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Response to the Comment on “ChatGPT is a comprehensive education tool for patients with patellar tendinopathy, but it currently lacks accuracy and readability” 对“ChatGPT是髌骨肌腱病变患者的综合教育工具,但目前缺乏准确性和可读性”评论的回复
IF 2.2 3区 医学 Q1 REHABILITATION Pub Date : 2026-01-06 DOI: 10.1016/j.msksp.2025.103461
Jie Deng , Lun Li , Edwin HG Oei , Robert-Jan de Vos
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引用次数: 0
Comment on “ChatGPT is a comprehensive education tool for patients with patellar tendinopathy, but it currently lacks accuracy and readability” 点评“ChatGPT是髌骨肌腱病变患者的综合教育工具,但目前缺乏准确性和可读性”。
IF 2.2 3区 医学 Q1 REHABILITATION Pub Date : 2026-01-06 DOI: 10.1016/j.msksp.2025.103460
Ismail Sivri , Emre Kaygin , Serap Colak , Tuncay Colak
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引用次数: 0
Development of The COMBINED approach: Integrating a brief behaviour change intervention supported by a physiotherapist for people with rotator cuff disorders 联合方法的发展:在物理治疗师的支持下,对肩袖疾病患者进行简短的行为改变干预
IF 2.2 3区 医学 Q1 REHABILITATION Pub Date : 2026-01-02 DOI: 10.1016/j.msksp.2026.103493
Julie Bury , Chris Littlewood , Clare Jinks , Gemma Mansell , Kristina Curtis , Gillian Yeowell

Background

Modifiable lifestyle factors (smoking, inactivity, overweight) could contribute to the onset and persistence of rotator cuff disorders, yet physiotherapy practice rarely addresses them. Brief interventions (BIs) can support behaviour change but are not routinely embedded in musculoskeletal care.

Objectives

To develop The COMBINED approach: a physiotherapist-supported intervention integrating BI's targeting modifiable health behaviours into routine consultations for people with rotator cuff disorders; and to explore how physiotherapists can be supported to deliver it.

Materials and methods

A theory-, evidence-, and pragmatic-based development process incorporated stakeholder co-design, behavioural theory, and evidence across three workstreams: (1) narrative review of BIs targeting smoking, inactivity, and weight management; (2) four co-design workshops with 26 stakeholders (physiotherapists, patients, experts) to select and adapt a BI and identify key intervention features; (3) theoretical modelling using COM-B, TDF, and BCTTv1 to map barriers/facilitators, select behaviour change techniques, and develop prototype components.

Findings

Fourteen BIs were identified; Moving Medicine had greatest utility. Barriers included time constraints, limited skills and confidence, and fear of offending patients, contrasting with patients’ acceptability of lifestyle conversations. Recommendations included embedding the BI into routine care, scripts, infographics, patient resources, and training. Twelve TDF domains and 20 BCTs informed prototype development comprising: (1) patient-level intervention: a BI (adapted from Moving Medicine) embedded in routine consultations with tailored resources; (2) clinician-level implementation toolkit.

Conclusion

The COMBINED approach is the first formally developed intervention supporting integration of BI's within routine consultations for people with rotator cuff disorders and is now ready for feasibility testing.
背景:可改变的生活方式因素(吸烟、缺乏运动、超重)可能导致肩袖疾病的发生和持续,但物理治疗实践很少解决这些问题。短期干预(BIs)可以支持行为改变,但不常规嵌入肌肉骨骼护理。目的:开发联合方法:一种物理治疗师支持的干预措施,将BI针对可改变的健康行为纳入肩袖疾病患者的常规咨询;并探索如何支持物理治疗师提供治疗。材料和方法基于理论、证据和实用的开发过程将利益相关者共同设计、行为理论和证据纳入三个工作流程:(1)针对吸烟、不运动和体重管理的BIs的叙述性回顾;(2)与26名利益相关者(物理治疗师、患者、专家)共同设计4次研讨会,以选择和调整BI并确定关键干预特征;(3)利用COM-B、TDF和BCTTv1进行理论建模,绘制障碍/促进因素,选择行为改变技术,并开发原型组件。发现14个BIs;移动医学的效用最大。障碍包括时间限制,有限的技能和信心,以及害怕冒犯患者,与患者可接受的生活方式对话形成对比。建议包括将BI嵌入常规护理、脚本、信息图表、患者资源和培训中。12个TDF领域和20个bct知情原型开发包括:(1)患者层面的干预:BI(改编自移动医学)嵌入到常规咨询中,并提供定制资源;(2)临床层面实施工具包。联合方法是第一个正式开发的干预措施,支持将BI整合到肩袖疾病患者的常规会诊中,现在已准备好进行可行性测试。
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引用次数: 0
Masterclass- Axial and peripheral Spondyloarthritis: Screening, suspicion and referral in musculoskeletal clinical practice. 大师班-轴型和外周型脊柱炎:肌肉骨骼临床实践中的筛查、怀疑和转诊。
IF 2.2 3区 医学 Q1 REHABILITATION Pub Date : 2026-01-02 DOI: 10.1016/j.msksp.2025.103474
Carol McCrum, Hannah Chambers

