Journal of chiropractic medicine最新文献

{"title":"Adding Manual Therapy to a Respiratory-Rehabilitation Program in Patients with Respiratory Disorders: A Systematic Review and Meta-Analysis with a Meta-Regression","authors":"Ferran Cuenca-Martínez PhD ,&nbsp;Núria Sempere-Rubio PhD ,&nbsp;Enrique Carrasco-González MSc ,&nbsp;Francisco M. Martínez-Arnau PhD","doi":"10.1016/j.jcm.2025.09.003","DOIUrl":"10.1016/j.jcm.2025.09.003","url":null,"abstract":"<div><h3>Objective</h3><div>The main aim of this study was to assess the effects of adding MT to a Respiratory Rehabilitation (RR) program in patients with Respiratory Disorders (RD).</div></div><div><h3>Methods</h3><div>A systematic search was carried out in PubMed, EMBASE, CINAHL, PEDro and Google Scholar (February 1^st 2023). The outcome measures were pulmonary function parameters (FEV₁ and FVC); and exercise capacity, through the 6-minute walk test (6-MWT). Standardized mean differences (SMDs) and 95% confidence intervals were calculated and were pooled in a meta-analysis with a random effects model.</div></div><div><h3>Results</h3><div>In total, 6 studies were included. Regarding the pulmonary function parameters, no significant effects were found in favor of adding MT to a RR program. However, the meta-analysis showed a significant improvement of 6-MWT when MT were added to a RR with a small clinical effect (n = 6, SMD = –0.55 (–1.01 to –0.09)). Lastly, the meta-regression analysis revealed that the intervention time of MT was not significantly correlated with the improvement of FEV1 (R2 = 52.49%, <em>P = .</em>16), FVC (R2=4.22%, <em>P = .</em>70), or 6-MWT (R²=9.95%, <em>P = .</em>62).</div></div><div><h3>Conclusions</h3><div>There is low-quality evidence that adding MT to an RR program can improve the exercise capacity in patients with RD. However, MT plus RR showed no effect on pulmonary function parameters, also with low-quality evidence.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 361-371"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694853","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":"Trunk Muscle Activity During Seated Strength Exercise With Resistance Wheeled Training Equipment","authors":"Shinya Ogaya PhD,&nbsp;Aoi Uchida BS,&nbsp;Rena Yamamoto BS,&nbsp;Ryosuke Momose BS,&nbsp;Shiuba Kudo BS","doi":"10.1016/j.jcm.2025.08.013","DOIUrl":"10.1016/j.jcm.2025.08.013","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to measure muscle activity during seated trunk strength training using resistance-wheeled training equipment at different resistance levels.</div></div><div><h3>Methods</h3><div>The participants were 19 healthy males. Resistance-wheeled training equipment, such as the small vehicle used in this study, had a mechanical braking function that locked the wheels and unlocked the brakes while only pressing downward with a constant force. The subjects moved the equipment forward and backward on a desk with an unlocked brake status. The participants performed under 3 conditions; (1) unlocked with no force, (2) unlocked with low force, and (3) unlocked with high force.</div></div><div><h3>Results</h3><div>Muscle activity increased significantly with increasing locked strength in the deltoid posterior, internal and external oblique, rectus abdominis, erector spinae thorax, and lumbar muscles. Some muscles reached over 50% of the maximum voluntary contraction when unlocked with a high force.</div></div><div><h3>Conclusion</h3><div>The muscle activity measured during trunk training that exceeded 50% of the maximum voluntary activation level corresponds to be sufficiently high for strength training and the activity level required for muscle hypertrophy. We believe that this research equipment may be a useful seated trunk strength training device.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 62-67"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694891","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":"Prevalence of Low Back Pain in Competitive Dressage Riders: A Cross-Sectional Study","authors":"Dirkie M. Landman MTech Chiropractic,&nbsp;Ashleigh Handley MHSc Chiropractic,&nbsp;Cynthia Peterson RN, DC, DACBR, MMedEd","doi":"10.1016/j.jcm.2025.08.012","DOIUrl":"10.1016/j.jcm.2025.08.012","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to identify the point and lifetime prevalence of low back pain (LBP) among dressage riders and identify riding-related variables that may precipitate LBP.</div></div><div><h3>Methods</h3><div>A cross-sectional, exploratory, quantitative study was conducted using an online questionnaire. One hundred dressage riders competing at preliminary and higher levels were recruited at the South African Equestrian Federation’s registered shows. Frequencies and descriptive statistics were performed on each question in addition to cross-tabulations for associations between variables or differences between riding practices and experiences.