Musculoskeletal Science and Practice最新文献_第2页

A seventeen-year, population-based study to identify dynamic patterns of interfering neck pain and its burden in South Korea 一项为期十七年的基于人口的研究，旨在确定韩国干扰性颈部疼痛及其负担的动态模式

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-11-22 DOI: 10.1016/j.msksp.2024.103236

Miran Goo , Deokhoon Jun

Aim

The aim of this study were to introduce a profile of a nationwide cohort for patients with neck pain and to identify the patterns of recurrent neck pain over time.

Methods

Health insurance data for 1,127,323 patients (43.5 ± 11.5 years, 60.8% females) with neck pain in 2010 were extracted from the National Health Information Database of South Korea. Data on the duration and frequency of neck pain and the number of healthcare visits recorded between 2002 and 2018 were screened and used for descriptive analysis.

Results

During the study period, patients experienced 4.1 episodes of neck pain, and 74% of patients experienced multiple episodes. The duration of one episode was 12.1 ± 35.7 days. Following each episode, more than 73% of patients experienced a subsequent episode of neck pain. As patients experienced more episodes, the recurrence rate increased gradually from 73% to 80%, and subsequent episodes occurred in a shorter time and lasted longer with a higher number of healthcare visits, compared to a preceding episode.

Conclusion

The study highlighted the dynamic pattern of interfering neck pain, with episodes occurring more frequently and lasting longer over time. Early intensive management with a long-term follow-up is recommended to prevent a dynamic pattern of interfering neck pain.

方法从韩国国家健康信息数据库中提取了2010年1,127,323名颈部疼痛患者（43.5±11.5岁，60.8%为女性）的健康保险数据。筛选了 2002 年至 2018 年期间记录的颈部疼痛持续时间和频率以及就医次数的数据，并将其用于描述性分析。结果在研究期间，患者颈部疼痛的发作次数为 4.1 次，74% 的患者经历了多次发作。一次发作的持续时间为（12.1 ± 35.7）天。每次发作后，超过 73% 的患者会再次出现颈部疼痛。随着患者发作次数的增加，复发率也从 73% 逐渐增加到 80%，与前一次发作相比，后一次发作的时间更短，持续时间更长，就诊次数也更多。建议尽早进行强化治疗，并进行长期随访，以防止出现动态干扰性颈部疼痛。

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引用次数: 0

Effectiveness of mobilization with movement on conditioned pain modulation, mechanical hyperalgesia, and pain intensity in adults with chronic low back pain: A randomized controlled trial.

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-11-22 DOI: 10.1016/j.msksp.2024.103220

Oliver Martínez Pozas, Juan Nicolás Cuenca-Zaldívar, M Elena González-Alvarez, Francisco José Selva Sarzo, Hector Beltran-Alacreu, Josué Fernández Carnero, Eleuterio A Sánchez Romero

Background: Chronic low back pain is associated with dysfunctions in endogenous analgesia mechanisms, as evaluated through conditioned pain modulation paradigms. Although mobilization with movement has demonstrated enhancements in conditioned pain modulation among patients with conditions such as knee osteoarthritis, its efficacy in chronic low back pain patients has yet to be established.

Objectives: To investigate the effects of mobilization with movement compared to sham mobilization in conditioned pain modulation, mechanical hyperalgesia, and pain intensity in chronic low back pain patients.

Design: Randomized controlled trial following CONSORT and TIDieR guidelines.

Method: Fifty-eight patients with chronic low back pain (mean age 48.77 ± 13.92 years) were randomized into the experimental group, which received real mobilization with movement (n = 29), or the sham mobilization with movement group (n = 29). Only one intervention was performed. Patients were assessed before and after intervention. Conditioned pain modulation, mechanical hyperalgesia and pain intensity were assessed.

Results: Mobilization with movement resulted in no statistically significant differences compared to sham mobilization for conditioned pain modulation (post-treatment difference: 0.023 [-0.299, 0.345], p = 0.158), mechanical hyperalgesia (post-treatment difference: -0.198 [-0.505, 0.109], p = 0.207), or movement-related pain intensity (post-treatment difference: 0.548 [-0.068, 1.236], p = 0.079) improvements post-intervention. Effect sizes were small for conditioned pain modulation (r = 0.126), mechanical hyperalgesia (r = 0.101), and pain intensity (r = 0.208).