Introduction: Spondyloarthritis is an umbrella term for a group of inflammatory diseases that can present as back pain, joint pain and swelling, or tendon problems. Although as common as rheumatoid arthritis, awareness and screening questioning for axial and peripheral spondyloarthritis in musculoskeletal clinical practice is not yet core clinical practice and likely to be contributing to delays in diagnosis.

Purpose: The masterclass aims to increase awareness of the clinical features and risk factors that raise suspicion that persistent back, joint or tendon problems may be axial or peripheral spondyloarthritis. Guidance is provided on the updated inflammatory screening questioning important within musculoskeletal assessments, and for developing clinical knowledge and skills to support assessment for spondylarthritis, suspicion and referral to rheumatology. Clinical assessments need to question and examine for signs, symptoms and risk factors for both axial and peripheral spondyloarthritis. This involves screening for clinical features of inflammatory back pain, enthesitis, dactylitis, joint pain and swelling; prolonged morning stiffness; risk factors of psoriasis or family history of psoriasis, inflammatory bowel disease (IBD) -Crohn's disease and ulcerative colitis, uveitis, and family history of inflammatory arthritis. Referral criteria support clinical reasoning on levels of suspicion and when to refer to rheumatology.

Implications: Spondyloarthritis has been under-recognised in musculoskeletal assessments, which can have significant consequences for disease progression, complications and quality of life. Musculoskeletal clinicians play a crucial role in screening and supporting early recognition and intervention, which can significantly improve outcomes and reduce the impact of spondyloarthritis.

简介:脊椎关节炎是一组炎性疾病的总称,可以表现为背部疼痛,关节疼痛和肿胀,或肌腱问题。虽然与类风湿关节炎一样常见,但在肌肉骨骼临床实践中,对轴型和外周型脊柱炎的认识和筛查问题尚未成为核心临床实践,并可能导致诊断延误。目的:该大师班旨在提高对临床特征和危险因素的认识,这些特征和危险因素使人们怀疑持续的背部、关节或肌腱问题可能是轴性或周围性脊柱炎。提供了关于在肌肉骨骼评估中重要的最新炎症筛查问题的指导,以及发展临床知识和技能以支持脊柱炎评估、怀疑和风湿病转诊。临床评估需要询问和检查轴型和外周型脊柱炎的体征、症状和危险因素。这包括筛查炎症性背痛、鼻炎、指突炎、关节疼痛和肿胀的临床特征;晨僵延长;牛皮癣的危险因素或牛皮癣家族史,炎症性肠病(IBD) -克罗恩病和溃疡性结肠炎,葡萄膜炎,以及炎症性关节炎家族史。转诊标准支持对怀疑程度和何时转诊风湿病的临床推理。意义:脊柱关节炎在肌肉骨骼评估中被低估,这可能对疾病进展、并发症和生活质量产生重大影响。肌肉骨骼临床医生在筛查和支持早期识别和干预方面发挥着至关重要的作用,这可以显着改善结果并减少脊椎关节炎的影响。
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引用次数: 0
Psychosocial assessment in musculoskeletal care: A survey of UK physiotherapists 社会心理评估在肌肉骨骼护理:英国物理治疗师的调查
IF 2.2 3区 医学 Q1 REHABILITATION Pub Date : 2025-12-30 DOI: 10.1016/j.msksp.2025.103485
Michael Henning , Shea Palmer , Nicola Walsh

Background

Psychosocial factors strongly influence musculoskeletal (MSK) outcomes, yet their systematic assessment remains inconsistent in physiotherapy practice. Although validated psychosocial assessment tools exist, little is known about how UK MSK physiotherapists use them.

