1
|
Haas A, Chung J, Kent C, Mills B, McCoy M. Vertebral Subluxation and Systems Biology: An Integrative Review Exploring the Salutogenic Influence of Chiropractic Care on the Neuroendocrine-Immune System. Cureus 2024; 16:e56223. [PMID: 38618450 PMCID: PMC11016242 DOI: 10.7759/cureus.56223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/15/2024] [Indexed: 04/16/2024] Open
Abstract
In this paper we synthesize an expansive body of literature examining the multifaceted influence of chiropractic care on processes within and modulators of the neuroendocrine-immune (NEI) system, for the purpose of generating an inductive hypothesis regarding the potential impacts of chiropractic care on integrated physiology. Taking a broad, interdisciplinary, and integrative view of two decades of research-documented outcomes of chiropractic care, inclusive of reports ranging from systematic and meta-analysis and randomized and observational trials to case and cohort studies, this review encapsulates a rigorous analysis of research and suggests the appropriateness of a more integrative perspective on the impact of chiropractic care on systemic physiology. A novel perspective on the salutogenic, health-promoting effects of chiropractic adjustment is presented, focused on the improvement of physical indicators of well-being and adaptability such as blood pressure, heart rate variability, and sleep, potential benefits that may be facilitated through multiple neurologically mediated pathways. Our findings support the biological plausibility of complex benefits from chiropractic intervention that is not limited to simple neuromusculoskeletal outcomes and open new avenues for future research, specifically the exploration and mapping of the precise neural pathways and networks influenced by chiropractic adjustment.
Collapse
Affiliation(s)
- Amy Haas
- Research, Foundation for Vertebral Subluxation, Kennesaw, USA
| | - Jonathan Chung
- Research, Foundation for Vertebral Subluxation, Kennesaw, USA
| | - Christopher Kent
- Research, Sherman College, Spartanburg, USA
- Research, Foundation for Vertebral Subluxation, Kennesaw, USA
| | - Brooke Mills
- Research, Foundation for Vertebral Subluxation, Kennesaw, USA
| | - Matthew McCoy
- Research, Foundation for Vertebral Subluxation, Kennesaw, USA
| |
Collapse
|
2
|
Diéguez-Pérez M, Fernández-Molina A, Burgueño Torres L. Influence of the mandibular position on various postural anatomical segments. Cranio 2024; 42:223-231. [PMID: 34061720 DOI: 10.1080/08869634.2021.1934276] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVE To determine postural changes in relation to mandibular position in maximum intercuspation and at rest in adult patients of both sexes. METHODS : A descriptive observational clinical study was carried out in 76 patients. Using an analyzer and the Meersseman test, the necessary dermal points for postural analysis were located. RESULTS : The authors found significant differences in the posture adopted by the patient between maximum intercuspation and mandibular rest in the frontal, sagittal, and dorsal planes. Foot support in the right foot went from cavus to normal in 6% of the sample, and from flat to normal in 2.5% of the sample in the jaw rest position. CONCLUSION Postural changes were observed in various segments, with clinical and statistical significance at cervical level in the frontal plane, in the biscapular variable in the dorsal plane, and at the level of the lower limbs in the bipopliteal and bimalleolar variables.
Collapse
Affiliation(s)
- Montserrat Diéguez-Pérez
- Department of Preclinical Dentistry, Faculty of Biomedical Sciences and Health Sciences, European University of Madrid, Madrid, Spain
- Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Madrid, Spain
| | - Aurora Fernández-Molina
- Department of Preclinical Dentistry, Faculty of Biomedical Sciences and Health Sciences, European University of Madrid, Madrid, Spain
| | - Laura Burgueño Torres
- Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Madrid, Spain
| |
Collapse
|
3
|
LoGiudice RJ, Rivera PL. Veterinary Spinal Manipulative Therapy or Animal Chiropractic in Veterinary Rehabilitation. Vet Clin North Am Small Anim Pract 2023; 53:757-774. [PMID: 36997408 DOI: 10.1016/j.cvsm.2023.02.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/30/2023]
Abstract
Veterinary rehabilitation is a multimodal diagnostic and treatment approach that is recommended and provided to patients daily. One therapeutic modality that may be beneficial (diagnostically and therapeutically) is veterinary spinal manipulative therapy or animal chiropractic (AC). AC is a receptor-based health-care modality being provided more frequently in veterinary practices. All clinicians should strive to understand the mode of action, indications, contraindications, how it affects the patient from the neuro-anatomical and biomechanical point of view, and most importantly, when not to provide the requested modality, as further diagnostics may be indicated.
Collapse
|
4
|
Ludwig O, Dindorf C, Kelm J, Simon S, Nimmrichter F, Fröhlich M. Reference Values for Sagittal Clinical Posture Assessment in People Aged 10 to 69 Years. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20054131. [PMID: 36901144 PMCID: PMC10001505 DOI: 10.3390/ijerph20054131] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 02/22/2023] [Accepted: 02/23/2023] [Indexed: 06/01/2023]
Abstract
Poor posture is a well-known problem in all age groups and can lead to back pain, which in turn can result in high socio-economic costs. Regular assessment of posture can therefore help to identify postural deficits at an early stage in order to take preventive measures and can therefore be an important tool for promoting public health. We measured the posture of 1127 symptom-free subjects aged 10 to 69 years using stereophotogrammetry and determined the sagittal posture parameters flèche cervicale (FC), flèche lombaire (FL), and kyphosis index (KI) as well as the values standardized to the trunk height (FC%, FL%, KI%). FC, FC%, KI, and KI% showed an increase with age in men but not in women, and a difference between the sexes. FL remained largely constant with age, although FL% had significantly greater values in women than men. Postural parameters correlated only moderately or weakly with body mass index. Reference values were determined for different age groups and for both sexes. Since the parameters analyzed can also be determined by simple and non-instrumental methods in medical office, they are suitable for performing preventive checks in daily medical or therapeutic practice.
