Musculoskeletal Science and Practice最新文献_第5页

Exploring how to deliver person-centred physiotherapy with adolescents experiencing musculoskeletal pain: a qualitative study 探索如何为经历肌肉骨骼疼痛的青少年提供以人为本的物理治疗：一项定性研究。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-10-15 DOI: 10.1016/j.msksp.2025.103437

R. Joslin , C. Harwood , M. Donovan-Hall , M. Barker , L. Roberts

Background

Musculoskeletal pain in adolescents is common and can become a long-term problem and continue into adulthood. Person-centred care is recognised globally as best practice, but it is unclear how to personalise physiotherapy for adolescents experiencing musculoskeletal pain and injury.

Objectives

The aim was to understand adolescent perspectives on how physiotherapists can deliver person-centred care.

Design

A qualitative interview study was undertaken as part of a larger programme of research to design an intervention using the person-based approach.

Method

Semi-structured individual interviews were conducted with a purposive sample of 11 adolescents (6 young women and 5 young men) aged 14–17 years, receiving physiotherapy at a single NHS site in England. Their perspectives on how best to deliver personalised care within physiotherapy were sought.

Results

Six themes were developed from the interview data and portrayed the dynamic nature of person-centred care. These were labelled make it right for me, get to know me, explain to me, encourage me, hear me and let me choose.

Conclusions

New perceived needs specific to this population were highlighted. These included recognising the vulnerability and lack of control experiences by adolescents, as well the importance of adults (parents and physiotherapists) acknowledging the extent to which they facilitate or constrain the delivery of person-centred care. Adolescents with non-traumatic musculoskeletal pain expressed different service needs compared to those with traumatic musculoskeletal injuries. However, the need to address the social and emotional impacts of pain, injury, and rehabilitation was universally recognised.

Clinical trial registration

The wider programme of research including this qualitative study is registered and listed on the ISRCTN registry with study registration number ISRCTN18918987.

背景：肌肉骨骼疼痛在青少年中很常见，可能成为一个长期问题并持续到成年。以人为本的护理是全球公认的最佳实践，但目前尚不清楚如何为经历肌肉骨骼疼痛和损伤的青少年提供个性化的物理治疗。目的：目的是了解青少年对物理治疗师如何提供以人为本的护理的看法。设计：一项定性访谈研究作为一个更大的研究项目的一部分进行，以设计使用以人为本的方法的干预措施。方法：对11名14-17岁的青少年（6名年轻女性和5名年轻男性）进行半结构化的个人访谈，这些青少年在英格兰的一个NHS站点接受物理治疗。他们对如何在物理治疗中最好地提供个性化护理的看法被寻求。结果：从访谈数据中发展出六个主题，并描绘了以人为本的护理的动态性质。这些都被贴上了“让它适合我”、“了解我”、“向我解释”、“鼓励我”、“倾听我”和“让我做出选择”的标签。结论：强调了针对这一人群的新感知需求。其中包括认识到青少年的脆弱性和缺乏控制经验，以及成年人（父母和物理治疗师）承认他们在多大程度上促进或限制以人为本的护理的提供的重要性。与创伤性肌肉骨骼损伤的青少年相比，非创伤性肌肉骨骼疼痛的青少年表达了不同的服务需求。然而，解决疼痛、伤害和康复的社会和情感影响的必要性是普遍公认的。临床试验注册：包括本定性研究在内的更广泛的研究计划已在ISRCTN注册中心注册并列出，研究注册号为ISRCTN18918987。

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引用次数: 0

Exploring the associations between religious-spiritual and psychosocial factors, and disability, self-efficacy, and pain intensity in chronic shoulder pain 探讨慢性肩痛的宗教-精神和社会心理因素与残疾、自我效能和疼痛强度之间的关系

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-10-14 DOI: 10.1016/j.msksp.2025.103435

Geovana Lissa Rodrigues Otuka , Luciano Magalhães Vitorino , Letícia Jonas de Freitas , Marcela Camargo Tozzo , Anamaria Siriani de Oliveira

Chronic shoulder pain is one of the most frequent pain syndromes worldwide and is influenced by several biopsychosocial variables. The aim of this study was to investigate whether religiosity, spirituality, optimism, negative and positive religious–spiritual coping, and depressive symptoms are associated with shoulder disability, self-efficacy, and pain intensity. This cross-sectional observational study recruited 75 adults with subacromial pain syndrome (ICD-10 M⁷⁵.1) with symptoms persisting for at least three months. Participants completed the following questionnaires: SPADI, PSEQ-10, LOT-R, DUREL, FACIT-Sp-12, SRCOPE-14, and PHQ-9. Multiple linear regression analyses showed that lower levels of religiosity and greater optimism were associated with reduced shoulder disability. Self-efficacy was negatively associated with religiosity, negative religious–spiritual coping, and depressive symptoms. Greater pain intensity was associated with higher use of negative religious–spiritual coping and depressive symptoms. This study highlights significant associations between religious–spiritual and psychosocial factors and clinical outcomes in individuals with chronic shoulder pain.

