Journal of chiropractic medicine最新文献

{"title":"Within-Subject Changes in Shoulder Girdle Muscle Activation After Soft Tissue Mobilization of the Upper Trapezius","authors":"Tanmay Sathe MPT,&nbsp;Anupama Prabhu MPT,&nbsp;Kavitha Vishal MPT","doi":"10.1016/j.jcm.2022.04.003","DOIUrl":"10.1016/j.jcm.2022.04.003","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to investigate the effect of the integrated neuromuscular inhibition technique (INIT) of the upper trapezius (UT) on shoulder muscle activity in chronic shoulder pain.</p></div><div><h3>Methods</h3><p><span>Twenty-two patients (mean age 42.5 ± 16.07) with chronic unilateral shoulder pain with UT myofascial trigger points (MTrPs) (n = 27) and scapular dyskinesis received a single session of INIT (∼15 minutes for each MTrP). The pain on the visual analog scale, along with surface electromyographic activity, maximum voluntary contraction in % (in arm raising and lowering in scapular plane), and </span>pressure pain threshold<span> (PPT) of 5 girdle muscles UT, lower trapezius, serratus anterior, middle deltoid, and infraspinatus were measured before and immediately after treatment. Wilcoxon signed-rank test was used for analysis (at α ≤ 0.05).</span></p></div><div><h3>Results</h3><p>Muscle activity of all the muscles, especially the lower trapezius, was reduced during arm raising in the scapular plane (76.69%-71.14% [p = 0.003]). UT activity decreased during arm lowering also (56.70%-45.99% [p ˂ 0.001]). The intensity of shoulder pain reduced (50.50 mm to 22 mm, [p ˂ 0.001]), and PPT values of all 5 muscles improved post-treatment.</p></div><div><h3>Conclusion</h3><p>The findings of this study provide preliminary evidence for the application of a single session of INIT on UT MTrPs in reducing activity in the scapular muscles, improving shoulder pain, and PPT in chronic unilateral shoulder pain.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10801405","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":"Demographic Factors Associated With Public Awareness of Chiropractic in Klang Valley, Malaysia: A Cross-sectional Study","authors":"Yi Kai Wong BSc(Chiro), MPH ,&nbsp;Kok Leong Tan MPH ,&nbsp;Michael Thomas Haneline DC, MPH","doi":"10.1016/j.jcm.2022.02.020","DOIUrl":"10.1016/j.jcm.2022.02.020","url":null,"abstract":"<div><h3>Objective</h3><p>The purposes of this study were to determine the public awareness of chiropractic in Klang Valley and to identify sociodemographic factors associated with this awareness.</p></div><div><h3>Methods</h3><p><span><span>A cross-sectional study with a total of 440 respondents was conducted in medical, chiropractic, pharmacy, and dental health care facilities in Klang Valley. A self-administrated questionnaire was enclosed in an envelope and handed to the participants by the health care facilities’ staff. Tables and figures were used to present the descriptive data. Data collected were also analyzed using </span>inferential statistics such as binary </span>logistic regression, odds ratio, and 95% confidence interval. The variables in this study were age, ethnicity, sex, education level, marital status, nationality, employment status, and health status along with awareness of chiropractic.</p></div><div><h3>Results</h3><p>The respondents’ ages ranged from 18 to 81 years, and the mean age was 33.1 years. The majority of respondents were single (52.1%), and 43.1% of respondents were married. Most of the respondents were employed (64.4%), followed by students (14.8%). Among the respondents, 40.2% perceived to have a good health status. Good awareness of chiropractic was 50.2%, whereas the poor awareness of chiropractic was 49.8%. Two sociodemographic factors that were statistically significantly associated with the awareness of chiropractic were ethnicity and employment status, with a <em>P</em> value of &lt;.001 and .006, respectively.</p></div><div><h3>Conclusion</h3><p>The level of public awareness of chiropractic was 50.2%, with ethnicity and employment status as statistically significant associated factors.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10814875","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 Topical Sesame Oil on the Severity of Pain in Patients With Limb Trauma: A Randomized Controlled Trial","authors":"Mina Kafash Mohammadjani MSN ,&nbsp;Fateme Jafaraghaee PhD ,&nbsp;Fatemeh Yosefbeyk PhD ,&nbsp;Ehsan Kazem Nejad PhD ,&nbsp;Nazila Javadi-Pashaki PhD","doi":"10.1016/j.jcm.2022.02.014","DOIUrl":"10.1016/j.jcm.2022.02.014","url":null,"abstract":"<div><h3>Objective</h3><p><span><span>The purpose of this study was to investigate the effect of topical use of sesame oil on </span>pain severity </span>in patients with limb trauma.