Journal of Back and Musculoskeletal Rehabilitation最新文献

{"title":"Predicting the performance of assistive device for elderly people using weighted KNN machine learning algorithm.","authors":"S Vaisali, C Maheswari, S Shankar, R Naveenkumar","doi":"10.1177/10538127251317602","DOIUrl":"10.1177/10538127251317602","url":null,"abstract":"<p><p>BackgroundElderly people as age increases often struggle with weight lifting in their daily lives due to decreased muscle strength and endurance. This limits their ability to perform routine tasks, which affects their independence and quality of life.ObjectiveThe aim of this study is to evaluate and predict the effectiveness of the developed upper limb Exo-skeleton for weight lifting, using ergonomic analysis and a weighted K-Nearest Neighbors (KNN) machine learning algorithm.MethodsExperiments were conducted to measure Maximum Voluntary Isometric Contraction (MVIC) and Mean Power Frequency (MPF) values to assess muscle strength before and after wearing the device on elderly subjects.ResultsThe results of the %MVIC value of muscles when lifting no load after wearing the assistive device lies between 2% to 6%, whereas while adding 5 kg load on hand, MVIC lies between 25% to 40%, while adding 15 kg load, the MVIC value is slightly increased to 30% to 71%. The results indicated that the muscle fatigue in the Biceps Brachii (BB) and flexor carpi radialis (FCR) are increased during weight lifting without the Exo-skeleton, whereas the usage of the device significantly reduces the muscle fatigue.ConclusionThe results demonstrated that the exoskeleton significantly reduces MVIC range when lifting 5 kg and 15 kg weight, indicating decreased muscle fatigue in the biceps and radialis muscles when using the Exo-skeleton. The weighted K nearest neighboring algorithm which predicts the new nerve disordered elderly subject, whether the assistive device is suitable or not based on his Body Mass Index (BMI) and muscle fatigueless. The results suggested that the proposed upper limb assistive device compensates for muscular strength during weight lifting, potentially guiding the development of user-friendly assistive devices for the elderly. The study highlights the significance of ergonomic studies and AI algorithms in enhancing upper limb assistive device design and functionality.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"852-864"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657300","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 impact of self-reported temporomandibular pain on neck disability in office workers.","authors":"Tugba Sahbaz, Basak Cigdem-Karacay, Cansın Medin-Ceylan, Merve Damla Korkmaz, Hatice Kubra Asik","doi":"10.1177/10538127251315829","DOIUrl":"10.1177/10538127251315829","url":null,"abstract":"<p><p>BackgroundNeck pain (NP) and temporomandibular disorder (TMD) pain often coexist, particularly among office workers, but their interaction and impact on neck disability remain insufficiently explored.ObjectivesTo investigate the prevalence of self-reported TMD pain in office workers with NP and assess its impact on neck disability.MethodsThis cross-sectional survey collected data through an online questionnaire from 662 office workers (66.3% female; mean age: 35.4 ± 8.9 years) with NP. Participants were categorized into two groups: isolated NP (NP group) and coexisting NP and temporomandibular disorder pain (NP + TMD pain group). TMD diagnosis was based on the Pain Screener. Neck pain and disability were assessed using the Bournemouth Neck Questionnaire (BNQ) and Neck Disability Index (NDI). Parafunctional behaviors were evaluated using the Oral Behaviors Checklist (OBC). Statistical significance was set at p < 0.05.ResultsThe NP + TMD pain group had significantly higher BNQ and NDI scores than the NP group (p < 0.001), indicating more severe pain and disability. Additionally, 69.1% of the NP + TMD pain group reported awake bruxism compared to 37.7% in the NP group (p < 0.001). Joint noises (80.5% vs. 6.9%) and jaw locking (30.1% vs. 1.9%) were also more frequent in the NP + TMD pain group (p < 0.001). Logistic regression showed that high OBC scores, joint noises, and closed jaw locking were strong predictors of NP + TMD pain.ConclusionThe findings reveal significant correlations between NP and TMD pain, but the cross-sectional design limits conclusions about causation. Further longitudinal or interventional studies are needed to explore whether TMD pain contributes to NP, vice versa, or if both share common underlying mechanisms.Clinical Trials Number: NCT04900870.