Journal of Back and Musculoskeletal Rehabilitation最新文献

{"title":"Enhancing rehabilitation outcomes in chondromalacia Patella: The impact of combining manipulative therapy with a structured exercise program.","authors":"Yasın Gormez, Gamze Demırcıoglu","doi":"10.1177/10538127251391087","DOIUrl":"10.1177/10538127251391087","url":null,"abstract":"<p><p>BackgroundChondromalacia patella (CMP) is characterized by cartilage degeneration in the patellofemoral joint, often causing anterior knee pain and impaired knee function.ObjectiveThis study aims to evaluate the effectiveness of manipulative therapy in patients diagnosed with CMP.MethodsIn this prospective randomized study, 40 patients diagnosed with CMP were randomly assigned to the manipulative therapy group or the control group. Both groups underwent strengthening and stretching exercises targeting the knee and hip muscles. Additionally, the manipulative therapy group received manipulative therapy focusing on the thoracolumbar, lumbopelvic, and sacroiliac joints three times a week. Pain intensity was measured using the Visual Analog Scale (VAS), while disability was assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Active knee flexion was recorded, muscle performance was evaluated using the Stair Climbing Test (SCT) and Horizontal Jump Test (HJT), and balance was assessed using the Star Excursion Balance Test (SEBT).ResultsBoth groups showed significant improvements in VAS, active knee flexion, WOMAC scores, SCT, HJT, and SEBT outcomes. However, the manipulative therapy group demonstrated significantly greater improvements than the control group in disability (WOMAC scores, <i>p</i> < 0.001, d = 1.93), horizontal jump performance (<i>p</i> = 0.03, d = 1.57), and balance (SEBT outcomes, <i>p</i> < 0.001, d = 1.60).ConclusionBy integrating manipulative therapy with strengthening and stretching exercises targeting the knee and hip muscles, clinicians can offer a multifaceted intervention that addresses the biomechanical and neurophysiological aspects of the condition, enhancing the rehabilitation process and functional recovery in patients with CMP.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"808-816"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145488842","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 kinesthetic and visual motor imagery with biofeedback on cervical position sense and balance in patients with mechanical neck pain: Randomized controlled trial.","authors":"Lama Saad El-Din Mahmoud, Shaimaa Mohamed Metawee, Nasr Awad Abdelkader","doi":"10.1177/10538127251398405","DOIUrl":"10.1177/10538127251398405","url":null,"abstract":"<p><p>PurposeTo examine impact of kinesthetic and visual motor imagery (MI) training on balance, cervical proprioception, and function in mechanical neck pain patients.MethodsFifty-three patients were assessed for eligibility. Nine patients were excluded for different reasons, and the remaining forty-four were randomly allocated into two groups (study and control). The patients were assessed pre- and post-treatment for cervical proprioception, neck mobility, balance, and pain using cervical joint position sense error (JPSE) test via overhead laser pointer, neck disability index (NDI), multidirectional reach test (MDRT), and visual analogue scale for pain (VAS-P), respectively. The study group (N = 22) received kinesthetic and visual MI training and a conventional physical therapy program, while the control group (N = 22) received a conventional program. Both groups received three sessions per week for four weeks. Both the statistical analyzer and the patients were blinded, and the study was registered in clinicaltrials.gov ID: XXXXXX.ResultsForty-four patients were included in the study and were randomly assigned to equal groups. Following intervention, the two groups' comparison demonstrated improvement with a significant decrease in the neck JPSE, NDI, and VAS-P and an increase in MDRT scores in the study group more than in the control one, while within-group comparison, there was a significant decrease in the neck JPSE, NDI, and VAS-P, and an increase in MDRT scores post-intervention compared with that of baseline in both groups (p < 0.05).ConclusionMI training with biofeedback is an effective therapeutic intervention for enhancing balance, neck position sense, and decreasing mechanical neck pain.