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Showing 1 - 21 of 21 Journals sorted alphabetically
Archives of Osteoporosis     Hybrid Journal   (Followers: 2)
Bangladesh Heart Journal     Open Access   (Followers: 3)
Chiropractic & Manual Therapies     Open Access   (Followers: 5)
Chiropractic Journal of Australia     Full-text available via subscription  
Clinical Chiropractic     Hybrid Journal   (Followers: 2)
Current Osteoporosis Reports     Hybrid Journal   (Followers: 4)
DO - Deutsche Zeitschrift für Osteopathie     Hybrid Journal   (Followers: 1)
Homeopathy     Hybrid Journal   (Followers: 8)
International Journal of Osteopathic Medicine     Hybrid Journal   (Followers: 2)
Journal of Chiropractic Humanities     Hybrid Journal  
Journal of Chiropractic Medicine     Hybrid Journal   (Followers: 4)
Journal of Osteoporosis     Open Access   (Followers: 4)
La Revue d'Homéopathie     Full-text available via subscription  
Musculoskeletal Science and Practice     Hybrid Journal   (Followers: 2)
Osteopathische Medizin     Full-text available via subscription   (Followers: 1)
Osteopatía Científica     Full-text available via subscription   (Followers: 2)
Osteoporosis International     Hybrid Journal   (Followers: 14)
Prosthetics and Orthotics International     Hybrid Journal   (Followers: 10)
Revista de Osteoporosis y Metabolismo Mineral     Open Access   (Followers: 2)
Revista Médica de Homeopatía     Full-text available via subscription  
Zeitschrift für Klassische Homöopathie     Hybrid Journal  
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Journal of Chiropractic Medicine
Journal Prestige (SJR): 0.337
Citation Impact (citeScore): 1
Number of Followers: 4  
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 0899-3467 - ISSN (Online) 1556-3707
Published by Elsevier Homepage  [3203 journals]
  • Differentiating Bilateral Symptomatic Hand Osteoarthritis From Rheumatoid
           Arthritis Using Sonography When Clinical and Radiographic Features Are
           Nonspecific: A Case Report
    • Abstract: Publication date: Available online 10 February 2019Source: Journal of Chiropractic MedicineAuthor(s): Kelsey L. Lewis, Patrick J. BattagliaAbstractObjectiveThe purpose of this report is to describe a patient with bilateral symptomatic hand osteoarthritis (OA) originally thought to be rheumatoid arthritis (RA) based on clinical and radiographic features.Clinical FeaturesA 48-year-old woman presented with bilateral hand pain, stiffness, swelling, and redness in the proximal and distal interphalangeal joints of 1 year’s duration. Laboratory analysis and plain film radiography were equivocal. These findings necessitated the use of diagnostic ultrasound, which revealed no synovitis or erosions in the joints of the hand, so a diagnosis of bilateral symptomatic hand OA was rendered.Intervention and OutcomeA trial of conservative care consisting of mobilizations, instrument-assisted soft tissue therapy, and laser therapy was given. At 1-month follow-up, the patient regained full pain-free range of motion and strength and returned to complete work activity.ConclusionThis case report demonstrated that hand OA can present with nonspecific inflammatory-like clinical features. These findings require further testing, in which case ultrasound imaging may be valuable to differentiate OA from RA. Using ultrasound to make this diagnosis may guide management, with rheumatology referral for RA and conservative care for OA.
  • Effects of Core Neuromuscular Training on Pain, Balance, and Functional
           Performance in Women With Patellofemoral Pain Syndrome: A Clinical Trial
    • Abstract: Publication date: Available online 10 February 2019Source: Journal of Chiropractic MedicineAuthor(s): Alireza Motealleh, Marzieh Mohamadi, Mana Biabani Moghadam, Nazanin Nejati, Negin Arjang, Naghmeh EbrahimiAbstractObjectiveThe purpose of this study was to determine the effects of core neuromuscular training on pain, balance, and performance in women with patellofemoral pain syndrome (PFPS).MethodsThis randomized single-blind trial was based on a convenience sample of 28 women with unilateral PFPS. All participants were assigned randomly to the intervention or control group with a block randomization method. The control group received routine physical therapy exercise for PFPS. The intervention group received core neuromuscular training in addition to routine physical therapy exercise. The outcome measures evaluated were pain intensity (Visual Analog Scale), function (Kujala patellofemoral questionnaire and step-down performance test), and balance (Y balance test).ResultsIn both groups the pain score was significantly lower after treatment (P = .001). The slope of this trend was greater in the intervention group. The Kujala and step-down scores improved significantly after treatment in both groups, although the improvements were greater in the intervention group. The Y balance score improved in all 3 directions after therapy in both groups (P < .05); improvement was significantly greater in the intervention group only in the posteromedial direction (P = .016).ConclusionFor the group of participants studied, a 4-week core neuromuscular training plus routine physiotherapy exercise was more effective than routine physiotherapy exercise alone for improving pain, balance, and functional performance in individuals with PFPS.
