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The presence of a supernumerary biceps brachii muscle may cause neurovascular compression of the median nerve, musculocutaneous nerve, or brachial artery, resulting in peripheral nerve deficits. When patient conditions are refractory to care, they may warrant careful evaluation of the anterior compartment of the arm for potential anomalous muscle variations.
This purpose of this case report is to describe the chiropractic management of a patient who presented with symptoms of hand neuropathy.
A 35-year-old woman presented with a 6-month history of numbness and tingling in the first and second digits of the right hand. Visual inspection revealed a large golf ball-like mass in the patient's right lower neck region. Orthopedic assessment revealed a Tinel's sign at the right carpal tunnel, positive Allen's maneuver, present flick sign, and diminished right radial pulse strength. Advanced diagnostic imaging had been taken previously at the ages of 11 and 24 years, and showed the presence of cystic hygroma in the patient's right axilla and lower neck region.
The patient was treated using manipulative therapy to the thoracic spine, myofascial release therapy, and therapeutic ultrasound over the right carpal tunnel. Active home care included postural relief exercises and education about work-related ergonomics. Several functional and subjective improvements were seen within the first 2 weeks of treatment. Symptoms of right-hand numbness resolved after 8 treatments.
In this case, the chiropractor originally thought the patient's hand numbness was due to a cystic hygroma; however, this was later considered an incidental finding. The patient's symptoms seemed to respond to chiropractic management and reduced within 1 month.
In this case, the chiropractor originally thought the patient's hand numbness was due to a cystic hygroma; however, this was later considered an incidental finding. The patient's symptoms seemed to respond to chiropractic management and reduced within 1 month.
The purpose of this study was to measure the reliability, internal consistency, construct validity, and floor and ceiling effects of the Brazilian version of the Self-Estimated Functional Inability Because of Pain Questionnaire for athletes (SEFIP-sport).
This was a validity questionnaire study developed in a university community. Athletes or practitioners of any sport undertaking regular practice (weekly frequency of at least twice a week for at least 6 months), with the ability to read and write in Brazilian Portuguese, were included. We evaluated disability by means of the SEFIP-sport and the Roland-Morris Disability Questionnaire for general pain, pain intensity by means of a numerical rating scale, quality of life by means of the Short-Form Health Survey, and predicted disability by means of the Örebro Musculoskeletal Pain Questionnaire.
Two hundred and twenty-one athletes or regular practitioners of sport were recruited and included in the study. We observed adequate values of reliability (κ ≥ 0.40, intraclass correlation coefficient = 0.91), internal consistency (Cronbach's α ≥ 0.81), and correlations (
≥ -0.376) of the total SEFIP-sport score with the numerical rating scale; the pain, vitality, and social aspects domains of the Short-Form Health Survey; the Roland-Morris questionnaire; and the Örebro Musculoskeletal Pain Questionnaire.
The Brazilian Portuguese version of the SEFIP-sport demonstrated adequate psychometric properties for use in athletes.
The Brazilian Portuguese version of the SEFIP-sport demonstrated adequate psychometric properties for use in athletes.
The purpose of this narrative review of the literature is to provide an overview of quadrangular space syndrome with special attention to its clinical presentation, differential diagnosis, and treatment.
A narrative review of the English-language, peer-reviewed literature was performed using the key words "axillary nerve," "quadrangular space," "quadrilateral space," and "posterior humeral circumflex artery." Databases searched were Medline Complete, Cumulative Index to Nursing and Allied Health Literatures, and Index to Chiropractic Literature. The search period was from 1983 through January 2020.
There were 85 articles selected for this review
A summary and overview are provided.
Quadrangular space syndrome is an uncommon cause of shoulder pain. Clinicians should consider it as a diagnosis after ruling out more common shoulder conditions and examining other concurrent diseases.
Quadrangular space syndrome is an uncommon cause of shoulder pain. Clinicians should consider it as a diagnosis after ruling out more common shoulder conditions and examining other concurrent diseases.
The purpose of this study was to compare the flexibility of the thoracolumbar fascia (TLF) in individuals with and without subacromial impingement syndrome (SAIS). A secondary purpose was to demonstrate a new method for measuring TLF flexibility.
A total of 60 participants-30 diagnosed with SAIS and 30 asymptomatic-were included. In both groups, trunk flexibility was assessed by the modified Schober test, TLF flexibility by rotational measurement on a goniometric platform, and shoulder posterior capsule tightness by tape measurement. The data obtained were compared using
tests for independent variables.
No statistically significant difference was observed for any parameter between participants with SAIS and healthy controls (
> .05).
For the participants we studied, the flexibility of the TLF was not associated with SAIS. The goniometric evaluation method used in this study was affordable and feasible. The validity and reliability of this measurement method should be assessed further in future studies.
For the participants we studied, the flexibility of the TLF was not associated with SAIS. Darapladib Phospholipase (e.g. PLA) inhibitor The goniometric evaluation method used in this study was affordable and feasible. The validity and reliability of this measurement method should be assessed further in future studies.
The purpose of this study was to examine experiences and attitudes toward care offered by chiropractors and prescription drug therapy offered by medical physicians for patients who have back pain.
A cross-sectional survey measured patients with back pain (n = 150) seeking care within an academic primary care setting. A survey assessed patient experiences, beliefs, and attitudes regarding chiropractic care and prescription drug therapy. Two samples of patients in the New Hampshire region included 75 patients treated by a doctor of chiropractic (DC) and 75 treated by a medical primary care physician (PCP). The 30-item survey was sent to existing and new patients between February 2019 and January 2020. Between-group comparisons were examined to test rates of reporting and to determine the mean difference in the total number of office visits between the 2 samples.
Patients treated by both DCs and PCPs reported high overall satisfaction with chiropractic care received for low back pain with no significant differences between groups.
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