Musculoskeletal Science and Practice最新文献

{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"81 ","pages":"Article 103445"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147238339","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}

{"title":"Psychosocial assessment in musculoskeletal care: A survey of UK physiotherapists","authors":"Michael Henning ,&nbsp;Shea Palmer ,&nbsp;Nicola Walsh","doi":"10.1016/j.msksp.2025.103485","DOIUrl":"10.1016/j.msksp.2025.103485","url":null,"abstract":"<div><h3>Background</h3><div>Psychosocial factors strongly influence musculoskeletal (MSK) outcomes, yet their systematic assessment remains inconsistent in physiotherapy practice. Although validated psychosocial assessment tools exist, little is known about how UK MSK physiotherapists use them.</div></div><div><h3>Objective</h3><div>To explore UK physiotherapists’ perceptions, practices, and confidence regarding psychosocial assessment, and to identify key challenges and facilitators.</div></div><div><h3>Design</h3><div>Cross-sectional online survey.</div></div><div><h3>Methods</h3><div>An anonymous online questionnaire was distributed via professional networks and social media to qualified UK-based MSK physiotherapists. Questions focused on demographics, perceptions, practices, and challenges/facilitators regarding psychosocial assessment. Quantitative data were analysed descriptively and using non-parametric statistics; free-text responses were examined narratively.</div></div><div><h3>Results</h3><div>373 physiotherapists responded, from a range of roles and experience levels. Most rated psychosocial factors as highly important and reported they often influenced treatment planning. Assessment relied mainly on clinical judgement and explicit questioning, while formal tool use was uncommon. Confidence in identifying and interpreting psychosocial factors showed moderate positive associations with screening tool use and weak or no associations with years of clinical experience. The most cited challenges to use of validated tools were time constraints, and training, whereas concise tools, electronic integration, and evidence of patient benefit were viewed as key facilitators.</div></div><div><h3>Conclusions</h3><div>UK MSK physiotherapists recognise the importance of psychosocial assessment, but its application in routine practice remains inconsistent and largely informal. Confidence appears to be more closely related to exposure to psychosocial screening tools than to years of clinical experience. These findings highlight the need for approaches that support consistent psychosocial assessment within routine MSK care.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"82 ","pages":"Article 103485"},"PeriodicalIF":2.2,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145980404","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}

{"title":"Diagnostic labels used by health professionals for patellofemoral pain: A cross-sectional online survey.","authors":"Zixin Zhang, Giovanni E Ferreira, Evangelos Pappas, Christopher G Maher, Joshua R Zadro","doi":"10.1016/j.msksp.2025.103481","DOIUrl":"https://doi.org/10.1016/j.msksp.2025.103481","url":null,"abstract":"<p><strong>Objectives: </strong>To explore what diagnostic labels are commonly used by health professionals in managing patellofemoral pain (PFP), to investigate management preferences for PFP, and whether imaging findings, patient characteristics, and clinicians' expertise influence the diagnostic labels used by health professionals for PFP.</p><p><strong>Method: </strong>We conducted an online cross-sectional survey of health professionals with experience in managing knee pain to explore what diagnostic labels health professionals use for PFP. Demographic and outcome data were summarised using descriptive statistics. Logistic regression analyses were performed to explore whether years of experience and clinicians' expertise influence the use of diagnostic labels.</p><p><strong>Results: </strong>156 participants provided data for our primary outcome (use of diagnostic labels) and 139 completed the survey. The most used diagnostic labels for PFP were 'patellofemoral pain' (83 %), 'anterior knee pain and/or syndrome' (54 %), and 'patellofemoral pain syndrome' (44 %). The most common management strategies for PFP included exercise therapy (98 %), patient education (85 %), manual therapy (63 %), and patellar taping (58 %). Around one-third of health professionals would modify their diagnosis of PFP if imaging found a meniscal tear (37 %) or inflamed bursa/fat pad (38 %). Health professionals with self-reported excellent/good diagnostic skills or who had more years of experience were less likely to change their label based on imaging findings.