慢性肩痛是世界范围内最常见的疼痛综合征之一，受多种生物心理社会变量的影响。本研究的目的是探讨宗教信仰、灵性、乐观、消极和积极的宗教-精神应对以及抑郁症状是否与肩部残疾、自我效能感和疼痛强度有关。这项横断面观察性研究招募了75名患有肩峰下疼痛综合征（ICD-10 M75.1）且症状持续至少三个月的成年人。参与者完成以下问卷调查：SPADI、PSEQ-10、LOT-R、DUREL、FACIT-Sp-12、scope -14和PHQ-9。多元线性回归分析显示，较低的宗教信仰水平和较高的乐观程度与肩部残疾的减少有关。自我效能感与宗教虔诚、消极的宗教-精神应对和抑郁症状呈负相关。更大的疼痛强度与更高的消极宗教精神应对和抑郁症状相关。本研究强调了慢性肩痛患者的宗教精神和社会心理因素与临床结果之间的显著关联。

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引用次数: 0

Correlations between the Central Sensitization Inventory and measures of endogenous pain modulation in women with fibromyalgia 纤维肌痛患者中枢致敏性量表与内源性疼痛调节的相关性。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-10-14 DOI: 10.1016/j.msksp.2025.103436

Sophie Van Oosterwijck , Amber Billens , Adri T. Apeldoorn , Mira Meeus , Laura W.M.E. Beckers , René Oosterwijk , Katinka John , Jo Nijs , Jessica Van Oosterwijck , Rob J.E.M. Smeets

Background

The Central Sensitization Inventory (CSI) is a self-report measure to identify key symptoms of human assumed central sensitization (HACS). However, research examining how the CSI relates to experimental pain measures in a population with predominant HACS is scarce.

Objectives

This study examined correlations between the CSI and experimental pain measures in 54 women with fibromyalgia.

Design

Cross-sectional study.

Method

The CSI was administered along with questionnaires of illness perception (i.e., IPQ), anxiety and depression (i.e., HADS), and health-related quality of life (i.e., RAND-36). Pressure pain thresholds (PPT), conditioned pain modulation (CPM), and exercise-induced hypoalgesia (EIH) were assessed. PPT were examined at (1) the center of the trapezius muscle, (2) the web space between the thumb and index finger, and (3) the proximal third of the calf muscle. For CPM, PPT were reassessed during and after immersion of the non-dominant hand in hot water. EIH was determined using the Aerobic Power Submaximal Exercise Test, after which PPT were reassessed. Absolute and percentage change scores in PPT during and after immersion (i.e., parallel and sequential CPM) and the submaximal exercise test (i.e., EIH) were calculated.

Results

Only a negligible positive correlation between the CSI and parallel % CPM was found (r = 0.277, p = 0.046). Several weak-to-moderate correlations with the HADS, IPQ, and RAND-36 questionnaires suggest that the CSI is related to psychological constructs.

Conclusions

The results of the present study could not confirm associations between the CSI and experimental pain measures and suggest a closer relationship with psychological distress in patients with fibromyalgia.

背景：中枢致敏量表（CSI）是一种自我报告的方法，用于识别人类假定中枢致敏（HACS）的关键症状。然而，在以HACS为主的人群中，调查CSI与实验性疼痛测量的关系的研究很少。目的：本研究检测了54例纤维肌痛患者的CSI和实验性疼痛测量之间的相关性。设计：横断面研究。方法：CSI与疾病感知问卷（IPQ）、焦虑抑郁问卷（HADS）和健康相关生活质量问卷（RAND-36）一起进行。评估压力性疼痛阈值（PPT）、条理性疼痛调节（CPM）和运动性痛觉减退（EIH）。PPT检查在(1)斜方肌中心，(2)拇指和食指之间的蹼空间，(3)小腿肌近三分之一。对于CPM，在非优势手浸入热水期间和之后重新评估PPT。EIH采用有氧力量次最大运动试验测定，然后重新评估PPT。计算浸泡期间和浸泡后PPT（即平行和顺序CPM）和亚极限运动测试（即EIH）的绝对和百分比变化分数。结果：CSI与平行% CPM之间仅存在可忽略的正相关（r = 0.277, p = 0.046）。与HADS、IPQ和RAND-36问卷的一些弱至中度相关性表明CSI与心理构念有关。结论：本研究的结果不能证实CSI与实验性疼痛措施之间的关联，但表明CSI与纤维肌痛患者的心理困扰有更密切的关系。