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"864-875"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145633393","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":"Efficacy of hydrokinesis therapy in reducing fatigue and stress in patients with fibromyalgia: A systematic review.","authors":"Alessandro de Sire, Andrea Parente, Emanuele Prestifilippo, Francesco Agostini, Chiara Conte, Andrea Racinelli, Umile Giuseppe Longo, Andrea Demeco, Nicola Marotta, Antonio Ammendolia","doi":"10.1177/10538127251412595","DOIUrl":"10.1177/10538127251412595","url":null,"abstract":"<p><p>BackgroundFibromyalgia is a chronic syndrome with widespread pain and multisystem symptoms. Hydrokinesitherapy, combining exercise and water immersion, may reduce pain, improve function, and enhance quality of life. It may be more effective than land-based therapy, though protocols remain unstandardized. This study evaluated its effectiveness in fibromyalgia.ObjectiveThis systematic review aimed to evaluate the effectiveness of hydrokinesitherapy compared to land-based exercise or placebo intervention in women with fibromyalgia, with particular focus on its impact on pain, physical function, well-being, and quality of life assessed through the fibromyalgia impact questionnaire (FIQ).MethodsA literature review was conducted using the following databases until may 28^th 2025: PubMed, Scopus, and Web of Science. Studies were deemed eligible based on the following PICO criteria: P) Participants: women diagnosed with fibromyalgia; I) Intervention: hydrotherapy; C) Control: land-based exercise or placebo/sham treatments; O) Outcome: Fibromyalgia Impact Questionnaire (FIQ). Only randomized controlled trials RCTs with two groups and full text in English were included.ResultsThis review included 10 RCTs with 469 participants, 238 treated with hydrokinesitherapy. Results showed significant improvements in pain, function, sleep, depression, and quality of life in women with fibromyalgia. Outcomes were better than land-based exercise, but benefits decline without continued therapy; long-term studies are needed to define optimal duration and structure.ConclusionHydrokinesitherapy combined with exercise benefits from warm-water immersion, reducing joint stress and improving movement tolerance in fibromyalgia. This review confirms its effectiveness in reducing pain, enhancing physical and psychological well-being, and improving quality of life.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"758-774"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145966112","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":"Determination of reference values for abdominal skeletal muscle compartments in Turkish children.","authors":"Tuğba Aydın, Eda Cingöz, Amine Durmuş, Yunus Emre Çakmaklı, İrem Ünal, Taha Kızılkurt, Elif Bahat, Nalan Çapan, Memduh Dursun, Ilhan Karacan, Gulistan Bahat","doi":"10.1177/10538127251407660","DOIUrl":"10.1177/10538127251407660","url":null,"abstract":"<p><p>BackgroundSarcopenia, defined by reduced muscle strength and low muscle mass, is associated with chronic diseases, malnutrition, and growth retardation in children. Computed tomography (CT) is considered the gold standard for assessing skeletal muscle mass. However, pediatric reference values for abdominal skeletal muscle area (aSMA) at lumbar vertebral levels remain limited and vary among populations.ObjectiveTo establish age- and sex-specific reference values and percentile curves for aSMA, including psoas muscle area (PMA), paraspinal muscle area (PSMA), and total skeletal muscle area (TSMA), at L3 vertebral body, L3-L4 and L4-L5 intervertebral disc levels in Turkish children.MethodsThis retrospective study included 2166 Turkish children aged 0-18 years who underwent abdominal CT scans for acute indications. aSMA measurements were obtained at three lumbar levels, and percentile curves were calculated using the Lambda-Mu-Sigma method. SD intervals of ±2 were determined for each parameter. Children with chronic diseases or abnormal muscle morphology were excluded.ResultsOf the participants, 62.1% were boys and 37.9% were girls, with a median age of 10 years (IQR: 5-15). Age- and sex-specific percentile values (3rd-97th) and ±2 SD ranges were established for PMA, PSMA, and TSMA. At the L3-L4 intervertebral disc level, the PMA (50th percentile) ranged from 3.3-15.4 cm² in girls and 3.3-27.2 cm² in boys. Comparative analysis with other populations showed significant inter-population differences.ConclusionWe establish level-specific (L3, L3-L4, L4-L5) normative charts-3rd-97th percentiles and ±2 SD limits-for PMA, PSMA, and TSMA in Turkish children aged 0-18 years, providing population-specific benchmarks that standardize abdominal skeletal muscle assessment and support early identification of low muscle area.