Musculoskeletal Science and Practice最新文献_第7页

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。

{"title":"Effectiveness of remotely-delivered Psychologically-Informed Physical Therapy (PIPT) for people with chronic pain: a systematic review with meta-analysis","authors":"Matteo Cioeta , Luca Giacobbe , Marco Medugno , Davide Lampasi , Leonardo Pellicciari , Giuseppe Giovannico , Germano Guerra , Giovanni Galeoto","doi":"10.1016/j.msksp.2025.103432","DOIUrl":"10.1016/j.msksp.2025.103432","url":null,"abstract":"<div><h3>Objective</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"80 ","pages":"Article 103432"},"PeriodicalIF":2.2,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309932","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

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。

{"title":"Assessing patient education materials about low back pain for understandability, actionability, quality, readability, accuracy, comprehensiveness, and coverage of information about patients’ needs","authors":"Bradley Furlong , Mona Frey , Simon Davidson , Giovanni Ferreira , Holly Etchegary , Kris Aubrey-Bassler , Amanda Hall","doi":"10.1016/j.msksp.2025.103430","DOIUrl":"10.1016/j.msksp.2025.103430","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Objectives</h3><div>assess PEMs for understandability, actionability, quality, readability, accuracy, comprehensiveness, and coverage of information about patients’ needs to identify the best PEMs for practice.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"80 ","pages":"Article 103430"},"PeriodicalIF":2.2,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304545","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

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）。

{"title":"Association between neck muscle size and physical features in individuals with chronic non-specific neck pain: A systematic review","authors":"Georgios Sidiropoulos , Michail Arvanitidis , Deborah Falla , Asimakis Kanellopoulos , Maria Tsekoura , Nikolaos Strimpakos , Zacharias Dimitriadis","doi":"10.1016/j.msksp.2025.103428","DOIUrl":"10.1016/j.msksp.2025.103428","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Objective</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div><div><h3>Registration number</h3><div>CRD42024570776 (PROSPERO).</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"80 ","pages":"Article 103428"},"PeriodicalIF":2.2,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253752","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

“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。

{"title":"“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","authors":"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","doi":"10.1016/j.msksp.2025.103427","DOIUrl":"10.1016/j.msksp.2025.103427","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Objective</h3><div>We explored the beliefs and attitudes of active adults with hip/groin pain towards hip crepitus.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>We identified one overarching theme: <em>Crepitus – an unwanted sensation</em>, which divided the sample into two groups based on their description of crepitus and associated symptoms: <em>(i) clicking and tightness</em> and <em>(ii) grinding and pain</em>. The similarities and differences between the two groups were highlighted for the three main themes: (1) <em>Worries related to crepitus – uncertainty and anxiety</em>; (2) <em>Impact of crepitus on sport and daily life – hip flexion avoidance</em>; and (3) <em>Different mindsets about crepitus treatment – keep on moving</em>.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"80 ","pages":"Article 103427"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245858","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

Development of a patient decision aid in relation to imaging for rotator cuff tendinopathy: a mixed-methods study. 一种与肩袖肌腱病变影像学相关的患者决策辅助工具的开发：一项混合方法的研究。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-10-01 Epub Date: 2025-07-19 DOI: 10.1016/j.msksp.2025.103388

P Malliaras, T P Haines, F Burstein, D Connell, P Delir Haghighi, T Hoffmann, J Neil, P Nicklen, H Skouteris, R S Page, R Whale, I Harris, J R Zadro

Background: Unnecessary imaging for rotator cuff related shoulder pain is common and may be related to inadequate shared decision making.

Objective: To develop and evaluate a patient decision aid (PDA) for people with rotator cuff-related shoulder pain to inform decision-making.

Design: Mixed-methods study guided by the International Patient Decision Aids Standards.

Methods: A multidisciplinary steering group guided this research. The PDA was developed iteratively, incorporating feedback from people with shoulder pain and health professionals through semi-structured interviews and acceptability questionnaires (1 = strongly disagree and 5 = strongly agree). Thematic analysis of qualitative data and descriptive analysis of quantitative data was undertaken.