Conclusions: Mobilization with movement resulted in no significant differences compared to sham mobilization with movement after one intervention for conditioned pain modulation, mechanical hyperalgesia or pain intensity, with small effect sizes. However, the findings should be interpreted with caution due to absence of screening for appropriately eligible patients.

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引用次数: 0

Machine learning for classifying chronic ankle instability based on ankle strength, range of motion, postural control and anatomical deformities in delivery service workers with a history of lateral ankle sprains 根据有外侧踝关节扭伤史的送货服务人员的踝关节力量、活动范围、姿势控制和解剖畸形，利用机器学习对慢性踝关节不稳定性进行分类。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-11-19 DOI: 10.1016/j.msksp.2024.103230

Ui-jae Hwang , Oh-yun Kwon , Jun-hee Kim , Gyeong-tae Gwak

Objective

Chronic ankle instability (CAI) frequently develops as a result of lateral ankle sprains (LAS) in delivery service workers (DSWs). Identifying risk factors for CAI is crucial for implementing targeted interventions. This study aimed to develop machine learning (ML) models for classifying CAI in DSWs with a history of LAS (DSWsLAS) and to identify key contributory factors.

Design

Exploratory, cross-sectional design.

Setting

and participants: A total of 121 DSWsLAS were screened for eligibility among 289 DSWs.

Methods

A total of 121 DSWsLAS were assessed for demographic characteristics, including ankle strength, range of motion, postural control, and anatomical deformities. Seven ML algorithms were trained and tested for classifying CAI. Principal component analysis (PCA) was used for feature extraction, and feature permutation importance (FPI) and Shapley additive explanations (SHAP) were employed to identify influential features.

Main outcome measures

Model performances were assessed using area under the curve (AUC). To interpret the classifications, we used FPI and SHAP values.

Results

PCA derived 7 principal components (PCs) accounting for 83.5% of the total variation in the data. The support vector machine (SVM) algorithm achieved the highest classifying performance (AUC = 0.817) among the ML models. FPI and SHAP revealed that PC1, PC2, PC5, and PC7 were the most influential features for classifying CAI in DSWsLAS.

Conclusions

The SVM algorithm, utilizing PCA-derived factors related to body mass index and ankle muscle strength demonstrated high classifying performance for diagnosis of CAI in DSWsLAS, emphasizing the importance of considering multiple contributory factors in the prevention and management of this condition.

目的：慢性踝关节不稳定（CAI）经常因外侧踝关节扭伤（LAS）而在送餐服务人员（DSW）中出现。识别慢性踝关节不稳定的风险因素对于实施有针对性的干预措施至关重要。本研究旨在开发机器学习（ML）模型，用于对有外侧踝关节扭伤病史（DSWsLAS）的送餐服务人员的外侧踝关节扭伤进行分类，并确定关键的诱发因素：探索性横断面设计：在 289 名社工中筛选出 121 名符合条件的社工：共对 121 名 DSWsLAS 进行了人口统计学特征评估，包括踝关节力量、活动范围、姿势控制和解剖学畸形。为对 CAI 进行分类，对七种 ML 算法进行了训练和测试。主成分分析（PCA）用于特征提取，特征排列重要性（FPI）和夏普利加法解释（SHAP）用于识别有影响的特征：使用曲线下面积（AUC）评估模型性能。为了解释分类，我们使用了 FPI 和 SHAP 值：PCA得出了7个主成分（PC），占数据总变化的83.5%。在 ML 模型中，支持向量机（SVM）算法的分类性能最高（AUC = 0.817）。FPI和SHAP显示，PC1、PC2、PC5和PC7是对DSWsLAS中CAI分类最有影响的特征：结论：利用与体重指数和踝关节肌力相关的 PCA 导出因子的 SVM 算法在诊断 DSWsLAS 中的 CAI 时表现出了很高的分类性能，强调了在预防和管理这种疾病时考虑多种促成因素的重要性。