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引用次数: 0

Can pre-treatment verbal suggestions influence the short-term effects of spinal manipulation in young adults with chronic non-specific low back pain? A randomized controlled trial 治疗前言语暗示是否会影响年轻成人慢性非特异性腰痛患者脊柱推拿的短期效果？一项随机对照试验。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-10-10 DOI: 10.1016/j.msksp.2025.103431

Kamil Zaworski , Joanna Baj-Korpak , Małgorzata Tokarska-Rodak , Ewa Plażuk , Andżelika Dyrda , Joel Bialosky , Giacomo Rossettini

Objective

To investigate whether pre-treatment verbal suggestions (positive, neutral, or negative) modulate the short-term effects of lumbar spinal manipulation in young adults with chronic non-specific low back pain (CNSLBP).

Design

Three-arm, triple-blind randomized controlled trial.

Methods

Sixty-six participants (mean age 21 years ±2,96; 76 % women) with CNSLBP were randomly assigned to a positive, neutral, or negative verbal suggestion before a standardized lumbar spinal manipulation. Outcomes were assessed at baseline (t0), immediately post-intervention (t1), and 24 h later (t2). The primary outcome was pain intensity (NPRS-11). Secondary outcomes included stress (SNRS-11, PSS-10), pressure pain threshold (PPT), disability, kinesiophobia, sleepiness, expectations, tissue temperature, lumbar active range of motion (AROM), and blood biomarkers.

Results

All groups improved in pain at t1 and t2 (p < 0.05). The positive verbal instruction group showed greater pain reduction compared to the negative verbal instruction group at t1 (mean difference [MD] = −1.41; p = 0.004) and t2 (MD = −2.18; p = 0.001). Stress levels were significantly lower in the positive verbal instruction group compared to the negative verbal instruction group at t2 (MD = −2.46; p = 0.001). PPT increased significantly in the positive verbal instruction group compared to the negative verbal instruction group at L5 (t1: MD = 0.47; p = 0.001) and L3 (t2: MD = 0.48; p = 0.001). No significant between-group differences were found for disability, kinesiophobia, sleepiness, lumbar AROM, tissue temperature, or blood biomarkers.

Conclusion

Verbal suggestions modulate the short-term effects of spinal manipulation in young adults with CNSLBP.

目的：探讨治疗前言语暗示（积极、中性或消极）是否能调节患有慢性非特异性腰痛（CNSLBP）的年轻人腰椎推拿的短期效果。设计：三组、三盲随机对照试验。方法：66名CNSLBP患者（平均年龄21岁±2.96岁；76%为女性）在标准化腰椎推拿前被随机分为阳性、中性或阴性口头暗示组。在基线（t0）、干预后立即（t1）和24小时后（t2）评估结果。主要终点为疼痛强度（NPRS-11）。次要结局包括压力（SNRS-11、PSS-10）、压痛阈值（PPT）、残疾、运动恐惧症、嗜睡、期望、组织温度、腰椎活动范围（AROM）和血液生物标志物。结果：所有组在t1和t2时疼痛均有改善(p)。结论：言语暗示可调节青年CNSLBP患者脊柱操作的短期效果。

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引用次数: 0

Network analysis of cognitive, physical/functional, sensory, and pain processing-related factors in individuals with knee osteoarthritis 膝骨关节炎患者的认知、身体/功能、感觉和疼痛处理相关因素的网络分析。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-10-10 DOI: 10.1016/j.msksp.2025.103434

Bruno Ruocco Verengue , Patrícia Gabrielle dos Santos , Barbara Greco Miura , Aron Charles Barbosa , Gabriela Nascimento de Santana , Almir Vieira Dibai-filho , Soraia Micaela Silva , Cid André Fidelis de Paula Gomes

Background

Knee osteoarthritis (KOA) is a complex condition influenced by cognitive, physical, functional, sensory, and pain-processing-related factors, all of which contribute to pain and limitations in daily activities. Understanding how these factors are connected is vital for better disease management.

Objectives

To use network analysis to explore the relationships among cognitive (self-efficacy and catastrophizing), physical/functional (functionality and strength), sensory (central sensitization symptoms), and pain-processing-related factors (pain intensity) in individuals with KOA.

Methods

Two hundred and forty individuals with KOA participated in this cross-sectional study. The assessments included: Numeric Pain Rating Scale (NPRS), Central Sensitization Inventory (CSI), Pain Catastrophizing Scale (PCS), Pain Self-Efficacy Questionnaire (PSEQ), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), World Health Organization Disability Assessment Schedule (WHODAS), and quadriceps isometric strength (QIS). The network was estimated using the graphical LASSO method combined with a walktrap algorithm to identify clusters and connections between nodes (factors).

