Musculoskeletal Science and Practice最新文献_第7页

Heavy slow resistance training combined with patient education in patients with gluteal tendinopathy: A feasibility study 大强度慢阻力训练结合患者教育治疗臀腱病的可行性研究

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-11-01 Epub Date: 2025-09-30 DOI: 10.1016/j.msksp.2025.103425

Jan Moritz Grigat , Troels Kjeldsen , Stian Langgård Jørgensen , Inger Mechlenburg , Ulrik Dalgas

Aim

To investigate the feasibility of heavy slow resistance training (HSR) and patient education (EDU) in patients with gluteal tendinopathy (GT). A secondary aim was to evaluate changes in lateral hip pain, patient-reported outcomes, functional performance and hip muscle strength following the intervention.

Methods

Nineteen participants (52 ± 7 years, 79 % females) with clinically diagnosed GT, commenced 12 weeks of supervised HSR (2.5 sessions/week) and received written and oral EDU. Different feasibility measures were collected including the percentage of planned HSR sessions attended (session adherence), the percentage of prescribed HSR sets performed (content adherence), drop-outs, adverse events, and pain tolerability. Secondary outcomes included Global Rating of Change, Pain intensity, Victorian Institute of Sport Assessment-Gluteal, Pain Self-Efficacy Questionnaire, EuroQol Group 5-Dimension 5-Level, 9-step timed stair climb test, 30-s chair stand test and maximal isometric hip muscle strength (abduction, flexion and extension).

Results

Median (IQR) session adherence was 100 % (98−100 %) and content adherence was 99 % (96−100 %). Eighteen participants (95 %) had high (≥80 %) session adherence and 17 (89 %) had high content adherence. One participant (5 %) dropped out. No serious adverse events were reported. Median (IQR) pain tolerability (i.e. no or tolerable pain) was 100 % (100−100 %) before sessions, during HSR, and 24 h after sessions. Paired analyses revealed significant improvements (p ≤ 0.05) with moderate (Cohen's d ≥ 0.5) to large (Cohen's d ≥ 0.8) effect sizes for all secondary outcomes.

Conclusion

HSR combined with EDU is safe and feasible in patients with GT, in terms of adherence, drop-outs, adverse events and lateral hip pain tolerability.

目的探讨大强度慢阻训练（HSR）和患者教育（EDU）在臀腱病（GT）患者中的可行性。第二个目的是评估干预后髋关节外侧疼痛、患者报告的结果、功能表现和髋关节肌肉力量的变化。方法19名临床诊断为GT的参与者（52±7岁，79%为女性），开始12周的监督HSR（2.5次/周），并接受书面和口头EDU。收集不同的可行性措施，包括参加计划的HSR课程的百分比（课程依从性），执行规定的HSR课程的百分比（内容依从性），退出，不良事件和疼痛耐受性。次要结果包括全球变化评分、疼痛强度、维多利亚运动评估-臀肌、疼痛自我效能问卷、EuroQol组5维5级、9步定时爬楼梯测试、30秒椅子站立测试和髋部最大等距肌肉力量（外展、屈曲和伸展）。结果中位（IQR）疗程依从性为100%(98 - 100%)，内容依从性为99%（96 - 100%）。18名参与者（95%）具有高（≥80%）的会话依从性，17名参与者（89%）具有高的内容依从性。1名参与者（5%）退出。无严重不良事件报告。中位（IQR）疼痛耐受性（即无疼痛或可忍受疼痛）在治疗前、HSR期间和治疗后24小时为100%（100 - 100%）。配对分析显示，所有次要结局均有显著改善（p≤0.05），效应量为中等（Cohen’s d≥0.5）至较大（Cohen’s d≥0.8）。结论hsr联合EDU治疗GT患者在依从性、退出、不良事件和髋外侧疼痛耐受性方面是安全可行的。

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引用次数: 0

Individualised physiotherapy assessment and management of migraine: the role of cervical sensitisation and musculoskeletal disorder 个体化物理治疗评估和偏头痛的管理：颈椎致敏和肌肉骨骼疾病的作用