Objective

To explore UK physiotherapists’ perceptions, practices, and confidence regarding psychosocial assessment, and to identify key challenges and facilitators.

Design

Cross-sectional online survey.

Methods

An anonymous online questionnaire was distributed via professional networks and social media to qualified UK-based MSK physiotherapists. Questions focused on demographics, perceptions, practices, and challenges/facilitators regarding psychosocial assessment. Quantitative data were analysed descriptively and using non-parametric statistics; free-text responses were examined narratively.

Results

373 physiotherapists responded, from a range of roles and experience levels. Most rated psychosocial factors as highly important and reported they often influenced treatment planning. Assessment relied mainly on clinical judgement and explicit questioning, while formal tool use was uncommon. Confidence in identifying and interpreting psychosocial factors showed moderate positive associations with screening tool use and weak or no associations with years of clinical experience. The most cited challenges to use of validated tools were time constraints, and training, whereas concise tools, electronic integration, and evidence of patient benefit were viewed as key facilitators.

Conclusions

UK MSK physiotherapists recognise the importance of psychosocial assessment, but its application in routine practice remains inconsistent and largely informal. Confidence appears to be more closely related to exposure to psychosocial screening tools than to years of clinical experience. These findings highlight the need for approaches that support consistent psychosocial assessment within routine MSK care.
背景:心理社会因素强烈影响肌肉骨骼(MSK)结果,但其系统评估在物理治疗实践中仍不一致。虽然存在有效的心理社会评估工具,但人们对英国MSK物理治疗师如何使用它们知之甚少。目的探讨英国物理治疗师对心理社会评估的看法、实践和信心,并确定主要挑战和促进因素。横断面在线调查。方法通过专业网络和社交媒体向英国合格的MSK物理治疗师发放匿名在线问卷。问题集中在人口统计,观念,实践和挑战/促进有关社会心理评估。定量数据进行描述性和非参数统计分析;以叙述的方式检查自由文本回答。结果373名物理治疗师从不同的角色和经验水平作出回应。大多数人认为社会心理因素非常重要,并报告说它们经常影响治疗计划。评估主要依靠临床判断和明确提问,而正式工具的使用并不常见。识别和解释心理社会因素的信心与筛查工具的使用有中度正相关,与临床经验的年数有微弱关联或无关联。使用经过验证的工具面临的最大挑战是时间限制和培训,而简洁的工具、电子集成和患者受益的证据被视为关键的促进因素。结论suk MSK物理治疗师认识到心理社会评估的重要性,但其在日常实践中的应用仍然不一致,而且很大程度上是非正式的。信心似乎与接触社会心理筛查工具的关系比与多年临床经验的关系更密切。这些发现强调了在常规MSK护理中支持一致的心理社会评估方法的必要性。
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引用次数: 0
Diagnostic labels used by health professionals for patellofemoral pain: A cross-sectional online survey. 卫生专业人员对髌股疼痛的诊断标签:一项横断面在线调查。
IF 2.2 3区 医学 Q1 REHABILITATION Pub Date : 2025-12-30 DOI: 10.1016/j.msksp.2025.103481
Zixin Zhang, Giovanni E Ferreira, Evangelos Pappas, Christopher G Maher, Joshua R Zadro

Objectives: To explore what diagnostic labels are commonly used by health professionals in managing patellofemoral pain (PFP), to investigate management preferences for PFP, and whether imaging findings, patient characteristics, and clinicians' expertise influence the diagnostic labels used by health professionals for PFP.

Method: We conducted an online cross-sectional survey of health professionals with experience in managing knee pain to explore what diagnostic labels health professionals use for PFP. Demographic and outcome data were summarised using descriptive statistics. Logistic regression analyses were performed to explore whether years of experience and clinicians' expertise influence the use of diagnostic labels.

Results: 156 participants provided data for our primary outcome (use of diagnostic labels) and 139 completed the survey. The most used diagnostic labels for PFP were 'patellofemoral pain' (83 %), 'anterior knee pain and/or syndrome' (54 %), and 'patellofemoral pain syndrome' (44 %). The most common management strategies for PFP included exercise therapy (98 %), patient education (85 %), manual therapy (63 %), and patellar taping (58 %). Around one-third of health professionals would modify their diagnosis of PFP if imaging found a meniscal tear (37 %) or inflamed bursa/fat pad (38 %). Health professionals with self-reported excellent/good diagnostic skills or who had more years of experience were less likely to change their label based on imaging findings.