Collapse
Affiliation(s)
- Oliver Ludwig
- Department of Sport Science, Rheinland-Pfälzische Technische Universität Kaiserslautern-Landau (RPTU), 67663 Kaiserslautern, Germany
| | - Carlo Dindorf
- Department of Sport Science, Rheinland-Pfälzische Technische Universität Kaiserslautern-Landau (RPTU), 67663 Kaiserslautern, Germany
| | - Jens Kelm
- Chirurgisch-Orthopädisches Zentrum, 66557 Illingen, Germany
| | - Steven Simon
- Department of Sport Science, Rheinland-Pfälzische Technische Universität Kaiserslautern-Landau (RPTU), 67663 Kaiserslautern, Germany
| | - Felix Nimmrichter
- Institute of Sport Science, Universität des Saarlandes, 66041 Saarbrücken, Germany
| | - Michael Fröhlich
- Department of Sport Science, Rheinland-Pfälzische Technische Universität Kaiserslautern-Landau (RPTU), 67663 Kaiserslautern, Germany
| |
Collapse
|
5
|
Does Improvement towards a Normal Cervical Sagittal Configuration Aid in the Management of Lumbosacral Radiculopathy: A Randomized Controlled Trial. J Clin Med 2022; 11:jcm11195768. [PMID: 36233636 PMCID: PMC9572257 DOI: 10.3390/jcm11195768] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Revised: 09/24/2022] [Accepted: 09/24/2022] [Indexed: 12/04/2022] Open
Abstract
A randomized controlled study with a six-month follow-up was conducted to investigate the effects of sagittal head posture correction on 3D spinal posture parameters, back and leg pain, disability, and S1 nerve root function in patients with chronic discogenic lumbosacral radiculopathy (CDLR). Participants included 80 (35 female) patients between 40 and 55 years experiencing CDLR with a definite hypolordotic cervical spine and forward head posture (FHP) and were randomly assigned a comparative treatment control group and a study group. Both groups received TENS therapy and hot packs, additionally, the study group received the Denneroll cervical traction orthotic. Interventions were applied at a frequency of 3 x per week for 10 weeks and groups were followed for an additional 6-months. Radiographic measures included cervical lordosis (CL) from C2–C7 and FHP; postural measurements included: lumbar lordosis, thoracic kyphosis, trunk inclination, lateral deviation, trunk imbalance, surface rotation, and pelvic inclination. Leg and back pain scores, Oswestry Disability Index (ODI), and H-reflex latency and amplitude were measured. Statistically significant differences between the groups at 10 weeks were found: for all postural measures, CL (p = 0.001), AHT (p = 0.002), H-reflex amplitude (p = 0.007) and latency (p = 0.001). No significant difference for back pain (p = 0.2), leg pain (p = 0.1) and ODI (p = 0.6) at 10 weeks were identified. Only the study group’s improvements were maintained at the 6-month follow up while the control groups values regressed back to baseline. At the 6-month follow-up, it was identified in the study group that improved cervical lordosis and reduction of FHP were found to have a positive impact on 3D posture parameters, leg and back pain scores, ODI, and H-reflex latency and amplitude.
Collapse
|
6
|
Özel Aslıyüce Y, Demirel A, Ülger Ö. Investigation of Joint Position Sense and Balance in Individuals With Chronic Idiopathic Neck Pain: A Cross-Sectional Study. J Manipulative Physiol Ther 2022; 45:188-195. [PMID: 35906105 DOI: 10.1016/j.jmpt.2022.06.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Revised: 04/26/2022] [Accepted: 06/09/2022] [Indexed: 12/26/2022]
Abstract
OBJECTIVE The aim of this study was to determine the relationship between joint position sense and static and dynamic balance in female patients with chronic neck pain compared with healthy controls. METHODS The study sample comprised 25 female patients with chronic neck pain and 25 healthy (asymptomatic) female controls. Pain severity with the visual analog scale, joint position sense with the laser pointer method, static balance with the Single-Leg Balance Test, and dynamic balance with the Y Balance Test were assessed. RESULTS The deviation in cervical joint position sense was greater in extension (P < .001), right rotation (P < .001), and left lateral rotation (P < .05) in the patients with chronic neck pain compared with the healthy controls. The results of the patients with chronic neck pain were worse than the healthy controls in the Single-Leg Balance Test with both eyes open (P < .05) and eyes closed (P < .05). The patients with chronic neck pain had worse dynamic balance only in the anterior direction reach of the left leg (P < .05). CONCLUSION Cervical joint position sense and static balance were worse in female patients with chronic idiopathic neck pain when compared with asymptomatic controls. Dynamic balance in all other directions except for the anterior direction was not negatively affected in individuals with chronic idiopathic neck pain.
Collapse
Affiliation(s)
- Yasemin Özel Aslıyüce
- Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
| | - Aynur Demirel
- Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
| | - Özlem Ülger
- Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
| |
Collapse
|
7
|
Effects of Induced Malocclusion on Vertebral Alignment in Rats: A Controlled Study by CBCTs. Animals (Basel) 2021; 11:ani11102808. [PMID: 34679830 PMCID: PMC8532850 DOI: 10.3390/ani11102808] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2021] [Revised: 09/20/2021] [Accepted: 09/24/2021] [Indexed: 12/01/2022] Open
Abstract
Simple Summary Nowadays, there is insufficient available evidence to validate a correlation between dental occlusion disorders and spinal curvature, and therefore, more studies are necessary to clarify how and to what extent the modifications of the occlusion might affect vertebral spine biomechanics. The following paper is a controlled study on rats that aims to induce a malocclusion in rats’ mouths by a bite-raising on the upper molars and then to check the alteration of vertebral alignment over time by a CBCT analysis. Alteration of vertebral alignment in rats with induced malocclusion could support the hypothesis of a correlation between occlusal contact and body posture and open the way for further studies on mandibular repositioning and posture control in humans. Abstract This study aimed to evaluate with CBCTs the alteration of vertebral alignment over time of induced malocclusion in rats. Crown pads increasing the vertical dimension of 0.5 mm were applied on the upper molars at one randomly selected side of the maxilla in rats (premature contact side) while the opposite side was left untreated (control side). Four groups were organized, ten animals each. In groups A, B, and C, the crowns were applied at time 0 (t-0). In group A, the crowns were removed after 2 weeks (t-2w) and euthanized after two more weeks, while in groups B and C, the animals were euthanized after 2 and 4 weeks (t-4w), respectively. No premature contacts were applied in group D. CBCTs were taken at t-0 in all animals before applying the crowns, at t-2w in group A before removing the crowns, and in all groups before the euthanasia. The changes in the iliac crest angle (ICA) that formed between the superior external margin of the iliac crest and the vertebral spine were evaluated. In groups A and B, after 2 weeks, the changes in ICA were statistically significant at p = 0.028 and p = 0.042, respectively. In group C, and in the control group D, the changes of ICA were not statistically significant (p = 0.058 and p = 0.414, respectively). In conclusion, the incease in monolateral occlusion in the molar region yielded a rotation of the lumbo-sacral segment towards the same side of the occlusal bite-raising.
