Gemma V. Espí-López, Dagmar Pavlu, Anna Arnal-Gómez, Elena Muñoz-Gómez, Antonio Martinez-Millana, Elena Marqués-Sulé
{"title":"徒手疗法对平衡的短期影响：多中心、随机、双盲对照试验","authors":"Gemma V. Espí-López, Dagmar Pavlu, Anna Arnal-Gómez, Elena Muñoz-Gómez, Antonio Martinez-Millana, Elena Marqués-Sulé","doi":"10.1016/j.jmpt.2023.11.003","DOIUrl":null,"url":null,"abstract":"<h3>Objective</h3><p>The purpose of this study was to analyze short-term changes in dynamic and static balance after a manual therapy protocol in healthy participants and analyze any repercussions on mood and perception of change after applying articulatory techniques.</p><h3>Methods</h3><p>A single-blind, randomized, multicenter clinical trial was conducted. Participants were allocated to either a manual therapy group (MTG) (n = 101) or a control group (CG) without intervention (n = 99), and measures were taken before treatment, after the intervention, and 1 week after treatment. Assessments included the Star Excursion Balance Test, Unipedal Stance Test (UPST), Profile of Mood States (POMS), and Patient Global Impression of Change (PGIC) scale.</p><h3>Results</h3><p>Two hundred healthy participants completed the study (mean age, 22 [SD = 2.67]). There was a statistically significant interaction between groups and time measurements in the right leg for anterior (<em>P</em> = .003), posteromedial (<em>P</em> < .001), and posterolateral (<em>P</em> = .001) directions in favor of the MTG, as well as in the left leg for anterior (<em>P <</em> .001), posteromedial (<em>P</em> < .001), and posterolateral (<em>P</em> = .012) directions. The analysis failed to show statistically significant interactions between any of the factors for the UPST and POMS (<em>P</em> > .05). The MTG showed a significant improvement compared to the CG after treatment (<em>P</em> = .003) and at 1-week follow-up (<em>P</em> < .001) on the PGIC scale.</p><h3>Conclusion</h3><p>The results suggest the MT intervention was effective on dynamic balance in post-intervention in healthy participants, and some of the directions maintained the results at 1-week follow-up. Perception of change in post-treatment and 1-week follow-up also significantly improved. The protocol did not seem to produce changes in static balance and mood states. Positive changes after manual therapy were maintained in the short term.</p>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Short-Term Effects of Manual Therapy on Balance: A Multicenter, Randomized, Double-Blind Controlled Trial\",\"authors\":\"Gemma V. Espí-López, Dagmar Pavlu, Anna Arnal-Gómez, Elena Muñoz-Gómez, Antonio Martinez-Millana, Elena Marqués-Sulé\",\"doi\":\"10.1016/j.jmpt.2023.11.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<h3>Objective</h3><p>The purpose of this study was to analyze short-term changes in dynamic and static balance after a manual therapy protocol in healthy participants and analyze any repercussions on mood and perception of change after applying articulatory techniques.</p><h3>Methods</h3><p>A single-blind, randomized, multicenter clinical trial was conducted. Participants were allocated to either a manual therapy group (MTG) (n = 101) or a control group (CG) without intervention (n = 99), and measures were taken before treatment, after the intervention, and 1 week after treatment. Assessments included the Star Excursion Balance Test, Unipedal Stance Test (UPST), Profile of Mood States (POMS), and Patient Global Impression of Change (PGIC) scale.</p><h3>Results</h3><p>Two hundred healthy participants completed the study (mean age, 22 [SD = 2.67]). There was a statistically significant interaction between groups and time measurements in the right leg for anterior (<em>P</em> = .003), posteromedial (<em>P</em> < .001), and posterolateral (<em>P</em> = .001) directions in favor of the MTG, as well as in the left leg for anterior (<em>P <</em> .001), posteromedial (<em>P</em> < .001), and posterolateral (<em>P</em> = .012) directions. The analysis failed to show statistically significant interactions between any of the factors for the UPST and POMS (<em>P</em> > .05). The MTG showed a significant improvement compared to the CG after treatment (<em>P</em> = .003) and at 1-week follow-up (<em>P</em> < .001) on the PGIC scale.</p><h3>Conclusion</h3><p>The results suggest the MT intervention was effective on dynamic balance in post-intervention in healthy participants, and some of the directions maintained the results at 1-week follow-up. Perception of change in post-treatment and 1-week follow-up also significantly improved. The protocol did not seem to produce changes in static balance and mood states. 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Short-Term Effects of Manual Therapy on Balance: A Multicenter, Randomized, Double-Blind Controlled Trial
Objective
The purpose of this study was to analyze short-term changes in dynamic and static balance after a manual therapy protocol in healthy participants and analyze any repercussions on mood and perception of change after applying articulatory techniques.
Methods
A single-blind, randomized, multicenter clinical trial was conducted. Participants were allocated to either a manual therapy group (MTG) (n = 101) or a control group (CG) without intervention (n = 99), and measures were taken before treatment, after the intervention, and 1 week after treatment. Assessments included the Star Excursion Balance Test, Unipedal Stance Test (UPST), Profile of Mood States (POMS), and Patient Global Impression of Change (PGIC) scale.
Results
Two hundred healthy participants completed the study (mean age, 22 [SD = 2.67]). There was a statistically significant interaction between groups and time measurements in the right leg for anterior (P = .003), posteromedial (P < .001), and posterolateral (P = .001) directions in favor of the MTG, as well as in the left leg for anterior (P < .001), posteromedial (P < .001), and posterolateral (P = .012) directions. The analysis failed to show statistically significant interactions between any of the factors for the UPST and POMS (P > .05). The MTG showed a significant improvement compared to the CG after treatment (P = .003) and at 1-week follow-up (P < .001) on the PGIC scale.
Conclusion
The results suggest the MT intervention was effective on dynamic balance in post-intervention in healthy participants, and some of the directions maintained the results at 1-week follow-up. Perception of change in post-treatment and 1-week follow-up also significantly improved. The protocol did not seem to produce changes in static balance and mood states. Positive changes after manual therapy were maintained in the short term.
期刊介绍：
The Journal of Manipulative and Physiological Therapeutics (JMPT) is an international and interdisciplinary journal dedicated to the advancement of conservative health care principles and practices. The JMPT is the premier biomedical publication in the chiropractic profession and publishes peer reviewed, research articles and the Journal''s editorial board includes leading researchers from around the world.
The Journal publishes original primary research and review articles of the highest quality in relevant topic areas. The JMPT addresses practitioners and researchers needs by adding to their clinical and basic science knowledge and by informing them about relevant issues that influence health care practices.
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