Results: Twenty health professionals and nineteen patients participated in interviews, while a separate cohort of 54 patients and 15 health professionals completed acceptability questionnaires. Most patients (74-98 %) rated the PDA as acceptable, though 37 % perceived it as biased against imaging. Health professionals (median agreement score 4/5) found the PDA useful but highlighted concerns about feasibility in time-constrained settings. Interview feedback emphasized clarity, contextualization of imaging findings, and alignment with clinical guidelines. When using the final version of the PDA in a clinical encounter, all five patients (100 %) reported that the information in the decision aid influenced their decision to have a scan, and four of the five health professionals (80 %) reported that they would use the decision aid in their practice.

Conclusion: This decision aid appears to be an acceptable and useful tool for helping people with rotator cuff-related shoulder pain to make informed decisions about imaging. A randomized controlled trial evaluating whether this decision aid reduces people's intentions to have imaging and facilitate informed treatment choices is now needed.

背景：肩袖相关肩痛的不必要影像学检查很常见，可能与共同决策不足有关。目的：为肩袖相关肩痛患者开发和评估患者决策辅助（PDA），为决策提供依据。设计：国际患者辅助决策标准指导下的混合方法研究。方法：多学科指导小组指导本研究。PDA是迭代开发的，通过半结构化访谈和可接受性问卷（1 =强烈不同意，5 =强烈同意），纳入肩痛患者和健康专业人员的反馈。对定性数据进行专题分析，对定量数据进行描述性分析。结果：20名卫生专业人员和19名患者参与了访谈，另外54名患者和15名卫生专业人员完成了可接受性问卷。大多数患者（74- 98%）认为PDA是可以接受的，尽管37%的人认为它对成像有偏见。卫生专业人员（同意得分中位数为4/5）认为PDA很有用，但强调了在时间有限的情况下可行性的问题。访谈反馈强调清晰度、影像发现的背景化以及与临床指南的一致性。当在临床接触中使用PDA的最终版本时，所有5名患者（100%）报告说决策辅助工具中的信息影响了他们进行扫描的决定，5名卫生专业人员中有4名（80%）报告说他们将在实践中使用决策辅助工具。结论：对于肩袖相关肩痛患者，该辅助决策工具是一种可接受且有用的工具，可帮助患者在影像学检查中做出明智的决定。现在需要进行一项随机对照试验，评估这种决策辅助是否会降低人们进行影像学检查的意愿，并促进知情的治疗选择。

{"title":"Development of a patient decision aid in relation to imaging for rotator cuff tendinopathy: a mixed-methods study.","authors":"P Malliaras, T P Haines, F Burstein, D Connell, P Delir Haghighi, T Hoffmann, J Neil, P Nicklen, H Skouteris, R S Page, R Whale, I Harris, J R Zadro","doi":"10.1016/j.msksp.2025.103388","DOIUrl":"10.1016/j.msksp.2025.103388","url":null,"abstract":"<p><strong>Background: </strong>Unnecessary imaging for rotator cuff related shoulder pain is common and may be related to inadequate shared decision making.</p><p><strong>Objective: </strong>To develop and evaluate a patient decision aid (PDA) for people with rotator cuff-related shoulder pain to inform decision-making.</p><p><strong>Design: </strong>Mixed-methods study guided by the International Patient Decision Aids Standards.</p><p><strong>Methods: </strong>A multidisciplinary steering group guided this research. The PDA was developed iteratively, incorporating feedback from people with shoulder pain and health professionals through semi-structured interviews and acceptability questionnaires (1 = strongly disagree and 5 = strongly agree). Thematic analysis of qualitative data and descriptive analysis of quantitative data was undertaken.</p><p><strong>Results: </strong>Twenty health professionals and nineteen patients participated in interviews, while a separate cohort of 54 patients and 15 health professionals completed acceptability questionnaires. Most patients (74-98 %) rated the PDA as acceptable, though 37 % perceived it as biased against imaging. Health professionals (median agreement score 4/5) found the PDA useful but highlighted concerns about feasibility in time-constrained settings. Interview feedback emphasized clarity, contextualization of imaging findings, and alignment with clinical guidelines. When using the final version of the PDA in a clinical encounter, all five patients (100 %) reported that the information in the decision aid influenced their decision to have a scan, and four of the five health professionals (80 %) reported that they would use the decision aid in their practice.</p><p><strong>Conclusion: </strong>This decision aid appears to be an acceptable and useful tool for helping people with rotator cuff-related shoulder pain to make informed decisions about imaging. A randomized controlled trial evaluating whether this decision aid reduces people's intentions to have imaging and facilitate informed treatment choices is now needed.</p>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"79 ","pages":"103388"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805350","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