Collapse
|
8
|
Sensitivity and specificity of the modified tandem walking test for vestibular hypofunction with chronic dizziness in young adults. JOURNAL OF SURGERY AND MEDICINE 2021. [DOI: 10.28982/josam.840973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
9
|
Lim YH, Kang K, Lee HW, Kim JS, Kim SH. Gait in Benign Paroxysmal Positional Vertigo. Front Neurol 2021; 12:633393. [PMID: 33643208 PMCID: PMC7907458 DOI: 10.3389/fneur.2021.633393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Accepted: 01/06/2021] [Indexed: 11/17/2022] Open
Abstract
Purpose: Patients with benign paroxysmal positional vertigo (BPPV) experience gait unsteadiness not only during the attacks but also between the spells. This study aimed to measure gait changes in BPPV and determine whether these changes are associated with the involved canal or lesion side. Methods: We recruited 33 patients with a diagnosis of unilateral BPPV. Patients with other vestibular or central nervous system disorders were excluded. Gait was assessed using the GAITRite™ system before and after canalith repositioning treatment (CRT). Results: After CRT, improvements were observed in various gait parameters including velocity (p < 0.001), cadence (p < 0.001), functional ambulation profile (p = 0.011), and the coefficient of variation of stride time (p = 0.004). Exploration of the center of pressure (COP) distribution also revealed improved stabilization during locomotion after CRT. The spatiotemporal gait variables did not differ between the patients with horizontal- and posterior-canal BPPV, or between the ipsilesional and contralesional sides before CRT. Conclusions: The gait parameters reflecting velocity and rhythmicity along with stability of COP distribution improved after the resolution of BPPV. Episodic overexcitation of semicircular canal may impair the vestibular information that is integrated with the other reference afferent systems and lead to impaired gait performance.
Collapse
Affiliation(s)
- Yong-Hyun Lim
- Department of Neurology, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital, Daegu, South Korea.,Center of Self-Organizing Software-Platform, Kyungpook National University, Daegu, South Korea
| | - Kyunghun Kang
- Department of Neurology, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital, Daegu, South Korea
| | - Ho-Won Lee
- Department of Neurology, School of Medicine, Kyungpook National University, Daegu, South Korea.,Brain Science and Engineering Institute, Kyungpook National University, Daegu, South Korea
| | - Ji-Soo Kim
- Department of Neurology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seoul, South Korea
| | - Sung-Hee Kim
- Department of Neurology, School of Medicine, Ewha Womans University Mokdong Hospital, Seoul, South Korea
| |
Collapse
|
10
|
Chronic Neck Pain Affects Shoulder Muscle Activity and Postural Control During Functional Reach. J Med Biol Eng 2021. [DOI: 10.1007/s40846-020-00591-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
11
|
Sinno S, Dumas G, Mallinson A, Najem F, Abouchacra KS, Nashner L, Perrin P. Changes in the Sensory Weighting Strategies in Balance Control Throughout Maturation in Children. J Am Acad Audiol 2020; 32:122-136. [PMID: 33296934 DOI: 10.1055/s-0040-1718706] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
BACKGROUND The central nervous system integrates information from different sensory inputs (vestibular, visual, and somatosensory) to maintain balance. However, strategies for weighing sensory information change as maturation occurs. PURPOSE The purpose of this study was to: (1) evaluate postural control development in a large sample of healthy children aged 5 to 17 years old, (2) analyze changes in sensory weighting strategies as maturation occurs, and (3) determine the extent to which anthropometric characteristics (height, weight, body mass index [BMI]) influence postural control. SAMPLE SIZE This study recruited 120 healthy children, equally distributed in gender and number, into four age groups (5-8 years, 9-11 years, 12-14 years, and 15-17 years) and compared them to a control group of 20 healthy adults (aged 20-25 years). RESEARCH DESIGN The sensory organization test (SOT) was used to assess overall balance and the use of specific sensory inputs to maintain postural control. All children underwent the six SOT conditions: (1) eyes open, surround and platform stable, (2) eyes closed, surround and platform stable, (3) eyes open, sway-referenced surround, platform stable, (4) eyes open, sway-referenced platform, (5) eyes closed, sway-referenced platform, and (6) eyes open, sway-referenced surround and platform. DATA ANALYSIS Condition-specific equilibrium scores (ES), composite equilibrium scores (CES), and sensory analysis ratios were analyzed to determine whether the performance was related to age, gender, or specific anthropometric characteristics (height, weight, and BMI). RESULTS Data showed a significant age-associated improvement in ES for all 6 conditions (p < 0.05) and in CES (p = 0.001). For both genders, (1) somatosensory function was adult-like by age 5 to 8 years, (2) visual function peaked around age 12 years, and (3) vestibular function reached maturity by age 15 to 17 years (p < 0.05). A moderate positive correlation (r(140) = 0.684, p = 0.01; two-tailed) between height and CES was found and a weak positive correlation (r(140) = 0.198, p = 0.01) between height and somatosensory ratio was noted. Lower vestibular ratio scores were observed in children who had a higher BMI (p = 0.001). CONCLUSION The efficient use of individual sensory system input to maintain balance does not occur at the same age. Age and gender affect the changes in sensory weighting strategies, while height and BMI influence postural control in children. These factors need to be accounted for in child assessment.