</p><p><strong>Conclusion: </strong>Health professionals' use of diagnostic labels and management strategies for PFP mostly align with current recommendations. More research is needed to investigate the relationship between diagnostic labels and patients' management preferences, and the reasons for health professionals' choice of diagnostic labels for PFP.</p>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":" ","pages":"103481"},"PeriodicalIF":2.2,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145994615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is pregnancy a major risk factor for musculoskeletal pain? A cross-sectional study","authors":"Mai Mhajne ,&nbsp;Asaf Weisman ,&nbsp;Tomer Yona ,&nbsp;Youssef Masharawi","doi":"10.1016/j.msksp.2025.103482","DOIUrl":"10.1016/j.msksp.2025.103482","url":null,"abstract":"<div><h3>Background</h3><div>Musculoskeletal pain during pregnancy is commonly considered prevalent, though evidence primarily comes from cross-sectional studies lacking appropriate control groups.</div></div><div><h3>Objective</h3><div>To examine the prevalence of musculoskeletal pain among pregnant women compared to non-pregnant women as a reference group.</div></div><div><h3>Design</h3><div>Observational cross-sectional.</div></div><div><h3>Methods</h3><div>1651 women (589 pregnant, 1062 non-pregnant) in Israel completed an online survey using the Hebrew Extended Nordic Musculoskeletal Questionnaire and SF-12. Chi-square tests and logistic regression analyses examined associations between pregnancy status and pain prevalence while controlling for confounding factors including age, BMI, education, employment, lifestyle factors, and medical history.</div></div><div><h3>Results</h3><div>Pregnant women reported higher rates of upper back pain (67.1 % vs. 56.4 %, p = 0.02) and lower back pain (73.9 % vs. 64.9 %, p = 0.004), while non-pregnant women reported more hip/thigh pain (54.5 % vs. 48.4 %, p &lt; 0.001). However, after controlling for confounders in multivariate regression, these associations became non-significant. Pregnant women had significantly lower physical component scores (43.31 ± 9.33 vs. 48.08 ± 8.41, p &lt; 0.001). Physical health status (PCS-12) was the strongest predictor of current low back pain (OR = 0.92, 95 % CI: 0.90–0.94, p &lt; 0.001), pregnancy status showed no independent association (OR = 1.19, 95 % CI: 0.77–1.84, p = 0.430). Smoking emerged as a significant risk factor (OR = 2.02, 95 % CI: 1.03–3.96, p = 0.042).</div></div><div><h3>Conclusion</h3><div>This study challenges the assumption that pregnancy inherently causes higher musculoskeletal pain prevalence. Physical health status plays a more substantial role than pregnancy status per se, highlighting the multifactorial nature of pregnancy-related musculoskeletal pain.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"81 ","pages":"Article 103482"},"PeriodicalIF":2.2,"publicationDate":"2025-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145859067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Latent classes of trial reporting and publication practices in spinal manipulation research: a meta-epidemiological study","authors":"Casper Nim ,&nbsp;Michelle Frederiksen ,&nbsp;Sasha Aspinall ,&nbsp;Aron Downie ,&nbsp;Martha Funabashi ,&nbsp;Steen Harsted ,&nbsp;Hazel Jenkins ,&nbsp;David McNaughton ,&nbsp;Luana Nyirö ,&nbsp;Eric J. Roseen ,&nbsp;James J. Young ,&nbsp;Liz Dennett ,&nbsp;Stephen M. Perle ,&nbsp;Chad Cook ,&nbsp;Carsten Juhl ,&nbsp;Jan Hartvigsen","doi":"10.1016/j.msksp.2025.103480","DOIUrl":"10.1016/j.msksp.2025.103480","url":null,"abstract":"<div><h3>Background</h3><div>Reliable reporting and publication practices are essential for trustworthy evidence synthesis and clinical decision-making.</div></div><div><h3>Objective</h3><div>We aimed to identify latent classes of randomized controlled trials (RCTs) evaluating spinal manipulative therapy (SMT) based on trial reporting and publication practices, and to examine whether these classes influenced treatment effects.</div></div><div><h3>Design</h3><div>Meta-epidemiological study.</div></div><div><h3>Method</h3><div>Trials were evaluated on whether they met criteria for trial reporting and publication practices across six domains. Latent class analysis was used to identify trial subgroups. Random-effects meta-regression models assessed whether class membership predicted pooled estimates of treatment effects for pain and disability.</div></div><div><h3>Results</h3><div>We included 239 RCTs and identified four classes: <em>Dated</em> (23 %), older trials (mostly pre-2010) with consistently low proportions of criteria met; <em>Non-contributing</em> (30 %), newer trials that inconsistently met the criteria, had small samples, and short follow-ups; <em>SMT-focused</em> (15 %), which reported SMT details and fidelity more consistently but otherwise resembled the <em>Non-contributing</em> class; and <em>Pragmatic</em> (33 %), consisting of larger trials, meeting most criteria, but often underreported SMT-specific and fidelity details. Reporting practices had larger impact on class membership than publication practices. Despite differences class membership was not associated with treatment effect estimates and explained minimal outcome variability (R² ∼1 %).