</p></div><div><h3>Methods</h3><p><span>A placebo-controlled randomized controlled trial<span> was conducted on 120 patients with nonpenetrating upper and lower limb traumas<span> admitted to the trauma emergency department<span>. The patients were allocated to either the sesame oil group or the placebo group using the stratified random sampling technique based on trauma size and age. Depending on the trauma area, sesame or placebo oil were poured on the trauma site and massaged for 5 to 7 minutes. The intervention was repeated twice a day for 3 days at home. Pain severity was measured using the numeric pain scale before intervention on the first day and 30 minutes after each intervention for 3 days, twice a day. Data were analyzed using descriptive and analytical tests including the independent </span></span></span></span><em>t</em> test, χ²<span><span><span> test, Fisher exact test, Mann-Whitney U test, </span>Friedman test, and </span>multiple linear regression analysis. The significance level was set at 0.05.</span></p></div><div><h3>Results</h3><p>The decreasing trend of pain was significant in both the intervention and placebo groups (<em>P</em><span> &lt; .001). Comparison of the trend of changes in pain scores between the 2 groups showed that the mean changes of pain severity were higher in the intervention group compared with the placebo group in all assessments. There was a significant difference in the rate of analgesic consumption in the intervention group compared with the placebo group (</span><em>P</em><span> &lt; .001). However, there was no significant difference between the 2 groups regarding pain severity. Pain reduction was negatively associated with body mass index (b = –0.091, </span><em>P</em> = .003), amount of received pain medication (b = –0.001, <em>P</em> = .039), and area of trauma (b = –0.002, <em>P</em><span> = .039). Pain reduction was greater in male patients than female patients (b = 0.676, </span><em>P</em> = .015). The effect of sesame oil on pain changes was not significant. No adverse side effects were reported.</p></div><div><h3>Conclusion</h3><p>This study showed that despite less use of analgesics in the intervention group than in the placebo group, sesame oil did not have any statistically significant effects on the severity of limb trauma pain. Further research is needed regarding the effect of topical sesame oil application on pain as a safe and uncomplicated intervention.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10814877","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":"Proinflammatory and Anti-inflammatory Cytokine Response to Isometric Handgrip Exercise and the Effects of Duration and Intensity of the Isometric Efforts in Prehypertensive Participants","authors":"Udoji Godsday Ogbutor PhD ,&nbsp;Eze Kingsley Nwangwa MBBS, PhD ,&nbsp;Bartholomew Chukwuebuka Nwogueze PhD ,&nbsp;John Chukwuka Igweh PhD ,&nbsp;Francis Chinedu Ugoeze DPT ,&nbsp;Emmanuel Ezunu DPT ,&nbsp;Ejime Agbonifo Chijiokwu MSc","doi":"10.1016/j.jcm.2022.05.002","DOIUrl":"10.1016/j.jcm.2022.05.002","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to investigate the responses of selected inflammatory cytokines to isometric handgrip exercise and identify possible effects of intensity and duration of the isometric effort on these variables.</p></div><div><h3>Methods</h3><p>A total of 192 sedentary prehypertensive Nigerian participants aged between 30 and 50 years were recruited into the study and randomly distributed into 3 groups of 64 participants each. The participants performed 24 consecutive days of isometric handgrip exercise at 30% maximum voluntary contraction. At the end of the 24 days, group 1 discontinued the exercise protocol, while group 2 continued the exercise protocol for another 24 consecutive days, and group 3 continued with the exercise protocol for another 24 consecutive days but at 50% maximum voluntary contraction. The parameters used to assess the inflammatory cytokine variables included interleukin-6 (IL-6), interleukin-10 (IL-10), and tumor necrosis factor-alpha (TNF-α).</p></div><div><h3>Results</h3><p>There was an increase in the resting values of IL-10 across the 3 groups, while the resting values of IL-6 and TNF-α were reduced significantly across groups. Generally, the exercise-induced changes in the levels of these cytokines (TNF-α, IL-6, and IL-10) should improve inflammatory and metabolic abnormalities.