  • Radiographic Presentation of Delayed Diagnosis of Charcot Foot in a
           56-Year-Old Patient With No Reported History of Diabetes: A Case Report
    • Abstract: Publication date: Available online 10 February 2019Source: Journal of Chiropractic MedicineAuthor(s): Yuri KorvatkoAbstractObjectiveThe purpose of this case report is to describe the radiographic presentation of a patient with neuropathic osteoarthropathy.Clinical FeaturesA 56-year-old white man presented to the diagnostic imaging department of a chiropractic teaching institution for the radiographic examination of the left foot. He had a 6-month history of left foot pain unresponsive to chiropractic care. The patient had reported no history of diabetes and denied any trauma, surgery, or malignancy.Intervention and OutcomeBased upon the history, a 3-view radiographic examination of the left foot using computed radiography was performed. Radiographic abnormalities included osseous resorption, architectural foot disorganization, and dissociation and collapse of the anatomical alignment between the intertarsal and tarsal-metatarsal articulations. Intra-articular osseous debris formation with periarticular edema of the midfoot was noted. After the radiological diagnosis, the patient was subsequently investigated and diagnosed with type 2 diabetes mellitus. Thus, there were radiographic findings of poorly controlled or untreated diabetes mellitus with the resultant complication of neuropathic osteoarthropathy.ConclusionSome patients with type 2 diabetes may present with covert manifestations and other symptoms, such as a history of unexplained foot pain. The patient in this case with diabetes-induced neuropathic osteoarthropathy demonstrates that these findings should raise suspicion and result in an appropriate follow-up investigation.
  • Comparisons of Neuromuscular Training Versus Quadriceps Training on Gait
           and WOMAC Index in Patients With Knee Osteoarthritis and Varus
    • Abstract: Publication date: Available online 1 February 2019Source: Journal of Chiropractic MedicineAuthor(s): Shahzada Aaadil Rashid, Jamal Ali Moiz, Saurabh Sharma, Shahid Raza, S. Mudasir Rashid, Mohammad Ejaz HussainAbstractObjectiveThe purpose of this study was to compare the effects of neuromuscular training (NMT) and quadriceps training (QT) on the altered gait patterns and Western Ontario and McMaster Universities Osteoarthritis (WOMAC) index in patients with knee osteoarthritis (OA) and varus malalignment.MethodsSixty-six patients with knee pain ≥2 on 100-mm visual analog scale, radiographic knee OA changes ≥2 on Kellgren-Lawrence grading scale, and genu varum were allocated randomly into either the neuromuscular training group or quadriceps training group. Twelve weeks of supervised exercise protocol was given to the participants of both groups, which included 3 sessions per week. Primary outcomes were gait variables and self-reported physical function (WOMAC index).ResultsOf 66 knee OA patients, only 31 (94%) in the NMT group and 28 (84.8%) in the QT group completed the exercise protocol and were included in the analysis. There was a significant improvement in gait velocity (P = .022), stride length (P = .009), and global WOMAC index (P = .011) in the NMT group compared to the QT group. However, the scores of cadence (P = .226), gait cycle (P = .332), and double limb support (P = .054) were not found significant in the NMT group compared with the QT group.ConclusionThe NMT group showed improvement in some of the gait parameters as well as improvement in pain, stiffness, and functional limitation compared with conventional QT. No additional improvement was found in cadence, gait cycle, and double limb support in patients who received NMT.
  • Treatment of a Patient With Central Pain Sensitization Using Graded Motor
           Imagery Principles: A Case Report
    • Abstract: Publication date: December 2018Source: Journal of Chiropractic Medicine, Volume 17, Issue 4Author(s): Brian Anderson, Vitaliy MeysterAbstractObjectiveThis case report describes the application of graded motor imagery principles to a patient experiencing central sensitization and chronic pain.Clinical FeaturesA 46-year-old woman presented with pain in all 4 limbs along with global spinal pain and loss of range of motion. These symptoms initiated after a motor vehicle accident 5 years before and were exacerbated by 2 subsequent motor vehicle accidents. Examination indicated global loss of spinal range of motion, severe apprehension toward any movement, decreased grip strength bilaterally, and loss of 2-point discrimination. A variety of outcome assessments indicated severe disability.Intervention and OutcomeThe patient was seen at the chiropractic clinic 5× over 6 weeks and showed marked improvement with each visit. Treatment included pain neuroscience education, laterality training using the Recognize app, and explicit motor imagery. The patient demonstrated improvement in all baseline measures just described, including outcome assessment scores.ConclusionsOver time, the patient reported decreased chronic pain and disability, along with improvement in grip strength and range of motion, after application of graded motor imagery strategies.