Collapse
Affiliation(s)
- Solara Sinno
- EA 3450 DevAH, Development, Adaptation and Handicap, Faculty of Medicine, University of Lorraine, Vandoeuvre-lès-Nancy, France.,Laboratory for the Analysis of Posture, Equilibrium and Motor Function (LAPEM), University Hospital of Nancy, Vandoeuvre-lès-Nancy, France.,Department of Otorhinolaryngology-Head and Neck Surgery, Audiology & Balance Center, American University of Beirut Medical Center, Beirut, Lebanon
| | - Georges Dumas
- EA 3450 DevAH, Development, Adaptation and Handicap, Faculty of Medicine, University of Lorraine, Vandoeuvre-lès-Nancy, France.,Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Grenoble Alpes University Hospital, Grenoble, France
| | - Art Mallinson
- Neuro-otology Unit, Department of Surgery, Vancouver General Hospital, Faculty of Medicine, University of British Columbia, Vancouver, Canada
| | - Fadi Najem
- Medical Audiology Sciences Program, Division of Health Professions, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.,Department of Hearing and Speech, Al-Ahliyya Amman University, Amman, Jordan
| | - Kim Smith Abouchacra
- Department of Otorhinolaryngology-Head and Neck Surgery, Audiology & Balance Center, American University of Beirut Medical Center, Beirut, Lebanon.,Medical Audiology Sciences Program, Division of Health Professions, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
| | | | - Philippe Perrin
- EA 3450 DevAH, Development, Adaptation and Handicap, Faculty of Medicine, University of Lorraine, Vandoeuvre-lès-Nancy, France.,Laboratory for the Analysis of Posture, Equilibrium and Motor Function (LAPEM), University Hospital of Nancy, Vandoeuvre-lès-Nancy, France.,Department of Pediatric Oto-Rhino-Laryngology, University Hospital of Nancy, Vandoeuvre-lès-Nancy, France
| |
Collapse
|
12
|
Efficacy of Integrating Cervical Posture Correction With Lumbar Stabilization Exercises for Mechanical Low Back Pain: A Randomized Blinded Clinical Trial. J Appl Biomech 2020; 37:43-51. [PMID: 33176277 DOI: 10.1123/jab.2020-0005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2020] [Revised: 08/15/2020] [Accepted: 08/27/2020] [Indexed: 11/18/2022]
Abstract
Although current lumbar stabilization exercises are beneficial for chronic mechanical low back pain, further research is recommended focusing on global spinal alignment normalization. This randomized, controlled, blinded trial was conducted to determine the effects of adding cervical posture correction to lumber stabilization on chronic mechanical low back pain. Fifty adult patients (24 males) with chronic mechanical low back pain and forward head posture received 12 weeks treatment of either both programs (group A) or lumbar stabilization (group B). The primary outcome was back pain. The secondary outcomes included the craniovertebral angle, Oswestry Disability Index, C7-S1 sagittal vertical axis, and sagittal intervertebral movements. The multivariate analysis of variance indicated a significant group-by-time interaction (P = .001, partial η2 = .609). Pain, disability, C7-S1 sagittal vertical axis, and l2-l3 intervertebral rotation were reduced in group A more than B (P = .008, .001, .025, and .001). Craniovertebral angle was increased in A when compared to B (P = .001). However, there were no significant group-by-time interactions for other intervertebral movements. Within-group comparisons were significant for all outcomes except for craniovertebral angle within patients in the control group. Adding cervical posture correction with lumber stabilization for management of chronic low back pain seemed to have better effects than the application of a stabilization program only.
Collapse
|
13
|
Mohsen H, Samy O. Effect of Platform Swing Walkway on Locomotor Behavior in Children With Diplegic Cerebral Palsy: Randomized Controlled Trial. JMIR BIOMEDICAL ENGINEERING 2020. [DOI: 10.2196/18232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background
Limited attention has been given to the effectiveness of the platform swing walkway, which is a common way to improve gait pattern through activation of sensory stimuli (visual, auditory, vestibular, and somatosensory).
Objective
The objective of this study was to determine the effect of a platform swing walkway on gait parameters in children with diplegic cerebral palsy (CP).
Methods
A total of 30 children of both sexes (aged 6-8 years) with diplegic CP were enrolled in this study. They were randomly assigned into two groups of equal number: the control group (n=15) and the study group (n=15). The control group received the conventional physical therapy plan, whereas the study group received the same conventional physical therapy program in addition to gait training on a platform swing walkway. Temporal parameters during the gait cycle were collected using gait tracker video analysis, and the Growth Motor Function Measure Scale (GMFM-88) was used to assess standing and walking (Dimensions D and E) before and after the treatment program.
Results
A statistically significant improvement in both groups was noted when comparing the mean values of all measured variables before and after treatment (P≤.05). There were significant differences between the control and study groups with respect to all measured variables, which favored the study group when comparing the posttreatment outcomes (P≤.05).
Conclusions
Results suggest that gait training on platform swing walkways can be included as an alternative therapeutic modality to enhance gait parameters and gross motor function in children with diplegic CP.
Trial Registration
ClinicalTrials.gov NTC04246658; https://clinicaltrials.gov/ct2/show/NTC04246658
Collapse
|
14
|
Dijkstra BW, Bekkers EMJ, Gilat M, de Rond V, Hardwick RM, Nieuwboer A. Functional neuroimaging of human postural control: A systematic review with meta-analysis. Neurosci Biobehav Rev 2020; 115:351-362. [PMID: 32407735 DOI: 10.1016/j.neubiorev.2020.04.028] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2019] [Revised: 04/07/2020] [Accepted: 04/23/2020] [Indexed: 02/03/2023]
Abstract
Postural instability is a strong risk factor for falls that becomes more prominent with aging. To facilitate treatment and prevention of falls in an aging society, a thorough understanding of the neural networks underlying postural control is warranted. Here, we present a systematic review of the functional neuroimaging literature of studies measuring posture-related neural activity in healthy subjects. Study methods were overall heterogeneous. Eleven out of the 14 studies relied on postural simulation in a supine position (e.g. motor imagery). The key nodes of human postural control involved the brainstem, cerebellum, basal ganglia, thalamus and several cortical regions. An activation likelihood estimation meta-analysis revealed that the anterior cerebellum was consistently activated across the wide range of postural tasks. The cerebellum is known to modulate the brainstem nuclei involved in the control of posture. Hence, this systematic review with meta-analysis provides insight into the neural correlates which underpin human postural control and which may serve as a reference for future neural network and region of interest analyses.
Collapse
Affiliation(s)
- Bauke W Dijkstra
- Neuromotor Rehabilitation Research Group, Department of Rehabilitation Sciences, KU Leuven, Tervuursevest 101, Bus 1501, 3001, Leuven, Belgium.
| | - Esther M J Bekkers
- Neuromotor Rehabilitation Research Group, Department of Rehabilitation Sciences, KU Leuven, Tervuursevest 101, Bus 1501, 3001, Leuven, Belgium.
| | - Moran Gilat
- Neuromotor Rehabilitation Research Group, Department of Rehabilitation Sciences, KU Leuven, Tervuursevest 101, Bus 1501, 3001, Leuven, Belgium.
| | - Veerle de Rond
- Neuromotor Rehabilitation Research Group, Department of Rehabilitation Sciences, KU Leuven, Tervuursevest 101, Bus 1501, 3001, Leuven, Belgium.