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 : 2025-09-30 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。

{"title":"Heavy slow resistance training combined with patient education in patients with gluteal tendinopathy: A feasibility study","authors":"Jan Moritz Grigat , Troels Kjeldsen , Stian Langgård Jørgensen , Inger Mechlenburg , Ulrik Dalgas","doi":"10.1016/j.msksp.2025.103425","DOIUrl":"10.1016/j.msksp.2025.103425","url":null,"abstract":"<div><h3>Aim</h3><div>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.</div></div><div><h3>Methods</h3><div>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).</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"80 ","pages":"Article 103425"},"PeriodicalIF":2.2,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145362699","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

Education, rapport and convenience are key to participants’ perceptions of receiving physiotherapy or shockwave for proximal hamstring tendinopathy: a qualitative study 教育，关系和便利是关键参与者接受物理治疗或冲击波近端腘绳肌腱病的看法：一项定性研究。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-09-29 DOI: 10.1016/j.msksp.2025.103426

Aidan Rich , Andrew Hahne , Jon Ford , Jilliane Cook , Casey Peiris

Background

Proximal hamstring tendinopathy (PHT) is a challenging musculoskeletal condition commonly affecting active populations, presenting as localised lower buttock pain. While various treatments have been investigated, including physiotherapy and extracorporeal shockwave therapy (ESWT), there is limited understanding of patient experiences with these interventions.

Aim

This study aimed to explore patient perspectives and experiences of receiving physiotherapy and ESWT treatments for PHT to provide insights into their perceived effectiveness and acceptability.

Methods

A qualitative design with semi-structured interviews and an interpretive description approach was applied. Participants were recruited from a randomised trial comparing individualised physiotherapy versus ESWT for PHT. Twenty-two participants (16 women, mean age 46 years), were interviewed after completing their allocated interventions. Data were analysed using thematic analysis to identify patterns and themes.

Results

Participants reported improvements in symptoms and function with both interventions, attributed to education and strong rapport with physiotherapists. Differences between treatment groups emerged in their perceptions of ease of adherence and additional benefits. The physiotherapy intervention group participants reported that exercises were challenging to adhere to but perceived unique functional and strength improvements. Shockwave therapy group participants felt it was easier to comply with, offering pain relief and functional gains but lacked the physical conditioning benefits of physiotherapy.

Conclusion

Both physiotherapy and ESWT were perceived as beneficial for PHT management, with important differences related to ease of treatment adherence and other benefits. These findings emphasise the importance of individualised care and consultation with the patient when choosing treatment for PHT.

背景：近端腿筋肌腱病（PHT）是一种具有挑战性的肌肉骨骼疾病，通常影响运动人群，表现为局部下臀部疼痛。虽然已经研究了各种治疗方法，包括物理治疗和体外冲击波治疗（ESWT），但对这些干预措施的患者体验的了解有限。目的：本研究旨在探讨PHT患者接受物理治疗和ESWT治疗的观点和经验，以了解其感知有效性和可接受性。方法：采用半结构化访谈的定性设计和解释性描述法。参与者是从一项比较个体化物理治疗与ESWT治疗PHT的随机试验中招募的。22名参与者（16名女性，平均年龄46岁）在完成分配的干预措施后接受了采访。使用专题分析来分析数据，以确定模式和主题。结果：参与者报告了两种干预措施的症状和功能的改善，这归功于教育和与物理治疗师的良好关系。治疗组之间的差异体现在他们对依从性和额外益处的看法上。物理治疗干预组的参与者报告说，锻炼是具有挑战性的坚持，但感知到独特的功能和力量的改善。冲击波治疗组的参与者感觉更容易遵守，提供疼痛缓解和功能增益，但缺乏物理治疗的身体调节益处。结论：物理治疗和ESWT都被认为对PHT治疗有益，在治疗依从性和其他益处方面存在重要差异。这些发现强调了在选择PHT治疗方法时个性化护理和咨询患者的重要性。