</div></div><div><h3>Results</h3><div>Participants were between the ages of 18 and 66 years. The questionnaire identified that 71% of participants reported point prevalence of LBP and 56% reported lifetime prevalence of LBP. Spearman ρ correlations showed positive correlations between how often participants believed their LBP was horse riding–related and how often they experienced LBP while competing/riding (r[75] = 0.46, <em>P</em> = .00) and how often their pain got worse with competing/riding (r[75] = 0.49, <em>P</em> = .00) and negative correlations with the number of hours spent in sitting trot and an increase in LBP (r[75] = −0.13, <em>P</em> = .28) and the number of hours spent cantering and an increase in LBP (r[75] = −0.19, <em>P</em> = .94).</div></div><div><h3>Conclusion</h3><div>This study reports point and lifetime prevalence of LBP among competitive dressage riders in South Africa. Training/riding-specific horse gaits were associated with LBP in dressage riders.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 84-91"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694894","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":"Platelet Rich-Plasma in MRI-Confirmed Tear of Posterior Cruciate Ligament: 4-Year Follow-up Case Report","authors":"Ivan Medina-Porqueres PT, RN, MSc ,&nbsp;Pablo Martin-Garcia RN ,&nbsp;Sofia Sanz-De Diego RN ,&nbsp;Marcelo Reyes-Eldblom MD ,&nbsp;Rafael Mondragon-Cortes BSc ,&nbsp;Daniel Rosado-Velazquez MD ,&nbsp;Abel Gomez-Caceres MD","doi":"10.1016/j.jcm.2025.09.004","DOIUrl":"10.1016/j.jcm.2025.09.004","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this case report is to describe the management of a professional soccer player with a knee Posterior Cruciate Ligament (PCL) tear using platelet-rich plasma (PRP) injections.</div></div><div><h3>Clinical Features</h3><div>A case of magnetic resonance imaging (MRI) confirmed type II injury of PCL with correlated physical signs of PCL insufficiency in a 21-year-old, white, professional soccer player is reported herein.</div></div><div><h3>Intervention and Outcome</h3><div>A PRP regimen was administered intra-articularly in 3 applications at weekly intervals to the affected knee. Follow-up assessment showed complete, pain-free ROM, a clinically normal joint, and complete ligament healing after PRP. The healing was supported by magnetic resonance imaging performed 48 months after the treatment.</div></div><div><h3>Conclusion</h3><div>This is the first reported case of a PCL type II injury in a professional soccer player with an isolated PRP application. This case expands the treatment options for PCL injuries and highlights another potential effect of PRP within the field of regenerative medicine.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 487-491"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694762","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":"Validity and Diagnostic Accuracy of Using a Smartphone for the Measurement of the Angle of Trunk Rotation and the Stiffness Scoliosis Test in Adolescents With Scoliosis","authors":"Isis Juliene Rodrigues Leite Navarro PhD,&nbsp;Camila Silva Braga BPT,&nbsp;Cláudia Tarragô Candotti PhD","doi":"10.1016/j.jcm.2025.09.022","DOIUrl":"10.1016/j.jcm.2025.09.022","url":null,"abstract":"<div><h3>Objectives</h3><div>The purpose of this study was to determine the validity and diagnostic accuracy of the angle of trunk rotation (ATR) and the stiffness scoliosis test (SST) measured using a smartphone with a simple external device (binder clips) using the scoliometer as the reference standard; and (2) to evaluate the effect of the rater’s experience.</div></div><div><h3>Methods</h3><div>This was a diagnostic accuracy study. Each participant was evaluated by 2 raters using a scoliometer and a smartphone (applied using a very simple external device - binder clips). Exclusion criteria: spinal surgery, any diagnosable cause of scoliosis, and upper or lower limb amputation. The sequence of the 2 consecutive procedures of evaluation and the 2 raters were randomly chosen. For statistical purposes, the Spearman’s and Pearson’s correlation test, the root mean square (RMS) error, the Bland-Altman graphic analysis and the ROC curve analysis were conducted (<em>P</em> &lt; .05).</div></div><div><h3>Results</h3><div>The sample consisted of 50 gibbosities of 38 participants, where 74% (n = 28) were girls and 26% (n = 10) boys, with a mean age of 13.4 ± 2.5 years. The correlations were excellent, ranging from 0.77 to 0.91 for ATR and SST, with RMS error of 2° to 5°. There was agreement between the measurements with a mean difference of 0.04° to 1.24°. The ROC curve presented an area under the curve of 95%.</div></div><div><h3>Conclusion</h3><div>The smartphone, when used with a simple external device (binder clips), is valid and accurate for ATR and SST measurement. Evaluator experience has no effect on the results.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 226-231"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694833","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":"Association of Supraspinatus, Infraspinatus, and Triceps Trigger Points in Patients With Lateral Epicondylalgia: A Cross-Sectional Study","authors":"Saroj Kumar Sahoo BPT, MPT ,&nbsp;Ajay Kumar PhD ,&nbsp;Rajasekar Sannasi PhD ,&nbsp;Jan Dommerholt PT, DPT, MPS ,&nbsp;Akshitha Rajashekar BPT, MPT","doi":"10.1016/j.jcm.2025.09.006","DOIUrl":"10.1016/j.jcm.2025.09.006","url":null,"abstract":"<div><h3>Objectives</h3><div>The objective of this cross-sectional study was to determine the association between lateral epicondylalgia (LE) and trigger points (TrPs) in the supraspinatus, infraspinatus, and triceps muscles.