Journal of Back and Musculoskeletal Rehabilitation最新文献

{"title":"The relationship between spinopelvic alignment and knee osteoarthritis in female patients: A cross-sectional study.","authors":"Öykü Tomay Aksoy, Bülent Bütün","doi":"10.1177/10538127251321767","DOIUrl":"https://doi.org/10.1177/10538127251321767","url":null,"abstract":"<p><p>BackgroundThe spine, pelvis, and lower extremities move in the form of a kinematic chain.ObjectiveThis study aimed to evaluate the relationship between spinopelvic parameters and knee osteoarthritis.MethodsSixty-nine participants (50-70 years) were diagnosed with knee osteoarthritis: early-stage <i>(n </i>= 36) and late-stage (<i>n </i>= 33). Knee osteoarthritis severity was assessed using standing antero-posterior radiographs (Kellgren-Lawrence scores). A visual Analog Scale was used to evaluate knee and lumbar pain, the Western Ontario and McMaster Universities Osteoarthritis Index to evaluate knee joint function and disability, and the Oswestry Low Back Pain Disability Index to evaluate disability associated with lumbar pain. Lateral scoliosis radiographs were taken of all the study participants; pelvic incidence, pelvic tilt, sacral slope, lumbar lordosis, thoracic kyphosis, and sagittal vertical axis values were measured and recorded.ResultsMultivariate logistic regression analysis was performed to determine the independent risk factors associated with the clinical and radiological osteoarthritis severity as Body Mass Index, sagittal vertical axis and lumbopelvic mismatch increased. The sacral slope values were determined to be independently negatively correlated with the clinical osteoarthritis severity. However, no correlation was determined with the radiological severity.ConclusionIn this study, we determined that global sagittal imbalance and lumbopelvic mismatch are associated with advanced knee osteoarthritis. Although pelvic retroversion was not found to be correlated with the radiographic severity of osteoarthritis, it was found to be associated with poor functional results.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251321767"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Herpes zoster mimicking spinal cord injury after endoscopic spine surgery: A case review.","authors":"Chang-Hyun Lee, Sung-Kyu Kim","doi":"10.1177/10538127251318927","DOIUrl":"https://doi.org/10.1177/10538127251318927","url":null,"abstract":"<p><p>BackgroundHerpes zoster mimicking radiculopathy after spinal surgery has been reported in some studies. But immediate onset of herpes zoster after spinal surgery has not been reported.ObjectiveThis case report aims to increase the awareness of the possible misdiagnosis of herpes zoster as iatrogenic nerve damage because of the occurrence of dermatome pain immediately after surgery.Case descriptionA 41-year-old man presented with a tingling sensation in the lower part of his left trunk and leg and mild gait disturbance. He was diagnosed with T10-11 ossification of the yellow ligament and underwent excision using biportal endoscopy. The operative course was uneventful; however, after waking up from anesthesia, he complained of severe pain and allodynia in his right lower abdomen corresponding to the T10-11-12 dermatome. We suspected spinal cord injury and administered high-dose corticosteroids.ResultsFollow-up MRI showed no significant nerve damage. On postoperative day 5, the patient developed erythematous papules, mainly along the distribution of the T5, T11 root dermatome, which was diagnosed as disseminated zoster.ConclusionHerpes zoster reactivation should be considered in differential diagnosis for new symptoms in a dermatomal distribution after spine surgery in the absence of other suspected iatrogenic causes during surgery.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251318927"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of scapular upward rotator activity among three different Y-raise exercises in healthy male individuals.","authors":"Byeong-Hun Hwang, In-Cheol Jeon","doi":"10.1177/10538127251320329","DOIUrl":"https://doi.org/10.1177/10538127251320329","url":null,"abstract":"<p><p>BackgroundScapular upward rotators are important for the ideal movement pattern of the glenohumeral joint. The Y-raise exercise (YR) can be recommended for the activation of these muscles overall and selectively for the lower trapezius (LT).ObjectiveThis study investigated and compared the activity of scapular upward rotators and activity ratios among three different Y-raise exercises (YR1, YR2, and YR3).MethodsFifteen healthy male individuals participated. All participants performed three different Y-raise exercises in random order: YR1, YR2, and YR3. Muscle activity of the upper trapezius (UT), LT, and serratus anterior (SA) was measured during each exercise using surface electromyography. Comparisons were analyzed by one-way repeated measures ANOVA, followed by Bonferroni adjustment.ResultsUT activity decreased in YR2 (23.21%) compared to YR1 (46.54%) and YR3 (42.95%) (p = 0.001). LT activity increased in YR3 (58.32%) compared to YR1 (46.44%) and YR2 (47.96%) (p = 0.001). The LT/UT activity ratio was higher in YR2 (2.57) compared to YR1 (1.14) and YR3 (1.74) (p = 0.001).ConclusionYR2 and YR3 can be recommended for selective LT activation in early-stage rehabilitation and overall scapular upward rotator activity in late-stage rehabilitation, respectively.