  • A Novel Treatment Combination for Failed Back Surgery Syndrome, With a
           41-Month Follow-Up: A Retrospective Case Report
    • Abstract: Publication date: December 2018Source: Journal of Chiropractic Medicine, Volume 17, Issue 4Author(s): Gianni F. Maddalozzo, Kristine Aikenhead, Vani Sheth, Michelle N. PerisicAbstractObjectiveThe purpose of this retrospective case report was to describe chiropractic management of a patient with failed back surgery syndrome.Clinical FeaturesA 45-year-old woman presented 2 years after L4-L5 and L5-S1 fusion surgery with low back and sciatic pain. Her physical exam included a positive straight leg raise and diminished lower-extremity reflexes and muscle strength. The patient’s magnetic resonance imaging showed right disc bulging and annular tearing at L2-L3 and L3-L4 disc bulging with foraminal impingement.Intervention and OutcomeA total of 52 treatments were provided over 28 weeks consisting of multidirectional functional decompression (FD) unweighted gait training, core exercises while in FD, strengthening exercises on a vibration platform, and supine spinal FD with vibration and chiropractic spinal manipulative therapy. Over the course of treatment, the patient noted gradual improvement in function (Oswestry Disability Index) and pain (Numeric Rating Scale), with a reduction in pain medications. Follow-up of 41 months posttreatment revealed an Oswestry Disability Index score of 0 and Numeric Rating Scale score of 0, and the patient no longer was using any pain medication.ConclusionAfter a course of care, the patient in this study reported resolution of symptoms, decrease in pain medications, and improvement of function.
  • Assessment of Resisted Trunk Rotation Exercise With and Without Kiai
           Double-Pulse Breathing Technique on Hockey Shot Velocity: A Pilot Study
    • Abstract: Publication date: December 2018Source: Journal of Chiropractic Medicine, Volume 17, Issue 4Author(s): Georges Dagher, Mark Owen PapugaAbstractObjectiveThe purpose of this study was to assess the feasibility of a study to measure the effect of resisted band antirotation exercises with the use of a double-pulse (DP) breathing kiai exercise on slapshot and snap shot velocity and subjective assessment of performance.MethodsTen participants between 20 and 30 years of age who play ice hockey were recruited. The study was conducted over 3 weeks, and participants were randomized into 2 groups; group 1: resisted band antirotations with DP kiai (a shout used in martial arts) exercises, and group 2: resisted band antirotations alone. After week 1, there was a 1-week washout period, after which group 1 performed resisted band antirotations alone, and group 2 performed resisted band antirotations with DP kiai exercises.ResultsData were successfully collected on all 10 participants. There appeared to be no difference between groups regarding slapshot and snap shot velocity.ConclusionThe design for this study appears to be feasible. Preliminary data show that the average shot velocity before and after the intervention did not show a positive relationship between DP kiai breathing and hockey shot (slapshot and snap shot) velocity.
  • A Comparison Between the Effects of Scapulothoracic Mobilization Plus
           Physical Therapy With Physical Therapy Alone in Patients With Mechanical
           Neck Pain: A Randomized Clinical Trial
    • Abstract: Publication date: December 2018Source: Journal of Chiropractic Medicine, Volume 17, Issue 4Author(s): Zeinab Shirzadi, Zahra Rojhani-Shirazi, Ladan HemmatiAbstractObjectiveThe purpose of this study was to compare the effects of scapulothoracic (ST) mobilization plus physical therapy (PT) with PT alone in patients with mechanical neck pain.MethodsThis double-blinded randomized clinical trial was conducted at Shiraz School of Rehabilitation Sciences and involved 46 patients with mechanical neck pain and scapular dyskinesia. The patients were randomly assigned to the ST mobilization + PT group (scapulothoracic mobilization and physical therapy) or the PT group (physical therapy treatment) by a computer-generated randomized table of numbers. Both groups received 5 sessions of treatment during 1 week. Pain intensity and grip strength were evaluated 3 times: baseline, after the first session, and after the fifth session. Furthermore, functional disability of the upper limbs and the neck were evaluated before and at the fifth session.ResultsThe results showed that the pain intensity was reduced and grip strength increased significantly after the first session (P = .01) and at the end of the treatment (P = .01) in the ST mobilization + PT group in comparison with the PT group. Also, the mean difference of upper limb (P = .01) and neck disability (P = .02) decreased significantly in the ST mobilization + PT group in comparison with the PT group.ConclusionScapulothoracic mobilization in combination with physical therapy may be superior to physical therapy alone in reducing pain intensity, maximizing grip strength, and reducing upper limb and neck disability in mechanical neck pain.
