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| ID | 27889 | ||||||||||||
| Title | Effect sizes for changes in health and well-being following treatment with the one-to-zero technique in individuals with occipito-atlantal joint dysfunction: A repeated measures study | ||||||||||||
| URL | https://doi.org/10.1016/j.jcm.2023.10.004 | ||||||||||||
| Journal | J Chiropr Med. 2023 Dec;22(4):302-312 | ||||||||||||
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| Peer Review | Yes | ||||||||||||
| Publication Type | Article | ||||||||||||
| Abstract/Notes | Objectives: The purpose of this study was to determine effect sizes (ES) for changes in self-reported measures of musculoskeletal pain and dysfunction resulting from the one-to-zero method using a repeated measures study design. Methods: Twenty participants presenting with articular dysfunction of the occipito-atlantal (C0-C1) complex were treated using the one-to-zero method, a high-velocity low-amplitude thrust administered between the C0-C1 complex before treating other restrictive segments in a cephalocaudal direction. The participants completed online questionnaires using Google Forms that assessed aspects of the biopsychosocial model of pain at baseline and within a week after treatment. The questionnaires included the following: (1) Demographic and Health Behavior Survey; (2) Neck Bournemouth Questionnaire (NBQ) or Neck Disability Index (NDI); (3) Beck Anxiety Index (BAI); (4) Insomnia Severity Index (ISI); and (5) 36-Item Short Form Health Survey (SF-36). Paired t test or Wilcoxon signed ranks test was performed, dependent on normality. Cohen's d values were calculated for each questionnaire score (0.20 indicative of small; ≥0.50 medium; and ≥0.80 large ES). Results: The NDI, NBQ, BAI, and ISI had a large ES (all d ≥ 0.80). In the SF-36, 4 subscales had a small to near-medium ES, 1 subscale had a medium to near-large ES, and the remaining 2 had a large ES (d ≥ 0.80). The physical and mental component summary had a large (d = 0.88) and small ES (d = 0.35), respectively. Conclusion: The effect sizes suggest the one-to-zero treatment induces change in various aspects of the biopsychosocial model. Author Keywords: Atlanto-Occipital Joint; Manipulation, Chiropractic; Surveys and Questionnaires This abstract is reproduced with the permission of the publisher; full text is available by subscription.
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