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251320329"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of moving cupping therapy on pain and functionality in rotator cuff injuries: A randomised controlled pilot study.","authors":"Hatice Hümeyra Akil, Sümeyye Tunç, Esra Atilgan","doi":"10.1177/10538127251323106","DOIUrl":"https://doi.org/10.1177/10538127251323106","url":null,"abstract":"<p><p>BackgroundShoulder pain is commonly caused by rotator cuff pathologies. Cupping therapy is one of the mostly used traditional and complementary medicine techniques. In recent years, evidence of potential benefits in musculoskeletal conditions has increased, but studies are limited.ObjectiveThe study aimed to investigate the effectiveness of moving cupping therapy (MCT) additionally to conventional physiotherapy on pain and functionality in patients with Rotator Cuff Injuries (RCI).MethodsIn this randomised controlled pilot study thirty women 25-65 aged diagnosed with RCI who applied to Istanbul Medipol University Physical Therapy and Rehabilitation clinic in 2019 were included and they were randomly divided into two groups. Conventional physiotherapy was applied to both of groups five days a week for four weeks. Additionally, the MCT group was treated with MCT for ten minutes, two days a week for four weeks. Pain (Numeric Rating Scale (NRS), range of motion (ROM), functionality (DASH-Constant) and quality of life (SF 36) were evaluated before and after treatment. Within-group comparisons were performed by Wilcoxon Signed-Rank test. Comparisons between-group were provided by Mann Whitney U test.ResultsAfter treatment there were significant differences in pain, ROM, DASH, Constant scores in both groups (<i>p</i> < .05). NRS, abduction and external rotation ROM, DASH and Constant measurements were significantly more effective in MCT group (<i>p</i> < .05). Significant improvements were seen in all SF 36 subscales in control group (<i>p</i> < .05). Significant improvements were also found in all parameters except role limitations due to emotional problems, emotional well-being and social function in MCT group. According to the comparisons between the groups, only emotional well-being subscale showed a significant difference in favor of control group (<i>p</i> < .05).ConclusionsWe concluded that MCT can be used with conservative physiotherapy to improve pain and functional level in RCI as a non-invasive, easily applicable and economical complementary in medicine practices.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251323106"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic value of high-frequency ultrasound combined with magnetic resonance in different clinical stages of frozen shoulder: A retrospective cohort study.","authors":"Lei Zhang, Hua Chen, Qi Yang, Zhichao Ding, Laizhi Zhang, Yifeng Gu","doi":"10.1177/10538127241298533","DOIUrl":"10.1177/10538127241298533","url":null,"abstract":"<p><p>BackgroundFrozen shoulder (FS) is a common musculoskeletal disease. Imaging plays an active role in the clinical diagnosis and staging of FS.ObjectiveThis study is undertaken to assess the application value of high-frequency ultrasound (HFU) combined with magnetic resonance (MR) in clinical staging diagnosis of FS.MethodsThis was a retrospective cohort study. The medical records of FS patients (from January 2021 to February 2022, n = 100) were collected. Patients were categorized into stage I (n = 30), stage II (n = 35) and stage III (n = 35) groups. The diagnostic value of HFU-related and MR-related indicators was assessed by the receiver operating characteristic (ROC) curve. The correlation between HFU/MR indicator and passive range of motion-related indicators was analyzed by Spearman rank method.ResultsThere were no statistically significant differences in gender, age, height, weight, and affected shoulder (left: right) among the three groups at different stages (<i>p </i>> 0.05). HFU and MR in combination had a higher diagnostic coincidence rate when