  • Vascular Ultrasound Measurements After Atlas Orthogonal Chiropractic Care
           in a Patient With Bow Hunter Syndrome
    • Abstract: Publication date: December 2018Source: Journal of Chiropractic Medicine, Volume 17, Issue 4Author(s): Robert J. Rectenwald, Carolyn M. DeSimone, Roy W. SweatAbstractObjectiveThis case report describes chiropractic treatment for a patient diagnosed with bow hunter syndrome with transient vision loss (TVL).Clinical FeaturesA 39-year-old woman presented to a chiropractic clinic with hand and arm numbness that began after she was injured in a motor vehicle collision 18 months earlier. The primary symptom was TVL that began 3 days after the motor vehicle collision. At that time, she had been diagnosed with bow hunter syndrome using dynamic angiography findings. She had previously declined surgery recommended by her attending neurosurgeon at a local hospital.Intervention and OutcomeThe patient was treated using atlas orthogonal chiropractic technique for 8 visits over a 6-week period. Examination before and the after the initial treatment included cervical radiographic analysis and vascular ultrasound measurement of the right and the left vertebral artery (VA). After the initial spinal manipulation, there was an improvement in blood flow volume of 8.2% in the left VA and 22.2% in the right VA. There was improvement of the symptom of TVL and a measured reduction of rotational misalignment of the first and second cervical vertebra on the radiographic views. After 6 weeks, the patient’s perception of TVL was absent.ConclusionA patient with TVL improved under chiropractic care using atlas orthogonal technique.
  • Deep Friction Massage and the Minimum Skin Pressure Required to Promote a
           Macroscopic Deformation of the Patellar Tendon
    • Abstract: Publication date: December 2018Source: Journal of Chiropractic Medicine, Volume 17, Issue 4Author(s): Paula Chaves, Daniela Simões, Maria Paço, Francisco Pinho, José A. Duarte, Fernando RibeiroAbstractObjectiveThe purpose of this study was to determine the skin pressure needed to promote the macroscopic deformation of the asymptomatic patellar tendon and to verify if the pressure is associated with the individual’s characteristics.MethodsA descriptive laboratory study was performed with a convenience sample of 18 young, voluntary, and asymptomatic individuals of both sexes. A progressively increasing pressure was applied on the skin over the patellar tendon, through an instrument designed to perform and control the pressure upon an ultrasound probe; data were recorded and analyzed by 2 blind investigators. All statistical analyses were conducted considering α = 0.05.ResultsThe average pressure needed to promote a macroscopic deformation of the patellar tendon was 1.12 ± 0.37 kg/cm2. Female sex and age were inversely but not significantly associated with the pressure performed. Sports practice, weight, height, body mass index, muscle mass, and subcutaneous thickness were positively but not significantly associated with the pressure executed.ConclusionThe average pressure needed to promote the macroscopic deformation of the patellar tendon was 1.12 ± 0.37 kg/cm2, which was not influenced by the characteristics of the participants.
  • Lumbar Muscle Activation Pattern During Forward and Backward Walking in
           Participants With and Without Chronic Low Back Pain: An Electromyographic
    • Abstract: Publication date: December 2018Source: Journal of Chiropractic Medicine, Volume 17, Issue 4Author(s): Bushra Ansari, Pooja Bhati, Deepika Singla, Nabeela Nazish, Mohammad Ejaz HussainAbstractObjectiveThe purpose of this study was to investigate the electromyographic activity of lumbar multifidus (MF) and erector spinae (ES) muscle during forward walking (FW) and backward walking (BW) in participants with and without chronic low back pain (CLBP).MethodsTwenty-one patients with CLBP were recruited from outpatient department of Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia. Twenty-one age-matched healthy controls without CLBP were recruited from community. Maximum voluntary isometric contraction (MVIC) was quantified for MF and ES using standard guidelines. Electromyographic activity of MF and ES was recorded using surface electrodes during FW and BW on a motorized treadmill, which was later normalized by respective MVIC’s of each muscle.ResultsMuscle activity (in percentage MVIC) was determined to be higher for both the muscles during BW. Activity of MF muscle was significantly higher in CLBP patients compared with healthy controls (P < .04). Electromyographic activity of MF and ES was significantly increased during BW (MF: P < .001; ES: P < .001) compared with FW in both healthy and CLBP groups.ConclusionBW leads to greater activation of the paraspinal muscles. Along with global extensor (ES), activity of core extensor (MF) is also higher during BW than FW in both healthy participants and CLBP patients. BW is a more favorable aerobic activity to enhance lumbar paraspinal recruitment. These findings may have important clinical implications in the rehabilitation of CLBP.