| | - Robert M Hardwick
- Movement Control and Neuroplasticity Research Group, Department of Movement Sciences, KU Leuven, Tervuursevest 101, Bus 1501, 3001, Leuven, Belgium; Institute of Neuroscience, Université Catholique De Louvain, Brussels, Belgium.
| | - Alice Nieuwboer
- Neuromotor Rehabilitation Research Group, Department of Rehabilitation Sciences, KU Leuven, Tervuursevest 101, Bus 1501, 3001, Leuven, Belgium.
| |
Collapse
|
15
|
Morningstar MW. Early intervention versus standard of care for mild idiopathic scoliosis: A case-controlled series based on SOSORT criteria evaluating the impact of a scoliosis activity suit. Clin Pract 2020; 10:1251. [PMID: 32477482 PMCID: PMC7246342 DOI: 10.4081/cp.2020.1251] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2020] [Accepted: 05/07/2020] [Indexed: 11/23/2022] Open
Abstract
In the present study, a group of adolescent patients diagnosed with mild adolescent idiopathic scoliosis wore a scoliosis activity suit instead of maintaining the recommended observation only strategy. These patients wore the scoliosis activity suit for up to 60 minutes twice daily while performing normal daily activities. These patients were followed through until end of growth. Their end of growth results were compared to a group of adolescent idiopathic scoliosis (AIS) patients who only participated in observation. The group who wore the scoliosis activity suit maintained their curve measurements through skeletal maturity, while the observation group saw their curves increase an average of 7 degrees. This study showed that a group of AIS patients were able to prevent their curves from progressing during growth, while those participating in an observation-only strategy saw their curves progress to beyond threshold where rigid brace prescription is recommended. These changes were statistically significant in intergroup comparison, as well as intragroup before and after comparison.
Collapse
|
16
|
Fil-Balkan A, Salci Y, Keklicek H, Armutlu K, Aksoy S, Kayihan H, Elibol B. Sensorimotor integration training in Parkinson`s disease. ACTA ACUST UNITED AC 2019; 23:208-215. [PMID: 30007996 PMCID: PMC8015575 DOI: 10.17712/nsj.2018.3.20180021] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
OBJECTIVE To determine the effects of sensorimotor integration training on postural control in Parkinson`s disease. METHODS This prospective, randomized controlled trial was conducted at Hacettepe University (Ankara, Turkey). The study was carried out from August 2012 until March 2015 and included 24 Parkinson`s patients with stage 2-3 according to the Modified Hoehn&Yahr Rating Scale. The patients were divided into 2 groups (control and study). The control group received conventional physiotherapy; the study group received sensorimotor integration training combined with conventional physiotherapy, 2 times per week for 6 weeks. We assessed the patients with clinical balance tests and computerized dynamic posturography. Assessments were performed at baseline, 7- and 12-weeks follow-up. RESULTS Computerized dynamic posturography posturography values (5th and 6th positions, composite balance, and vestibular system scores) were higher in the study group than in the control group. The improvements were maintained at the 12-week follow up except 6th positions scores (p<0.05). CONCLUSION Sensorimotor integration training combined with conventional physiotherapy approach ameliorated postural control by improving vestibular system in patients with Parkinson`s disease by improving sensory processes.
Collapse
Affiliation(s)
- Ayla Fil-Balkan
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey. E-mail:
| | | | | | | | | | | | | |
Collapse
|
17
|
Kapp A, Paethke M, Baqué M, Nebel R. Baseline of upper teeth: (a) Control organ for spatial navigation? (b) Weak point for misaligned posture and pain? Med Hypotheses 2019; 133:109391. [PMID: 31525635 DOI: 10.1016/j.mehy.2019.109391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2019] [Accepted: 09/03/2019] [Indexed: 10/26/2022]
Abstract
Our observations question both the current doctrine of spatial orientation as processed by vestibular, visual and proprioceptive impressions as well as the horizontal alignment of the eye axis. Indeed our observations suggest spatial orientation as a physically based, largely mechanically transmitted interaction between individual and environment. It is controlled by an interface defined by the baseline of upper teeth. It simultaneously constitutes both body and environment acting as an integral part of that environment. Consequently, the baseline of upper teeth is part of the aforementioned environment. Instead of the eye axis during spatial orientation it aligns the true horizontal absolutely. This was tested by fixing a cross to upper teeth. While walking, running and jumping it did not deviate by more than 2° from the external axis. Subsequently, we inclined the baseline of upper teeth by inserting an asymmetric wafer so that it angulated the eye axis. Immediately, head, visual and vestibular axes tilted unstably with misaligned body posture. Only the indicative cross remained stably aligned to the external axes. The person felt "upright", not noticing his posture had changed. He was then instructed to straighten his shoulders and trunk until his posture was objectively nearly upright again. The voluntary correction caused the indicative cross to tilt. The person felt uneven while being more upright. We concluded that the automatic posture works by "synchronizing" the baseline of upper teeth to the external axis and that the synchronized position is supported by the vestibular system. Benefit of an interface is that the body's movements in the environment simultaneously happen within the baseline of upper teeth. Therein the vectors of the body and the environment are calculated to remain in balance. This model introduces the transmission of the vector information to postural muscles by the dura mater, controlled by tension between C0-C2. The information is skewed by bony dislocations between C0-C2 caused by an inclination of the interface. The resulting misalignments of posture are foreseeable and specifically correspond to the type of inclination. They occur in a broad section of the population. Diagnosed as muscular weakness, they may cause therapy resistant common diseases like back and joint pain after 5-10 years. Following our observations, the inclination of the baseline of upper teeth originates from inattentive changes in the length of upper teeth in dental treatment. Multiple treatments optimizing teeth length in long term patients improved the patients' situation.