</div></div><div><h3>Conclusions</h3><div>Although trial reporting and publication practices varied substantially across SMT trials, these differences were not associated with differences in treatment effects. The widespread failure to meet key criteria raises concerns about the interpretability and credibility of the SMT evidence base. To strengthen transparency and scientific value, future trials should adhere more rigorously to reporting guidelines.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"81 ","pages":"Article 103480"},"PeriodicalIF":2.2,"publicationDate":"2025-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Normalisation of impaired neck muscle function after neck-specific exercises identified by speckle-tracking ultrasound analysis: a longitudinal case-control study of individuals with chronic whiplash-associated disorders compared with healthy controls","authors":"Gunnel Peterson ,&nbsp;Erika Andersson ,&nbsp;Margaretha Jönsson ,&nbsp;Anneli Peolsson","doi":"10.1016/j.msksp.2025.103483","DOIUrl":"10.1016/j.msksp.2025.103483","url":null,"abstract":"<div><h3>Background</h3><div>Whiplash injury can impair neck muscle function, which is challenging to assess. Diagnostic ultrasound enables evaluation of musculoskeletal function and exercise effectiveness.</div></div><div><h3>Objectives</h3><div>To evaluate the function of five dorsal neck muscles before and after 12 weeks of neck-specific exercises in individuals with chronic whiplash-associated disorders (WAD), compared with healthy controls.</div></div><div><h3>Method</h3><div>Twenty-five individuals with WAD grades II and III and 25 age- and sex-matched controls participated in this study. The WAD group completed a 12-week neck-specific exercise programme. Outcome measures, collected at baseline in both groups and post-intervention in the WAD group, included neck muscle deformation (shortening and/or elongation) assessed by ultrasonography with speckle tracking analyses, neck disability (NDI; Neck Disability Index), neck pain (VAS; Visual Analogue Scale), and neck muscle fatigue (Borg CR-10).</div></div><div><h3>Results</h3><div>There was a significant difference in neck muscle deformation at baseline, with higher deformation in the WAD group compared with controls (F [1,214] = 14.7, <em>P</em> &lt; 0.001). There was no significant difference in deformation between the groups after three months of neck-specific exercises in WAD compared with control baseline data F [1,200] = 0.1, <em>P</em> = 0.965), indicating restoration towards normal muscle function in the WAD group. The WAD group also improved in disability (NDI; mean 9.8, SD 8.4, <em>P</em> &lt; 0.001), neck pain (VAS; mean 12.1, SD 24.7, p = 0.036), and fatigue (Borg CR-10; median 1.0, IQR; 0.5–2.5, <em>P</em> = 0.019).</div></div><div><h3>Conclusions</h3><div>The study indicates normalisation of dorsal neck muscle function in individuals with WAD after a neck-specific exercise programme.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"81 ","pages":"Article 103483"},"PeriodicalIF":2.2,"publicationDate":"2025-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145879456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When the hook is too big: sample size, power, and missed effects in verbal suggestion research","authors":"Rodrigo RN. Rizzo","doi":"10.1016/j.msksp.2025.103478","DOIUrl":"10.1016/j.msksp.2025.103478","url":null,"abstract":"","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"81 ","pages":"Article 103478"},"PeriodicalIF":2.2,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145879432","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}

{"title":"Response to Letter to the Editor regarding “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”","authors":"Kamil Zaworski ,&nbsp;Joanna Baj-Korpak ,&nbsp;Małgorzata Tokarska-Rodak ,&nbsp;Ewa Plażuk ,&nbsp;Andżelika Nazarewicz ,&nbsp;Joel Bialosky ,&nbsp;Giacomo Rossettini","doi":"10.1016/j.msksp.2025.103479","DOIUrl":"10.1016/j.msksp.2025.103479","url":null,"abstract":"","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"81 ","pages":"Article 103479"},"PeriodicalIF":2.2,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866658","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}