{"title":"Education, rapport and convenience are key to participants’ perceptions of receiving physiotherapy or shockwave for proximal hamstring tendinopathy: a qualitative study","authors":"Aidan Rich , Andrew Hahne , Jon Ford , Jilliane Cook , Casey Peiris","doi":"10.1016/j.msksp.2025.103426","DOIUrl":"10.1016/j.msksp.2025.103426","url":null,"abstract":"<div><h3>Background</h3><div>Proximal hamstring tendinopathy (PHT) is a challenging musculoskeletal condition commonly affecting active populations, presenting as localised lower buttock pain. While various treatments have been investigated, including physiotherapy and extracorporeal shockwave therapy (ESWT), there is limited understanding of patient experiences with these interventions.</div></div><div><h3>Aim</h3><div>This study aimed to explore patient perspectives and experiences of receiving physiotherapy and ESWT treatments for PHT to provide insights into their perceived effectiveness and acceptability.</div></div><div><h3>Methods</h3><div>A qualitative design with semi-structured interviews and an interpretive description approach was applied. Participants were recruited from a randomised trial comparing individualised physiotherapy versus ESWT for PHT. Twenty-two participants (16 women, mean age 46 years), were interviewed after completing their allocated interventions. Data were analysed using thematic analysis to identify patterns and themes.</div></div><div><h3>Results</h3><div>Participants reported improvements in symptoms and function with both interventions, attributed to education and strong rapport with physiotherapists. Differences between treatment groups emerged in their perceptions of ease of adherence and additional benefits. The physiotherapy intervention group participants reported that exercises were challenging to adhere to but perceived unique functional and strength improvements. Shockwave therapy group participants felt it was easier to comply with, offering pain relief and functional gains but lacked the physical conditioning benefits of physiotherapy.</div></div><div><h3>Conclusion</h3><div>Both physiotherapy and ESWT were perceived as beneficial for PHT management, with important differences related to ease of treatment adherence and other benefits. These findings emphasise the importance of individualised care and consultation with the patient when choosing treatment for PHT.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"80 ","pages":"Article 103426"},"PeriodicalIF":2.2,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214521","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

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 : 2025-09-26 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。

{"title":"Pain science knowledge among healthcare Professionals: A cross-sectional survey within the United States department of veterans Affairs","authors":"Damian Keter , Kristin Eneberg-Boldon , Wesley Kurszewski , Lindsay Marth , Tonya Rich , Kathryn Schopmeyer , Rebecca Vogsland","doi":"10.1016/j.msksp.2025.103422","DOIUrl":"10.1016/j.msksp.2025.103422","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Objective</h3><div>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.</div></div><div><h3>Design</h3><div>Cross-sectional survey.</div></div><div><h3>Results/findings</h3><div>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).</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"80 ","pages":"Article 103422"},"PeriodicalIF":2.2,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208381","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

Associations between left/right judgment task performance and psychosocial pain factors in women with fibromyalgia: A cross-sectional study 纤维肌痛女性左/右判断任务表现与心理社会疼痛因素之间的关系：一项横断面研究

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-09-25 DOI: 10.1016/j.msksp.2025.103423

Erick Atenas-Núñez , María Jesús Muñoz-Yánez , Andrea Lizama-Lefno , Ángel Roco-Videla , Mayte Serrat , Sergio Flores-Carrasco

Background/objectives

Fibromyalgia (FM) is a chronic pain condition characterized by widespread pain and associated with psychosocial factors such as kinesiophobia and catastrophizing. This study aims to identify psychosocial variables that explain variance in left/right judgment task (LRJ) performance in women with FM and to compare LRJ performance between women with low pain intensity and those with moderate-high pain intensity.

Methods

A cross-sectional study was conducted with 56 women recruited from a rehabilitation foundation. Pain intensity, kinesiophobia, and catastrophizing were assessed using validated instruments, including the Visual Analog Scale (VAS) and the Tampa Scale for Kinesiophobia. LRJ tasks were performed with Recognise™ software, measuring reaction time (RT) and accuracy (AC). Data were analyzed with multiple linear regression models and Mann-Whitney U tests to examine variables that explained variance in LRJ performance and to compare groups with low versus moderate-high pain intensity.

