Journal of Back and Musculoskeletal Rehabilitation最新文献

{"title":"The efficacy of whole-body vibration training in alleviating postpartum pelvic girdle pain: A randomized controlled trial.","authors":"ZhenFei Li, Shuai Yin, Ping Zhao, LongFeng Qi, Lin Li","doi":"10.1177/10538127251380076","DOIUrl":"https://doi.org/10.1177/10538127251380076","url":null,"abstract":"<p><p>BackgroundAlthough whole-body vibration (WBV) training has been investigated for its effects on low back pain, pelvic floor muscles, and lower limbs, evidence from randomized controlled trials evaluating its efficacy in alleviating postpartum pelvic girdle pain (PPGP) remains lacking.ObjectiveTo investigate the effectiveness of WBV training in alleviating pain, improving functional status, and enhancing quality of life in women with PPGP.MethodsIn the double-blind randomized controlled trial, 52 women with PPGP were randomly assigned to either core stability training combined with WBV training (15-20 Hz) or core stability training (26 women in each group). Both groups performed 40-min training, 3 times per week, for 4 weeks. The primary outcome measures were the Visual Analog Scale (VAS) and the Pelvic Girdle Questionnaire (PGQ). Secondary outcomes included the Timed Up and Go test (TUG), the 10-Meter Walk Test (10MW), and the Patient Health Questionnaire-9 (PHQ-9).Results50 subjects completed the 4-week intervention. Both groups showed significant improvement in all outcome indicators compared with those before the intervention. Intergroup comparison showed that the intervention group had a shorter TUG time and a faster 10MW speed (<i>p</i> < 0.001). However, there were no significant differences in VAS (<i>p</i> = 0.07) and PGQ (<i>p</i> = 0.28) scores between the two groups. And after the pre- and post-intervention, a higher improvement in TUG in the intervention group than in the control group (<i>p</i> < 0.001), and a higher increase in 10MW velocity than in the control group (<i>p</i> < 0.001). 4-week post-intervention follow-up, 47 participants completed the PGQ assessment, with lower scores in the intervention group, indicating sustained pelvic-specific improvements.ConclusionResearch suggests that core stability training combined with WBV training is more beneficial than core stabilization training alone in improving functional disability and quality of life in women with postpartum pelvic girdle pain.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251380076"},"PeriodicalIF":1.4,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149140","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 the palmaris longus muscle on fine motor skills, position sense and grip strength.","authors":"Necati Emre Sahin, Mert Uysal, Mensure Sahin, Seyma Toy, Tarık Ozmen","doi":"10.1177/10538127251380061","DOIUrl":"https://doi.org/10.1177/10538127251380061","url":null,"abstract":"<p><p>BackgroundThe palmaris longus muscle (PLM) occurs in various forms in the human body, with its complete absence being the most common variation. Although the PLM is frequently used in reconstructive surgeries, its functional impact, especially on fine motor skills, remains unclear and has not been directly studied.ObjectiveThis study aimed to investigate whether the presence or absence of the PLM affects gross grip strength, pinch grip strength, wrist joint proprioception, and fine motor skills, thereby determining if the PLM has a functional role in hand performance.MethodsA total of 497 individuals were assessed for the presence of the PLM. Of these, 36 individuals were found to lack the PLM unilaterally or bilaterally. For comparability, 35 individuals with the PLM were included in the analysis. Gross grip strength and pinch grip strength were measured using a hand dynamometer, wrist joint proprioception was assessed with a digital inclinometer, and fine motor skills were evaluated with the Purdue Pegboard Test.ResultsNo significant differences were found between individuals with the PLM and individuals without the PLM in terms of gross grip strength, pinch grip strength, wrist joint proprioception, or fine motor skills in either the dominant or nondominant hand (p > 0.05).ConclusionsThe presence or absence of the PLM does not affect fine motor skills, grip strength, or wrist proprioception, suggesting it can be safely used for surgical grafting without functional loss in the hand.