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-11-01 Epub Date: 2025-10-20 DOI: 10.1016/j.msksp.2025.103439

Zhiqi Liang , Matteo Castaldo

引用次数: 0

Influence of psychological symptoms and related disability on central Sensitization Inventory score of individuals with temporomandibular disorders: a cross-sectional study 心理症状和相关残疾对颞下颌障碍患者中枢致敏性量表评分的影响：一项横断面研究

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-11-01 Epub Date: 2025-10-25 DOI: 10.1016/j.msksp.2025.103441

Luana Maria Ramos Mendes , Jene Caroline Silva Marçal , Lidiane Lima Florencio , Débora Bevilaqua-Grossi

Background

Patients with temporomandibular disorders (TMD) often present with neck pain, neck disability, and craniofacial disability; however, it has not been established whether these disabilities are associated with the symptoms related to central sensitization (CS).

Objective

To describe the prevalence of CS in subjects with TMD and neck disability and to analyze the relationship between symptoms associated with CS with both craniofacial and neck disability.

Methods

A cross-sectional study that evaluated 130 individuals with painful TMD according to the Criteria for Temporomandibular Disorders (DC/TMD). The questionnaires used were Central Sensitization Inventory (CSI), the Craniofacial Pain and Disability Inventory (CF-PDI), the Neck Disability Index (NDI), and the Hospital Anxiety and Depression Scale. The prevalence ratio of symptoms associated with CS among individuals with TMD in the function of neck disability was determined. The relationships between CF-PDI, NDI, and CSI were verified by multiple linear regression. Results: Individuals with TMD associated with neck disability presented 2 times more symptoms related to CS than individuals with TMD and without neck disability. Moreover, symptoms of anxiety and depression, as well as craniofacial disability and neck disability, contribute to 66 % of the variation in CSI scores in patients with TMD.

Conclusion

Individuals with TMD and neck disability presented more symptoms related to CS than those with TMD and without neck disability. This data showed that the presence of neck disability in individuals with TMD increased the association with symptoms of CS. Symptoms associated with CS are influenced by psychosocial factors, including craniofacial and cervical disability.

背景：颞下颌紊乱（TMD）患者通常表现为颈部疼痛、颈部残疾和颅面残疾；然而，尚不清楚这些残疾是否与中枢致敏（CS）相关的症状有关。目的：描述TMD合并颈部残疾患者CS的患病率，并分析CS相关症状与颅面和颈部残疾的关系。方法：一项横断面研究，根据颞下颌疾病标准（DC/TMD）评估130例疼痛性TMD患者。使用的问卷包括中枢致敏性量表（CSI）、颅面疼痛和残疾量表（CF-PDI）、颈部残疾指数（NDI）和医院焦虑和抑郁量表。测定颈功能残疾TMD患者中CS相关症状的患病率。通过多元线性回归验证CF-PDI、NDI和CSI之间的关系。结果：伴有颈部残疾的TMD患者出现的CS相关症状是无颈部残疾的TMD患者的2倍。此外，焦虑和抑郁症状以及颅面残疾和颈部残疾占TMD患者CSI评分变化的66%。结论：有TMD和颈部残疾的个体比有TMD和无颈部残疾的个体出现更多与CS相关的症状。这些数据表明，TMD患者颈部残疾的存在增加了CS症状的相关性。与CS相关的症状受社会心理因素的影响，包括颅面和颈部残疾。

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引用次数: 0

“Do I need an imaging?” exploring why patients with non-specific chronic low back pain request diagnostic instrumental evaluation: a phenomenological qualitative study “我需要影像学检查吗？”探讨为什么非特异性慢性腰痛患者要求诊断工具评估：一项现象学定性研究

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-11-01 Epub Date: 2025-09-15 DOI: 10.1016/j.msksp.2025.103416

Graziana Lullo , Gabriele Giannotta , Andrea Tamborrino , Firas Mourad , Massimo Esposto , Giuseppe Giovannico , Morten Hoegh , Matteo Cioeta

Objective

This study aims to investigate patient beliefs surrounding imaging for chronic non-specific low back pain (cLBP) when it is not clinically indicated.