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"774-782"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700505","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":"Association between sarcopenia and intervertebral disc degeneration: A bidirectional two-sample Mendelian randomization.","authors":"Jiawen Guo, Qiuyue Ding, Li Sun","doi":"10.1177/10538127251318926","DOIUrl":"10.1177/10538127251318926","url":null,"abstract":"<p><p>BackgroundSarcopenia (SP) and Intervertebral Disc Degeneration (IVDD) are common age-related diseases that significantly affect the physical and mental health of patients. A substantial body of evidence suggests a potential association between SP and IVDD. However, the causal relationship between SP and IVDD remains uncertain.ObjectivesThis study aimed to determine whether the association between SP and IVDD is causal by employing Mendelian randomization (MR) analysis.MethodsGenome-wide association study (GWAS) data related to SP (measured by muscle lean mass, left- and right-hand grip strength, and walking speed) and IVDD were obtained from the UK Biobank and FinnGen. To investigate the causal relationship between SP and IVDD, three MR analysis methods were employed, primarily focusing on the Inverse-Variance Weighted (IVW) approach. The robustness of causal effects was ensured through multiple methods: Instrumental Variables (IVs) were evaluated using F-values; heterogeneity was assessed using Cochran's Q; horizontal pleiotropy was evaluated using MR Egger regression; and outliers was detected using MR-PRESSO and the leave-one-out method.ResultsThe analysis indicates a potential causal relationship between appendicular lean mass (ALM) and the risk of IVDD (OR = 0.89, 95% CI: 0.809-0.98; P < 0.05). Similarly, left-hand grip strength shows a potential causal relationship with IVDD risk (OR = 1.52, 95% CI:1.08-2.14; P < 0.05), as does right-hand grip strength (OR = 1.50, 95% CI:1.09-2.07; P < 0.05). Additionally, a potential causal relationship is observed between IVDD and walking speed (OR = 0.99, 95% CI:0.97-1.00; P < 0.05).ConclusionThe findings suggest that ALM may serve as a protective factor against IVDD, while left- and right-hand grip strength may be risk factors for the development of IVDD. Furthermore, IVDD appears to be a risk factor associated with reduced walking speed. Further research is necessary to elucidate the underlying mechanisms of these associations.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"902-913"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063889","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":"Bilateral training guided by contralaterally controlled functional electrical stimulation for shoulder pain and subluxation in subacute stroke: A randomized controlled trial.","authors":"Yafei Zhou, Yaolong Tu, Qingzhen Chen, Yingying Li, Qingqing Sun, Fenglan Zhan, Shihong Hu","doi":"10.1177/10538127251318940","DOIUrl":"10.1177/10538127251318940","url":null,"abstract":"<p><p>BackgroundShoulder pain, subluxation, and motor dysfunction are common issues in hemiplegic patients, which hinder the recovery of upper limb function and have a negative impact on patients' daily life abilities and quality of life. Current rehabilitation interventions alone can not purposefully address the aforementioned problems, while bilateral training (BT) and contralaterally controlled functional electrical stimulation (CCFES) can be synergistically coordinated to provide a simultaneous treatment for hemiplegic shoulders.ObjectiveThis study attempted to treat hemiplegic patients using bilateral training with contralaterally controlled functional electrical stimulation (BT-CCFES), aiming to observe the changes of shoulder pain, subluxation, and motor function.MethodsThirty-eight individuals who had experienced hemiplegia with shoulder pain and subluxation due to stroke were randomly divided into two groups: a control group and an experimental group consisting of nineteen cases both. Patients in the control group underwent neuromuscular electrical stimulation (NMES) therapy, while those in the experimental group received BT-CCFES. Before and after a four-week treatment period, shoulder subluxation distance (SSD) was measured using a flexible ruler, and the pain level was assessed using the visual analogue scale (VAS). Additionally, shoulder joint active range of motion (AROM) and the upper extremity Fugl-Meyer assessment (UE-FMA) were used to evaluate shoulder motor function.ResultsAfter four weeks of treatment, there were significant improvements in SSD, VAS, UE-FMA, and AROM in the experimental group (<i>p </i>< 0.001), as well as in the control group (<i>p </i>< 0.05). The changes between the experimental group and control group showed significant differences in SSD (-9.74 ± 6.63 vs -3.58 ± 5.51, <i>p </i>= 0.016), flexion (37.37 ± 14.08 vs 21.05 ± 12.65, <i>p </i>= 0.001), and UE-FMA (15.21 ± 4.30 vs 8.84 ± 4.26, <i>p </i>< 0.001), while the difference in VAS (-1.31 ± 1.34 vs -1.10 ± 1.24, <i>p </i>= 0.619) and abduction (15.00 ± 8.82 vs 10.79 ± 7.86, <i>p </i>= 0.111) was not significant.ConclusionBT-CCFES can be used to prevent and treat hemiplegic shoulder subluxation after stroke, improve shoulder and upper limb function, and is superior to NMES except in pain relief.