Results

The estimated network indicates that pain self-efficacy plays a key role in linking clinical and psychosocial factors, such as physical disability, pain during activities, and maladaptive pain thoughts. Its prominent position underscores its importance as a potential target for assessment and intervention in individuals with KOA.

Conclusion

Self-efficacy, as measured by the PSEQ, appears to be a central factor connected to physical/functional and sensory factors in individuals with KOA.

背景：膝关节骨关节炎（KOA）是一种复杂的疾病，受认知、身体、功能、感觉和疼痛处理相关因素的影响，所有这些因素都会导致疼痛和日常活动受限。了解这些因素是如何联系在一起的，对于更好地管理疾病至关重要。目的：利用网络分析探讨KOA患者的认知（自我效能和灾难化）、身体/功能（功能和力量）、感觉（中枢致敏症状）和疼痛加工相关因素（疼痛强度）之间的关系。方法：对240例KOA患者进行横断面研究。评估包括：数字疼痛评定量表（NPRS）、中枢致敏量表（CSI）、疼痛灾难化量表（PCS）、疼痛自我效能问卷（PSEQ）、安大略省西部和麦克马斯特大学骨关节炎指数（WOMAC）、世界卫生组织残疾评估表（WHODAS）和股四头肌等肌力（QIS）。使用图形LASSO方法结合步行陷阱算法来识别聚类和节点（因素）之间的连接，对网络进行估计。结果：该网络表明疼痛自我效能在连接临床和社会心理因素（如身体残疾、活动时疼痛和不适应疼痛思想）方面起着关键作用。它的突出位置强调了它作为评估和干预KOA患者的潜在目标的重要性。结论：由PSEQ测量的自我效能感似乎是与KOA个体的身体/功能和感觉因素相关的中心因素。

{"title":"Network analysis of cognitive, physical/functional, sensory, and pain processing-related factors in individuals with knee osteoarthritis","authors":"Bruno Ruocco Verengue , Patrícia Gabrielle dos Santos , Barbara Greco Miura , Aron Charles Barbosa , Gabriela Nascimento de Santana , Almir Vieira Dibai-filho , Soraia Micaela Silva , Cid André Fidelis de Paula Gomes","doi":"10.1016/j.msksp.2025.103434","DOIUrl":"10.1016/j.msksp.2025.103434","url":null,"abstract":"<div><h3>Background</h3><div>Knee osteoarthritis (KOA) is a complex condition influenced by cognitive, physical, functional, sensory, and pain-processing-related factors, all of which contribute to pain and limitations in daily activities. Understanding how these factors are connected is vital for better disease management.</div></div><div><h3>Objectives</h3><div>To use network analysis to explore the relationships among cognitive (self-efficacy and catastrophizing), physical/functional (functionality and strength), sensory (central sensitization symptoms), and pain-processing-related factors (pain intensity) in individuals with KOA.</div></div><div><h3>Methods</h3><div>Two hundred and forty individuals with KOA participated in this cross-sectional study. The assessments included: Numeric Pain Rating Scale (NPRS), Central Sensitization Inventory (CSI), Pain Catastrophizing Scale (PCS), Pain Self-Efficacy Questionnaire (PSEQ), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), World Health Organization Disability Assessment Schedule (WHODAS), and quadriceps isometric strength (QIS). The network was estimated using the graphical LASSO method combined with a walktrap algorithm to identify clusters and connections between nodes (factors).</div></div><div><h3>Results</h3><div>The estimated network indicates that pain self-efficacy plays a key role in linking clinical and psychosocial factors, such as physical disability, pain during activities, and maladaptive pain thoughts. Its prominent position underscores its importance as a potential target for assessment and intervention in individuals with KOA.</div></div><div><h3>Conclusion</h3><div>Self-efficacy, as measured by the PSEQ, appears to be a central factor connected to physical/functional and sensory factors in individuals with KOA.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"80 ","pages":"Article 103434"},"PeriodicalIF":2.2,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294496","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

Masseter muscle thickness, jaw functional limitation, oral behaviors, and psychosocial factors in chronic non-specific neck pain: A cross-sectional study 慢性非特异性颈部疼痛的咬肌厚度、颌功能限制、口腔行为和社会心理因素：一项横断面研究。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-10-08 DOI: 10.1016/j.msksp.2025.103429

Büşra Şirin Ahısha , Nurdan Paker , Nur Kesi̇ktaş , Nazlı Derya Buğdayci , Yiğit Can Ahısha

Background

Chronic non-specific neck pain (CNSNP) and temporomandibular disorders are frequently comorbid disorders.

Objective

To evaluate masseter muscle thickness (MMT) via ultrasonography in women with/without CNSNP and compare oral behaviors, jaw function, and psychosocial factors.