Collapse
Affiliation(s)
- Anne Kapp
- Independent Researchers, Christstraße 36 , Berlin 14197 Germany.
| | - Marianne Paethke
- Independent Researchers, Kreuznacher Str. 66, Berlin 14197, Germany.
| | - Manfred Baqué
- Independent Researchers, Kreuznacher Str. 66, Berlin 14197, Germany.
| | - Ruth Nebel
- Independent Researchers, Steinrueckweg 8, Berlin 14197 , Germany.
| |
Collapse
|
18
|
Russell BS, Hosek RS, Hoiriis KT, Drake ED. Chronic Progressive External Ophthalmoplegia and Bilateral Vestibular Hypofunction: Balance, Gait, and Eye Movement Before and After Multimodal Chiropractic Care: A Case Study. J Chiropr Med 2019; 18:144-154. [PMID: 31367202 DOI: 10.1016/j.jcm.2018.11.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2018] [Revised: 09/12/2018] [Accepted: 11/02/2018] [Indexed: 12/11/2022] Open
Abstract
Objective The purpose of this report is to describe care of a patient with chronic progressive external ophthalmoplegia and bilateral vestibular hypofunction. Clinical Features A 66-year-old patient presented with limited eye movement and mild ptosis, which led to a diagnosis of chronic progressive external ophthalmoplegia. Rotary chair testing suggested vestibular involvement. Other symptoms included dizziness, problems with balance, and chronic stiffness in his cervical and thoracic regions. He had anxiety about loss of function and limited exercise habits because of fear of falling. Examination methods included balance assessment, kinetic aspects of walking, and videonystagmography. Intervention and Outcome He had already begun regular practice of vestibular rehabilitation exercises before receiving 18 sessions of manual and instrument-assisted chiropractic manipulation, along with mobilization, stretching, and transverse massage, over 37 weeks. In addition to self-reported improvements, there was substantially decreased postural sway during balance assessment and there were small improvements in eye movement, ptosis, and walking. Conclusion This patient showed improvements in balance, eye movements, and walking while undergoing multimodal chiropractic care and practicing eye and balance exercises.
Collapse
Affiliation(s)
- Brent S Russell
- Dr. Sid E. Williams Center for Chiropractic Research, Life University, Marietta, Georgia
| | - Ronald S Hosek
- Dr. Sid E. Williams Center for Chiropractic Research, Life University, Marietta, Georgia
| | - Kathryn T Hoiriis
- Dr. Sid E. Williams Center for Chiropractic Research, Life University, Marietta, Georgia
| | - Emily D Drake
- Dr. Sid E. Williams Center for Chiropractic Research, Life University, Marietta, Georgia
| |
Collapse
|
19
|
Munhoz WC, Hsing WT. The inconclusiveness of research on functional pathologies of the temporomandibular system and body posture: Paths followed, paths ahead: A critical review. Cranio 2019; 39:254-265. [PMID: 31035908 DOI: 10.1080/08869634.2019.1603585] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Objective: Literature on the functional pathologies of the temporomandibular system (FPTS) in its relationships with body posture is plagued with inconclusiveness. Despite being sometimes altogether disregarded, the issue is most relevant, due to its clinical implications. This paper aims for a deeper understanding of the origins of the inconclusiveness of research on such relationships by means of a critical analysis of the scientific literature on the subject, in order that clinicians may better treat patients with FPTS.Methods: Analysis of over 100 studies, published from 1918 through March 2018 in the PubMed database, using descriptors temporomandibular joint disorders and posture.Results: The analysis of the paths followed by researchers allowed for pinning down several methodological issues that may have led to the prevailing ambiguity on the matter.Conclusion: This review then proposes certain standardization of procedures in future studies, to be conducted by a proposed consortium of researchers.
Collapse
Affiliation(s)
- Wagner Cesar Munhoz
- Formerly Faculdade de Medicina, University of São Paulo (USP), São Paulo, Brazil
| | - Wu Tu Hsing
- Department of Pathology, Faculdade de Medicina, University of São Paulo (USP), São Paulo, Brazil
| |
Collapse
|
20
|
Escaloni J, Butts R, Dunning J. The use of dry needling as a diagnostic tool and clinical treatment for cervicogenic dizziness: a narrative review & case series. J Bodyw Mov Ther 2018; 22:947-955. [DOI: 10.1016/j.jbmt.2018.02.015] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2017] [Revised: 01/21/2018] [Accepted: 02/08/2018] [Indexed: 12/20/2022]
|
21
|
Shin S, Sosnoff JJ. Spinal Cord Injury and Seated Postural Control: A Test of the Rambling and Trembling Hypothesis. Motor Control 2017; 21:443-456. [PMID: 27834583 DOI: 10.1123/mc.2016-0014] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Rambling-trembling analysis separates the center of pressure into two components: the rambling component (RM: supraspinal) and trembling component (TM: muscle stiffness/reflex). We hypothesized that persons with spinal cord injury (SCI) would demonstrate decreased RM resulting from altered supraspinal processing and increased TM resulting from increased muscle stiffness. We also anticipated that the TM component would be greater in SCI patients with Harrington rods than in those without them. The seated postural control was assessed in 18 persons with SCI, comprising 12 with and six without Harrington rods, and 18 age-matched controls. The SCI group had greater center of pressure sway, RM, and TM components than the controls, with no difference in the postural sway between the SCI subgroups, suggesting that the impairment of seated postural control in individuals with SCI results from disturbed supraspinal and peripheral mechanisms, but that the control itself is unaffected by internal fixation with Harrington rods. These were not entirely consistent with our hypothesis.
Collapse
|
22
|
|
23
|
de Souza Melo R. Ampleness of head movements of children and adolescents with sensorineural hearing loss. Int J Pediatr Otorhinolaryngol 2017; 93:133-140. [PMID: 28109485 DOI: 10.1016/j.ijporl.2016.12.015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2016] [Revised: 12/09/2016] [Accepted: 12/10/2016] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Head movements are controlled by the vestibular system. Children with sensorineural hearing loss can present restrictions in ampleness of head movements due to damage in the vestibule-cochlear systems, resulting from injury in the inner ear. OBJECTIVE To evaluate the ampleness of head movements of children with normal hearing and children with sensorineural hearing loss and compare data between groups. METHODS Cross-sectional study that evaluated the ampleness of head movements of 96 students, being 48 with normal hearing and 48 with sensorineural hearing loss, of both sexes, with aged between 7 and 18 years old. The performance of ampleness of head movements was analyzed by a manual goniometric evaluation, according the references proposed by Marques. To the statistical analysis we used the t-Student test in case of normality of the data or the Mann-Whitney test when did not applied the suppositions of normality. RESULTS Hearing loss children showed less mean in ampleness of all movements of head compared to normal hearing children, pointing difference to movements of flexion (p = 0,001), lateral inclination to the right (p = 0,025) and lateral rotation to the left (p = 0,021). CONCLUSION Hearing loss children showed reduction in the ampleness of these head movements: flexion, lateral inclination to the right and lateral rotation to the left compared to normal hearing children.