Conclusion: Health professionals' use of diagnostic labels and management strategies for PFP mostly align with current recommendations. More research is needed to investigate the relationship between diagnostic labels and patients' management preferences, and the reasons for health professionals' choice of diagnostic labels for PFP.

目的:探讨卫生专业人员在治疗髌骨股骨痛(PFP)时常用的诊断标签,调查对PFP的治疗偏好,以及影像学表现、患者特征和临床医生的专业知识是否影响卫生专业人员对PFP使用的诊断标签。方法:我们对具有膝关节疼痛管理经验的卫生专业人员进行了在线横断面调查,以探索卫生专业人员对PFP使用的诊断标签。使用描述性统计对人口统计学和结局数据进行汇总。进行逻辑回归分析,以探讨是否多年的经验和临床医生的专业知识影响诊断标签的使用。结果:156名参与者为我们的主要结局(诊断标签的使用)提供了数据,139名参与者完成了调查。PFP最常用的诊断标签是“髌股疼痛”(83%)、“前膝关节疼痛和/或综合征”(54%)和“髌股疼痛综合征”(44%)。PFP最常见的治疗策略包括运动治疗(98%)、患者教育(85%)、手工治疗(63%)和髌骨贴敷(58%)。如果影像学发现半月板撕裂(37%)或滑囊/脂肪垫发炎(38%),大约三分之一的卫生专业人员会修改对PFP的诊断。自我报告具有优秀/良好诊断技能或具有更多年经验的卫生专业人员不太可能根据影像学结果改变他们的标签。结论:卫生专业人员对PFP的诊断标签和管理策略的使用与目前的建议基本一致。诊断标签与患者管理偏好之间的关系,以及卫生专业人员选择PFP诊断标签的原因,需要更多的研究。
{"title":"Diagnostic labels used by health professionals for patellofemoral pain: A cross-sectional online survey.","authors":"Zixin Zhang, Giovanni E Ferreira, Evangelos Pappas, Christopher G Maher, Joshua R Zadro","doi":"10.1016/j.msksp.2025.103481","DOIUrl":"https://doi.org/10.1016/j.msksp.2025.103481","url":null,"abstract":"<p><strong>Objectives: </strong>To explore what diagnostic labels are commonly used by health professionals in managing patellofemoral pain (PFP), to investigate management preferences for PFP, and whether imaging findings, patient characteristics, and clinicians' expertise influence the diagnostic labels used by health professionals for PFP.</p><p><strong>Method: </strong>We conducted an online cross-sectional survey of health professionals with experience in managing knee pain to explore what diagnostic labels health professionals use for PFP. Demographic and outcome data were summarised using descriptive statistics. Logistic regression analyses were performed to explore whether years of experience and clinicians' expertise influence the use of diagnostic labels.</p><p><strong>Results: </strong>156 participants provided data for our primary outcome (use of diagnostic labels) and 139 completed the survey. The most used diagnostic labels for PFP were 'patellofemoral pain' (83 %), 'anterior knee pain and/or syndrome' (54 %), and 'patellofemoral pain syndrome' (44 %). The most common management strategies for PFP included exercise therapy (98 %), patient education (85 %), manual therapy (63 %), and patellar taping (58 %). Around one-third of health professionals would modify their diagnosis of PFP if imaging found a meniscal tear (37 %) or inflamed bursa/fat pad (38 %). Health professionals with self-reported excellent/good diagnostic skills or who had more years of experience were less likely to change their label based on imaging findings.</p><p><strong>Conclusion: </strong>Health professionals' use of diagnostic labels and management strategies for PFP mostly align with current recommendations. More research is needed to investigate the relationship between diagnostic labels and patients' management preferences, and the reasons for health professionals' choice of diagnostic labels for PFP.</p>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":" ","pages":"103481"},"PeriodicalIF":2.2,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145994615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is pregnancy a major risk factor for musculoskeletal pain? A cross-sectional study 怀孕是肌肉骨骼疼痛的主要危险因素吗?横断面研究。
IF 2.2 3区 医学 Q1 REHABILITATION Pub Date : 2025-12-27 DOI: 10.1016/j.msksp.2025.103482
Mai Mhajne , Asaf Weisman , Tomer Yona , Youssef Masharawi

Background

Musculoskeletal pain during pregnancy is commonly considered prevalent, though evidence primarily comes from cross-sectional studies lacking appropriate control groups.