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引用次数: 0

The Neuroplastic Outcomes from Impaired Sensory Expectations (NOISE) hypothesis: How ACL dysfunction impacts sensory perception and knee stability 感官期望受损的神经可塑性结果（NOISE）假说：前交叉韧带功能障碍如何影响感官知觉和膝关节稳定性

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-11-19 DOI: 10.1016/j.msksp.2024.103222

Amber J. Schnittjer , Janet E. Simon , Tyler T. Whittier , Dustin R. Grooms

Background

The anterior cruciate ligament (ACL) is integral to maintaining knee joint stability but is susceptible to rupture during physical activity. Despite surgical restoration of passive or mechanical stability, patients struggle to regain strength and prior level of function. Recent efforts have focused on understanding how ACL-related changes in the nervous system contribute to deficits in sensorimotor control following injury and reconstruction. We hypothesize that these challenges are partially due to an increase in sensorimotor uncertainty, a state that reduces the precision of movement control.

Objectives

This review proposes the ACL NOISE (Neuroplastic Outcomes from Impaired Sensory Expectations) hypothesis, reframing current literature to provide a case that increased sensory noise following ACL injury and reconstruction disrupts sensory predictions, which are anticipations of immediate sensory outcomes or motor commands. This disruption in sensory predictions may contribute to altered neurophysiology, such as cross-modal brain activity, and other persistent clinical deficits.

Design

Narrative review

Results/findings

Following ACL injury and reconstruction, the knee and nervous system experience various neurophysiological alterations to overcome elevated sensory uncertainty and inaccurate sensory predictions, contributing to persistent motor deficits.

Conclusions

We provide a theoretical case based on compelling evidence that suggests prolonged impairment after ACL injury may be secondary to uncertainty in knee sensory perception. Future research should consider testing the NOISE hypothesis by creating a paradigm that examines dynamic joint stability in response to unexpected perturbations. This approach would help assess motor coordination errors and drive the development of clinical strategies aimed at reducing sensory uncertainty following ACL reconstruction.

背景前十字韧带（ACL）是维持膝关节稳定性不可或缺的部分，但在体育锻炼中很容易断裂。尽管通过手术恢复了被动或机械稳定性，但患者仍难以恢复力量和先前的功能水平。最近的研究重点是了解神经系统中与前交叉韧带相关的变化是如何导致受伤和重建后的感觉运动控制缺陷的。我们假设这些挑战部分是由于感觉运动不确定性的增加造成的，这种状态会降低运动控制的精确性。本综述提出了前交叉韧带NOISE（受损感觉预期的神经可塑性结果）假说，对目前的文献进行了重构，以证明前交叉韧带损伤和重建后感觉噪音的增加会扰乱感觉预测，而感觉预测是对直接感觉结果或运动指令的预期。前交叉韧带损伤和重建后，膝关节和神经系统会经历各种神经生理变化，以克服感觉不确定性的增加和不准确的感觉预测，从而导致持续性运动障碍。未来的研究应考虑通过创建一个范例来测试 "噪声 "假说，该范例将检查动态关节稳定性对意外扰动的反应。这种方法将有助于评估运动协调错误，并推动旨在减少前交叉韧带重建后感觉不确定性的临床策略的发展。

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引用次数: 0

Median nerve stiffness with three movement sequences of the upper limb neurodynamic test 1: An ultrasound shear-wave elastography study 上肢神经动力测试 1 的三个运动序列的正中神经僵硬度：超声剪切波弹性成像研究。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-11-18 DOI: 10.1016/j.msksp.2024.103221

Gianluca Ciuffreda , Elena Estébanez-de-Miguel , Isabel Albarova-Corral , Miguel Malo-Urriés , Michael Shacklock , Alberto Montaner-Cuello , Elena Bueno-Gracia

Background

During the Upper Limb Neurodynamic Test 1 (ULNT1) joint movement order can be varied to improve its diagnostic accuracy. However, nerve behavior with neurodynamic sequences still requires in vivo research.

Objective

To quantify differences in median nerve (MN) stiffness measuring shear-wave velocity (SWV) with ultrasound elastography during three sequences of the ULNT1.