Methods

Semi-structured interviews were conducted with patients diagnosed with cLBP, and thematic analysis was used to identify recurring themes from the interviews.

Results

Eleven patients (6 females, 5 males, mean age 53 ± 15.66 years) participated in the study. Three main themes emerged: (1) cognitive dissonance: need to 'know the cause,' but recognition of multifactorial dimension of pain; (2) imaging as a treatment guide: seen as useful post-conservative treatment failure and (3) imaging has different consequences: reassuring for some; anxiety-inducing and misleading for others.

Conclusion

This study highlights the importance of patient education regarding the limitations of diagnostic imaging for non-specific cLBP and the need for healthcare providers to communicate more effectively about alternative pain management strategies.

目的：本研究旨在探讨慢性非特异性腰痛（cLBP）在无临床指征时对影像学检查的看法。方法对诊断为cLBP的患者进行半结构化访谈，并采用主题分析来确定访谈中反复出现的主题。结果6例患者（女6例，男5例）参与研究，平均年龄（53±15.66岁）。出现了三个主要主题：(1)认知失调：需要“知道原因”，但认识到疼痛的多因素维度；(2)影像学作为治疗指南：在保守治疗失败后被视为有用的；(3)影像学有不同的后果：对一些人来说是令人放心的；引起焦虑，误导他人。结论：本研究强调了对患者进行教育的重要性，即非特异性cLBP诊断成像的局限性，以及医疗保健提供者需要更有效地沟通替代性疼痛管理策略。

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引用次数: 0

Identifying distinct scapular upward rotation patterns in individuals with upper trapezius–associated neck pain using unsupervised clustering approach 识别不同的肩胛骨向上旋转模式的个体与上斜方肌相关的颈部疼痛使用无监督聚类方法

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-11-01 Epub Date: 2025-08-27 DOI: 10.1016/j.msksp.2025.103396

Hwa-Ik Yoo , Ui-Jae Hwang , Jun-Hee Kim , Oh-Yun Kwon

Background

Previous findings on scapular motion in upper trapezius (UT)-associated neck pain are inconsistent, and binary pain classification may overlook important movement characteristics.

Objectives

To identify distinct scapular upward rotation patterns in individuals with UT-associated neck pain using unsupervised clustering and to compare the resulting subgroups with healthy controls.

Design

Exploratory, cross-sectional design.

Method

Eighty-nine participants with UT-associated neck pain and 25 asymptomatic controls performed unilateral and bilateral scapular upward rotation. A smartphone camera recorded marker trajectories on the acromion process. Marker displacements along the x- and y-axes and the y/x ratio served as input features. K-means clustering was applied, and group differences were assessed.

Results/Findings

Cluster 1 showed restricted displacement and elevated y/x ratios; Cluster 2 displayed excessive displacement with normal y/x ratios. Control values lay between clusters, and pain intensity did not differ by cluster.

Conclusions

Smartphone-based clustering reveals hypomobile and hypermobile scapular phenotypes, supporting personalized assessment. This classification could potentially help clinicians who seek to assess how both excessive and restricted scapular motions may contribute to UT‐associated neck pain. Future studies should validate these clusters in larger samples and incorporate three-dimensional kinematics.