  • Manipulation Under Anesthesia in Infants With Arthrogenic Newborn
           Torticollis: A Retrospective Case Series
    • Abstract: Publication date: December 2018Source: Journal of Chiropractic Medicine, Volume 17, Issue 4Author(s): Inga ParaviciniAbstractObjectiveThe purpose of this report is to describe the manipulation under anesthesia (MUA) treatment of 6 infants with newborn torticollis with a segmental dysfunction at C1/C2.Clinical FeaturesSix infants aged 4 1/2 to 15 months previously diagnosed with newborn torticollis were referred to a doctor of chiropractic owing to a failure to respond adequately to previous conservative therapies. Common physical findings were limited range of motion of the upper cervical spine. Radiographs demonstrated rotational malpositions and translation of atlas on axis in all 6 infants, and 1 had a subluxation of the C1/C2 articulation.Interventions and OutcomeSelection was based on complexity and variety of different clinical cases qualifying for MUA. Treatment consisted of 1 mobilization and was performed in the operating room of a children’s hospital by a certified chiropractic physician with the author assisting. Along with the chiropractor and his assistant, a children’s anesthesiologist, 1 to 2 operating nurses, a children’s radiologist, and in 1 case a pediatric surgeon were present. Before the mobilization, plain radiographs of the cervico-occipital area were taken. Three infants needed further investigation by a pediatric computed tomography scan of the area because of asymmetric bony conditions on the plain radiographs. Follow-up consultations at 2, 3, 5, or 6 weeks were done. Patient records were analyzed for restriction at baseline before MUA compared with after MUA treatment for active rotation, passive rotation, and passive rotation in full flexion of the upper cervical spine. All 3 measurements showed significant differences. The long-term outcome data was collected via phone calls to the parents at 6 to 72 months. The initial clinical improvements were maintained.ConclusionThese 6 infants with arthrogenic newborn torticollis, who did not respond to previous conservative treatment methods, responded to MUA.
  • Neural Mobilization in a 54-Year-Old Woman With Postoperative Spinal
           Adhesive Arachnoiditis
    • Abstract: Publication date: December 2018Source: Journal of Chiropractic Medicine, Volume 17, Issue 4Author(s): Stacey M. Cornelson, Edward D. Johnnie, Norman W. KettnerAbstractObjectiveThis case report describes the clinical features, complications, imaging characteristics, and management of postoperative spinal adhesive arachnoiditis.Clinical FeaturesA 54-year-old woman presented with right posterior thigh and leg pain after a lumbar spine fusion surgery to correct a degenerative spondylolisthesis of L3/4. Her pain was sharp and shooting and worsened with knee extension. A lumbar computed tomography myelogram demonstrated clumping and adhesion of the nerve rootlets in the cauda equina at the surgical fusion levels. Findings were consistent with spinal arachnoiditis.Intervention and OutcomeThe patient was treated with 2 sets of neural mobilization of the sciatic nerve with 15 repetitions each. Treatment was provided 2× per week for 3 weeks. The patient used the neural mobilization exercises at home and performed to tolerance. The patient’s Oswestry Questionnaire was reduced significantly by 19% with decreased pain intensity of 2 points on the verbal analogue scale.ConclusionNeural mobilization was used successfully in the management of a patient with postoperative spinal arachnoiditis.
  • Retropharyngeal Calcific Tendonitis in a Patient Seeking Chiropractic Care
           for Neck Pain: A Case Report
    • Abstract: Publication date: December 2018Source: Journal of Chiropractic Medicine, Volume 17, Issue 4Author(s): Laura Munson, Matthew F. Funk, Terence A. PerraultAbstractObjectiveThe purpose of this report is to describe the evaluation and treatment of a patient initially presenting for chiropractic care of neck pain (NP) who was subsequently diagnosed with retropharyngeal calcific tendonitis (RCT).Clinical FeaturesA 53-year-old woman presented to a chiropractic office with severe idiopathic NP, loss of cervical mobility, and intermittent painful swallowing. She had a motor vehicle accident 6 months before with NP that resolved within a week without treatment. A brief examination and some manual palliative care were attempted by the chiropractor. Two days later, the patient developed severe NP and fever, sought emergency medical care on her own, and requested the chiropractor meet her at the hospital. The emergency physicians initially considered an infection, and antibiotics were provided along with oxycodone and naproxen sodium for pain. After advanced (computed tomography) imaging, RCT was diagnosed, and she was discharged the next day.Interventions and OutcomeAfter being diagnosed, the patient’s primary care provider prescribed prednisone and physical therapy. After 3 weeks, the patient stated her pain continued and she went for chiropractic care and was treated for mechanical neck pain with manipulation, manual muscle treatment, postural training, and rehabilitative exercises.ConclusionPractitioners should recognize the clinical presentation of RCT, order appropriate computed tomography imaging, and implement effective treatments. Although uncommon, RCT should be considered in patients with NP, limited mobility, and painful swallowing.
  • Treatment of a Woman With Glycyrrhiza glabra for Acute Sinusitis:
           A Case Report
    • Abstract: Publication date: December 2018Source: Journal of Chiropractic Medicine, Volume 17, Issue 4Author(s): Brett R. Martin, Gaurav Reshamwala, Melanie ShortAbstractObjectiveThe purpose of this case report is to describe the treatment of a patient with acute sinusitis using Glycyrrhiza glabra.Clinical FeaturesA 26-year-old woman presented with acute sinusitis of 10-day duration. Her symptoms included facial pressure and soreness around the frontal and maxillary sinuses, a headache, pharyngitis, a fever, rhinorrhea, nasal congestion with postnasal drip, a productive cough, myalgias, and fatigue.Intervention and OutcomeAfter administration of 12 to 15 drops of a 2 000-mg tincture of G glabra twice a day, improvements were noted. Resolution of her symptoms occurred after 3 days of treatment.ConclusionFor the treatment of acute sinusitis, G glabra may be a natural therapeutic remedy.