Design

Cross-sectional study.

Methods

MN SWV was measured in 35 asymptomatic subjects at the wrist and elbow at the initial and final position (P1) of the standard (ULNT1-STD), proximal-to-distal (ULNT1-PROX) and distal-to-proximal (ULNT1-DIST) sequences of the ULNT1.

Results

Significantly different increases at P1 in nerve stiffness occurred between sequences and locations (p < 0.001). At the wrist, the ULNT1-PROX produced the smallest increase (44.32% ± 44.06, SWV: 4.49 ± 0.95 m/s), the ULNT1-STD produced a larger increase (82.13% ± 45.36, SWV: 5.67 ± 0.79 m/s, p < 0.001) and the ULNT1-DIST produced the largest (92.90% ± 55.37, SWV: 5.97 ± 0.79 m/s, p < 0.001). Differences between the ULNT1-DIST and ULNT1-STD did not reach significance.

At the elbow, the ULNT1-PROX showed a 119.92% ± 53.51 increase (SWV: 4.08 ± 0.84 m/s), the ULNT1-DIST a 134.84% ± 53.83 (SWV: 4.34 ± 0.77 m/s), and the ULNT1-STD a 113.30% ± 59.28 (SWV: 3.98 ± 1.04 m/s). No significant differences were found among the sequences.

Conclusion

The ULNT1-STD and ULNT1-DIST showed greater increases at MN stiffness at the wrist compared to the ULNT1-PROX. This supports a basis for future investigation of the mechanisms of neurodynamic testing in which emphasizing anatomical locations for improving diagnostic efficacy might be applied.

背景：在上肢神经动力测试 1（ULNT1）中，可以改变关节运动顺序来提高诊断准确性。然而，神经动力学序列的神经行为仍需进行活体研究：通过超声弹性成像测量剪切波速度（SWV），量化正中神经（MN）硬度在 ULNT1 三个序列中的差异：设计：横断面研究：对 35 名无症状的受试者在 ULNT1 的标准序列 (ULNT1-STD)、近端到远端序列 (ULNT1-PROX) 和远端到近端序列 (ULNT1-DIST) 的初始和最终位置 (P1) 的手腕和肘部测量 MN SWV：结果：不同序列和位置在 P1 处神经僵硬度的增加有显著差异（p 结论：ULNT1-STD 和 ULNT1-DIST 序列在 P1 处神经僵硬度的增加有显著差异：与 ULNT1-PROX 相比，ULNT1-STD 和 ULNT1-DIST 在腕部显示出更大的 MN 硬度增加。这为今后研究神经动力测试的机制奠定了基础，在此基础上可应用解剖位置来提高诊断效果。

{"title":"Median nerve stiffness with three movement sequences of the upper limb neurodynamic test 1: An ultrasound shear-wave elastography study","authors":"Gianluca Ciuffreda , Elena Estébanez-de-Miguel , Isabel Albarova-Corral , Miguel Malo-Urriés , Michael Shacklock , Alberto Montaner-Cuello , Elena Bueno-Gracia","doi":"10.1016/j.msksp.2024.103221","DOIUrl":"10.1016/j.msksp.2024.103221","url":null,"abstract":"<div><h3>Background</h3><div>During the Upper Limb Neurodynamic Test 1 (ULNT1) joint movement order can be varied to improve its diagnostic accuracy. However, nerve behavior with neurodynamic sequences still requires in vivo research.</div></div><div><h3>Objective</h3><div>To quantify differences in median nerve (MN) stiffness measuring shear-wave velocity (SWV) with ultrasound elastography during three sequences of the ULNT1.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>MN SWV was measured in 35 asymptomatic subjects at the wrist and elbow at the initial and final position (P1) of the standard (ULNT1-STD), proximal-to-distal (ULNT1-PROX) and distal-to-proximal (ULNT1-DIST) sequences of the ULNT1.</div></div><div><h3>Results</h3><div>Significantly different increases at P1 in nerve stiffness occurred between sequences and locations (p < 0.001). At the wrist, the ULNT1-PROX produced the smallest increase (44.32% ± 44.06, SWV: 4.49 ± 0.95 m/s), the ULNT1-STD produced a larger increase (82.13% ± 45.36, SWV: 5.67 ± 0.79 m/s, p < 0.001) and the ULNT1-DIST produced the largest (92.90% ± 55.37, SWV: 5.97 ± 0.79 m/s, p < 0.001). Differences between the ULNT1-DIST and ULNT1-STD did not reach significance.</div><div>At the elbow, the ULNT1-PROX showed a 119.92% ± 53.51 increase (SWV: 4.08 ± 0.84 m/s), the ULNT1-DIST a 134.84% ± 53.83 (SWV: 4.34 ± 0.77 m/s), and the ULNT1-STD a 113.30% ± 59.28 (SWV: 3.98 ± 1.04 m/s). No significant differences were found among the sequences.</div></div><div><h3>Conclusion</h3><div>The ULNT1-STD and ULNT1-DIST showed greater increases at MN stiffness at the wrist compared to the ULNT1-PROX. This supports a basis for future investigation of the mechanisms of neurodynamic testing in which emphasizing anatomical locations for improving diagnostic efficacy might be applied.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"Article 103221"},"PeriodicalIF":2.2,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hip joint kinematic assessment in chronic non-specific low back pain patients. A Delphi study

