Semiramis Ozyilmaz, Sefa Yildirim, Aysegul Yabaci Tak, Nuh Mehmet Elmadag
{"title":"Respiratory muscle strength, peripheral muscle strength, and balance in adolescents with idiopathic scoliosis: A cross-sectional comparative study.","authors":"Semiramis Ozyilmaz, Sefa Yildirim, Aysegul Yabaci Tak, Nuh Mehmet Elmadag","doi":"10.1177/10538127261494721","DOIUrl":"https://doi.org/10.1177/10538127261494721","url":null,"abstract":"<p><p>BackgroundAdolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity that may affect respiratory function, neuromuscular performance, and postural control.ObjectiveTo compare respiratory muscle strength, peripheral muscle strength, and balance between adolescents with AIS and healthy controls and to explore associations between respiratory muscle strength and postural stability in AIS.MethodsThis cross-sectional comparative study included 70 adolescents (40 AIS, 30 controls). Respiratory muscle strength was assessed using maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP), peripheral muscle strength using handgrip and hand-held dynamometry, and balance using the Postural Stability Test and Limits of Stability test. Group comparisons, exploratory Spearman correlations with false discovery rate (FDR) correction, and linear regressions were performed. Strength outcomes were adjusted for sex, age, and weight.ResultsMIP and MEP were lower in AIS than controls (64.95 ± 23.03 vs. 85.40 ± 25.08cmH2O and 67.54 ± 18.96 vs. 85.13 ± 27.47cmH2O, respectively). After adjustment for sex, age, and weight, the between-group differences remained significant for MIP, MEP, and bilateral knee extensor strength, but not for handgrip strength. Static stability indices did not differ between groups, whereas selected dynamic balance measures were impaired in AIS. Three of 42 exploratory correlations had unadjusted p < 0.05; none remained significant after false discovery rate correction.ConclusionAIS was associated with lower respiratory and knee extensor strength after adjustment and with differences in selected dynamic balance measures. Exploratory correlations did not survive FDR correction. These findings support comprehensive functional assessment of respiratory muscle strength, knee extensor strength, and balance in AIS. The cross-sectional design precludes causal inference.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261494721"},"PeriodicalIF":1.6,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136660","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":"Reliability, quality, and readability of large language models in carpal tunnel syndrome: A comparative cross-linguistic, cross-sectional observational study.","authors":"Bilgehan Kolutek Ay, Cem Zafer Yıldır","doi":"10.1177/10538127261492778","DOIUrl":"https://doi.org/10.1177/10538127261492778","url":null,"abstract":"<p><p>BackgroundAI-based chatbots are increasingly used for health information, while cross-linguistic studies suggest that response performance may vary by language. Given the high prevalence of carpal tunnel syndrome (CTS), this study evaluated the reliability, quality, patient education suitability, and readability of AI-generated responses to CTS questions in English and Turkish.Materials and methodsSeventeen patient-centered CTS questions were directed to ChatGPT<sup>®</sup> (GPT-5 Mini), Gemini<sup>®</sup> 3 Flash, and Claude<sup>®</sup> 4.5 Sonnet, using zero-shot prompting across 102 independent sessions in English and Turkish. Responses were evaluated for reliability, quality, and patient education using mDISCERN (MD), Global Quality Score (GQS), and the Patient Education Materials Assessment Tool (PEMAT). Readability was assessed via Flesch Reading Ease (English) and Ateşman Index (Turkish). Friedman and Wilcoxon tests with Bonferroni correction were applied.ResultsSignificant inter-model differences were observed in English across all metrics (<i>p</i> < 0.05), with Gemini achieving higher MD and PEMAT scores than ChatGPT and Claude (<i>p</i> < 0.01). Cross-language differences were observed in mDISCERN scores, while Gemini showing a significant difference in favor of English (r = 0.93; <i>p</i> < 0.001). None of the models met recommended readability levels in either language.ConclusionAI-generated CTS information varied by model and language. Differences in MD scores should be interpreted cautiously because this instrument partly reflects the provision of references and does not directly assess factual clinical accuracy. None of the evaluated models achieved recommended readability levels for patient education. These findings support the use of AIs as supplementary rather than standalone sources of CTS-related patient information.