背景先前关于上斜方肌（UT）相关颈部疼痛的肩胛骨运动的研究结果不一致，二元疼痛分类可能忽略了重要的运动特征。目的采用无监督聚类方法识别ut相关颈痛患者肩胛骨明显向上旋转的模式，并将结果亚组与健康对照进行比较。探索性、横断面设计。方法89例ut相关颈痛患者和25例无症状对照者进行单侧和双侧肩胛骨向上旋转。智能手机摄像头记录了肩峰过程中的标记轨迹。标记沿着x轴和y轴的位移以及y/x比率作为输入特征。采用k -均值聚类，评估组间差异。结果/发现集群1显示受限的位移和升高的y/x比值；簇2显示过度位移，y/x比值正常。控制值在组间存在，疼痛强度不因组而异。结论基于智能手机的聚类揭示了低活动和高活动的肩胛骨表型，支持个性化评估。这种分类可能有助于临床医生评估肩胛骨运动过度和受限如何导致UT相关的颈部疼痛。未来的研究应该在更大的样本中验证这些聚类，并纳入三维运动学。

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引用次数: 0

Weight-bearing asymmetry during sit-to-stand following total hip arthroplasty: A scoping review 全髋关节置换术后坐立时的负重不对称：一项范围回顾

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-11-01 Epub Date: 2025-09-17 DOI: 10.1016/j.msksp.2025.103419

Thomas Gus Almonroeder , Kanikkai Steni Balan Sackiriyas , Haruka Hyoda , Archana Yennu , Sumayeh Abujaber

Background

Individuals with hip osteoarthritis tend to offload their involved limb during sit-to-stand. However, it is unclear whether these weight-bearing asymmetries persist following total hip arthroplasty (THA). The purpose of this scoping review was to map and summarize the evidence describing weight-bearing asymmetry during the sit-to-stand task among individuals who had undergone unilateral THA.

Methods

A literature search was conducted using PubMed, CINAHL, SPORTDiscus, and Health Source databases to identify studies examining weight-bearing asymmetry among individuals who had undergone THA. Studies were included if they were published in a peer-reviewed journal, included participants who had undergone primary unilateral THA, and examined bilateral ground reaction forces (i.e. “weight-bearing”) during sit-to-stand.

Results

Seven studies met the eligibility criteria for this scoping review. All seven studies examined weight-bearing asymmetry among participants who had undergone THA (ranging from 10 weeks to 19 months prior). Each of these studies found that participants who had undergone THA tended to place greater load on their uninvolved limb, compared to their involved limb, during sit-to-stand. Four studies compared weight-bearing asymmetry for participants who had undergone THA to individuals without a history of THA (controls). Three of these four studies reported that participants who had undergone THA exhibited greater weight-bearing asymmetry compared to controls, while the remaining study found no difference in weight-bearing asymmetry between the THA and control groups.

Conclusions

Individuals who have undergone THA tend to offload their involved limb when performing sit-to-stands. These individuals also tend to exhibit greater weight-bearing asymmetries compared to those without THA.

背景：髋关节骨性关节炎患者在坐立过程中倾向于卸下受累肢体。然而，目前尚不清楚这些负重不对称是否会在全髋关节置换术后持续存在。本综述的目的是绘制和总结描述单侧髋关节置换术患者坐立任务中负重不对称的证据。方法使用PubMed、CINAHL、SPORTDiscus和Health Source数据库进行文献检索，以确定对THA患者负重不对称的研究。如果研究发表在同行评议的期刊上，则纳入研究，包括经历过原发性单侧THA的参与者，并检查了坐姿到站立时的双边地面反作用力（即“负重”）。结果7项研究符合本综述的入选标准。所有七项研究都检查了接受过THA的参与者（从10周到19个月不等）的负重不对称性。每一项研究都发现，在坐姿到站立的过程中，接受过全髋关节置换术的参与者倾向于对其未受累肢体施加更大的负荷。四项研究比较了接受过髋关节置换术的参与者和没有髋关节置换术史的参与者（对照组）的负重不对称性。这四项研究中有三项报告称，与对照组相比，接受THA的参与者表现出更大的负重不对称性，而其余研究发现THA组和对照组之间的负重不对称性没有差异。结论：做过全髋关节置换术的个体在进行坐立时倾向于卸下受累肢体。与没有THA的人相比，这些人也倾向于表现出更大的负重不对称。

