need for a nuanced interpretation of results in clinical and research settings when assessing shoulder joint mobility.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 328-336"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694850","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

Comparison Among Heart Rate, Perceived Exertion, and Blood Lactate Concentration for 2 Different Submaximal Exercise Testing Protocols in Recreational Cricket Players 两种不同亚极限运动测试方案下休闲板球运动员心率、感知运动强度和血乳酸浓度的比较

Journal of chiropractic medicine Pub Date : 2025-01-01 Epub Date: 2025-11-10 DOI: 10.1016/j.jcm.2025.09.026

Deepika Singla PhD , Ruchi Basista MPT , Aqsa Mujaddadi MPT , Pooja Bhati PhD , Monis Khan MBBS , M. Ejaz Hussain PhD

{"title":"Comparison Among Heart Rate, Perceived Exertion, and Blood Lactate Concentration for 2 Different Submaximal Exercise Testing Protocols in Recreational Cricket Players","authors":"Deepika Singla PhD , Ruchi Basista MPT , Aqsa Mujaddadi MPT , Pooja Bhati PhD , Monis Khan MBBS , M. Ejaz Hussain PhD","doi":"10.1016/j.jcm.2025.09.026","DOIUrl":"10.1016/j.jcm.2025.09.026","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of the study was to determine the relationship between heart rate, rate of perceived exertion, and blood lactate concentration in recreational cricket players between the modified Bruce protocol and the continuous backward medicine ball throw (CBMB) test. The goal was to develop an alternate, inexpensive test for submaximal exercise testing.</div></div><div><h3>Methods</h3><div>Thirteen recreational cricket players were recruited from Jamia Millia Islamia, New Delhi. The heart rate and rate of perceived exertion were recorded at rest during standing, at the time of reaching the ventilatory threshold, and after 1, 2 and 3 minutes of the recovery period during the modified Bruce protocol and continuous backward medicine ball throw test. The blood lactate levels were recorded at rest while standing, at the time of reaching VT, and after 3 minutes of the recovery period during the modified Bruce protocol and the continuous backward medicine ball throw (CBMB) test, and also at the end of stage 1 for modified Bruce protocol and at the end of 10 reps for continuous backward medicine ball throw test.</div></div><div><h3>Results</h3><div>The mean age of the recreational cricket player in the study was 22.23±1.87 years. Significant ‘r’ values were found for heart rate <em>(r=.975, p<.001)</em>, and blood lactate concentration <em>(r=.824, p=.001)</em> between the modified Bruce protocol and the continuous backward medicine ball throw test.</div></div><div><h3>Conclusion</h3><div>The continuous backward medicine ball throw (CBMB) test for submaximal exercise testing showed validity when compared to the Bruce protocol in recreational cricket players.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 337-344"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694851","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

Primary, Secondary, and Tertiary Prevention of Metabolic Syndrome: A Narrative Literature Review and Resource for Chiropractors 代谢性综合征的一级、二级和三级预防：脊骨按摩师的文献综述和资源

Journal of chiropractic medicine Pub Date : 2025-01-01 Epub Date: 2025-09-10 DOI: 10.1016/j.jcm.2025.07.002

Krista L. Ward DC, MPH , Victor O. Asemota MD, MS, MBA , Koen P. Kallop DC , Dale F. Johnson PhD , Suzanne L. Ray MS , Sergio T. Fernando DC , Monica Smith DC, PhD

{"title":"Primary, Secondary, and Tertiary Prevention of Metabolic Syndrome: A Narrative Literature Review and Resource for Chiropractors","authors":"Krista L. Ward DC, MPH , Victor O. Asemota MD, MS, MBA , Koen P. Kallop DC , Dale F. Johnson PhD , Suzanne L. Ray MS , Sergio T. Fernando DC , Monica Smith DC, PhD","doi":"10.1016/j.jcm.2025.07.002","DOIUrl":"10.1016/j.jcm.2025.07.002","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this review is to summarize current information for chiropractors on Metabolic Syndrome (MetS) related to prevention and health promotion.</div></div><div><h3>Methods</h3><div>Research staff and faculty of a doctor of chiropractic program performed a narrative review, which included guidelines from the United States Preventative Task Force and meta-analyses. We performed a PubMed search of meta-analyses published in English between 2019 to 2024, indexed with the Medical Subject Heading “Metabolic Syndrome,” and which had free-text availability. Meta-analyses were included if they were relevant to chiropractic practice and health promotion/prevention.</div></div><div><h3>Results</h3><div>The PubMed search resulted in 156 citations of which 38 meta-analyses were selected for inclusion in this review. Clinical intervention strategies identified that may reduce MetS risk and negative sequelae include screening for MetS, such as measuring waist circumference, blood pressure and biomarker levels. In addition, chiropractors can support lifestyle behavior changes that may help patients lose weight such as increasing protein intake from plant-based diets, increasing physical activity, optimizing sleep and reducing sugar-sweetened beverage consumption.</div></div><div><h3>Conclusions</h3><div>This review summarizes current information on MetS related to prevention and health promotion. Chiropractors and other health care professionals knowledgeable of the lifestyle-related risk factors associated with MetS can use this information to better screen and manage at-risk patients.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 345-360"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694852","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