  • Effect of Foot Reflexology on Capillary Blood Glucose, Tissue Temperature,
           and Plantar Pressure of Individuals With Diabetes Mellitus (Type 2): A
           Pilot Study
    • Abstract: Publication date: September 2018Source: Journal of Chiropractic Medicine, Volume 17, Issue 3Author(s): Natália C.M. Silva, Érika C.L. Chaves, Emília C. Carvalho, Leonardo C. Carvalho, Denise H. IunesAbstractObjectiveThe purpose of this study was to assess the effect of foot reflexology on capillary blood glucose, feet tissue temperature, and plantar pressure of the feet of individuals with diabetes mellitus (type 2).MethodsForty-five individuals with type 2 diabetes mellitus were stratified into 2 groups: treated (n = 21), which received orientation about foot self-care and received 12 foot reflexology sessions; and control (n = 24), which received only orientations about foot self-care. A portable glucose meter, an infrared thermography camera, and a baropodometer evaluated the variables.ResultsThe data indicate that, after 12 therapy sessions, there were no significant differences between the groups for producing effects on capillary blood glucose, feet tissue temperature, and plantar pressure.ConclusionNo significant effect was observed after 12 foot reflexology sessions in the variables that were evaluated.
  • Correlation Between Upper Body Balance, Muscle Strength, and Power in
           Cricketers Belonging to Different Age Groups
    • Abstract: Publication date: September 2018Source: Journal of Chiropractic Medicine, Volume 17, Issue 3Author(s): Deepika Singla, M. Ejaz Hussain, Pooja BhatiAbstractObjectiveThe purpose of this study was to assess correlation between variables of upper body balance, muscular strength, and power in cricketers belonging to different age groups.MethodsForty-eight healthy male cricketers (26 adolescents aged 14-17 years and 22 adults aged 18-25 years) were recruited from Jamia Millia Islamia, New Delhi, India. After a warm-up, the participants underwent Upper Quarter Y Balance Test, backward overhead medicine ball throw test, and back-strength testing in a random order.ResultsValues of the Pearson correlation coefficient for muscle strength and upper body power were found to be 0.397 and 0.499 for adolescent and adult cricketers, respectively. Correlation coefficient values for upper body balance and strength range from -0.008 to 0.05 and 0.325 to 0.414 and for upper body balance and power range from 0.059 to 0.062 and 0.133 to 0.153 for adolescent and adult cricketers, respectively.ConclusionStatistically significant, moderate-sized correlations were demonstrated between muscular strength and upper body power in adolescent and adult cricketers. However, no correlations existed between upper body balance and power and upper body balance and muscular strength in these athletes.
  • Reliability of Electromyographic Assessment of Biceps Brachii and Triceps
           Brachii in Cricketers
    • Abstract: Publication date: September 2018Source: Journal of Chiropractic Medicine, Volume 17, Issue 3Author(s): Deepika Singla, Mohammad Ejaz Hussain, Pooja Bhati, Jamal Ali Moiz, Irshad Ahmad, Shalini Verma, Kamran AliAbstractObjectiveThe purpose of this study is to determine the intraexaminer and interexaminer reliability of electromyographic assessment of biceps brachii (BB) and triceps brachii (TB) muscles in cricketers.MethodsSixteen healthy male cricketers (ages 14-35 years) recruited from Jamia Millia Islamia, New Delhi, India were tested on 2 occasions that were held 1 week apart. On the first occasion, only examiner 1 performed the testing; on the second occasion, examiner 1, examiner 2, and examiner 3 all performed testing. While testing for surface electromyography (sEMG) activity of BB and TB muscles, participants were asked to produce maximal voluntary isometric contraction (MVIC), which was to be held for 5 seconds against the resistance provided by an examiner. Participants performed 3 MVICs per muscle per examiner, with a rest interval of 3 minutes between consecutive contractions. Intraclass correlation coefficient, standard error of measurement, and minimum detectable change were calculated to determine the reliability of repeated sEMG measurements.ResultsNonsignificant differences were observed for the 2 trials completed by examiner 1 (paired t test) and testing done by all 3 examiners (repeated measures analysis of variance) at P < .05 for both BB and TB. Intraclass correlation coefficient values ranged from .84 to .86 for BB and .89 to .98 for TB. Standard error of measurement (minimum detectable change) was .052 (.144) mV and .041 (.114) mV for BB intraexaminer and interexaminer reliability testing, respectively, and .018 (.051) mV and .043 (.119) mV for TB intraexaminer and interexaminer reliability testing. Ninety-five percent of the mean differences between almost all of the repeated measurements were found to lie within the agreement intervals estimated by Bland-Altman plots.ConclusionThis preliminary study suggests that sEMG is a reliable tool with excellent intraexaminer and interexaminer reliability for assessing the activity of BB and TB muscles in male cricketers. These findings suggest that sEMG can be used to assess MVIC activity of these muscles in clinical settings, as well as in research area.