Objective

To examine the prevalence of musculoskeletal pain among pregnant women compared to non-pregnant women as a reference group.

Design

Observational cross-sectional.

Methods

1651 women (589 pregnant, 1062 non-pregnant) in Israel completed an online survey using the Hebrew Extended Nordic Musculoskeletal Questionnaire and SF-12. Chi-square tests and logistic regression analyses examined associations between pregnancy status and pain prevalence while controlling for confounding factors including age, BMI, education, employment, lifestyle factors, and medical history.

Results

Pregnant women reported higher rates of upper back pain (67.1 % vs. 56.4 %, p = 0.02) and lower back pain (73.9 % vs. 64.9 %, p = 0.004), while non-pregnant women reported more hip/thigh pain (54.5 % vs. 48.4 %, p < 0.001). However, after controlling for confounders in multivariate regression, these associations became non-significant. Pregnant women had significantly lower physical component scores (43.31 ± 9.33 vs. 48.08 ± 8.41, p < 0.001). Physical health status (PCS-12) was the strongest predictor of current low back pain (OR = 0.92, 95 % CI: 0.90–0.94, p < 0.001), pregnancy status showed no independent association (OR = 1.19, 95 % CI: 0.77–1.84, p = 0.430). Smoking emerged as a significant risk factor (OR = 2.02, 95 % CI: 1.03–3.96, p = 0.042).

Conclusion

This study challenges the assumption that pregnancy inherently causes higher musculoskeletal pain prevalence. Physical health status plays a more substantial role than pregnancy status per se, highlighting the multifactorial nature of pregnancy-related musculoskeletal pain.
背景:怀孕期间肌肉骨骼疼痛通常被认为是普遍存在的,尽管证据主要来自缺乏适当对照组的横断面研究。目的:以孕妇和非孕妇为对照,研究肌肉骨骼疼痛的患病率。设计:观察性横断面。方法:1651名以色列妇女(589名孕妇,1062名非孕妇)使用希伯来扩展北欧肌肉骨骼问卷和SF-12完成了一项在线调查。卡方检验和逻辑回归分析检验了妊娠状态和疼痛患病率之间的关系,同时控制了混杂因素,包括年龄、体重指数、教育、就业、生活方式因素和病史。结果:孕妇报告更高的上背部疼痛发生率(67.1%对56.4%,p = 0.02)和下背部疼痛发生率(73.9%对64.9%,p = 0.004),而非孕妇报告更多的髋部/大腿疼痛发生率(54.5%对48.4%,p)。结论:本研究挑战了怀孕本身导致更高肌肉骨骼疼痛患病率的假设。身体健康状况比妊娠状况本身起着更重要的作用,突出了妊娠相关肌肉骨骼疼痛的多因素性质。
{"title":"Is pregnancy a major risk factor for musculoskeletal pain? A cross-sectional study","authors":"Mai Mhajne ,&nbsp;Asaf Weisman ,&nbsp;Tomer Yona ,&nbsp;Youssef Masharawi","doi":"10.1016/j.msksp.2025.103482","DOIUrl":"10.1016/j.msksp.2025.103482","url":null,"abstract":"<div><h3>Background</h3><div>Musculoskeletal pain during pregnancy is commonly considered prevalent, though evidence primarily comes from cross-sectional studies lacking appropriate control groups.</div></div><div><h3>Objective</h3><div>To examine the prevalence of musculoskeletal pain among pregnant women compared to non-pregnant women as a reference group.</div></div><div><h3>Design</h3><div>Observational cross-sectional.</div></div><div><h3>Methods</h3><div>1651 women (589 pregnant, 1062 non-pregnant) in Israel completed an online survey using the Hebrew Extended Nordic Musculoskeletal Questionnaire and SF-12. Chi-square tests and logistic regression analyses examined associations between pregnancy status and pain prevalence while controlling for confounding factors including age, BMI, education, employment, lifestyle factors, and medical history.</div></div><div><h3>Results</h3><div>Pregnant women reported higher rates of upper back pain (67.1 % vs. 56.4 %, p = 0.02) and lower back pain (73.9 % vs. 64.9 %, p = 0.004), while non-pregnant women reported more hip/thigh pain (54.5 % vs. 48.4 %, p &lt; 0.001). However, after controlling for confounders in multivariate regression, these associations became non-significant. Pregnant women had significantly lower physical component scores (43.31 ± 9.33 vs. 48.08 ± 8.41, p &lt; 0.001). Physical health status (PCS-12) was the strongest predictor of current low back pain (OR = 0.92, 95 % CI: 0.90–0.94, p &lt; 0.001), pregnancy status showed no independent association (OR = 1.19, 95 % CI: 0.77–1.84, p = 0.430). Smoking emerged as a significant risk factor (OR = 2.02, 95 % CI: 1.03–3.96, p = 0.042).</div></div><div><h3>Conclusion</h3><div>This study challenges the assumption that pregnancy inherently causes higher musculoskeletal pain prevalence. Physical health status plays a more substantial role than pregnancy status per se, highlighting the multifactorial nature of pregnancy-related musculoskeletal pain.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"81 ","pages":"Article 103482"},"PeriodicalIF":2.2,"publicationDate":"2025-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145859067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Latent classes of trial reporting and publication practices in spinal manipulation research: a meta-epidemiological study 脊柱推拿研究中试验报告和出版实践的潜在分类:一项荟萃流行病学研究。
IF 2.2 3区 医学 Q1 REHABILITATION Pub Date : 2025-12-27 DOI: 10.1016/j.msksp.2025.103480
Casper Nim , Michelle Frederiksen , Sasha Aspinall , Aron Downie , Martha Funabashi , Steen Harsted , Hazel Jenkins , David McNaughton , Luana Nyirö , Eric J. Roseen , James J. Young , Liz Dennett , Stephen M. Perle , Chad Cook , Carsten Juhl , Jan Hartvigsen