Methods

This cross-sectional study enrolled 30 female CNSNP patients (March–April 2025, secondary care clinic) and 30 healthy controls. Self-reported clenching/grinding was recorded. Assessments included the Neck Disability Index (NDI), ultrasonographic MMT at rest/maximum contraction, and jaw opening (painless, unassisted, assisted). Jaw function (JFLS-20), anxiety-related symptoms (GAD-7), depression-related symptoms (PHQ-9), somatization (PHQ-15), and oral behaviors (OBC) were assessed. Group comparisons used t-test, Mann–Whitney U, or χ²; correlations used Pearson's or Spearman's tests.

Results

MMT was significantly greater in the CNSNP group at rest and contraction (p < 0.05). At rest, the mean difference was −0.09 cm (95 % CI: −0.19 to −0.01, p = 0.038); at contraction, −0.12 cm (95 % CI: −0.21 to −0.02, p = 0.017). Jaw opening did not differ between groups. CNSNP patients had higher GAD-7 (p = 0.001), PHQ-9 (p = 0.002), PHQ-15 (p < 0.001), and OBC (p = 0.002) scores. MMT at contraction correlated with pain duration (r = 0.358, p = 0.005), NDI (r = 0.280, p = 0.031), JFLS-20 (r = 0.261, p = 0.044), and GAD-7 (r = 0.261, p = 0.044); resting MMT correlated with PHQ-9 (r = 0.271, p = 0.036).

Conclusion

Women with CNSNP had greater MMT and reported higher anxiety, depression, somatization symptoms, and oral behaviors. Alongside MMT evaluation, psychosocial factors appear important in this population.

背景：慢性非特异性颈部疼痛（CNSNP）和颞下颌疾病是常见的合并症。目的：通过超声评估有/无CNSNP女性的咬肌厚度（MMT），并比较口腔行为、颌功能和社会心理因素。方法：本横断面研究纳入30例女性CNSNP患者（2025年3月- 4月，二级保健诊所）和30例健康对照。记录自我报告的咬牙/磨牙。评估包括颈部残疾指数（NDI）、静止/最大收缩时的超声MMT和颌骨张开（无痛、无辅助、辅助）。评估下颌功能（JFLS-20）、焦虑相关症状（GAD-7）、抑郁相关症状（PHQ-9）、躯体化（PHQ-15）和口腔行为（OBC）。组间比较采用t检验、Mann-Whitney U或χ2；相关性使用皮尔逊或斯皮尔曼的检验。结果：在休息和收缩时，CNSNP组的MMT显著增加(p结论：CNSNP妇女有更大的MMT，并报告了更高的焦虑、抑郁、躯体化症状和口腔行为。除了MMT评估，心理社会因素在这一人群中显得很重要。

{"title":"Masseter muscle thickness, jaw functional limitation, oral behaviors, and psychosocial factors in chronic non-specific neck pain: A cross-sectional study","authors":"Büşra Şirin Ahısha , Nurdan Paker , Nur Kesi̇ktaş , Nazlı Derya Buğdayci , Yiğit Can Ahısha","doi":"10.1016/j.msksp.2025.103429","DOIUrl":"10.1016/j.msksp.2025.103429","url":null,"abstract":"<div><h3>Background</h3><div>Chronic non-specific neck pain (CNSNP) and temporomandibular disorders are frequently comorbid disorders.</div></div><div><h3>Objective</h3><div>To evaluate masseter muscle thickness (MMT) via ultrasonography in women with/without CNSNP and compare oral behaviors, jaw function, and psychosocial factors.</div></div><div><h3>Methods</h3><div>This cross-sectional study enrolled 30 female CNSNP patients (March–April 2025, secondary care clinic) and 30 healthy controls. Self-reported clenching/grinding was recorded. Assessments included the Neck Disability Index (NDI), ultrasonographic MMT at rest/maximum contraction, and jaw opening (painless, unassisted, assisted). Jaw function (JFLS-20), anxiety-related symptoms (GAD-7), depression-related symptoms (PHQ-9), somatization (PHQ-15), and oral behaviors (OBC) were assessed. Group comparisons used <em>t</em>-test, Mann–Whitney U, or χ<sup>2</sup>; correlations used Pearson's or Spearman's tests.</div></div><div><h3>Results</h3><div>MMT was significantly greater in the CNSNP group at rest and contraction (p < 0.05). At rest, the mean difference was −0.09 cm (95 % CI: −0.19 to −0.01, p = 0.038); at contraction, −0.12 cm (95 % CI: −0.21 to −0.02, p = 0.017). Jaw opening did not differ between groups. CNSNP patients had higher GAD-7 (p = 0.001), PHQ-9 (p = 0.002), PHQ-15 (p < 0.001), and OBC (p = 0.002) scores. MMT at contraction correlated with pain duration (r = 0.358, p = 0.005), NDI (r = 0.280, p = 0.031), JFLS-20 (r = 0.261, p = 0.044), and GAD-7 (r = 0.261, p = 0.044); resting MMT correlated with PHQ-9 (r = 0.271, p = 0.036).</div></div><div><h3>Conclusion</h3><div>Women with CNSNP had greater MMT and reported higher anxiety, depression, somatization symptoms, and oral behaviors. Alongside MMT evaluation, psychosocial factors appear important in this population.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"80 ","pages":"Article 103429"},"PeriodicalIF":2.2,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304484","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