{"title":"Weight-bearing asymmetry during sit-to-stand following total hip arthroplasty: A scoping review","authors":"Thomas Gus Almonroeder , Kanikkai Steni Balan Sackiriyas , Haruka Hyoda , Archana Yennu , Sumayeh Abujaber","doi":"10.1016/j.msksp.2025.103419","DOIUrl":"10.1016/j.msksp.2025.103419","url":null,"abstract":"<div><h3>Background</h3><div>Individuals with hip osteoarthritis tend to offload their involved limb during sit-to-stand. However, it is unclear whether these weight-bearing asymmetries persist following total hip arthroplasty (THA). The purpose of this scoping review was to map and summarize the evidence describing weight-bearing asymmetry during the sit-to-stand task among individuals who had undergone unilateral THA.</div></div><div><h3>Methods</h3><div>A literature search was conducted using PubMed, CINAHL, SPORTDiscus, and Health Source databases to identify studies examining weight-bearing asymmetry among individuals who had undergone THA. Studies were included if they were published in a peer-reviewed journal, included participants who had undergone primary unilateral THA, and examined bilateral ground reaction forces (i.e. “weight-bearing”) during sit-to-stand.</div></div><div><h3>Results</h3><div>Seven studies met the eligibility criteria for this scoping review. All seven studies examined weight-bearing asymmetry among participants who had undergone THA (ranging from 10 weeks to 19 months prior). Each of these studies found that participants who had undergone THA tended to place greater load on their uninvolved limb, compared to their involved limb, during sit-to-stand. Four studies compared weight-bearing asymmetry for participants who had undergone THA to individuals without a history of THA (controls). Three of these four studies reported that participants who had undergone THA exhibited greater weight-bearing asymmetry compared to controls, while the remaining study found no difference in weight-bearing asymmetry between the THA and control groups.</div></div><div><h3>Conclusions</h3><div>Individuals who have undergone THA tend to offload their involved limb when performing sit-to-stands. These individuals also tend to exhibit greater weight-bearing asymmetries compared to those without THA.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"80 ","pages":"Article 103419"},"PeriodicalIF":2.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145096290","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

Validity of the Global Rating of Change in patients with chronic low back pain 慢性腰痛患者总体变化评分的有效性。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-11-01 Epub Date: 2025-11-08 DOI: 10.1016/j.msksp.2025.103443

Andrés Pierobon , Lívia Gaspar Fernandes , Ross Wilson , Rory McMahon Christopherson , James Stanley , Yana Pryymachenko , Yen Wei Lim , Richelle Caya , Moody Gayed , J. Haxby Abbott

Background

The Global Rating of Change (GROC) is a widely used outcome measure that aims to capture change in overall health status. There is limited evidence on the validity of the GROC for measuring change among patients with chronic low back pain (CLBP), and little is known about which clinical variables explain the GROC score.

Objectives

This study aimed to assess the validity of the GROC in measuring change, and identify which clinical variables correlate with the GROC score in patients with CLBP.

Design

Retrospective observational study.

Methods

This secondary analysis included clinical data from patients with CLBP enrolled in a physiotherapy program. Data on pain intensity, function, pain catastrophizing, depression, and quality of life were collected at baseline and discharge, and the GROC scale was completed at discharge. We performed Spearman correlation and linear regression analyses to examine the relationship between the GROC and change/discharge scores for all clinical variables.

Results

Data from 102 participants were analysed. Spearman correlations between the GROC and discharge scores were greater (−0.46 to −0.71) than correlations between the GROC and change scores (−0.34 to −0.63) for all variables. The linear regression model including discharge scores explained a greater part of the variance of the GROC score (R² = 0.63) than the model including change scores (R² = 0.46). In both models, pain intensity was the variable most strongly associated with the GROC score.

Conclusion

Baseline and discharge outcome measures should be preferred over the GROC for measuring change after treatment in patients with CLBP.