</div></div><div><h3>Methods</h3><div>A total of 26 subjects, aged 18-60 years, diagnosed with LE, were included in the study. The presence of TrPs in the supraspinatus, infraspinatus, and triceps muscles on both the affected and unaffected sides was assessed. The association and strength of the association between LE and TrPs were analyzed using the chi-square test and Cramer's V criteria, respectively.</div></div><div><h3>Results</h3><div>Significant associations were observed between LE and TrPs in the triceps muscle (LE-R / TTrPs-R chi-square (X2): 4.625, <em>P - .</em>032, Cramer's V: 0.422; LE-L / TTrPs-L X2: 16.611, p-&lt;.001, Cramer's V: 0.799), the infraspinatus muscle (LE-R / ITrPs-R X2: 6.406, <em>P - .</em>011, Cramer's V: 0.496; LE-L / ITrPs-L X2: 3.630, <em>P - .</em>057, Cramer's V: 0.374).the supraspinatus muscle (LE-R / STrPs-R X2: 3.957, <em>P - .</em>047, Cramer's V: 0.390; LE-L / STrPs-L X2: 6.851, <em>P</em> - .009, Cramer's V: 0.513). The unaffected side showed a negative association of TrPs.</div></div><div><h3>Conclusions</h3><div>Lateral epicondylalgia was associated with infraspinatus, triceps and, supraspinatus TrPs. There was no association with TrPs on the unaffected side.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 232-238"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694834","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":"Rib Mobilization and Diaphragm Release on Diaphragmatic Mobility and Pulmonary Function in Chronic Obstructive Pulmonary Disease: A Feasibility Clinical Trial","authors":"Helena Rocha MSc ,&nbsp;Rodrigo Souza MSc ,&nbsp;Taciano Rocha PhD ,&nbsp;Luciana Alcoforado PhD ,&nbsp;Daniella Cunha Brandão PhD ,&nbsp;Armèle Dornelas de Andrade PhD","doi":"10.1016/j.jcm.2025.09.033","DOIUrl":"10.1016/j.jcm.2025.09.033","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to evaluate the feasibility of a study to measure the effects of a protocol combining Rib mobilization technique (RMT) and diaphragm release technique (DRT) in patients with chronic obstructive pulmonary disease (COPD), investigating its impact on diaphragmatic mobility, pulmonary function, and functional capacity.</div></div><div><h3>Methods</h3><div>A clinical trial including 14 patients divided into 2 groups: RMT+DRT and DRT. Six intervention sessions were conducted, with assessments performed at Pre, Post 1, Post 6, and Follow-up time points. Outcomes included diaphragmatic mobility (ultrasound), thoracoabdominal kinematics (optoelectronic plethysmography), maximal respiratory pressures (manovacuometry), functional capacity (six-minute walk test [6MWT]), and perceived improvement (patients’ global impression of change scale).</div></div><div><h3>Results</h3><div>The protocol was well tolerated, with strong compliance and no adverse events reported. The RMT+DRT group demonstrated a clinically relevant improvement in diaphragmatic mobility (19.58 mm) and in the 6MWT distance (27.23 m), both exceeding the clinically significant difference thresholds. A relative reduction in maximal expiratory pressure was observed in the RMT+DRT group. No statistically significant differences were observed between groups for thoracoabdominal kinematics and maximal inspiratory pressure.</div></div><div><h3>Conclusion</h3><div>This feasibility study suggests that a study of the combination of rib mobilization and diaphragmatic release is a feasible and well-tolerated intervention for patients with COPD, and may have a positive impact on respiratory mechanics and functional capacity. The findings provide a basis for sample size calculation and protocol refinement in future clinical trials to confirm its therapeutic effects.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 308-317"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694843","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":"Disability and Functionality Measures in Patients With Acute Ankle Sprain: A Scoping Review","authors":"Andressa Pereira de Souza BSc ,&nbsp;Carolina Santarelli BSc ,&nbsp;Luiza Murakami BSc ,&nbsp;Neidi Celena Cortez Limachi BSc ,&nbsp;Veronica Souza Santos PhD","doi":"10.1016/j.jcm.2025.09.024","DOIUrl":"10.1016/j.jcm.2025.09.024","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this review was to identify how disability and functionality were measured in patients with acute ankle sprain and present according to the International Classification of Function, Disability, and Health (ICF).</div></div><div><h3>Methods</h3><div>We conducted a scoping review of randomized controlled trials including participants with acute ankle sprain. We conducted the searches in 4 databases to identify the studies. The searchers considered the inception of databases up to February 2024, without language restrictions. The process of evidence selection and data extraction was conducted independently. The summarization of evidence was presented according to the ICF.