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"951-966"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145809811","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 repetitive transcranial magnetic stimulation on balance function in patients with stroke: A systematic review.","authors":"Ningling Chen, Shuo Xu, Yilong Zou, Shaofan Chen, Xiujia Luo, Zhengcong Zhang, Tingting Chen, Huijie Zou, Xiaofen Xu, Haoqing Jiang","doi":"10.1177/10538127261416002","DOIUrl":"10.1177/10538127261416002","url":null,"abstract":"<p><p>BackgroundRepetitive transcranial magnetic stimulation (rTMS) is a noninvasive and painless technique used to modulate central nervous system activity. It has shown promise in improving motor, swallowing, speech, and cognitive functions in patients after stroke. However, limited research has focused on its effect on post-stroke balance, and stimulation parameters remain inconsistent.ObjectiveTo systematically evaluate the efficacy of rTMS on balance function in stroke patients by analyzing stimulation parameters, target sites, and clinical outcomes from recent RCTs, and to identify optimal evidence-based protocols for post-stroke balance rehabilitation.MethodsThe PubMed, Embase, Cochrane Library, and Web of Science databases were systematically searched for RCTs. Eighteen RCTs were included. All included studies demonstrated high methodological quality (PEDro scores ≥ 6).ResultsThe primary motor cortex (M1) and cerebellum were the most frequently targeted stimulation sites. Most studies employed low-frequency rTMS (LF-rTMS) or iTBS. Across the included studies, rTMS demonstrated improvements in balance(BBS), lower-limb motor function(FMA-LE) and gait parameters compared with control groups (P < 0.05). Effect sizes varied depending on stimulation site and parameters. Clinical improvements were sustained across multiple assessment domains. Some studies reported a greater reduction in pdBSI in the rTMS group (mean difference: -0.12, 95% CI:-0.22 to -0.02, P = 0.026) and a smaller increase in MEP amplitude (mean difference: 8.5 μV, 95% CI:0.9 to 16.1 μV, P = 0.028).ConclusionCurrent evidence suggests that rTMS targeting M1 or cerebellum may effectively improve balance in stroke patients. Preliminary evidence supports either (1) LF-rTMS to the unaffected M1 or (2) cerebellar iTBS as potentially effective protocols. However, further high-quality trials are needed to establish standardized treatment parameters.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"727-743"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146052046","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 high-intensity exercise on physical function and disease activity in patients with rheumatoid arthritis. A systematic review with meta-analysis.","authors":"Iván Cuyul-Vásquez, Oscar Catalán-Medalla, Felipe Ponce-Fuentes, Walter Sepúlveda-Loyola, Héctor Gutiérrez-Espinoza, Felipe Araya-Quintanilla","doi":"10.1177/10538127251400607","DOIUrl":"10.1177/10538127251400607","url":null,"abstract":"<p><p>BackgroundCurrently, the evidence for the effectiveness of exercise in patients with rheumatoid arthritis (RA) is controversial.ObjectiveTo determine the effectiveness of high-intensity exercise on physical function and disease activity in patients with RA.MethodsThis systematic review was prospectively registered with PROSPERO (CRD42022332312). Electronic searches were performed in MEDLINE, Web of Science, EMBASE, SCOPUS, CINAHL, SPORTDiscus, Epistemonikos, and LILACS databases from inception to September 2025. Randomised clinical trials that evaluated the effectiveness of high-intensity exercise on physical function and disease activity in patients with RA were included. The selection of studies, data extraction, and risk of bias assessment were performed by two independent reviewers.ResultsEleven clinical trials met the eligibility criteria. For the comparison of high-intensity exercise versus supervised or unsupervised low-intensity exercise, there was no significant difference between groups: the standard mean difference (SMD) was 0.03 (95% CI, -0.15 to 0.20; <i>p</i> = 0.77) for physical function, and 0.06 (95% CI, -0.13 to 0.25; <i>p</i> = 0.53) for disease activity at 20-24 weeks. Conversely, high-intensity exercise was significantly more effective in improving knee extensor muscle strength (SMD = 0.30; 95% CI, 0.13 to 0.48; <i>p</i> < 0.001) and aerobic capacity (SMD = 0.35; 95% CI, 0.15 to 0.55; <i>p</i> < 0.001) than supervised or unsupervised low-intensity exercise at 20-24 weeks. No adverse events related to the interventions were reported in any of the included studies.ConclusionHigh-intensity exercises compared to supervised or unsupervised low-intensity exercise did not significantly improve self-reported physical function and disease activity in patients with RA. In addition, high-intensity exercise is safe and effective in significantly improving extensor muscle strength and aerobic capacity in this population. According to the GRADE approach, the quality of evidence was very low to high. More clinical trials are needed to confirm these findings.