Collapse
Affiliation(s)
- Renato de Souza Melo
- Post-Graduate Program on Child and Adolescent Health, Universidade Federal de Pernambuco (UFPE), Recife, Pernambuco, Brazil.
| |
Collapse
|
24
|
Affiliation(s)
- Wendy Hood
- Senior lecturer (Physiotherapy) Northumbria University, Newcastle Upon Tyne, UK
| | - Martin Hood
- Optometrist in private practice Senior Optometrist Royal Victoria Infirmary, Newcastle Upon Tyne, UK
| |
Collapse
|
25
|
Cantello R, Magistrelli L, Terazzi E, Grossini E. Abnormal postural reflexes in a patient with pontine ischaemia. BMJ Case Rep 2015; 2015:bcr-2015-210616. [PMID: 26561222 DOI: 10.1136/bcr-2015-210616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
The control of body posture is a complex activity that needs a very close relationship between different structures, such as the vestibular system, and the muscle and joint receptors of the neck. Damage of even one of these structures can lead to abnormal postural reflexes. We describe a case of a woman with a left pontine ischaemia who developed a 'dystonic' extensor posture of the left limbs while turned on the right side. This clinical picture differs from previous reports on the subject, and may relate to ischaemic damage of a pontine structure involved in posture control, or of adjacent neural connections to be yet identified. To the best of our knowledge, this is the first case reported in the literature. Clinical examples of an altered interplay between vestibular and neck receptors are rare.
Collapse
Affiliation(s)
- Roberto Cantello
- Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy
| | - Luca Magistrelli
- Section of Neurology, Department of Translational Medicine, University of Eastern Piedmont "Amedeo Avogadro", Novara, Italy
| | - Emanuela Terazzi
- Section of Neurology, Department of Translational Medicine, University of Eastern Piedmont "Amedeo Avogadro", Novara, Italy
| | - Elena Grossini
- Department of Translational Medicine, Laboratory of Physiology and Experimental Surgery, University of Eastern Piedmont "Amedeo Avogadro", Novara, Italy
| |
Collapse
|
26
|
Blum CL. R + C Factors and Sacro Occipital Technique Orthopedic Blocking: a pilot study using pre and post VAS assessment. THE JOURNAL OF THE CANADIAN CHIROPRACTIC ASSOCIATION 2015; 59:134-142. [PMID: 26136605 PMCID: PMC4486986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
INTRODUCTION The concept of a systematic or predictive relationship between distant vertebral levels distinct from accumulative functional compensatory mechanisms, such as in scoliosis, has been perpetuated within chiropractic technique systems based on clinical observation and experience. This study seeks to investigate this relationship between the cervical and lumbar vertebrae. METHODS Patients (experimental group n=26 and control group n=12) were selected from the patient base of one office, and were limited to patients that had sensitivity at specific cervical reflex points. Using a pre and post outcome measurement and sacro occipital technique R + C protocols, the related lumbar vertebra was adjusted in the direction indicated by the cervical vertebral sensitivity. RESULTS Statistical analysis revealed there was a statistically significant difference between pre- and post-VAS measurements and found that the notable difference in mean change in VAS scores were statistically significantly different between the experimental and control groups (p < .001). CONCLUSION The findings of this study suggest that further research into cervical and lumbar vertebra interrelationships, and the efficacy of orthopedic block treatment, may be warranted. Further studies are needed to confirm whether a causal relationship exists between lumbar manipulation and decreased cervical spine sensitivity.
Collapse
Affiliation(s)
- Charles L Blum
- Affiliation: Sacro Occipital Technique Organization - USA - Director of Research
| |
Collapse
|
27
|
Moustafa IM, Diab AA. The addition of upper cervical manipulative therapy in the treatment of patients with fibromyalgia: a randomized controlled trial. Rheumatol Int 2015; 35:1163-74. [DOI: 10.1007/s00296-015-3248-7] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2014] [Accepted: 03/06/2015] [Indexed: 10/23/2022]
|
28
|
Moustafa IM, Diab AA. The effect of adding forward head posture corrective exercises in the management of lumbosacral radiculopathy: a randomized controlled study. J Manipulative Physiol Ther 2015; 38:167-78. [PMID: 25704221 DOI: 10.1016/j.jmpt.2014.11.009] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2013] [Revised: 10/06/2014] [Accepted: 11/01/2014] [Indexed: 12/16/2022]
Abstract
OBJECTIVE The purpose of this study was to determine the immediate and long-term effects of a multimodal program, with the addition of forward head posture correction, in patients with chronic discogenic lumbosacral radiculopathy. METHODS This randomized clinical study included 154 adult patients (54 females) who experienced chronic discogenic lumbosacral radiculopathy and had forward head posture. One group received a functional restoration program, and the experimental group received forward head posture corrective exercises. Primary outcomes were the Oswestry Disability Index (ODI). Secondary outcomes included the anterior head translation, lumbar lordosis, thoracic kyphosis, trunk inclination, lateral deviation, trunk imbalance, surface rotation, pelvic inclination, leg and back pain scores, and H-reflex latency and amplitude. Patients were assessed at 3 intervals (pretreatment, 10-week posttreatment, and 2-year follow-up). RESULTS A general linear model with repeated measures indicated a significant group × time effect in favor of the experimental group on the measures of ODI (F = 89.7; P < .0005), anterior head translation (F = 23.6; P < .0005), H-reflex amplitude (F = 151.4; P < .0005), H-reflex latency (F = 99.2; P < .0005), back pain (F = 140.8; P < .0005), and leg pain (F = 72; P < .0005). After 10 weeks, the results revealed an insignificant difference between the groups for ODI (P = .08), back pain (P = .29), leg pain (P = .019), H-reflex amplitude (P = .09), and H-reflex latency (P = .098). At the 2-year follow-up, there were significant differences between the groups for all variables adopted for this study (P < .05). CONCLUSIONS The addition of forward head posture correction to a functional restoration program seemed to positively affect disability, 3-dimensional spinal posture parameters, back and leg pain, and S1 nerve root function of patients with chronic discogenic lumbosacral radiculopathy.