Results

Age and kinesiophobia significantly explained variance in RT, accounting for up to 10.2 % of the variation. Pain intensity explained 21 % of the variance in AC when combined with age. Significant differences in RT and AC were observed between women with low pain intensity and those with moderate-high pain intensity.

Conclusions

Age, pain intensity, and kinesiophobia influence LRJ performance in women with FM, supporting the hypothesis of an altered body schema in this population. These findings emphasize the need for comprehensive treatment that addresses both physical and psychosocial factors, and suggest that LRJ-based strategies could be further explored as complementary tools in rehabilitation.

背景/目的：纤维肌痛（FM）是一种以广泛性疼痛为特征的慢性疼痛，并与运动恐惧症和灾难化等社会心理因素相关。本研究旨在找出解释FM女性左/右判断任务（LRJ）表现差异的社会心理变量，并比较低疼痛强度和中高疼痛强度女性的LRJ表现。方法：从康复基金会招募56名妇女进行横断面研究。疼痛强度、运动恐惧症和灾难化使用经过验证的工具进行评估，包括视觉模拟量表（VAS）和运动恐惧症的坦帕量表。LRJ任务由recognition™软件完成，测量反应时间（RT）和准确度（AC）。采用多元线性回归模型和Mann-Whitney U检验对数据进行分析，以检验解释LRJ表现差异的变量，并比较低疼痛强度组与中高疼痛强度组。结果：年龄和运动恐惧症显著解释了RT的差异，占变异的10.2%。当与年龄相结合时，疼痛强度解释了21%的AC差异。在疼痛强度低的女性和疼痛强度中高的女性之间观察到RT和AC的显著差异。结论：年龄、疼痛强度和运动恐惧症影响FM女性的LRJ表现，支持该人群身体图式改变的假设。这些研究结果强调了综合治疗的必要性，解决了生理和心理因素，并表明基于lrh的策略可以进一步探索作为康复的补充工具。

{"title":"Associations between left/right judgment task performance and psychosocial pain factors in women with fibromyalgia: A cross-sectional study","authors":"Erick Atenas-Núñez , María Jesús Muñoz-Yánez , Andrea Lizama-Lefno , Ángel Roco-Videla , Mayte Serrat , Sergio Flores-Carrasco","doi":"10.1016/j.msksp.2025.103423","DOIUrl":"10.1016/j.msksp.2025.103423","url":null,"abstract":"<div><h3>Background/objectives</h3><div>Fibromyalgia (FM) is a chronic pain condition characterized by widespread pain and associated with psychosocial factors such as kinesiophobia and catastrophizing. This study aims to identify psychosocial variables that explain variance in left/right judgment task (LRJ) performance in women with FM and to compare LRJ performance between women with low pain intensity and those with moderate-high pain intensity.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted with 56 women recruited from a rehabilitation foundation. Pain intensity, kinesiophobia, and catastrophizing were assessed using validated instruments, including the Visual Analog Scale (VAS) and the Tampa Scale for Kinesiophobia. LRJ tasks were performed with Recognise™ software, measuring reaction time (RT) and accuracy (AC). Data were analyzed with multiple linear regression models and Mann-Whitney U tests to examine variables that explained variance in LRJ performance and to compare groups with low versus moderate-high pain intensity.</div></div><div><h3>Results</h3><div>Age and kinesiophobia significantly explained variance in RT, accounting for up to 10.2 % of the variation. Pain intensity explained 21 % of the variance in AC when combined with age. Significant differences in RT and AC were observed between women with low pain intensity and those with moderate-high pain intensity.</div></div><div><h3>Conclusions</h3><div>Age, pain intensity, and kinesiophobia influence LRJ performance in women with FM, supporting the hypothesis of an altered body schema in this population. These findings emphasize the need for comprehensive treatment that addresses both physical and psychosocial factors, and suggest that LRJ-based strategies could be further explored as complementary tools in rehabilitation.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"80 ","pages":"Article 103423"},"PeriodicalIF":2.2,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208397","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