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"876-885"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700417","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 a neuromuscular exercise program conducted with a physiotherapist in individuals with degenerative meniscal tears.","authors":"Zeynep Bilge Aksu, Hazal Genç","doi":"10.1177/10538127251352977","DOIUrl":"https://doi.org/10.1177/10538127251352977","url":null,"abstract":"<p><p>BackgroundDegenerative meniscal tears are common, causing knee pain, functional limitations, and reduced quality of life. Effective treatment is essential to restore daily functionality. This study evaluated the impact of a neuromuscular exercise program on individuals with degenerative meniscal tears.Materials and MethodsFifty patients (ages 20-65) with degenerative meniscal tears were randomly divided into two groups. Group 1 participated in a physiotherapist-guided neuromuscular exercise program, while Group 2 performed a home exercise program. Both groups underwent treatment three times a week for six weeks. Effectiveness was assessed using the Tegner Activity Level Scale, Knee Injury and Osteoarthritis Outcome Score - Physical Function Short Form (KOOS-PS), Western Ontario Meniscal Evaluation Tool (WOMET), pain assessment, and jump performance before and after treatment.ResultsBoth groups showed significant improvements. However, Group 1 improved WOMET General Calculation, Night Pain, and KOOS-PS Symptoms (p < 0.001). Neuromuscular exercises with physiotherapist support yielded superior outcomes compared to the home program. Significant changes were observed in parameters such as \"Pain Activity\" and \"Pain Rest\" (p < 0.001) in both groups, with notable improvements in Group 1. WOMET tests also showed significant gains for Group 1 (p < 0.001) and Group 2 (p < 0.001).ConclusionPhysiotherapist-supervised neuromuscular exercise programs significantly improved pain, knee function, and quality of life in individuals with degenerative meniscal tears. The findings underscore the added value of professional supervision in maximizing clinical outcomes.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251352977"},"PeriodicalIF":1.4,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144496774","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":"\"Guidelines… yeah, they just haven't felt relevant to me.\" A qualitative exploration of chiropractors' perspectives on physical activity promotion.","authors":"Matthew Fernandez, Kathryn Di, Marina Pinheiro, Katie de Luca, Jeffrey Hebert, Peter Stilwell","doi":"10.1177/10538127251350848","DOIUrl":"10.1177/10538127251350848","url":null,"abstract":"<p><p>BackgroundGlobally, almost one-third of adults are considered physically inactive. Chiropractors knownly promote physical activity (PA) within their musculoskeletal management plans, despite their limited PA and sedentary behavior (SB) guideline knowledge.ObjectiveTo deepen our understanding of chiropractors' perspectives, including factors that may influence PA promotion. Specifically our objectives are to (1) explore chiropractors' knowledge of PA guidelines, (2) examine chiropractors' practices in PA assessment and advice, and (3) identify barriers, enablers, and factors influencing PA promotion in chiropractic.MethodsTwenty registered Australian chiropractors were interviewed to understand their perspectives on promoting PA in practice. We used a qualitative descriptive approach with inductive content analysis to identify patterns and themes.ResultsFour themes captured chiropractors' perspectives regarding PA: (1) chiropractors striving to take a person-centered approach to PA promotion, (2) chiropractors had limited knowledge of the PA/SB guidelines, (3) chiropractors relied on their personal intuitions and experience to try and be PA role models for their patients, and (4) chiropractors identified important enablers including longer appointment time and patient motivation as well as barriers such as limited knowledge, skill and time. Chiropractors identified interest and motivation as patient barriers.ConclusionChiropractors have limited PA/SB guideline knowledge but nevertheless report being confident, safe and person-centered with respect to PA promotion, often relying on their own experiences to be PA role models for their patients. Supporting behavior change among chiropractors, while addressing time constraints and patient motivation are important considerations.