</p></div><div><h3>Conclusion</h3><p>The isometric handgrip exercise protocols in this study resulted in elevation of anti-inflammatory cytokine (IL-10) and reductions in the values of proinflammatory cytokines TNF- α and IL-6.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10801402","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":"Telehealth Content From United States Chiropractic State Board Websites Compared With Medical and Physical Therapy Websites During the Early Stages of the COVID-19 Pandemic","authors":"Michael R. Cole II DC, MS ,&nbsp;Ross Mattox DC ,&nbsp;Hannah Tobiczyk DC ,&nbsp;Jason G. Napuli DC, MBA ,&nbsp;Frank Bucki DC","doi":"10.1016/j.jcm.2022.04.004","DOIUrl":"10.1016/j.jcm.2022.04.004","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this descriptive study was to evaluate the presence of telehealth content on chiropractic state board websites compared with websites from the medical and physical therapy professions during the early COVID-19 pandemic.</p></div><div><h3>Methods</h3><p>State board websites for chiropractic, medicine, and physical therapy for each of the 50 United States and the District of Columbia were searched for the word “tele” to determine if there was a link on the homepage for content related to telehealth guidance. If there was none, the homepage was queried for the word “COVID” to determine if there was a link for COVID-19–related guidance. If yes, that linked COVID-19 page was queried for the word “tele.” Consensus of 4 of 5 reviewers was sought. Binary results were entered into a separate spreadsheet for each profession (telehealth content easily accessible, yes or no). Easily accessible was defined as information found within 1 or 2 clicks. This search was performed between January 1, 2021, and March 1, 2021.</p></div><div><h3>Results</h3><p>There were 11 of 51 (21%) chiropractic state board websites that provided content regarding telehealth on the main page, 8 of 51 (16%) provided content on a separate COVID-19–related page, and 32 of 51 (63%) did not provide content that was accessible within 1 or 2 clicks. Comparatively, 9 of 51 (18%) medical state board websites provided content regarding telehealth on the main page, 20 of 51 (39%) provided content on a COVID-19–related page, and 22 of 51 (43%) did not provide content that was accessible within 1 or 2 clicks. Lastly, 10 of 51 (20%) physical therapy state board websites provided content regarding telehealth on the main page, 19 of 51 (37%) provided content on a COVID-19–related page, and 22 of 51 (43%) did not provide content that was accessible within 1 or 2 clicks.</p></div><div><h3>Conclusion</h3><p>Telehealth content was more readily available on medical and physical therapy state board websites compared with chiropractic state board websites in the early stages of the COVID-19 pandemic.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9297112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40620891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chiropractic Care and Quality of Life Among Office Workers With Nonspecific Pain: A Cross-Sectional Study","authors":"Emsal Salik MD, PhD, DC,&nbsp;Ali Veysel Ozden MD, PhD,&nbsp;Hasan Kerem Alptekin MD, PhD","doi":"10.1016/j.jcm.2022.03.006","DOIUrl":"10.1016/j.jcm.2022.03.006","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this study was to evaluate the quality of life<span> by a self-administered World Health Organization Quality of Life short version survey (WHOQoL-BREF) among office workers with nonspecific pain receiving chiropractic care in Istanbul, Turkey.</span></p></div><div><h3>Methods</h3><p>This cross-sectional study included 77 office workers (age interval, 18-65) with nonspecific neck, thoracic, back and/or extremity pain who underwent chiropractic care. Two weeks later, the quality of life was evaluated by a self-administered WHOQoL-BREF. The Numeric Pain Scale to evaluate the perceived pain was administered to all of the participants in the beginning and at the end of the study. Group-level changes on WHOQoL-BREF total score and subdimensions were compared according to descriptive data of office workers. The significance level was set at <em>P</em> ≤ .05.