Background

Reliable reporting and publication practices are essential for trustworthy evidence synthesis and clinical decision-making.

Objective

We aimed to identify latent classes of randomized controlled trials (RCTs) evaluating spinal manipulative therapy (SMT) based on trial reporting and publication practices, and to examine whether these classes influenced treatment effects.

Design

Meta-epidemiological study.

Method

Trials were evaluated on whether they met criteria for trial reporting and publication practices across six domains. Latent class analysis was used to identify trial subgroups. Random-effects meta-regression models assessed whether class membership predicted pooled estimates of treatment effects for pain and disability.

Results

We included 239 RCTs and identified four classes: Dated (23 %), older trials (mostly pre-2010) with consistently low proportions of criteria met; Non-contributing (30 %), newer trials that inconsistently met the criteria, had small samples, and short follow-ups; SMT-focused (15 %), which reported SMT details and fidelity more consistently but otherwise resembled the Non-contributing class; and Pragmatic (33 %), consisting of larger trials, meeting most criteria, but often underreported SMT-specific and fidelity details. Reporting practices had larger impact on class membership than publication practices. Despite differences class membership was not associated with treatment effect estimates and explained minimal outcome variability (R2 ∼1 %).

Conclusions

Although trial reporting and publication practices varied substantially across SMT trials, these differences were not associated with differences in treatment effects. The widespread failure to meet key criteria raises concerns about the interpretability and credibility of the SMT evidence base. To strengthen transparency and scientific value, future trials should adhere more rigorously to reporting guidelines.
背景:可靠的报告和出版实践对于可信的证据合成和临床决策至关重要。目的:我们旨在根据试验报告和出版实践确定评估脊柱推拿疗法(SMT)的随机对照试验(rct)的潜在类别,并检查这些类别是否影响治疗效果。设计:荟萃流行病学研究。方法:评估试验是否符合六个领域的试验报告和出版实践标准。使用潜在分类分析来确定试验亚组。随机效应元回归模型评估班级成员是否能预测疼痛和残疾治疗效果的汇总估计。结果:我们纳入了239项随机对照试验,并确定了四类:过期(23%),较早的试验(主要是2010年之前),符合标准的比例一直很低;无贡献(30%),不符合标准的新试验,样本小,随访时间短;专注于SMT的(15%),他们更一致地报告SMT细节和保真度,但在其他方面与非贡献类相似;务实(33%),包括更大的试验,符合大多数标准,但往往低估了smt特异性和保真度细节。报告实践比出版实践对班级成员的影响更大。尽管存在差异,但分类成员与治疗效果估计无关,并解释了最小的结果变异性(R2 ~ 1%)。结论:尽管SMT试验的试验报告和出版实践存在很大差异,但这些差异与治疗效果的差异无关。普遍未能满足关键标准引起了对SMT证据基础的可解释性和可信度的关注。为了加强透明度和科学价值,未来的试验应该更严格地遵守报告准则。
{"title":"Latent classes of trial reporting and publication practices in spinal manipulation research: a meta-epidemiological study","authors":"Casper Nim ,&nbsp;Michelle Frederiksen ,&nbsp;Sasha Aspinall ,&nbsp;Aron Downie ,&nbsp;Martha Funabashi ,&nbsp;Steen Harsted ,&nbsp;Hazel Jenkins ,&nbsp;David McNaughton ,&nbsp;Luana Nyirö ,&nbsp;Eric J. Roseen ,&nbsp;James J. Young ,&nbsp;Liz Dennett ,&nbsp;Stephen M. Perle ,&nbsp;Chad Cook ,&nbsp;Carsten Juhl ,&nbsp;Jan Hartvigsen","doi":"10.1016/j.msksp.2025.103480","DOIUrl":"10.1016/j.msksp.2025.103480","url":null,"abstract":"<div><h3>Background</h3><div>Reliable reporting and publication practices are essential for trustworthy evidence synthesis and clinical decision-making.</div></div><div><h3>Objective</h3><div>We aimed to identify latent classes of randomized controlled trials (RCTs) evaluating spinal manipulative therapy (SMT) based on trial reporting and publication practices, and to examine whether these classes influenced treatment effects.