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251350848"},"PeriodicalIF":1.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325798","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":"Acupotomy for knee osteoarthritis: Literature review and meta-analysis.","authors":"Anqi Di, Danghan Xu, Anxin Zhang, Zhaoxi Liu, Yuxiang Lin, Nanbu Wang, Jun He, Liang Zheng, Fang Fang","doi":"10.1177/10538127251349150","DOIUrl":"10.1177/10538127251349150","url":null,"abstract":"<p><p>PurposeAs a contemporary acupuncture technique combined with modern anatomy and biomechanics, acupotomy was widely used in clinical treatment of knee osteoarthritis (KOA). This article aims to evaluate the advantages and potential of acupotomy of KOA and to provide a reference for clinical decision-making.Patients and methodsWe conducted a comprehensive search across four databases of ancient Chinese classics to trace the historical development of acupotomy. Seven databases were searched for the meta-analysis of Randomized controlled trials (RCTs) that met the criteria to evaluate the clinical efficacy of acupotomy for KOA. Furthermore, we reviewed potential mechanisms underlying acupotomy treatment for KOA.ResultsAcupotomy originated from traditional acupuncture \"Nine Needles\" in China ancient books 2000 years ago, which had advantages in the treatment of muscle and bone related diseases. The results of the meta-analysis following PRISMA2020 showed that acupotomy was helpful for pain relief and improvement of knee mobility in KOA. Experiments showed that acupotomy may treat KOA through a variety of mechanisms, such as inhibiting the expression of inflammatory factors, promoting the proliferation of chondrocytes, affecting the degradation and synthesis of extracellular matrix, and adjusting the mechanical balance of the knee joint.DiscussionThe results of this meta-analysis suggest that the use of acupotomy can effectively improve the pain and increase the range of motion of KOA. The experimental data showed that acupotomy may play a therapeutic role by inhibiting inflammatory factors and changing the mechanical balance of the knee joint. All these can prove that acupotomy treatment has a good prospect.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251349150"},"PeriodicalIF":1.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333216","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 resistance and stretching exercises in women with primary dysmenorrhea: A randomized controlled trial.","authors":"Ayşe Öz, Metehan Yana","doi":"10.1177/10538127251345961","DOIUrl":"https://doi.org/10.1177/10538127251345961","url":null,"abstract":"<p><p>ObjectiveThis study compared the effects of resistance and stretching exercises on menstrual symptoms, quality of life, and functional and emotional status in young women with primary dysmenorrhea.MethodsIn this randomized controlled trial, 54 women (18-25 years) with primary dysmenorrhea were assigned to stretching (n = 17), resistance (n = 19), or control (n = 18) groups. Outcomes were assessed using the Visual Analog Scale (VAS), Menstrual Symptoms Questionnaire (MSQ), Pittsburgh Sleep Quality Index (PSQI), Health-Related Quality of Life (SF-36), and Functional and Emotional Measure of Dysmenorrhea (FEMD). Assessments were conducted before the intervention and over two menstrual cycles. Exercise groups trained three times weekly for eight weeks.ResultsVAS, MSQ, PSQI, and FEMD scores significantly decreased in both exercise groups compared to the control group (p < 0.05). SF-36 scores were significantly higher in both exercise groups (p < 0.05). Post-treatment, medication use decreased significantly. Subdimension analyses revealed improvements in SF-36 and reductions in MSQ and FEMD subdimensions. No significant differences were found between the resistance and stretching groups in the primary outcomes (p > 0.05).ConclusionBoth resistance and stretching exercises reduce menstrual symptoms and improve quality of life. No significant difference was found; women may choose stretching or strengthening exercises based on personal preference.