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-11-15 DOI: 10.1016/j.msksp.2024.103215

Maya Abady Avman, Peter G. Osmotherly, Suzanne J. Snodgrass

Background

Chronic nonspecific low back pain (CNSLBP) has been associated with movement impairment (MI) of the hip joint. However, evidence supporting this is inconsistent.

Agreement from experts may provide rationale and recommendations for the assessment of the hip joint in the management of CNSLBP patients.

Objective

Gain expert consensus on whether hip MIs are related to CNSLBP, whether they should be assessed and which movement types and directions they recommend.

Methods

Through a three-round e-Delphi process, international experts in the field rated levels of agreement for generated themes pertaining to assessing proposed hip joint MI in individuals with CNSLBP and underlying rationales. Consensus was defined a priori as ≥75% ratings on Likert scales with an IQR≤ 1.

Results

International expert panel consisted of a mix of researchers and clinicians with the majority involved in both. Response for round I was 27, round 2 was 21 and round III was 26 individuals.

Consensus was achieved for the association of active and passive hip joint MI in CNSLBP and their assessment. 100% agreement was achieved for the rationale regarding compensatory movement of the lumbar spine, and the assessment of passive hip movements, in particular extension. Consensus was also achieved for assessing hip passive flexion, extension, rotations, and abduction, active flexion, extension, and abduction. No agreement was attained regarding passive accessory movement.

Conclusion

The assessment of active and passive hip joint MI is regarded by experts as appropriate and informative in the management of and research pertaining to CNSLBP.

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引用次数: 0

The efficacy of high load-volume exercise versus low load-volume exercise for rotator cuff tendinopathy: A pilot and feasibility trial 大负荷量运动与小负荷量运动对肩袖肌腱病的疗效对比：试点和可行性试验

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-11-15 DOI: 10.1016/j.msksp.2024.103218

Josh Naunton , Dawson Kidgell , Kim Bennell , Terry Haines , Peter Malliaras

Background

The most effective exercise variables for rotator cuff tendinopathy are unknown.

Objective

Determine feasibility of a fully powered trial comparing high load-volume versus low load-volume exercise for adults with rotator cuff tendinopathy.

Design

Two arm, multi-centre pilot and feasibility randomised controlled trial.

Methods

Participants aged over 18 were recruited via social media and randomised into 12 weeks of either high load-volume exercise (i.e. with dumbbell resistance) or low load-volume exercise (i.e. without added resistance). Feasibility outcomes were rates of recruitment, retention, questionnaire completion, adverse events and adherence to prescribed exercise.

Results

Fifteen participants were randomised to high load-volume and 16 to low load-volume (18/31 were female). Retention rate was 84% at 6 weeks, and 81% at 12 and 26 weeks. Five participants withdrew and one participant was lost to follow up. Questionnaire completion rate was 78%. Adherence to the prescribed exercise sets was 77%. Recruitment, conversion and retention rates were above the pre-defined success criterion. There were no serious adverse events.