</div></div><div><h3>Design</h3><div>Meta-epidemiological study.</div></div><div><h3>Method</h3><div>Trials were evaluated on whether they met criteria for trial reporting and publication practices across six domains. Latent class analysis was used to identify trial subgroups. Random-effects meta-regression models assessed whether class membership predicted pooled estimates of treatment effects for pain and disability.</div></div><div><h3>Results</h3><div>We included 239 RCTs and identified four classes: <em>Dated</em> (23 %), older trials (mostly pre-2010) with consistently low proportions of criteria met; <em>Non-contributing</em> (30 %), newer trials that inconsistently met the criteria, had small samples, and short follow-ups; <em>SMT-focused</em> (15 %), which reported SMT details and fidelity more consistently but otherwise resembled the <em>Non-contributing</em> class; and <em>Pragmatic</em> (33 %), consisting of larger trials, meeting most criteria, but often underreported SMT-specific and fidelity details. Reporting practices had larger impact on class membership than publication practices. Despite differences class membership was not associated with treatment effect estimates and explained minimal outcome variability (R<sup>2</sup> ∼1 %).</div></div><div><h3>Conclusions</h3><div>Although trial reporting and publication practices varied substantially across SMT trials, these differences were not associated with differences in treatment effects. The widespread failure to meet key criteria raises concerns about the interpretability and credibility of the SMT evidence base. To strengthen transparency and scientific value, future trials should adhere more rigorously to reporting guidelines.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"81 ","pages":"Article 103480"},"PeriodicalIF":2.2,"publicationDate":"2025-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Normalisation of impaired neck muscle function after neck-specific exercises identified by speckle-tracking ultrasound analysis: a longitudinal case-control study of individuals with chronic whiplash-associated disorders compared with healthy controls 斑点跟踪超声分析确定的颈部特异性运动后受损颈部肌肉功能的正常化:与健康对照相比,慢性鞭打相关疾病患者的纵向病例对照研究
IF 2.2 3区 医学 Q1 REHABILITATION Pub Date : 2025-12-27 DOI: 10.1016/j.msksp.2025.103483
Gunnel Peterson , Erika Andersson , Margaretha Jönsson , Anneli Peolsson

Background

Whiplash injury can impair neck muscle function, which is challenging to assess. Diagnostic ultrasound enables evaluation of musculoskeletal function and exercise effectiveness.

Objectives

To evaluate the function of five dorsal neck muscles before and after 12 weeks of neck-specific exercises in individuals with chronic whiplash-associated disorders (WAD), compared with healthy controls.

Method

Twenty-five individuals with WAD grades II and III and 25 age- and sex-matched controls participated in this study. The WAD group completed a 12-week neck-specific exercise programme. Outcome measures, collected at baseline in both groups and post-intervention in the WAD group, included neck muscle deformation (shortening and/or elongation) assessed by ultrasonography with speckle tracking analyses, neck disability (NDI; Neck Disability Index), neck pain (VAS; Visual Analogue Scale), and neck muscle fatigue (Borg CR-10).