</p></div><div><h3>Results</h3><p>WHOQoL-BREF scale scores after chiropractic care (mean ± standard deviation) were 71.21% ± 7.91% (total score), 81.49% ± 14.43% (general health), 80.38% ± 10.49% (physical health), 73.16% ± 11.68% (psychological), 70.41% ± 12.43% (social), and 65.58% ± 10.91% (environment). Numeric Pain Scale scores decreased in a statistically significant way when compared with baseline (<em>P</em> ≤ .05). The descriptive statistical analysis of WHOQoL-BREF dimensions revealed that women had significantly higher scores than men, the 18-to-35 age group had higher scores compared with the 50-to-65 age group, and those married had significantly higher scores than those who were not married <em>(P ≤</em> .05).</p></div><div><h3>Conclusion</h3><p>The findings of our study suggest that chiropractic care had positive effects on the quality of life of office workers.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10801406","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":"Management of Stress Urinary Incontinence With Pelvic Floor Muscle Training for a Woman With Charcot-Marie-Tooth Disease: A Case Report","authors":"Letícia A. Ferreira PT, MSc,&nbsp;Fátima F. Fitz PT, PhD,&nbsp;Márcia M. Gimenez PT, PhD,&nbsp;Mayanni M.P. Matias PT,&nbsp;Maria A.T. Bortolini MD, PhD,&nbsp;Rodrigo A. Castro MD, PhD","doi":"10.1016/j.jcm.2022.02.015","DOIUrl":"10.1016/j.jcm.2022.02.015","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this report is to describe the effects of pelvic floor muscle training<span> (PFMT) in stress urinary incontinence (SUI) of a woman with Charcot-Marie-Tooth (CMT) disease.</span></p></div><div><h3>Clinical Features</h3><p><span><span>A 50-year-old female patient with a diagnosis of type II CMT disease was referred to </span>treatment<span><span> as a result of a complaint of urinary loss upon effort (ie, coughing and sneezing). She reported that the symptoms started about 36 months prior. The urodynamic study revealed SUI with a </span>Valsalva leak point pressure of 84 cmH</span></span>₂O.</p></div><div><h3>Intervention and Outcome</h3><p><span>The treatment of SUI was carried out through a PFMT program for 12 weeks (with supervision) and exercises at home for another 12 weeks. A specialized physiotherapist measured symptoms and severity of SUI (3-day urinary diary, 1-hour pad test), pelvic floor muscle function (digital palpation, </span>manometry<span> and dynamometry), effect of the SUI on quality of life (Incontinence Quality of Life Questionnaire), and adherence to the outpatient sessions and to home exercise sets, which also were assessed (exercise diary).</span></p></div><div><h3>Conclusion</h3><p>In this patient with CMT disease, improvements in urinary symptoms and severity of SUI, pelvic floor muscle function, and effect of SUI on quality of life were noted after PFMT.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10814873","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 Clinical Outcomes Among Older Adult Male Veterans With Chronic Lower Back Pain: A Retrospective Review of Quality-Assurance Data","authors":"Brian A. Davis DC ,&nbsp;Andrew S. Dunn DC, MS, MEd ,&nbsp;Derek J. Golley DC, MS ,&nbsp;Dave R. Chicoine DC, MS","doi":"10.1016/j.jcm.2022.02.004","DOIUrl":"10.1016/j.jcm.2022.02.004","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to determine whether a sample of older adult male U.S. veterans demonstrated clinically and statistically significant improvement in chronic lower back pain on validated outcome measures after a short course of chiropractic care.</p></div><div><h3>Methods</h3><p>We performed a retrospective review of a quality-assurance data set of outcome metrics for male veterans, aged 65 to 89 years, who had chronic low back pain, defined as pain in the lower back region present for at least 3 months before evaluation. We included those who received chiropractic management from January 1, 2010, to December 31, 2018. Paired <em>t</em><span><span> tests were used to compare outcomes after 4 treatments on both a </span>numeric rating scale (NRS) and the Back Bournemouth Questionnaire (BBQ). The minimum clinically important difference (MCID) was set at 30% change from baseline.</span></p></div><div><h3>Results</h3><p>There were 217 individuals who met the inclusion criteria. The mean NRS score change from baseline was 2.2 points, representing a 34.1% reduction (<em>t</em> = 13.5, <em>P</em> &lt; .001). The mean score change for BBQ was 14.7 points, representing a 35.9% reduction (<em>t</em> = 16.7, <em>P</em> &lt; .001). The percentage of participants reaching the MCID for the NRS was 57% (n = 124) and for the BBQ was 59% (n = 126), with 41% (n = 90) of the sample reaching the MCID for both the NRS and BBQ.