  • Influence of Spinal Manipulation on Muscle Spasticity and Manual Dexterity
           in Participants With Cerebral Palsy: Randomized Controlled Trial
    • Abstract: Publication date: September 2018Source: Journal of Chiropractic Medicine, Volume 17, Issue 3Author(s): Oleh Kachmar, Anna Kushnir, Oles Matiushenko, Marko HasiukAbstractObjectivesThe aim of this study was to investigate the short-term effects of spinal manipulation (SM) on wrist muscle spasticity and manual dexterity in participants with cerebral palsy (CP).MethodsAfter baseline examination, 78 participants with spastic CP (7-18 years) without contractures or hyperkinetic syndrome were randomly allocated into 2 groups. The experimental group underwent SM to the cervical, thoracic, and lumbar spine, and the control group received sham SM. A second evaluation was performed 5 minutes postintervention. Wrist muscle spasticity was measured quantitatively with NeuroFlexor (Aggero MedTech AB, Solna, Sweden), a device assessing resistance to passive movements of different velocities. Between-group difference was calculated using the Mann-Whitney U test. Manual dexterity was evaluated by the Box and Block test.ResultsIn the experimental group, muscle spasticity was reduced by 2.18 newton from median 5.53 with interquartile range 8.66 to median 3.35 newton with interquartile range 7.19; the difference was statistically significant (P = .002). In the control group, reduction in spasticity was negligible. The between-group difference in change of muscle spasticity was statistically significant (P = .034). Improvement of manual dexterity was not statistically significant (P = .28).ConclusionsThese findings suggest that SM may, in the short term, help to reduce spasticity in participants with CP. Long-term effects of SM on muscle spasticity have yet to be studied.
  • Cervical Spine Assessment Using Passive and Active Mobilization Recorded
           Through an Optical Motion Capture
    • Abstract: Publication date: September 2018Source: Journal of Chiropractic Medicine, Volume 17, Issue 3Author(s): Alejandro J. Moreno, Gonzalo Utrilla, Javier Marin, Jose J. Marin, Maria B. Sanchez-Valverde, Ana C. RoyoAbstractObjectiveThe purpose of this study was to develop and measure a protocol for evaluation of cervical range of motion (ROM), based on passive mobilization (PM) combined with active mobilization (AM) and recorded through an optical motion capture system.MethodsPassive and active mobilization were applied to 24 asymptomatic participants. Cervical ROM was recorded in 3 anatomic planes (transversal, frontal, and sagittal) using a precision optical system and a set of rigid bodies placed on the sacrum, spinous processes of the C7-T1 vertebrae, and the head. Three captures were made for each participant, distributed over 2 days. The characteristics of the PM, the interaction with the AM, and the coherence patterns between tests were analyzed. Reliability was studied for these procedures.ResultsThe reliability results of the PM were high in all analyzed indices; only flexion showed low values. Reliability of AM was greater than PM for flexion, extension, and lateralization because of the similarity to rotation. No statistically significant differences were found comparing PM and AM techniques.ConclusionThe authors present a cervical ROM assessment based on combined PM and AM protocols at different sessions. This model demonstrated high reliability, individually and combined, and no differences were detected between PM and AM ROMs. Because the evaluator, instrumentation, and the patient are factors that could influence outcomes, the authors suggest that they be combined in protocols. These protocols could be used to evaluate the functional and structural capacity of patients and inform clinical outcomes.
  • Multimodal Therapy Combining Spinal Manipulation, Transcutaneous
           Electrical Nerve Stimulation, and Heat for Primary Dysmenorrhea: A
           Prospective Case Study
    • Abstract: Publication date: September 2018Source: Journal of Chiropractic Medicine, Volume 17, Issue 3Author(s): Jessica J. Wong, Michelle Laframboise, Silvano MiorAbstractObjectiveThe purpose of this case study was to report the effects of multimodal therapy as an adjunct to oral contraceptives on pain and menstrual symptoms in a patient with primary dysmenorrhea.Clinical FeaturesA 27-year old nulligravid and nulliparous woman presented with low back pain, thigh pain, and menstrual symptoms associated with primary dysmenorrhea. Multimodal therapies (spinal manipulation, clinic-based transcutaneous electrical nerve stimulation, and heat applied at home) were delivered over 3 menstrual cycles. Outcome measures included pain (visual analogue scale) and menstrual symptoms (Menstrual Distress Questionnaire) from baseline to follow-up. She continued to take her oral contraceptives throughout the study period.Intervention and OutcomeFor both low back and thigh pain, the patient reported clinically important differences in average pain and worst pain after 2 and 3 months from baseline. There were no clinically important differences in current pain, best pain, or menstrual symptoms at follow-up. No adverse events were reported.ConclusionSome of this patient’s dysmenorrhea symptoms responded favorably to multimodal therapy over 5 months. The authors observed important short-term reductions in low back and thigh pain (average and worst pain intensity) during care.