</div></div><div><h3>Results</h3><div>We included 49 randomized controlled trials. The most common way disability and functionality were assessed in the included studies was through patient-reported outcome measures (PROMs) 35 (71.4%), and the most used PROM was the Foot and Ankle Outcome Score (FAOS). Most of the tools used to measure disability and functionality fall under the participation domain of the International Classification of Functioning, followed by activity.</div></div><div><h3>Conclusion</h3><div>Disability and functionality in randomized controlled trials of acute ankle sprain is usually assessed through PROMs. The most comprehensive item of the ICF was participation, followed by activity.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 372-379"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694854","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":"Combination of Botanicals and Mindfulness Meditation for the Treatment of Chronic Pancreatitis: A Case Report","authors":"Brett R. Martin DC, MSAc, MPH","doi":"10.1016/j.jcm.2025.09.001","DOIUrl":"10.1016/j.jcm.2025.09.001","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study is to report on the treatment of a patient with chronic pancreatitis using a combination of botanicals with mindfulness meditation.</div></div><div><h3>Clinical Features</h3><div>A 57-year-old male with chronic pancreatitis was admitted to the emergency room (ER) with severe acute, diffuse epigastric pain with a sharp stabbing pain in his left upper quadrant in the fall of 2020. He was diagnosed with pancreatic insufficiency and prescribed pancrelipase by the medical doctor in the ER. Over the next few months, he experienced moderate abdominal pain, nausea, eructation, fatigue, and flatulence that were minimally impacted by the treatment and he lost 30 pounds. In addition, his condition was exacerbated by stress. He incorporated dietary recommendations and supplements from a nutritionist from the Mayo Clinic. He maintained the changes for 9 months which provided a mild relief of his symptoms.</div></div><div><h3>Intervention/Outcome</h3><div>The combination of 1000 mg of milk thistle (<em>S marianum</em>), 1000 mg of bromelain (<em>A comosus</em>), 500 mg of ginger (<em>Z officinale</em>), 1000 mg of garlic oil (<em>A sativum</em>), and 800 mg of passion flower (<em>P incarnata</em>) in conjunction with mindfulness meditation was utilized to control his symptoms. After 29 weeks of supplementing with milk thistle (<em>S marianum</em>), bromelain (<em>A comosus</em>), ginger (<em>Z officinale</em>), garlic oil (<em>A sativum</em>), and passion flower, the patient’s symptoms of abdominal pain, nausea, eructation, fatigue, and flatulence were alleviated and his stress was controlled.</div></div><div><h3>Conclusion</h3><div>This patient with chronic pancreatitis had reduced symptoms after application of the combination of botanicals with meditation.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 452-458"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694845","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":"Feasibility Considerations of 24-Hour Heart Rate Variability as a Wellness-Focused Biomarker","authors":"Charles N.R. Henderson DC, PhD ,&nbsp;Monica Smith DC, PhD ,&nbsp;Dale F. Johnson PhD ,&nbsp;Phyllis K. Stein PhD","doi":"10.1016/j.jcm.2025.08.006","DOIUrl":"10.1016/j.jcm.2025.08.006","url":null,"abstract":"<div><h3>Objective</h3><div>The purposes of this study were to (1) evaluate heart rate variability (HRV) monitoring for assessing morning, mid-day, evening, and sleep sample periods; (2) assess study-related procedures, personnel, and physical resources available at our institution; (3) identify potential problems and solutions associated with the use of 24-hour HRV at our institution.</div></div><div><h3>Methods</h3><div>Six participants were fitted with 24-hour HRV recording devices (DMS myPatch-sl) and evaluated under 3 conditions; normal-daily-activity, treadmill-walking, and paced-deep-breathing. In addition, each participant maintained a written event-diary during the evaluation period. Tachograms for sample time periods were reported with representative Fast Fourier Transform Power Analyses.</div></div><div><h3>Results</h3><div>We found that proper ECG electrode patch placement on study participants required specific training and written instructions. The DMS Holter monitor provided good-quality data over the 24-hour period without interfering with normal daily activities. However, there was data loss for 1 hour immediately following exposure of the device to water while showering. Also, there was a need to stabilize the V5 electrode wire to minimize disconnections during sleep. Participant diaries varied considerably in useful information content.</div></div><div><h3>Conclusion</h3><div>The findings for the 6 participants in this study support the feasibility of and inform applying 24-hour HRV assessment in research studies at our institution.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"24 1","pages":"Pages 54-61"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694890","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}