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251345961"},"PeriodicalIF":1.4,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144284483","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":"Predictive role of surface electromyography and shoulder kinematic analysis on injury risk in padel players: A proof-of-concept study.","authors":"Nicola Marotta, Ennio Lopresti, Andrea Demeco, Emanuele Prestifilippo, Lucrezia Moggio, Umile Giuseppe Longo, Alessandro de Sire, Antonio Ammendolia","doi":"10.1177/10538127251344494","DOIUrl":"https://doi.org/10.1177/10538127251344494","url":null,"abstract":"<p><p>ObjectivePadel, a high-intensity overhead sport, poses significant shoulder injury risks due to repetitive motions and microtrauma. This study utilized an inertial motion unit (IMU) and surface electromyography (sEMG) to identify kinematic and muscle activation patterns distinguishing injury-prone and non-prone players, emphasizing prehabilitation's role in preventing shoulder injuries and enhancing performance.MethodsMale padel players with ≥5 years of experience were assessed at the Rehabilitation Unit of the University Hospital \"Renato Dulbecco\" of Catanzaro, Italy, Participants were stratified into high-risk and low-risk groups based on prior shoulder tendinopathies. Surface electromyography (sEMG) and IMU were used to measure muscle activation and movement smoothness during flexion, abduction, and rotation movements.ResultsThe high-risk group exhibited increased mean jerk during abduction (<i>p</i> < 0.05), indicative of reduced movement smoothness. Muscle activation analysis showed significant overactivation of the biceps brachii and under-activation of the trapezius during shoulder movements. Infraspinatus activation was significantly lower during rotation in the high-risk group (<i>p</i> < 0.001). ROC analysis identified predictive cut-offs for injury risk: mean jerk >2.51, deltoid activation <46%, trapezius activation <30.6%, biceps brachii activation >13%, and infraspinatus activation >25.7%, with sensitivity and specificity exceeding 83% for most parameters.ConclusionsThis study highlights the utility of combining IMUs and sEMG for biomechanical and physiological evaluation in padel players. The findings suggested that decreased movement fluidity and muscle activation imbalances may increase the risk of shoulder injuries. Future longitudinal studies should focus on broader athletic motions, larger sample sizes to refine injury prevention and rehabilitation strategies for padel players.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251344494"},"PeriodicalIF":1.4,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266311","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 impact of prehabilitation on postoperative outcomes in spine surgery: A systematic review and meta-analysis.","authors":"Zuyao Liu, Deng Yang","doi":"10.1177/10538127251346600","DOIUrl":"https://doi.org/10.1177/10538127251346600","url":null,"abstract":"<p><p>BackgroundPrehabilitation aims to optimize patients' physical and psychological status before spine surgery to enhance recovery. However, its effectiveness on postoperative outcomes remains remains to be controversial. This meta-analysis aims to evaluate Prehabilitation impact on pain, functional recovery, psychological status, and perioperative outcomes.MethodsA systematic search of MEDLINE/PubMed, Web of Science, Scopus, and Embase was conducted through January 2025 using PRISMA guidelines. A total of 5738 records were initially identified through database searches, of which 3765 remained after duplicate removal. Studies comparing postoperative outcomes in patients undergoing spine surgery with and without prehabilitation were included. Meta-analysis was performed using a random-effects model, with subgroup analyses based on exercise inclusion.ResultsAccording to our inclusion criteria, twenty-seven studies (2449 participants) were deemed appropriate to be included in our study. Our meta-analysis showed prehabilitation significantly reduced postoperative back pain (SMD = -0.4028, p = 0.0269) and improved trunk muscle strength (SMD = 0.1472, p = 0.0142). However, no significant differences were observed for disability (SMD = -0.3772, p-value = 0.5705), quality of life (SMD = 0.0657, p-value = 0.5372), and leg pain (SMD = -0.1921, p-value = 0.3920). In addition, depression, operation time, blood loss, or length of stay were shown to be comparable between the two groups of patients.ConclusionsPrehabilitation may reduce postoperative back pain and improve muscle function, but does not significantly impact disability, quality of life, or perioperative outcomes. Future research should refine protocols and identify patient subgroups that benefit most from prehabilitation.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251346600"},"PeriodicalIF":1.4,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266312","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}