Conclusion

A fully powered multi-centre randomised trial is feasible with minor amendments addressing exercise adherence and questionnaire response rate. Future trials should utilise outcomes that consider participants baseline physical activity levels and adequately measure pain disparate from performance.

背景对肩袖肌腱病最有效的运动变量尚不清楚.目的确定一项完全有效的试验的可行性，比较成人肩袖肌腱病患者的高负荷运动量和低负荷运动量.设计双臂、多中心试点和可行性随机对照试验.方法通过社交媒体招募 18 岁以上的参与者，并随机分配其参加为期 12 周的高负荷运动量（即有哑铃阻力）或低负荷运动量（即无附加阻力）.结果15 名参与者被随机分配到高负荷运动量，16 名参与者被随机分配到低负荷运动量（即无附加阻力）.结果15 名参与者被随机分配到高负荷运动量，16 名参与者被随机分配到低负荷运动量（即无附加阻力）.结果15 名参与者被随机分配到高负荷运动量，16 名参与者被随机分配到低负荷运动量（即无附加阻力）.可行性结果包括招募率、保留率、问卷完成率、不良事件发生率以及对规定运动的坚持率。结果15名参与者被随机分配到高负荷运动量运动中，16名参与者被随机分配到低负荷运动量运动中（18/31为女性）。6周的保留率为84%，12周和26周的保留率为81%。五名参与者退出，一名参与者失去随访机会。问卷完成率为 78%。对规定运动组的坚持率为 77%。招募率、转换率和保留率均高于预先设定的成功标准。结论：针对运动依从性和问卷回复率稍作修改后，一项完全有效的多中心随机试验是可行的。未来的试验应利用考虑参与者基线体力活动水平的结果，并充分测量与表现不同的疼痛。

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引用次数: 0

The state of the science for potential contributors to musculoskeletal injury following concussion: Mechanisms, gaps, and clinical considerations 脑震荡后肌肉骨骼损伤潜在诱因的科学现状：机制、差距和临床考虑因素

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-11-14 DOI: 10.1016/j.msksp.2024.103219

Landon B. Lempke , Robert C. Lynall

Concussion is a common mild traumatic brain injury affecting athletic, military, and general populations. While unrestricted medical clearance often occurs within 1-month, emerging evidence indicates prolonged sensorimotor control deficiencies and greater musculoskeletal injury risk after a concussion. Various theoretical frameworks and original studies indicate potential neurophysiological alterations affecting sensory input, sensorimotor integration, and neuromotor output, though the exact mechanisms remain unclear. This commentary aims to briefly review the literature on contributors to sensory and neuromotor deficiencies potentially related to musculoskeletal injury risk, recommend future research avenues to better understand these factors, and highlight current and future clinical applications.

脑震荡是一种常见的轻度脑外伤，影响着运动员、军人和普通人群。虽然通常在 1 个月内就能恢复正常，但新出现的证据表明，脑震荡后会出现长时间的感觉运动控制缺陷和更大的肌肉骨骼损伤风险。各种理论框架和原始研究表明，潜在的神经生理学改变会影响感觉输入、感觉运动整合和神经运动输出，但确切的机制仍不清楚。本评论旨在简要回顾与肌肉骨骼损伤风险潜在相关的感觉和神经运动缺陷的促成因素的文献，建议未来的研究途径以更好地理解这些因素，并强调当前和未来的临床应用。

引用次数: 0

Letter to the Editor concerning Büyükturan et al. (2024) 致编辑的信，内容涉及

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-11-01 DOI: 10.1016/j.msksp.2024.103211

Allan Abbott, Henrik Hedevik, Elias Diarbakerli

引用次数: 0

Determining people's attitudes and motivation towards their health in patients with low back pain using the Health Styles questionnaire. A test of feasibility and validity 使用健康风格问卷确定腰背痛患者的健康态度和动机。可行性和有效性测试。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-11-01 DOI: 10.1016/j.msksp.2024.103213

G Davies , P.C. Goodwin

引用次数: 0