Effectiveness of remotely-delivered Psychologically-Informed Physical Therapy (PIPT) for people with chronic pain: a systematic review with meta-analysis 远程心理知情物理治疗（PIPT）对慢性疼痛患者的有效性：一项荟萃分析的系统综述。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-10-08 DOI: 10.1016/j.msksp.2025.103432

Matteo Cioeta , Luca Giacobbe , Marco Medugno , Davide Lampasi , Leonardo Pellicciari , Giuseppe Giovannico , Germano Guerra , Giovanni Galeoto

Objective

To evaluate the effectiveness of remotely-delivered Psychologically-Informed Physical Therapy (PIPT) for individuals with chronic pain (CP) through a systematic review and meta-analysis.

Methods

Seven databases were searched until May 2025. Randomized controlled trials (RCTs) assessing PIPT effects by physiotherapists for CP people were included. Primary outcomes were pain and disability; secondary outcomes included quality of life, self-efficacy, kinesiophobia, and costs. The risk of bias (RoB) and certainty of evidence (CoE) were assessed using the Cochrane RoB 2.0 tool and GRADE approach, respectively. Random effect meta-analyses were performed.

Results

Four RCTs (n = 911 participants) involving patients with knee osteoarthritis were included. Meta-analyses showed low CoE that remotely-delivered PIPT reduces pain (MD = -0.81 at 6 months; −0.50 at 12 months) and moderate CoE that it can reduce disability (MD = -3.44 at 6 months; −5.71 at 12 months) compared to other remote interventions. Quality of life improvements were also reported but did not exceed the minimal clinically important difference. One study showed improved self-efficacy but no significant effects on kinesiophobia or healthcare costs. The RoB was assessed as ranging from some concerns to high.

Conclusion

Compared to other remote intervention, there is low CoE that PIPT can decrease pain,moderate CoE that PIPT can reduce disability and low CoE that PIPT can improve quality of life. Although effect sizes were small, these findings support the integration of psychological principles into telerehabilitation. Further research is warranted to explore its generalizability to other CP conditions and to compare its effectiveness against psychologist-led interventions.

目的：通过系统回顾和荟萃分析，评估远程心理知情物理治疗（PIPT）对慢性疼痛（CP）患者的疗效。方法：检索至2025年5月的7个数据库。随机对照试验（rct）评估物理治疗师对CP患者的PIPT效果。主要结局是疼痛和残疾；次要结局包括生活质量、自我效能、运动恐惧症和费用。分别使用Cochrane RoB 2.0工具和GRADE方法评估偏倚风险（RoB）和证据确定性（CoE）。进行随机效应荟萃分析。结果：纳入4项随机对照试验（n = 911名受试者），涉及膝关节骨关节炎患者。荟萃分析显示，与其他远程干预相比，低CoE远程PIPT可以减轻疼痛（6个月时MD = -0.81； 12个月时MD = -0.50），中等CoE可以减轻残疾（6个月时MD = -3.44； 12个月时MD = -5.71）。生活质量的改善也有报道，但没有超过最小的临床重要差异。一项研究显示，自我效能有所提高，但对运动恐惧症或医疗费用没有显著影响。RoB的评估范围从一些关注到高。结论：与其他远程干预相比，PIPT在减轻疼痛方面具有低CoE，在减轻残疾方面具有中等CoE，在改善生活质量方面具有低CoE。虽然效应量很小，但这些发现支持将心理学原理整合到远程康复中。进一步的研究需要探索其在其他CP条件下的普遍性，并将其与心理学家主导的干预措施的有效性进行比较。

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引用次数: 0

Assessing patient education materials about low back pain for understandability, actionability, quality, readability, accuracy, comprehensiveness, and coverage of information about patients’ needs 评估关于腰痛的患者教育材料的可理解性、可操作性、质量、可读性、准确性、全面性以及患者需求信息的覆盖范围。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-10-04 DOI: 10.1016/j.msksp.2025.103430

Bradley Furlong , Mona Frey , Simon Davidson , Giovanni Ferreira , Holly Etchegary , Kris Aubrey-Bassler , Amanda Hall

Background

Patients have unhelpful beliefs about low back pain (LBP), which are associated with worse outcomes. Education may modify these beliefs, but patients with LBP rarely receive education in practice. Patient education materials (PEMs) are a quick, inexpensive intervention to support information provision.