背景：全球变化评级（GROC）是一种广泛使用的结果测量，旨在捕捉整体健康状况的变化。关于GROC在慢性腰痛（CLBP）患者中测量变化的有效性的证据有限，并且对于哪些临床变量解释GROC评分知之甚少。目的：本研究旨在评估GROC在测量变化方面的有效性，并确定哪些临床变量与CLBP患者的GROC评分相关。设计：回顾性观察性研究。方法：这一次要分析纳入了CLBP患者的临床数据，这些患者参加了一个物理治疗项目。在基线和出院时收集疼痛强度、功能、疼痛灾变、抑郁和生活质量的数据，并在出院时完成GROC量表。我们采用Spearman相关和线性回归分析来检验GROC与所有临床变量的变化/出院评分之间的关系。结果：分析了102名参与者的数据。对于所有变量，GROC与出院评分之间的Spearman相关性（-0.46至-0.71）大于GROC与变化评分之间的相关性（-0.34至-0.63）。包含出院评分的线性回归模型比包含变化评分的线性回归模型更能解释GROC评分的方差（R2 = 0.63）， R2 = 0.46。在这两个模型中，疼痛强度是与GROC评分相关性最强的变量。结论：在测量CLBP患者治疗后的变化时，基线和出院结果测量应优于GROC。

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引用次数: 0

Pain science knowledge among healthcare Professionals: A cross-sectional survey within the United States department of veterans Affairs 医疗保健专业人员的疼痛科学知识：美国退伍军人事务部的横断面调查。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-11-01 Epub Date: 2025-09-26 DOI: 10.1016/j.msksp.2025.103422

Damian Keter , Kristin Eneberg-Boldon , Wesley Kurszewski , Lindsay Marth , Tonya Rich , Kathryn Schopmeyer , Rebecca Vogsland

Background

Pain complaints are one of the primary reasons that military veterans seek healthcare within the United States Veterans Health Administration (VHA). VHA providers therefore need to be able to appropriately identify and classify clinical pain presentations and provide evidence-based management strategies.

Objective

The objective of this exploratory quality improvement (QI) project was to identify gaps in pain science knowledge across healthcare professionals who participate in the pharmacological and non-pharmacological management of pain within the United States VHA.

Design

Cross-sectional survey.

Results/findings

Healthcare providers (n = 311; 2 % response rate) representing 17 professions completed the survey. Significant between group difference was demonstrated by profession (H = 23.46; p < .001), and by provider age (H = 65.29; p < .001) in self-reported confidence measures and revised neurophysiology of pain (rNPQ) scores (p < .001). None of the professions reported confidence identifying/treating nociplastic pain and a single profession (pharmacists) reported confidence differentiating between pain phenotypes. Overall, the mean rNPQ score was 9.0 out of 12. Physical therapists (9.9) and psychologists (9.2) scored highest while nurse practitioners (7.3) and clinical social workers (7.6) scored lowest. Individuals 31–40 years old scored the highest (9.0) while individuals greater than 60 years old scored the lowest (7.2).

Conclusion

Pain knowledge within the VHA varies by profession and age. Educational opportunities within the VHA should be catered towards professions likely to benefit the most, including non-physician primary care providers. Educational opportunities should focus on terminology, differentiating between pain phenotypes, and understanding nociplastic pain phenotypes.

背景：疼痛投诉是退伍军人寻求医疗保健在美国退伍军人健康管理局（VHA）的主要原因之一。因此，VHA提供者需要能够适当地识别和分类临床疼痛表现，并提供循证管理策略。目的：本探索性质量改进（QI）项目的目的是确定美国VHA内参与疼痛药物和非药物管理的医疗保健专业人员在疼痛科学知识方面的差距。设计：横断面调查。结果/发现：代表17个专业的医疗保健提供者（n = 311； 2%回复率）完成了调查。结论：VHA内部的疼痛知识存在不同职业和年龄的差异。VHA内的教育机会应面向可能受益最大的专业，包括非医生初级保健提供者。教育机会应侧重于术语，区分疼痛表型，并了解致伤性疼痛表型。

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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 : 2025-11-01 Epub 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

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 : 2025-11-01 Epub 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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