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"791-807"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145633607","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":"Evaluation of the reliability, informational content, and quality of YouTube videos on cervical disc herniation.","authors":"Menekse Gok Simsek, Emine Isil Ustun, Banu Aydeniz, Turker Suleymanoglu, Sibel Caglar","doi":"10.1177/10538127251412592","DOIUrl":"10.1177/10538127251412592","url":null,"abstract":"<p><p>BackgroundYouTube has become a widely used resource for patients and healthcare professionals seeking information on cervical disc herniation. However, the reliability and quality of online content show substantial variability.ObjectiveTo evaluate the reliability, informational content and quality of YouTube videos related to cervical disc herniation.MethodsThis cross-sectional study included YouTube videos related to cervical disc herniation, identified through searches using the terms \"cervical disc herniation,\" \"disc herniation of cervical spine,\" and \"herniated cervical disc.\" Video characteristics such as duration, views, likes, comments, and content creator profiles were recorded. Reliability and quality were assessed using the DISCERN instrument, the Journal of the American Medical Association (JAMA) benchmark criteria, and the Global Quality Scale (GQS).ResultsA total of 300 videos (100 for each search term) were initially retrieved. After excluding duplicates, non-English, irrelevant, or very short videos, 104 unique videos were included in the study. Of the included videos, 41.3% were uploaded by physicians, 30.7% by non-physician healthcare professionals, 14.4% by medical channels, 8.7% by healthcare institutions, and 4.8% by patients. The mean DISCERN score was 35.3 ± 7.6, the mean JAMA score was 2.4 ± 0.6, and the mean GQS score was 3.5 ± 0.8, indicating generally poor to fair quality. The median (range) scores were 35.0 (17.0-58.0) for DISCERN, 2.0 (1.0-4.0) for JAMA, and 4.0 (1.0-5.0) for GQS. According to JAMA, 55.8% of the videos scored 2 points, reflecting low reliability, while only 2.9% achieved the maximum score of 4. In GQS, 52.9% were rated as high quality, 38.5% as moderate, and 8.6% as low. Correlation analyses showed that longer video duration was positively associated with higher DISCERN (r = 0.41-0.57, p < 0.001), JAMA (r = 0.36, p < 0.001), and GQS scores (r = 0.35, p < 0.001).ConclusionMost of the included YouTube videos on cervical disc herniation demonstrated low to moderate reliability. These findings emphasize the need for healthcare professionals and patients to critically appraise such content, and they highlight the importance of developing higher-quality, evidence-based online educational resources.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"974-984"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145911521","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":"Booster session prescription and outcomes in adults with chronic low back pain: Secondary analysis of a randomized clinical trial.","authors":"Vanessa M Lanier, Keith R Lohse, Quenten L Hooker, Jesse M Civello, Linda R van Dillen","doi":"10.1177/10538127251407665","DOIUrl":"10.1177/10538127251407665","url":null,"abstract":"<p><p>BackgroundBooster sessions are suggested to maintain self-management behaviors and treatment effects in chronic low back pain (LBP) interventions, but the effects of boosters on outcomes and the best parameters for booster prescription are unclear.Objectives(1) Compare booster prescription for two LBP treatments in an RCT where prescription was based on self-management program independence, (2) Determine if participant-specific variables predict requiring additional boosters, (3) Explore effects of boosters on outcomes in those requiring additional boosters.MethodsSecondary analysis of an RCT where 154 participants with LBP were randomized to motor skill training (MST), MST + Boosters (MST + B), strength/flexibility exercise (SFE), or SFE + B. This analysis focuses only on the + Boosters groups (age: 40.1 ± 11.2 years, 49 female, LBP duration 9.8 ± 8.8 years). Participants received MST or SFE and six months later received up to 3 boosters. Self-management program independence was assessed at the first booster, and those who were not independent required additional (>1) boosters. Chi-square tests were used to analyze booster prescription. Logistic regression analyses were used to examine predictors of requiring additional boosters. Descriptive statistics were calculated for outcomes for participants who did and did not require additional boosters.ResultsMST + B and SFE + B did not significantly differ in returning for the first booster, χ²(1) = 1.76, <i>p</i> = 0.185. SFE + B were over 10 times more likely to require additional boosters than MST + B; OR = 10.9, 95% CI = [3.1, 38.1]. No participant-specific factors were statistically related to needing additional boosters. Attending additional boosters did not appear to change pain or function.ConclusionsIntervention type, not participant-specific factors, predicted the need for additional boosters. Attending additional boosters did not appear to change pain or function in the current sample.