Objectives

assess PEMs for understandability, actionability, quality, readability, accuracy, comprehensiveness, and coverage of information about patients’ needs to identify the best PEMs for practice.

Methods

We searched published literature for PEMs tested in randomized trials or recommended in clinical guidelines. We used the Patient Education Materials Assessment Tool (PEMAT) to assess understandability and actionability, DISCERN to assess quality, the Patient Information and Education Needs Checklist for Low Back Pain (PINE-LBP) to assess information need coverage, and the Flesch Reading Ease (FRE) and Flesch-Kincaid Grade-Level (FKGL) algorithms to assess readability. We assessed accuracy (proportion of treatment recommendations aligning with guidelines) and comprehensiveness (proportion of correctly covered guideline recommendations), and qualitatively synthesized PEM content relating to 21 information and education needs about LBP.

Results

Nineteen PEMs were included. None were actionable or comprehensive, and many had inaccurate treatment recommendations. There was considerable variation and conflicting information in the content provided across PEMs. Only the My Back Pain website met acceptable standards for more than half (4/7) outcomes.

Conclusions

Educational messaging for LBP varies substantially and PEMs require improvement in various areas. The My Back Pain website met acceptable standards across most outcomes and may be the best available option for practice.

背景：患者对腰痛（LBP）有不利的信念，这与较差的预后有关。教育可能会改变这些观念，但LBP患者在实践中很少接受教育。患者教育材料（PEMs）是一种快速、廉价的支持信息提供的干预手段。目的：评估项目管理体系的可理解性、可操作性、质量、可读性、准确性、全面性和患者需求信息的覆盖范围，以确定最佳的项目管理体系。方法：我们检索已发表的文献中随机试验或临床指南中推荐的PEMs。我们使用患者教育材料评估工具（PEMAT）来评估可理解性和可操作性，使用DISCERN来评估质量，使用腰痛患者信息和教育需求清单（PINE-LBP）来评估信息需求覆盖率，使用Flesch Reading Ease （FRE）和Flesch- kincaid Grade-Level （FKGL）算法来评估可读性。我们评估了准确性（治疗建议与指南一致的比例）和全面性（正确覆盖指南建议的比例），并定性地合成了与21个关于LBP的信息和教育需求相关的PEM内容。结果：共纳入19例pms。没有一个是可操作的或全面的，许多治疗建议不准确。在跨PEMs提供的内容中存在相当大的差异和相互冲突的信息。只有My Back Pain网站在超过一半（4/7）的结果中达到了可接受的标准。结论：LBP的教育信息差异很大，PEMs在各个领域都需要改进。我的背痛网站在大多数结果上都达到了可接受的标准，可能是实践的最佳选择。

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引用次数: 0

Association between neck muscle size and physical features in individuals with chronic non-specific neck pain: A systematic review 慢性非特异性颈部疼痛患者的颈部肌肉大小和身体特征之间的关系：一项系统综述。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-10-03 DOI: 10.1016/j.msksp.2025.103428

Georgios Sidiropoulos , Michail Arvanitidis , Deborah Falla , Asimakis Kanellopoulos , Maria Tsekoura , Nikolaos Strimpakos , Zacharias Dimitriadis

Background

Despite multiple studies investigating neck muscle structure in people with chronic non-specific neck pain (CNP), findings on the relationship between neck muscle size and commonly assessed physical features are inconsistent, highlighting the need for systematic synthesis and evaluation of the available evidence.

Objective

This systematic review examines the association between neck muscle size and commonly assessed physical features including neck strength, endurance, range of motion, proprioception and head posture in individuals with CNP.

Methods

A systematic search was conducted across MEDLINE, EMBASE, PubMed, CINAHL Plus, and Web of Science from inception to 21 October 2024. The included studies focused on adults with CNP, examining the correlation between measures of neck muscle morphology and physical features. Exclusion criteria included traumatic neck pain, neck surgery, and radiculopathy. Risk of bias was assessed using a modified Newcastle-Ottawa Scale and the certainty of evidence was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach. A narrative synthesis was used to summarise the findings.

Results

Of the 5,912 identified records, eight studies were included, comprising 246 participants. The narrative synthesis of the included studies identified significant correlations between the cross-sectional area (CSA) of longus colli and longus capitis with neck endurance, longus capitis CSA with neck proprioception, and longus colli CSA with measures of postural sway.

Conclusions

Based on very low certainty of evidence, reduced neck muscle size is associated with lower neck endurance, altered proprioception, and increased postural sway in individuals with CNP.

Registration number

CRD42024570776 (PROSPERO).