compared to their single use (96.00% vs. 91.00% or 93.00%). There was high diagnostic value for inferior capsule thickness (ICT) (area under the curve (AUC) = 0.914, <i>p </i>< 0.001, 95%<i>CI</i> (0.836-0.992)), glenohumeral distance (GHD) (AUC = 0.999, <i>p </i>< 0.001, 95%<i>CI</i> (0.996-1.000)) and articular capsule thickness (ACT) (AUC = 1.000, <i>p </i>< 0.001, 95%<i>CI</i> (0.998-1.000)) in stage I FS, for ICT (AUC = 0.947, <i>p </i>< 0.001, 95%<i>CI</i> (0.885-1.000)) and GHD (AUC = 0.974, <i>p </i>< 0.001, 95%<i>CI</i> (0.949-0.999)) in stage II FS, and for ACT (AUC = 0.989, <i>p </i>< 0.001, 95%<i>CI</i> (0.975-1.000)) in stage III FS. ICT/ACT positively correlated with internal rotation (IR), and negatively correlated with external rotation (ER)/extension (EX)/flexion (FL)/abduction (AB). GHD had a negative correlation with IR, and a positive correlation with ER/EX/FL/AB.ConclusionHigh-frequency ultrasound combined with magnetic resonance can improve the accuracy in clinical diagnosis of FS, promote better staging of FS, and provide a more reliable basis for clinical diagnosis and treatment of FS.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":"38 2","pages":"253-264"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescent idiopathic scoliosis causes pelvic floor dysfunction: A cross-sectional study.","authors":"Batuhan İbrahim Dericioğlu, Adile Öniz Özgören, Salih Angın","doi":"10.1177/10538127241301667","DOIUrl":"10.1177/10538127241301667","url":null,"abstract":"<p><p>BackgroundScoliosis is a complex three-dimensional deformity of the spine and causes spinal misalignment and pelvic structure changes.ObjectiveThis cross-sectional study was designed to investigate the relationship between postural deviation, scoliosis angle and pelvic floor dysfunctions in individuals with adolescent idiopathic scoliosis (AIS).MethodsTwelve AIS aged between 12 and 18 years were included in the study. Standard scoliosis radiography was used for Cobb angle measurement. The posture screen mobile (PSM) application was used for determining postural deviation, and a real-time ultrasound image was obtained for pelvic floor muscle activity. The pelvic floor distress inventory was used for the evaluation of pelvic floor dysfunctions.ResultsThere was a significant negative correlation between bladder base elevation and the following variables, including thoracic and lumbar Cobb angles (r = -0.640, p < 0.05; r = -0.779, p < 0.05), Dysfunctional Voiding Scoring System (DVSS) (r = -0.753, p < 0.05), Pelvic Floor Distress Inventory (PFDI) (r = -0.722, p < 0.05) and Urinary Distress Inventory (UDI) (r = -0.585, p < 0.05). The apical shift in the frontal plane was found to be positively correlated with DVSS (r = 0.701, p < 0.05), UDI (r = 0.641, p < 0.05) and PFDI-20 (r = 0.628, p < 0.05) and negatively correlated with bladder base elevation (r = -0,615, p < 0.05). The average pelvic shift in frontal plan was found to be positively correlated with DVSS (r = 0.810, p < 0.05), PFDI-20 (r = 0.722, p < 0.05), Pelvic Organ Prolapse Distress Inventory (POPDI) and UDI (r = 0.626, p < 0.05) and negatively correlated with bladder base elevation (r = -0.626, p < 0.05).ConclusionScoliosis negatively affects pelvic floor muscle activity, and pelvic floor functions, resulting in urinary dysfunction. Pelvic floor assessment may be added to the evaluation process in patients with AIS.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"314-323"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of pelvic proprioceptive neuromuscular facilitation techniques in patients with sacroiliac joint dysfunction: A randomized controlled study.","authors":"Hikmet Ucgun, Meltem Kaya, Hilal Denizoglu Kulli","doi":"10.1177/10538127241298537","DOIUrl":"10.1177/10538127241298537","url":null,"abstract":"<p><p>BackgroundDespite the widespread presence of sacroiliac joint dysfunction (SIJD) among causes of low back pain, SIJD is still overlooked.ObjectiveThis study aimed to investigate the effect of pelvic proprioceptive neuromuscular facilitation techniques (PNF) in patients with SIJD. MethodsThis prospective, single-blinded, randomized controlled study was conducted between December 2023 and March 2024. Fourty patients diagnosed with SIJD, with pain for at least 4 weeks initially, aged between 18 and 40, were randomly allocated into experimental group (EG, n = 20) and control group (CG, n = 20) using a computer-based randomised numbered list. The CG received patient education consisting of basic lumbar stabilization exercises (LSE); the EG received exercise training consisting of pelvic PNF techniques in addition to patient education. The interventions of both groups were applied 3 days a