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251380061"},"PeriodicalIF":1.4,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130911","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":"Ultrasound guided paravertebral ozone-oxygen injection versus pure oxygen for chronic discogenic low back pain: A double-blind randomized controlled trial.","authors":"Bijan Forogh, Kamyar Kazemi","doi":"10.1177/10538127251379512","DOIUrl":"https://doi.org/10.1177/10538127251379512","url":null,"abstract":"<p><p>ObjectiveChronic discogenic low back pain (LBP) is one of the most prevalent musculoskeletal disorders. Despite numerous studies, the effectiveness of paraspinal ozone therapy continues to be uncertain, partly because of the methodological shortcomings. This study evaluates the effectiveness of para-spinal ozone-oxygen mixture injection compared to pure oxygen in chronic discogenic low back pain.DesignIn this double-blind RCT, 30 patients with MRI-confirmed chronic discogenic LBP were randomized into intervention (20 μg/mL ozone-oxygen mixture) or control (pure oxygen) groups. Every patient underwent a series of three ultrasound-guided para-spinal injections administered weekly in combination with exercise. Pain intensity (Visual Analog Scale, VAS) and functional status (Oswestry Disability Index, ODI) were assessed at baseline, one month, and three months post-intervention.ResultsBoth groups exhibited notable enhancements in VAS and ODI scores; however, the ozone group revealed more favorable results (P < 0.001). The ozone group exhibited significantly higher mean reductions in VAS (5.6 compared to 2.4) and ODI (19.07 compared to 7.8). (P < 0.001)ConclusionPara-spinal ozone-oxygen injection was significantly superior to pure oxygen in alleviating pain and enhancing functional scores. Despite limitations such as a small sample size, this research offers insights into ozone therapy as a promising minimally invasive alternative for chronic discogenic low back pain.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251379512"},"PeriodicalIF":1.4,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124384","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 simultaneous application of cervical traction and neural mobilization on pain and disability in patients with cervical radiculopathy: A systematic review and meta-analysis.","authors":"Xiaodong Wu, Ping Li, Huiwei Fang, Shanshan Li","doi":"10.1177/10538127251380052","DOIUrl":"https://doi.org/10.1177/10538127251380052","url":null,"abstract":"<p><p>ObjectiveThe primary objective of this systematic review was to evaluate the effectiveness of the simultaneous combination of neural mobilization and traction therapy (SNMCT) in reducing pain and disability for patients with cervical radiculopathy.MethodsWe conducted a systematic review with meta-analysis using the randomized controlled trials (RCTs) articles published in PubMed, Cochrane Library, CINAHL Complete, EMBASE, CNKI from 01 January 2013 to 05 March 2025. Randomized controlled trials (RCTs) comparing SNMCT with on intervention and other interventions were included. Risk of bias was evaluated using the RoB 2 and the quality of evidence was systematically appraised by the GRADE approach.ResultsThis study included seven RCTs (n = 288). For the primary outcomes of pain and disability, there is moderate-quality of evidence that SNMCT provides statistically significant difference on pain relief (MD: -3.29, 95% CI: -4.08 to -2.49, p < 0.05) and disability (MD: -15.90, 95% CI: -21.34 to -10.45, p < 0.05) than waitlist group. SNMCT provides statistically significant difference than other interventions on pain relief (MD: -0.92, 95% CI: -1.13 to -0.71, p < 0.05) and disability (MD: -3.60, 95% CI: -4.65 to -2.54, p < 0.05) with low-quality of evidence. For the secondary outcomes (hand grip strength and cervical range of motion), SNMCT significantly improved range of motion compared to waitlist controls for both flexion (MD = -5.81, 95% CI: -9.45 to -2.17, p < 0.01) and extension (MD: -7.22, 95%CI: -13.63 to -0.80, p = 0.03), but no difference statistically significant on hand grip strength (MD: 0.39, 95% CI: -3.61 to 4.40, p = 0.85). Based on very low-quality evidence, SNMCT appears to enhance cervical flexion (MD: -4.18, 95%CI: -6.59 to -1.77, p < 0.01; I²=0%) and extension (MD: -4.96, 95%CI: -7.59 to -2.33, p < 0.01; I²=0%), while demonstrating no significant effect on hand grip strength improvement. There were no statistically significant differences were observed between the SNMCT and CNMCT groups regarding pain relief and disability improvement (MD: -0.90, 95%CI: -1.92 to 0.12, p = 0.09; MD: -8.70, 95%CI: -17.62 to -0.22, p = 0.06; respectively) after the treatment. However, the SNMCT group showed significantly better outcomes in cervical range of motion, particularly in flexion (MD: -17.20, 95%CI -24.88 to -9.52, p < 0.01) and extension (MD: -10.60, 95%CI -14.50 to -6.70, p < 0.01). Furthermore, cervical segment traction combined with nerve mobilization is superior to cervical total traction in reducing pain intensity, disability, and cervical range of motion (MD: -1.80, 95% CI: -2.76 to -0.84; MD: -6.07, 95% CI: -9.57 to -2.57; SMD: 3.85, 95% CI: 3.02 to 4.67; respectively).ConclusionThe current findings of this systematic review suggest that SNMCT may be considered an effective intervention for cervical radiculopathy.