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261492778"},"PeriodicalIF":1.6,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136655","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":"Fear of missing out and neck disability: The indirect association through postural attention in social media users.","authors":"Seyda Candeniz, Seher Erol","doi":"10.1177/10538127261494054","DOIUrl":"https://doi.org/10.1177/10538127261494054","url":null,"abstract":"<p><p>BackgroundDespite widespread digital device use, the relationships of Fear of Missing Out (FoMO) with postural awareness and neck disability remain poorly understood.ObjectiveThis study examined the associations among FoMO, postural awareness, and neck disability, testing whether an indirect association existed through the need for attention regulation in posture.MethodA cross-sectional study included 1634 young adult social media users aged 18-25 years. Data were collected using the Fear of Missing Out Scale (FoMO), the Postural Awareness Scale (PAS) (sub-dimensions: Need for Attention Regulation with Postural Awareness-NARPA and Ease/Familiarity with Postural Awareness-EFPA), and the Neck Disability Index (NDI). Pain intensity and psychological distress were recorded as covariates. Data were analyzed using hierarchical regression and Hayes' PROCESS Macro.ResultsHierarchical regression analysis showed that FoMO was independently associated with neck disability, accounting for an additional 5.8% of the variance (Δ<i>R<sup>2</sup></i>= .058, <i>p</i> < .001), even after controlling for pain intensity and psychological distress. While NARPA was a significant predictor of NDI (<i>β</i> = -.107, <i>p</i> < .001), EFPA was not (<i>β</i> = .012, <i>p</i> > .05). Mediation analysis indicated a statistically significant indirect effect of FoMO on NDI through NARPA (Indirect effect = .0098; 95% CI [.0053, .0150]).ConclusionsHigher FoMO was independently associated with greater neck disability, with a significant indirect association through NARPA. Findings suggest that a greater need for conscious cognitive effort in posture may link FoMO to neck disability among young adult social media users. Longitudinal studies are needed to establish temporal causality.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261494054"},"PeriodicalIF":1.6,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127545","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":"Differential changes in plantar fascia and achilles tendon tissue properties between pregnancy trimesters: Implications for arch stability and foot pain.","authors":"Nilüfer Kablan, Fatmagül Varol, Merve Can Kalan, Nazan Usal Tarhan, Habibe Ayvacı Taşan","doi":"10.1177/10538127261492772","DOIUrl":"https://doi.org/10.1177/10538127261492772","url":null,"abstract":"<p><p>BackgroundPregnancy induces physiological and biomechanical changes that may affect connective tissue properties. Given the functional relationship between the plantar fascia (PF) and Achilles tendon (AT), these tissues may exhibit trimester-specific changes.ObjectiveThis study aimed to investigate the biomechanical and viscoelastic properties of PF and AT in pregnant women at different trimesters.MethodsThis cross-sectional study included primigravida women aged 18-40 years with a pre-pregnancy BMI <30 kg/m<sup>2</sup>. Participants were grouped by trimester (G<sub>1</sub>: n = 64; G<sub>2</sub>: n = 52; G<sub>3</sub>: n = 55). Biomechanical and viscoelastic properties of PF and AT were assessed using myotonometry, and navicular drop was measured bilaterally.ResultsPF elasticity and navicular drop increased significantly in both feet in parallel with the progression of pregnancy (p ≤ 0.05). In contrast, Achilles tendon tissue properties showed no significant differences between the three trimesters (p > 0.05).ConclusionsIncreased PF elasticity accompanied by reduced medial longitudinal arch stability may increase plantar fascia strain under load, potentially predisposing pregnant women to microtrauma and foot-related pathologies such as plantar fasciitis and persistent foot pain. Monitoring navicular drop and PF tissue properties throughout pregnancy may facilitate early identification of individuals at risk.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261492772"},"PeriodicalIF":1.6,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127574","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}
Ahmed M El Melhat, Ibtissam M Saab, Rami L Abbas, Ayman El Khatib, Rabab A Mohamed, Bushra Hijazi, Mohammad Takkoush, Omar Kronfol, Khaled Takey Ahmed