Collapse
Affiliation(s)
- Ibrahim M Moustafa
- Assistant Professor, Basic Science Department, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
| | - Aliaa A Diab
- Assistant Professor, Basic Science Department, Faculty of Physical Therapy, Cairo University, Giza, Egypt
| |
Collapse
|
29
|
Ramirez-Yanez GO, Mehta L, Mehta NR. The effect of dental occlusal disturbances on the curvature of the vertebral spine in rats. Cranio 2014; 33:217-27. [DOI: 10.1179/2151090314y.0000000017] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
|
30
|
Méndez-Sánchez R, González-Iglesias J, Sánchez-Sánchez JL, Puente-González AS. Immediate Effects of Bilateral Sacroiliac Joint Manipulation on Plantar Pressure Distribution in Asymptomatic Participants. J Altern Complement Med 2014; 20:251-7. [DOI: 10.1089/acm.2013.0192] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Affiliation(s)
- Roberto Méndez-Sánchez
- Department of Physical Therapy, Universidad de Salamanca, Salamanca, Spain
- Madrid School of Osteopathy, Madrid, Spain
| | - Javier González-Iglesias
- Madrid School of Osteopathy, Madrid, Spain
- Clinic of Physical Therapy Integral Candás, Candás, Asturias, Spain
| | | | - Ana Silvia Puente-González
- Department of Physical Therapy, Universidad de Salamanca, Salamanca, Spain
- Madrid School of Osteopathy, Madrid, Spain
| |
Collapse
|
31
|
Liou LM, Lin HF, Huang IF, Chang YP, Lin RT, Lai CL. Predictive value of vertebral artery extracranial color-coded duplex sonography for ischemic stroke-related vertigo. Kaohsiung J Med Sci 2013; 29:667-72. [DOI: 10.1016/j.kjms.2013.01.015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2012] [Accepted: 11/05/2012] [Indexed: 12/28/2022] Open
|
32
|
Macphail K. Is there a hierarchy of survival reflexes? Med Hypotheses 2013; 81:638-42. [DOI: 10.1016/j.mehy.2013.07.020] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2013] [Accepted: 07/05/2013] [Indexed: 11/16/2022]
|
33
|
Postural bipedance in paraplegics under neuromuscular electrical stimulation: is it possible to improve it based on sagittal spinal alignment? Spinal Cord 2012; 50:309-14. [PMID: 22333891 PMCID: PMC3321091 DOI: 10.1038/sc.2011.123] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Study design Experimental trial based on the analytical study of the radiographic standards of the sagittal spinal alignment in paraplegics in upright position under surface Neuromuscular Electrical Stimulation (NMES). Objectives To evaluate changes in radiographic standards of the sagittal spinal alignment of paraplegics under three different models of NMES used to optimize the global bipedal posture. Setting The University Hospital Ambulatory (UNICAMP), Campinas, SP, Brazil Methods Ten paraplegic patients were selected. Each patient underwent three different models of NMES. The influence that each NMES models exerted over the sagittal balance of the spine was evaluated by lateral panoramic x-rays. Wilcoxon’s Test was used to compare the modifications observed in each NMES model in the group studied. Results Using the femoral quadriceps muscles’ NMES as the starting point, the inclusion of the gluteus maximus’ NMES generated an increase of the lumbar lordosis and an decrease of the spinal tilt angle. These alterations resulted in partial improvement of the anterior sagittal imbalance. NMES of the paralyzed paravertebral lumbar muscles resulted in a more expressive increase on the lumbar lordosis with no important change on the spinal tilt. On the latter model, however, an improvement of 20% was observed in the global sagittal imbalance due to a posterior translation of the spine as pointed out by the decrease in the C7-HA horizontal distance. Conclusions The proposed NMES models were able to partially amend the anterior sagittal imbalance of the paraplegic patients in bipedal posture.
Collapse
|
34
|
Matheron E, Kapoula Z. Vertical phoria and postural control in upright stance in healthy young subjects. Clin Neurophysiol 2008; 119:2314-20. [PMID: 18760665 DOI: 10.1016/j.clinph.2008.06.016] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2008] [Revised: 06/17/2008] [Accepted: 06/26/2008] [Indexed: 12/14/2022]
|
35
|
Humphreys BK. Cervical Outcome Measures: Testing for Postural Stability and Balance. J Manipulative Physiol Ther 2008; 31:540-6. [PMID: 18804005 DOI: 10.1016/j.jmpt.2008.08.007] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2008] [Revised: 08/02/2008] [Indexed: 11/19/2022]
|
36
|
Morningstar MW, Joy T. Scoliosis treatment using spinal manipulation and the Pettibon Weighting System: a summary of 3 atypical presentations. CHIROPRACTIC & OSTEOPATHY 2006; 14:1. [PMID: 16409627 PMCID: PMC1363725 DOI: 10.1186/1746-1340-14-1] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/20/2005] [Accepted: 01/12/2006] [Indexed: 12/18/2022]
Abstract
Background Given the relative lack of treatment options for mild to moderate scoliosis, when the Cobb angle measurements fall below the 25–30° range, conservative manual therapies for scoliosis treatment have been increasingly investigated in recent years. In this case series, we present 3 specific cases of scoliosis. Case presentation Patient presentation, examination, intervention and outcomes are detailed for each case. The types of scoliosis presented here are left thoracic, idiopathic scoliosis after Harrington rod instrumentation, and a left thoracic scoliosis secondary to Scheuermann's Kyphosis. Each case carries its own clinical significance, in relation to clinical presentation. The first patient presented for chiropractic treatment with a 35° thoracic dextroscoliosis 18 years following Harrington Rod instrumentation and fusion. The second patient presented with a 22° thoracic levoscoliosis and concomitant Scheuermann's Disease. Finally, the third case summarizes the treatment of a patient with a primary 37° idiopathic thoracic levoscoliosis. Each patient was treated with a novel active rehabilitation program for varying lengths of time, including spinal manipulation and a patented external head and body weighting system. Following a course of treatment, consisting of clinic and home care treatments, post-treatment radiographs and examinations were conducted. Improvement in symptoms and daily function was obtained in all 3 cases. Concerning Cobb angle measurements, there was an apparent reduction in Cobb angle of 13°, 8°, and 16° over a maximum of 12 weeks of treatment. Conclusion Although mild to moderate reductions in Cobb angle measurements were achieved in these cases, these improvements may not be related to the symptomatic and functional improvements. The lack of a control also includes the possibility of a placebo effect. However, this study adds to the growing body of literature investigating methods by which mild to moderate cases of scoliosis can be treated conservatively. Further investigation is necessary to determine whether curve reduction and/or manipulation and/or placebo was responsible for the symptomatic and functional improvements noted in these cases.
Collapse
Affiliation(s)
- Mark W Morningstar
- Director of Research, The Pettibon Institute; 3416-A 57St Ct NW Gig Harbor WA 98335, USA
| | - Timothy Joy
- Evergreen Spine & Posture Correction Center; 6615 6th Ave Tacoma, WA 98406, USA
| |
Collapse
|