week for 6 weeks. Pain, mobility, flexibility, lumbar range of motion, posture, trunk flexor muscle endurance, and trunk extensor muscle endurance were assessed by VAS, Modified Schober's test, sit-and-reach test, goniometer, New York Posture Rating Chart, flexor endurance test, ve Biering-Sørensen test, respectively, before and after interventions. The Shapiro-Wilk test was used to assess normality, while intra-group and inter-group comparisons were conducted using either the Paired sample T-test or the Independent samples T-test.ResultsOf the EG (n = 20, 30,88 ± 14,23 years), 82.35% (n = 14) were female, while the CG (n = 20, 27,18 ± 7,58 years) comprised 76.47% (n = 13) females. The mean body mass index for the EG was 23.71 ± 3.68 kg/m², compared to 23.51 ± 3.68 kg/m² in the CG. Baseline values of pain (p = 0.152, 95% CI [-0.342-2.107]), mobility (p = 0.407, 95% CI [-12.699-5.405]), flexibility (p = 0.758, 95% CI [-2.293-3.116]), posture (p = 0.913, [-2.422-3.613]), trunk flexor muscle endurance (p = 0.336, 95% CI [-3.213-5.955]), and trunk extensor muscle endurance (p = 0.405, 95% CI [-2.927-4.842]) of the groups were similar. Both the EG and CG achieved significant improvements in reducing pain (p < 0.001). The improvement in the pain was significantly higher in the EG compared to the CG (p < 0.001, dcohen = -1.030). There were significantly change in the scores of mobility, flexibility, and lumbar range of motion only in the EG. All changes had a medium or high effect size (p < 0.001, dcohen = 0.631; p = 0.011, dcohen = 0.417; p < 0.05, dcohen = 0.649, respectively).ConclusionIncorporating the pelvic proprioceptive neuromuscular facilitation techniques into the rehabilitation protocols for patients with sacroiliac joint dysfunction may prove beneficial, potentially enhancing pain relief while also improving mobility, flexibility, and lumbar range of motion.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":"38 2","pages":"229-240"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Low back activity confidence scale: Cross-cultural adaptation, reliability, and validity of the Turkish version in individuals with non-specific low back pain.","authors":"Halime Arikan, Tuğçe Çoban","doi":"10.1177/10538127241307068","DOIUrl":"10.1177/10538127241307068","url":null,"abstract":"<p><p>BackgroundThe Low Back Activity Confidence Scale (LoBACS) was developed to evaluate self-efficacy in individuals with low back pain (LBP).ObjectiveThis study aimed to assess the psychometric properties of Turkish version of LoBACS in individuals with non-specific LBP.MethodsThe study included 105 participants (66 female, 39 male) with a mean age of 40.94 ± 14.65 years. The cultural adaptation and psychometric evaluation of LoBACS followed international standards and COSMIN guidelines. Reliability was assessed using the Cronbach's α and Intraclass Correlation Coefficient (ICC). Structural validity was tested with Confirmatory Factor Analysis (CFA). Pearson correlation analysis examined the relationships between LoBACS and the Waddell Disability Index (WDI), Modified Oswestry Disability Index (MODI), Roland Morris Disability Questionnaire (RMDQ), International Physical Activity Questionnaire (IPAQ), Short Form-36 (SF-36), Fear Avoidance Beliefs Questionnaire (FABQ), and Visual Analog Scale (VAS).ResultsThe Turkish version of LoBACS showed high reliability (ICC = 0.850, Cronbach's α = 0.919). CFA and fit indices supported its validity. Correlations between LoBACS and other measures ranged from -0.192 to 0.542. No floor or ceiling effects were noted.ConclusionThe Turkish version of LoBACS is a reliable and valid tool for assessing self-efficacy in individuals with non-specific LBP, suitable for both research and clinical settings.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"208-219"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Task-oriented robotic rehabilitation for back mobility and functioning in a post-intensive care unit obese patient: A case report.","authors":"Lorenzo Lippi, Alessandro de Sire, Marco Pizzorno, Alessio Turco, Sarah Ariatti, Claudio Curci, Antonio Ammendolia, Marco Invernizzi","doi":"10.1177/10538127241304107","DOIUrl":"10.1177/10538127241304107","url":null,"abstract":"<p><p>BackgroundIntensive care unit (ICU) acquired weakness is a detrimental condition characterized by muscle weakness, difficulty in weaning from mechanical ventilation, impaired mobility, and functional limitations, severely affecting overall quality of life. Obese patients face additional challenges due to obesity-related factors that exacerbate the negative effects of immobilization. Rehabilitation interventions have emerged as a crucial component of post-ICU