{"title":"Addition of low-load blood flow restriction training to conventional physiotherapy improves handgrip strength and function in patients with lateral epicondylitis at the short-term: A single-blind randomized clinical trial.","authors":"Ahmed M El Melhat, Ibtissam M Saab, Rami L Abbas, Ayman El Khatib, Rabab A Mohamed, Bushra Hijazi, Mohammad Takkoush, Omar Kronfol, Khaled Takey Ahmed","doi":"10.1177/10538127261494053","DOIUrl":"https://doi.org/10.1177/10538127261494053","url":null,"abstract":"<p><p>BackgroundEvidence regarding Blood Flow Restriction (BFR) training for the management of lateral epicondylitis (LE) remains limited and conflicting, although BFR has shown potential to improve muscle strength in other musculoskeletal rehabilitation settings.ObjectiveTo investigate the short-term effects of adding low-load BFR training to a conventional physiotherapy (CPT) program on handgrip strength (HGS), function, and pain intensity during rest and activity, in patients with LE.DesignA single-blind, randomized clinical trial.MethodsFifty-two participants with LE were randomly allocated to either the CPT group or the CPT + BFR group. Both groups received 12 sessions over 6 weeks. The primary outcome was HGS using a hand-held dynamometer. Secondary outcomes were Patient-Rated Tennis Elbow Evaluation (PRTEE) scores, Numerical Pain Rating Scale (NPRS) scores, and satisfaction with treatments. These outcome measures were reassessed at the end of the six-week intervention period.ResultsBoth groups demonstrated statistically significant within-group improvements in HGS, PRTEE, and NPRS outcomes (all p < 0.001). Mean HGS increased by 17.50 ± 2.53 lb in the CPT group and by 35.54 ± 0.71 lb in the CPT + BFR group. The post-treatment HGS difference strongly favoured CPT + BFR (Mann-Whitney U = 30.0, p < 0.001; rank-biserial correlation r_rb = 0.911, 95% CI 0.800 to 0.984). PRTEE also favoured CPT + BFR, whereas no statistically significant between-group differences were observed for NPRS pain scores or treatment satisfaction.ConclusionIn patients with LE, addition of low-load BFR training to CPT resulted in greater short-term improvements in HGS and function, while pain reduction was comparable between groups.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261494053"},"PeriodicalIF":1.6,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127561","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":"Effect of SFMA-guided Qihuang Needling vs conventional acupuncture on paraspinal neuromuscular activity in lumbar disc herniation: A randomised controlled trial.","authors":"Shuangshuang Yuan, Hongcen Liu, Yuting Huang, Jianxia Zeng, Wenxu Deng, Zhihua Peng, Lixia Yang, Mingzhu Xu, Nanbu Wang, Shaoyang Cui","doi":"10.1177/10538127261494050","DOIUrl":"https://doi.org/10.1177/10538127261494050","url":null,"abstract":"<p><p>BackgroundLumbar disc herniation (LDH) commonly causes chronic low back and leg pain. Qihuang Needling (QN) is a micro-invasive technique targeting myofascial dysfunction, but its effects on paraspinal neuromuscular activity have not been objectively quantified.ObjectiveTo determine whether SFMA-guided QN produces greater immediate improvement than conventional acupuncture (CA) in paraspinal neuromuscular activity.MethodsIn this single-centre, assessor- and statistician-blinded trial, 68 outpatients with LDH were allocated 1:1 to five daily sessions of SFMA-guided QN or CA. The primary endpoint was static multifidus AEMG, analysed by ANCOVA with baseline adjustment; pain and disability were exploratory endpoints.ResultsAll 68 participants completed the trial. Static multifidus AEMG increased more with QN than CA (adjusted difference 7.43 μV, 95% CI 2.74 to 12.12; P = 0.002). All seven secondary sEMG endpoints also improved more with QN after false-discovery-rate control. The Oswestry Disability Index difference was -17.17 points (95% CI -20.53 to -13.81); responder rates were 76.5% versus 35.3% (P = 0.001). No serious adverse events occurred.ConclusionsFive daily sessions of SFMA-guided QN produced greater immediate improvement in paraspinal neuromuscular activity than CA. Whether these differences persist, and which components account for them, cannot be determined from this trial.