背景：尽管有多项研究调查了慢性非特异性颈部疼痛（CNP）患者的颈部肌肉结构，但关于颈部肌肉大小与通常评估的身体特征之间关系的研究结果并不一致，这突出了对现有证据进行系统综合和评估的必要性。目的：本系统综述探讨了颈肌大小与CNP患者颈部力量、耐力、运动范围、本体感觉和头部姿势等通常评估的身体特征之间的关系。方法：系统检索MEDLINE， EMBASE, PubMed， CINAHL Plus和Web of Science自成立至2024年10月21日。纳入的研究集中在患有CNP的成年人身上，检查颈部肌肉形态和身体特征之间的相关性。排除标准包括外伤性颈部疼痛、颈部手术和神经根病。偏倚风险采用改良的纽卡斯尔-渥太华量表进行评估，证据的确定性采用推荐、评估、发展和评估分级（GRADE）方法进行评估。采用叙述性综合方法来总结研究结果。结果：在5912份确定的记录中，包括8项研究，包括246名参与者。对纳入研究的叙述综合发现，颈长肌和头长肌的横截面积（CSA）与颈部耐力、颈长肌CSA与颈部本体感觉、以及颈长肌CSA与体位摇摆测量之间存在显著相关性。结论：基于非常低确定性的证据，颈部肌肉尺寸减小与CNP患者的下颈部耐力、本体感觉改变和姿势摇摆增加有关。注册号：CRD42024570776 （PROSPERO）。

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引用次数: 0

“I think there is something not right in my body”: Beliefs and attitudes of active adults with hip/groin pain towards hip crepitus – A qualitative study “我觉得我的身体有些不对劲”：患有髋关节/腹股沟疼痛的积极活动的成年人对髋关节肌痛的信念和态度-一项定性研究。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-10-01 DOI: 10.1016/j.msksp.2025.103427

Fernanda Serighelli , David A. Snowdon , Christian J. Barton , Kay M. Crossley , Matthew G. King , Joanne L. Kemp , Mark J. Scholes , Joshua J. Heerey , Danilo De Oliveira Silva

Background

Hip crepitus is a persistent and highly prevalent symptom in active adults with hip/groin pain. Its presence may influence their perceptions about prognosis, treatment options and sports participation.

Objective

We explored the beliefs and attitudes of active adults with hip/groin pain towards hip crepitus.

Methods

Semi-structured interviews involving 15 adults with hip/groin pain who participated regularly in sports activities were conducted. Verbatim transcriptions of the interviews were independently analysed through a six-phase reflexive thematic analysis by two authors prior to the consensus meetings.

Results

We identified one overarching theme: Crepitus – an unwanted sensation, which divided the sample into two groups based on their description of crepitus and associated symptoms: (i) clicking and tightness and (ii) grinding and pain. The similarities and differences between the two groups were highlighted for the three main themes: (1) Worries related to crepitus – uncertainty and anxiety; (2) Impact of crepitus on sport and daily life – hip flexion avoidance; and (3) Different mindsets about crepitus treatment – keep on moving.

Conclusion

Our findings provide novel information regarding the perspectives of active adults with hip/groin pain towards hip crepitus, generating insights for health professionals on patients’ perceptions. In summary, active adults with hip/groin pain modify their activities, especially hip flexion movements, due to the sensation of hip crepitus. Additionally, they are typically worried about the meaning of their crepitus and the future of their hip joint health and are interested in active treatments to reduce the severity of hip crepitus.

背景：髋关节肌酐是髋关节/腹股沟疼痛的成人活动患者的一种持续性和高度普遍的症状。它的存在可能会影响他们对预后、治疗选择和体育参与的看法。目的：探讨患有髋关节/腹股沟疼痛的成人活动期患者对髋关节肌酐的看法和态度。方法：对15名定期参加体育活动的髋关节/腹股沟疼痛成人进行半结构化访谈。在协商一致会议之前，两位作者通过六阶段反身性专题分析，对访谈的逐字逐句进行了独立分析。结果：我们确定了一个总体主题：Crepitus -一种不想要的感觉，根据他们对Crepitus和相关症状的描述，将样本分为两组：(i)咔哒声和紧绷，（ii）磨碎和疼痛。两组之间的异同主要体现在三个主题上：(1)与信用有关的担忧——不确定和焦虑；(2)肌酐对运动和日常生活的影响-避免髋关节屈曲；(3)不同的治疗思维——坚持前进。结论：我们的研究结果提供了关于髋关节/腹股沟疼痛的活跃成人对髋关节肌痛的看法的新信息，为卫生专业人员提供了对患者看法的见解。综上所述，患有髋关节/腹股沟疼痛的积极活动的成年人，由于髋关节crepitus的感觉，改变了他们的活动，特别是髋关节屈曲运动。此外，他们通常担心他们的crepitus的意义和他们的髋关节健康的未来，并对积极治疗感兴趣，以减少髋关节crepitus的严重程度。

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引用次数: 0