care, but the rehabilitation management of obese patients remains challenging.Objectiveto present the impact of implementing Walker View 3.0 SCX technology in post-intensive care unit rehabilitation of obese patient.MethodsA 69-year-old Caucasian man with a BMI of 44.8 kg/m² was referred to the Cardiopulmonary Rehabilitation Unit at Alessandria Hospital, Italy, following an ICU admission for pneumonia. After a comprehensive multidisciplinary evaluation, the patient underwent an intensive rehabilitation program including physical exercises and a personalized dietary plan. A task-oriented robotic rehabilitation was added, utilizing the Walker View 3.0 SCX, for 30 min/day, 5 days/week. The robotic rehabilitation program focused on sit-to-stand mobility with weight support initially and progressed to a weight-supported robotic treadmill.ResultsThe patient showed clear improvements in physical function, muscle strength, and independence in activity of daily living (Barthel Index improved from 15 to 70, De Morton Mobility Index improved from 8 to 39, Medical Research Council Strength improved from 17 to 40, Functional Ambulation Classification score improved from 0 to 3, Handgrip Strength Test improved from 8.8 kg to 39.4 kg). Managed by a single physiotherapist, this approach showed positive results in enhancing functional outcomes, with potential benefits in reducing operator time and assistance costs.ConclusionsIntegrating task-oriented robotic rehabilitation with Walker View 3.0 SCX showed promising outcomes for obese patients post-ICU. Personalized interventions with weight-bearing capabilities and real-time feedback optimized post-ICU care, enhancing functional outcomes, and potentially reducing operator time and assistance costs. Further research with larger samples is needed to validate the broader applicability and cost-effectiveness of robotic rehabilitation technologies in obese patients with ICU-acquired weakness.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"394-402"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acupuncture for ankylosing spondylitis: An updated systematic review and meta-analysis.","authors":"Di Zhang, Gui-Long Zhang, Bo Peng, Zhi-Peng Wu, Xiao-Ding Yi, Tian-Yu Zhao, Jian-Feng Sun","doi":"10.1177/10538127241289339","DOIUrl":"10.1177/10538127241289339","url":null,"abstract":"<p><strong>Background: </strong> Existing evidence is insufficient to support that acupuncture is effective in treating ankylosing spondylitis (AS) due to the constraints of acupuncture site and manipulation, and relatively straightforward study treatments and indicators.</p><p><strong>Objective: </strong> By incorporating high-quality original literature, this study aims to evaluate the effectiveness of acupuncture for AS and to demonstrate acupuncture as a non-drug supplementary and alternative means for treating AS.</p><p><strong>Methods: </strong> We searched seven databases from their inception to March 31, 2023. Only randomized controlled trials (RCTs) with PEDro score ≥ 6 that compared traditional acupuncture alone or in combination with non-acupuncture therapy on diagnostic AS were considered. The PEDro, ROB2, and STATA tools were used for quality evaluation and statistical analysis.</p><p><strong>Results: </strong> A total of 21 RCTs covering 1884 patients were included. Meta-analysis showed that acupuncture had positive effects on Western medicine effective rate (RR = 1.223, 95%CI: 1.150, 1.301, <i>P </i>< 0.001), traditional Chinese medicine effective rate (RR = 1.175, 95%CI: 1.111, 1.243, <i>P </i>< 0.001), pain score (visual analogue scale, SMD = -0.666, 95%CI: -0.801, -0.531, <i>P </i>< 0.001), spinal function including bath ankylosing spondylitis function index score (SMD = -0.827, 95%CI: -0.945, -0.708, <i>P </i>< 0.001), bath ankylosing spondylitis disease activity index score (SMD = -1.069, 95%CI: -1.190, -0.949, <i>P </i>< 0.001), and bath ankylosing spondylitis metrology index score (SMD = -0.699, 95%CI: -0.887, -0.511, <i>P </i>< 0.001), ankylosing spondylitis quality of life score(SMD = -0.619, 95%CI: -0.917, -0.322, <i>P </i>< 0.001), C-reactive protein levels (SMD = -0.980, 95%CI: -1.092, -0.868, <i>P </i>< 0.001) and erythrocyte sedimentation rate value (SMD = -0.701, 95%CI: -0.810, -0.591, <i>P </i>< 0.001).</p><p><strong>Conclusion: </strong> Though with a high risk of bias, the high-quality studies indicate that acupuncture is a beneficial complementary and alternative therapy for AS patients, as it can reduce pain intensity and improve effective rate, spinal function, and anti-inflammatory response.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"364-382"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}