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261494050"},"PeriodicalIF":1.6,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080784","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":"Cross-cultural adaptation and psychometric validation of the Turkish Low Back Pain Knowledge Questionnaire (LKQ-Tr).","authors":"Elif Aygun-Polat, Fuat Yuksel, Yusuf Polat","doi":"10.1177/10538127261491775","DOIUrl":"https://doi.org/10.1177/10538127261491775","url":null,"abstract":"<p><p>BackgroundKnowledge about low back pain (LBP) may influence disability, beliefs, and self-management, but no validated Turkish instrument is available to assess this construct.ObjectiveTo translate, cross-culturally adapt, and evaluate the psychometric properties of the Turkish version of the Low Back Pain Knowledge Questionnaire in adults with LBP.MethodsThe questionnaire was translated and cross-culturally adapted using established procedures. The pre-final version was pilot tested in 30 adults with LBP. Psychometric testing was performed in 186 adults, and 25 participants completed the questionnaire again after 7 to 14 days. Internal consistency, test-retest reliability, measurement error, structural validity, construct validity, and floor and ceiling effects were examined.ResultsThe Turkish version showed high internal consistency, with a Cronbach's alpha of 0.896, and good test-retest reliability, with an intraclass correlation coefficient of 0.871. Structural validity supported the original three-factor structure and showed acceptable model fit. All predefined hypotheses were confirmed. Higher knowledge scores were associated with lower disability, more positive back beliefs, younger age, higher education level, and being a health professional. No floor or ceiling effects were observed.ConclusionThe Turkish version of the Low Back Pain Knowledge Questionnaire showed evidence of internal consistency, test-retest reliability, structural validity, and construct validity in Turkish-speaking adults with LBP. It may be a useful instrument for assessing LBP-related knowledge in clinical and research settings. Further studies in more diverse populations and evaluation of responsiveness are warranted.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261491775"},"PeriodicalIF":1.6,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110154","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}
Eda Akbaş, Emin Ulaş Erdem, İlknur Tuğba Cavdar, İsmail Alak, Öznur Güney
{"title":"Validity and reliability of the APECS mobile application for assessing knee joint position sense during functional squat tasks in healthy adults.","authors":"Eda Akbaş, Emin Ulaş Erdem, İlknur Tuğba Cavdar, İsmail Alak, Öznur Güney","doi":"10.1177/10538127261492775","DOIUrl":"https://doi.org/10.1177/10538127261492775","url":null,"abstract":"<p><p>BackgroundKnee joint position sense (JPS) is a vital component of proprioception, significantly impacting functional performance and clinical outcomes.ObjectiveThis study aimed to investigate the concurrent validity and the intra- and inter-tester reliability of APECS-derived JPS error measures during three different squat ranges.MethodsSixty-two participants (mean age: 25.5 ± 3.9 years) were evaluated across three sessions. Knee JPS was measured at low (30-50°), moderate (50-70°), and deep (70-90°) squat ranges. Concurrent validity was evaluated by comparing APECS-derived JPS error measures with digital goniometer-derived measures. Intra-tester reliability was assessed by comparing Sessions 2 and 3 (T1), and inter-tester reliability by comparing T1 and T2 in Session 3. JPS error was quantified using absolute (AAE), relative (RAE), and variable (VAE) angular errors.ResultsCorrelations between APECS- and digital goniometer-derived JPS error measures were low and non-significant across all ranges (r = -0.22 to 0.08). Intra-tester reliability was good only for AAE (ICC = 0.85) and RAE (ICC = 0.79) in the deep squat range, with poor reliability elsewhere. Inter-tester reliability was predominantly poor, with moderate reliability only for VAE in the moderate range (ICC = 0.69).ConclusionUnder the present protocol, APECS-derived JPS error measures showed limited agreement with digital goniometer-derived measures and inconsistent reliability across squat ranges and error parameters. These findings are specific to the present APECS-based assessment protocol and reference method and should not be generalized to the overall validity or reliability of the APECS application.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261492775"},"PeriodicalIF":1.6,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080773","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}
Zeynep Aktaş Melikoğlu, Abdullah Ozan Polat, Okcan Basat