{"title":"Self-management support for people with non-specific low back pain: a qualitative survey among Italian physiotherapists","authors":"Matteo Cioeta ,&nbsp;Gabriele Giannotta ,&nbsp;Domenico Carbotti ,&nbsp;Davide Cicinelli ,&nbsp;Roberta Giovinazzi ,&nbsp;Alessandra Dell’Anna ,&nbsp;Andrea Germani ,&nbsp;Francesco Balestra ,&nbsp;Giuseppe Giovannico ,&nbsp;Firas Mourad ,&nbsp;Nathan Hutting","doi":"10.1016/j.msksp.2025.103477","DOIUrl":"10.1016/j.msksp.2025.103477","url":null,"abstract":"<div><h3>Background</h3><div>Non-specific low back pain (NSLBP) is the leading cause of global disability, and self-management is considered a key component of care. However, physiotherapists’ approaches to supporting self-management can be improved.</div></div><div><h3>Objective</h3><div>To explore how Italian physiotherapists conceptualize and enact self-management support for non-specific low back pain, and to describe perceived barriers and enablers to its implementation in routine practice.</div></div><div><h3>Methods</h3><div>An online SurveyMonkey questionnaire was administered in February 2024 to assess Italian physiotherapists’ knowledge and experience with self-management strategies for NSLBP. The survey consisted of 15 open-ended questions adapted from a Dutch study. Responses were analysed using inductive thematic analysis.</div></div><div><h3>Results</h3><div>Thirty physiotherapists (21 female, mean age 30.4 ± 8.7 years) participated. Four themes emerged: (1) Therapeutic interaction style: active, passive, or multimodal?; (2) The patient as the main actor; (3) Self-management as more than a single tool; and (4) The physiotherapist's role in the self-management journey. Most participants viewed self-management support as essential and commonly used education as their primary strategy, while recognising its limitations. Although a variety of treatment approaches was reported, many remained grounded in biomechanical reasoning. A majority expressed the need for further knowledge and skills to better support self-management.</div></div><div><h3>Conclusion</h3><div>Most participants recognised the importance of self-management in treating NSLBP but did not fully align with its core principles. Although they emphasised patient-focused, person-centred care, it remains unclear whether these principles are truly applied. Over half indicated a need for additional skills, consistent with broader challenges physiotherapists face in integrating self-management strategies.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"81 ","pages":"Article 103477"},"PeriodicalIF":2.2,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145883822","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}

{"title":"\"A new tool for my toolbox\": physiotherapists' perceptions on therapeutic virtual reality for chronic low back pain – a qualitative descriptive study","authors":"Syl Slatman ,&nbsp;Raymond Ostelo ,&nbsp;Harry van Goor ,&nbsp;Ton Satink ,&nbsp;J. Bart Staal ,&nbsp;Jesper Knoop","doi":"10.1016/j.msksp.2025.103475","DOIUrl":"10.1016/j.msksp.2025.103475","url":null,"abstract":"<div><h3>Objective</h3><div>Therapeutic virtual reality (VR) is an emerging intervention in physiotherapy for patients with chronic low back pain (CLBP). However, broad adoption of VR by physiotherapists (PTs) is slow. This is possibly due to PT's negative perceptions on and attitudes towards the added value of VR in physiotherapy for patients with CLBP. The aim of this study was to explore these perceptions and attitudes.</div></div><div><h3>Methods</h3><div>We performed a qualitative descriptive study using semi-structured interviews. The study sample included eleven primary care PTs with a median age of 35 years (range: 28–58). Participating PTs had at least one year of experience using VR for the treatment of patients with CLBP, after which they continued using VR or stopped using it. The interviews were transcribed verbatim and inductively analyzed using reflexive thematic analysis.</div></div><div><h3>Results</h3><div>Analysis of the interviews identified four overarching themes: (i) therapeutic VR is perceived as non-threatening to the PT's role; (ii) VR has distinctive qualities that complement the PT's toolbox; (iii) contrasting attitudes towards the added value of therapeutic VR for CLBP; and (iv) PTs need specific skills, positive attitudes and knowledge to administer therapeutic VR.</div></div><div><h3>Conclusion</h3><div>The study results showed that VR was perceived as a valuable and non-threatening innovation for physiotherapy in patients with CLBP, that fits the hands-off and coaching role of PTs. Therapeutic VR seems promising in physiotherapy for patients with CLBP, but further adoption depends on breaking practical and systemic barriers. Also, more education is needed to train PTs to effectively administer VR.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"81 ","pages":"Article 103475"},"PeriodicalIF":2.2,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866676","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}