  • Ultrasound-guided Dry Needling Treatment of Myofascial Trigger Points for
           Piriformis Syndrome Management: A Case Series
    • Abstract: Publication date: September 2018Source: Journal of Chiropractic Medicine, Volume 17, Issue 3Author(s): Pierfrancesco Fusco, Stefano Di Carlo, Paolo Scimia, Giulia Degan, Emiliano Petrucci, Franco MarinangeliAbstractObjectiveThe purpose of this case series was to describe the outcomes of diagnostic ultrasound-assisted dry needling in the management of piriformis syndrome.Clinical FeaturesCase 1: a 45-year-old woman reported gluteal pain occasionally radiating in the sciatic region. Her magnetic resonance imaging showing sciatic nerve edema in the underlying portion of the piriformis muscle. Case 2: a 55-year-old man had gluteal pain after deep palpation or being in a prolonged sitting position. A previous magnetic resonance imaging showed a disk herniation at L2-L3. Case 3: a 65-year-old woman reported pain in the sciatic area when she was walking and at nighttime rest. All patients had been treated with oral drugs, with poor results.Interventions and OutcomePatients had the same quality and duration of symptoms. The treatments of piriformis muscle and gluteus minimus, medius, and maximus muscles were performed using a convex probe and a 0.30 × 60 mm needle, which was inserted out of plane, maintaining a constant view of its tip. All patients were treated over 10 days and followed up for 6 months. Their symptoms resolved during this time and no adverse reactions were reported.ConclusionFor these 3 patients with piriformis syndrome who were treated with ultrasound-guided dry-needling treatment, their symptoms resolved and their quality of life improved.
  • Development of a Symmetry Score for Infantile Postural and Movement
           Asymmetries: Preliminary Results of a Pilot Study
    • Abstract: Publication date: September 2018Source: Journal of Chiropractic Medicine, Volume 17, Issue 3Author(s): Robby Sacher, Dana Loudovici-Krug, Marc Wuttke, Holger Spittank, Michael Ammermann, Ulrich C. SmolenskiAbstractObjectiveThe purpose of this study was to develop and verify a quantifiable symmetry score for infantile postural and movement asymmetries.MethodsThree studies were conducted. For reliability, 6 test items examining postural and movement asymmetries, which came under consideration, were investigated in 24 infants with postural abnormality (range: 14-24 weeks). The inter-rater reliability was chosen as the primary endpoint. Furthermore, intrarater reliability and test-retest reliability were determined. Analysis and weighting of the items were performed by calculating the intraclass correlation coefficient. The validity was reviewed by expert opinion and by using a study with 26 infants (range: 12-28 weeks) of a cross-section population. The pilot study involved 38 infants, aged 14 to 24 weeks, who were examined using video. Their autonomic symptoms were recorded, and subsequently, they were treated once by means of manual medicine. The parents were instructed to a daily home program that focused on “tummy time.”ResultsThe reliability tests led to a 4-item symmetry score with a point value between 4 points (very symmetrical) and 17 points (very asymmetrical). The chosen items achieved an intraclass correlation coefficient>0.8 and Cohen’s κ>0.6, respectively. The experts’ opinions matched mainly to a majority agreement (>50%). Furthermore, a comparison between the outcome of clinical testing and the symmetry score applied to 26 children without diagnosed abnormalities displayed an agreement of 84.6%. The pilot study showed a good reduction of the postural and movement abnormalities because 63% of the manual treated children were assessed as being symmetric afterward.ConclusionThe reliable and valid 4-item symmetry score served for the diagnosis, evaluation, and follow-up of infants aged 3 to 6 months with infantile postural and movement asymmetries. The results of a pilot study showed the positive effect of a single manual medical treatment session along with a home program focusing on “tummy time.”
  • Osteomyelitis of the Thumb in a 21-Year-Old Chiropractic Patient: A Case
    • Abstract: Publication date: September 2018Source: Journal of Chiropractic Medicine, Volume 17, Issue 3Author(s): Richard E. Bechert, Gary M. GuebertAbstractObjectiveThe purpose of this case report is to describe the presentation of a patient with osteomyelitis of the thumb.Clinical FeaturesA 21-year-old man presented with painful, red, and edematous thumb pain over the anterior and posterior surface for a duration of 4 days. The patient reported no trauma or recent operation. The patient was treated conservatively for capsulitis. The patient’s symptoms worsened within 2 days, and he was referred for additional imaging consisting of a bone scan. The bone scan showed increased uptake, resulting in a change of diagnosis to suspected osteomyelitis. The patient was referred to a medical doctor for care that consisted of antibiotics and physiotherapy.Intervention and OutcomeDespite treatment, the patient had some mild permanent damage to the range of motion of the joint and soft tissue volume loss.ConclusionThis case demonstrates the importance of considering osteomyelitis as a differential diagnosis. Amputation was avoided for this patient because of the early recognition and referral.
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
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