{"title":"Association between problematic internet use and kinesiophobia-related factors in adults aged 18-45 years With non-specific low back pain: A cross-sectional study.","authors":"Zeynep Aktaş Melikoğlu, Abdullah Ozan Polat, Okcan Basat","doi":"10.1177/10538127261494714","DOIUrl":"https://doi.org/10.1177/10538127261494714","url":null,"abstract":"<p><p>BackgroundCKQ-based kinesiophobia-related factors may reflect biological and psychological barriers to movement in low back pain (LBP). Their association with problematic internet use in adults with non-specific LBP remains unclear.ObjectiveTo examine the association between problematic internet use and CKQ-based kinesiophobia-related factor scores in adults aged 18-45 years with non-specific LBP, with pain intensity as a secondary variable.MethodsThis single-center, cross-sectional study included 140 adults aged 18-45 years presenting to a family medicine outpatient clinic between June 3 and July 3, 2024. CKQ mean score was the primary outcome. Problematic internet use was assessed using the Young Internet Addiction Test-Short Form (YIAT-SF), and pain intensity using the Visual Analog Scale (VAS). Spearman correlations, pain-group comparisons, and multivariable regression were performed.ResultsMean VAS, YIAT-SF, and CKQ mean scores were 4.20 ± 2.49, 29.37 ± 10.29, and 2.61 ± 0.97, respectively. YIAT-SF correlated positively with CKQ mean score (r = 0.579, p < 0.001). VAS pain intensity showed a weak positive correlation with CKQ mean score (r = 0.179, p = 0.035). Moderate pain was associated with higher YIAT-SF and CKQ mean scores than mild pain, but the severe pain group did not consistently show the highest scores. In regression, YIAT-SF showed the strongest association with CKQ mean score (standardized β=0.547, p < 0.001).ConclusionProblematic internet use was associated with higher CKQ mean scores in adults aged 18-45 years with non-specific LBP. Pain-intensity findings were weaker and did not indicate a clear dose-response pattern. Longitudinal studies are needed.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261494714"},"PeriodicalIF":1.6,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149074804","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}
Wilfried Serres, Jean-Philippe Deneuvile, Benjamin Hidalgo, Joachim Van Cant
{"title":"Mapping the use of spinal manual therapy on the lumbo-pelvic area for lower extremity isolated pain: A scoping review.","authors":"Wilfried Serres, Jean-Philippe Deneuvile, Benjamin Hidalgo, Joachim Van Cant","doi":"10.1177/10538127261490649","DOIUrl":"https://doi.org/10.1177/10538127261490649","url":null,"abstract":"<p><p>BackgroundSpinal manual therapy is frequently employed to alleviate pain and improve function. Although traditionally applied to spinal disorders, its use for lower extremity isolated pain has been reported, within the framework of regional interdependence. However, the clinical rationale for selecting specific techniques remains insufficiently explored.ObjectiveOur scoping review aimed to systematically investigate and summarize the types of lower extremity conditions addressed using spinal manual therapy applied to the lumbo-pelvic area, the types of interventions used (manipulation, mobilization, soft-tissue techniques and others), and the clinical assessments and outcomes reported.MethodsA comprehensive search of PubMed/MEDLINE, Scopus, ProQuest, PEDro and SPORTDiscus was conducted, covering all study designs. The modified 11-item Consensus on Exercise Reporting Template checklist was used to evaluate the replicability and reporting of spinal manual therapy techniques. Data were systematically categorized, and frequency analyses were performed to identify trends in intervention types and assessment methods.ResultsFifty-one studies were included. Knee-related conditions were the most frequently addressed (62.7%), and manipulation was the most commonly reported spinal manual therapy (SMT) technique (82.4%). Pain, muscle strength and function were among the most frequently assessed outcomes. None of the studies met all modified Consensus on Exercise Reporting Template (mCERT) reporting criteria.ConclusionThe review identified various techniques, particularly for knee-related conditions. However, intervention descriptions were often insufficient to ensure reproducibility. Future research should provide replicable descriptions of spinal manual therapy techniques applied to the lumbo-pelvic area and investigate their effects on clinically relevant outcomes in specific lower extremity conditions.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261490649"},"PeriodicalIF":1.6,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069672","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}