Results

There was a significant difference in neck muscle deformation at baseline, with higher deformation in the WAD group compared with controls (F [1,214] = 14.7, P < 0.001). There was no significant difference in deformation between the groups after three months of neck-specific exercises in WAD compared with control baseline data F [1,200] = 0.1, P = 0.965), indicating restoration towards normal muscle function in the WAD group. The WAD group also improved in disability (NDI; mean 9.8, SD 8.4, P < 0.001), neck pain (VAS; mean 12.1, SD 24.7, p = 0.036), and fatigue (Borg CR-10; median 1.0, IQR; 0.5–2.5, P = 0.019).

Conclusions

The study indicates normalisation of dorsal neck muscle function in individuals with WAD after a neck-specific exercise programme.
背景:鞭伤可损害颈部肌肉功能,其评估具有挑战性。诊断超声可以评估肌肉骨骼功能和运动效果。目的:评价慢性鞭扭伤相关疾病(WAD)患者颈部专项运动前后12周颈部背侧肌肉的功能,并与健康对照进行比较。方法:25例WAD II级和III级患者和25例年龄和性别匹配的对照组参加了本研究。WAD组完成了为期12周的颈部运动计划。结果测量,收集在基线两组和干预后WAD组,包括颈部肌肉变形(缩短和/或伸长)评估超声斑点跟踪分析,颈部残疾(NDI;颈部残疾指数),颈部疼痛(VAS;视觉模拟量表),和颈部肌肉疲劳(Borg CR-10)。结果:基线时颈部肌肉变形有显著差异,与对照组相比,WAD组的变形更高(F [1,214] = 14.7, P)。结论:该研究表明,WAD患者在颈部特定运动计划后,颈背肌肉功能正常化。
{"title":"Normalisation of impaired neck muscle function after neck-specific exercises identified by speckle-tracking ultrasound analysis: a longitudinal case-control study of individuals with chronic whiplash-associated disorders compared with healthy controls","authors":"Gunnel Peterson ,&nbsp;Erika Andersson ,&nbsp;Margaretha Jönsson ,&nbsp;Anneli Peolsson","doi":"10.1016/j.msksp.2025.103483","DOIUrl":"10.1016/j.msksp.2025.103483","url":null,"abstract":"<div><h3>Background</h3><div>Whiplash injury can impair neck muscle function, which is challenging to assess. Diagnostic ultrasound enables evaluation of musculoskeletal function and exercise effectiveness.</div></div><div><h3>Objectives</h3><div>To evaluate the function of five dorsal neck muscles before and after 12 weeks of neck-specific exercises in individuals with chronic whiplash-associated disorders (WAD), compared with healthy controls.</div></div><div><h3>Method</h3><div>Twenty-five individuals with WAD grades II and III and 25 age- and sex-matched controls participated in this study. The WAD group completed a 12-week neck-specific exercise programme. Outcome measures, collected at baseline in both groups and post-intervention in the WAD group, included neck muscle deformation (shortening and/or elongation) assessed by ultrasonography with speckle tracking analyses, neck disability (NDI; Neck Disability Index), neck pain (VAS; Visual Analogue Scale), and neck muscle fatigue (Borg CR-10).</div></div><div><h3>Results</h3><div>There was a significant difference in neck muscle deformation at baseline, with higher deformation in the WAD group compared with controls (F [1,214] = 14.7, <em>P</em> &lt; 0.001). There was no significant difference in deformation between the groups after three months of neck-specific exercises in WAD compared with control baseline data F [1,200] = 0.1, <em>P</em> = 0.965), indicating restoration towards normal muscle function in the WAD group. The WAD group also improved in disability (NDI; mean 9.8, SD 8.4, <em>P</em> &lt; 0.001), neck pain (VAS; mean 12.1, SD 24.7, p = 0.036), and fatigue (Borg CR-10; median 1.0, IQR; 0.5–2.5, <em>P</em> = 0.019).</div></div><div><h3>Conclusions</h3><div>The study indicates normalisation of dorsal neck muscle function in individuals with WAD after a neck-specific exercise programme.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"81 ","pages":"Article 103483"},"PeriodicalIF":2.2,"publicationDate":"2025-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145879456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
When the hook is too big: sample size, power, and missed effects in verbal suggestion research 当钩太大时:言语暗示研究中的样本量、威力和错失效应。
IF 2.2 3区 医学 Q1 REHABILITATION Pub Date : 2025-12-26 DOI: 10.1016/j.msksp.2025.103478
Rodrigo RN. Rizzo
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引用次数: 0
期刊
Musculoskeletal Science and Practice
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