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"941-950"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12829321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145856030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between time from onset of lower back pain to medical examination and recurrence and stage of disease in lumbar spondylolysis.","authors":"Shinya Kishi, Yasuhiro Nakane, Takao Minami","doi":"10.1177/10538127261415999","DOIUrl":"10.1177/10538127261415999","url":null,"abstract":"<p><p>BackgroundLumbar spondylolysis, a stress fracture, is frequently observed in adolescent athletes performing repetitive spinal extension and rotation. Early diagnosis and treatment are crucial to prevent progression and recurrence. However, the impact of the time from symptom onset to consultation on disease stage and recurrence remains unclear.ObjectiveThis study investigated whether delayed consultation influences the disease stage at diagnosis and recurrence in adolescent athletes with lumbar spondylolysis.MethodsA retrospective cohort study was conducted at Hospital A from April 2022 to April 2025. Data included age, sex, sport type, lesion location, disease stage (early, advanced, or terminal), consultation timing (<30 or >30 days), and recurrence. Fisher's exact test was used for univariate analysis, and variables with P < 0.20 were entered into a logistic regression model to identify independent predictors.ResultsEighty-three athletes (53 males, 30 females; mean age 14.9 ± 1.9 years) were analyzed. Univariate analysis revealed that delayed consultation and advanced disease stage were significantly associated with recurrence. Logistic regression identified disease stage as the only independent predictor (OR = 0.06, 95% CI: 0.01-0.32, P < 0.0011).ConclusionA delay in consultation was not an independent predictor of recurrence; however, it indirectly increased the risk of recurrence by contributing to disease stage advancement at the time of diagnosis. These findings highlight that timely consultation can prevent disease progression and lower recurrence risk. Educating athletes, parents, and coaches about early medical evaluation is essential to improve clinical outcomes and ensure a safe return to sports.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"1076-1081"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146003609","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":"Instrument-assisted soft tissue mobilization as a promising approach for children with chronic neck pain: A single-blind, randomized study.","authors":"Esra Kübra Mıhçıoğlu, Zehra Güçhan Topcu, Ayşe Nur Tunalı, Serpil Mıhçıoğlu, Hayriye Tomaç","doi":"10.1177/10538127251401084","DOIUrl":"10.1177/10538127251401084","url":null,"abstract":"<p><p>BackgroundNumerous interventions exist for neck pain in all age groups, but novel manual approaches warrant further investigation to assess their applicability in pediatric populations.ObjectiveThis study aimed to determine and compare the immediate effects of instrument-assisted soft tissue mobilization (IASTM) and classical massage (CM) in children aged 10-11 years with chronic neck pain.MethodsIASTM or CM were applied to the neck regions of a total of 52 children with chronic neck pain. Visual Analogue Scale (VAS), universal goniometer, and digital pressure algometer were used to evaluate pain severity, Range of Motion (ROM), and pressure pain threshold (PPT).ResultsSignificant within-group improvements were observed in VAS scores and cervical ROM post-treatment (p < .001). Additionally, a significant difference was found only in the PPT value of the left cervical region in the CM group (W = -2.237; p = .025). Between-group differences at each time showed that significant differences were found in cervical flexion (U = 2.630, p = .009) and PPT left cervical (U = -2.326; p = .020) before treatment and also, significant differences were obtained in the PPT right cervical (U = -2.555; p = .011), PPT right upper trapezius (U = -2.545; p = .011), and PPT left upper trapezius (U = -1.968; p = .049), after treatment.ConclusionBoth IASTM and CM were equally effective in reducing pain severity, the study's primary outcome. When adjusted for time, differences emerged only in cervical lateral flexion, with region-specific variations. However, long-term outcomes remain unknown, and future trials should include follow-up periods, larger and more diverse samples, and control or placebo groups to clarify clinical effect.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"1044-1052"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13109599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145701101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}