</p></div><div><h3>Conclusion</h3><p>This retrospective review revealed clinically and statistically significant improvement in NRS and BBQ scores for this sample of older male U.S. veterans treated with chiropractic management for chronic low back pain.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40551258","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":"Factors Associated With Dimensions of Patients’ Trust in Chiropractic Doctors in the International Medical University Healthcare Chiropractic Center: An Exploratory Study","authors":"Yi Kai Wong BSc(Chiro), MSc,&nbsp;Ka Lok Low BSc(Chiro),&nbsp;Tamara Gien Pooke MTech(Chiro), PhD","doi":"10.1016/j.jcm.2022.02.003","DOIUrl":"10.1016/j.jcm.2022.02.003","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to investigate the association between patients’ sociodemographic factors (age, sex, ethnicity, and education background) and dimensions of patients’ trust in chiropractic doctors in Malaysia.</p></div><div><h3>Methods</h3><p>This cross-sectional study was conducted in the International Medical University Healthcare Chiropractic Center with a total of 302 respondents. Self-administered questionnaires were enclosed in an envelope and passed to participants by the researchers. Descriptive statistics are presented in tables and figures. Each dimension of the patients’ trust was compared against the sociodemographic factors. The variables included were sex, age, ethnicity, and education background, along with their dimensions of trust.</p></div><div><h3>Results</h3><p>There were 106 male respondents (35.1%) and 196 female respondents (64.9%) between 21 and 40 years of age. In all of the trust dimensions, education background was the only statistically significant variable <em>(P</em> &lt; .05).</p></div><div><h3>Conclusion</h3><p>Several sociodemographic factors were associated highly with the trust dimensions explored. Patients’ education background was the only sociodemographic factor to show a statistically significant relationship to all 10 trust dimensions. Sex, age, and ethnicity showed significant associations with some of the trust dimensions explored in this study.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40551260","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 Adding Vertical Correction to Dynamic Scapular Recognition on Scapular Dyskinesis and Shoulder Disability in Patients With Adhesive Capsulitis: A Randomized Clinical Study","authors":"Ayman A. Mohamed PhD, MSc, PT ,&nbsp;Motaz Alawna PhD, MSc, PT","doi":"10.1016/j.jcm.2022.02.002","DOIUrl":"10.1016/j.jcm.2022.02.002","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to measure the effect of adding vertical downward correction to dynamic scapular recognition exercise on scapular dyskinesis and shoulder pain and disability in people with adhesive capsulitis.</p></div><div><h3>Methods</h3><p>Sixty-seven participants with adhesive capsulitis were randomized into 2 groups. The taping intervention group performed a dynamic scapular recognition exercise using a wireless biofeedback system<span> and a continual vertical downward correction using rigid taping with 50% to 75% tension. The comparison group performed a similar dynamic scapular recognition exercise but with sham taping. The primary outcome measures were scapular dyskinesis, scapular upward rotation, and Shoulder Pain and Disability Index, and the secondary outcome measures were shoulder flexion, abduction, and external rotation.</span></p></div><div><h3>Results</h3><p>After 2 weeks, there were significant differences between the taping intervention group and the comparison group in scapular dyskinesis, scapular upward rotation, shoulder flexion, abduction, and Shoulder Pain and Disability Index (<em>P</em> &lt; .05), and nonsignificant differences in shoulder external rotation (<em>P</em> &gt; .05). After 2 and 6 months, there were significant differences between groups in all dependent outcome measures (<em>P</em> &lt; .05).</p></div><div><h3>Conclusion</h3><p>This study demonstrated that from adding taping with a vertical downward correction to dynamic scapular recognition exercises, significant short-term and long-term improvements in scapular dyskinesis and shoulder pain and disability in people with adhesive capsulitis were observed. These improvements persisted for 6 months after intervention.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40551257","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}