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251380052"},"PeriodicalIF":1.4,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091879","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":"Can breathing exercises effectively treat people with chronic non-specific low back pain? A systemic review with meta-analysis.","authors":"Angela Yu-Jung Chen, I-Ju Lin, Yi-Tung Chen, Hong-Ji Luo, Yen-Wei Chen, Wendy Tzyy-Jiuan Wang","doi":"10.1177/10538127251374357","DOIUrl":"https://doi.org/10.1177/10538127251374357","url":null,"abstract":"<p><p>ObjectiveTo evaluate the effects of breathing exercises on pain, function, pulmonary and muscle parameters, and psychological factors in chronic non-specific low back pain (CNLBP).Data SourcesPubMed, MEDLINE, CINAHL, EMBASE, Web of Science, PEDro, and Airiti Library were searched up to September 17, 2024.MethodsA systematic review (CRD42024567159) of randomised controlled trials (RCT) comparing breathing exercises to interventions without breathing exercises for CNLBP was conducted. Two reviewers independently performed study selection, data extraction, and risk of bias assessment using Cochrane's RoB 2 tool. Standardised mean differences (SMDs) with 95% confidence intervals (CI) were calculated using a random-effects model. Interventions included diaphragmatic, slow or deep breathing, and forced exhalation techniques, with durations ranging from 2 to 12 weeks. Evidence certainty was assessed using the GRADE framework, and subgroup analyses explored potential heterogeneity.ResultsSeventeen studies (633 participants) met inclusion criteria. Breathing exercises reduced pain intensity (SMD -1.11; 95% CI -1.71 to -0.51) and improved functional capacity (e.g., Oswestry Disability Index, SMD -0.56; 95% CI -0.88 to -0.25). Positive effects were observed in respiratory function (e.g., forced vital capacity, SMD 0.46; 95% CI 0.18 to 0.74), core muscle activity (e.g., transverse abdominis activation assessed via surface electromyography, SMD 0.82; 95% CI 0.47 to 1.17), and fear-avoidance beliefs (e.g., FABQ-subscales, SMD -0.56; 95% CI -0.97 to -0.15). However, heterogeneity was high, five studies had a high risk of bias, and GRADE assessment indicated low to very low evidence certainty.ConclusionBreathing exercises may benefit pain, function, and respiratory and psychological outcomes in CNLBP. Effects appear more pronounced in athletes regarding the reduction of pain. Further high-quality research is needed to support the findings and establish their clinical applicability.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251374357"},"PeriodicalIF":1.4,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080734","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":"Balancing act: A scoping review of methodological trends in standing balance assessments for patients with spinal pathologies.","authors":"Emily C Courtois, Sara R McMahan, Bethany A Wilson, Kyle T Robinson, Donna D Ohnmeiss","doi":"10.1177/10538127251372782","DOIUrl":"https://doi.org/10.1177/10538127251372782","url":null,"abstract":"<p><p>IntroductionAssessing balance is critical in clinical and research settings, assisting to identify impairments and guiding interventions. Numerous medical conditions can affect balance, including many spinal pathologies. Though there is consensus on the importance of evaluating balance for patients with spinal pathologies, current research lacks an analysis of current methods and conditions under which standing balance is assessed. This review aims to investigate trends and level of standardization in standing balance evaluation methodologies in current research on spinal pathologies.MethodsOvid (MedLine), PubMed, and Google Scholar, were used to locate literature from January 2019 to December 2024. Extracted data included spinal pathology and methods used to assess standing balance. Assessments were stratified into two groups: Qualitative and Instrumented. Qualitative includes assessments scored by a person via predetermined criteria. Instrumented includes assessments measured via instrumented platform. Bilateral Quiet Standing (BQS) is a term referring to otherwise unnamed and non-standardized assessments conducted on an instrumented platform under conditions specified by the individual study.ResultsThe search located 4237 studies, where 154 were included after title and abstract review. Full text review isolated 45 included studies. This review located 15 distinct assessment types consisting of 7 qualitative and 8 instrumented assessment types. The most common tests were the Single Leg Stance (SLS) and BQS assessment.ConclusionA lack of standardization exists across clinical and research settings. This emphasizes the need for enhanced comparability of balance assessments in patients with spinal pathologies. Standardization is crucial for effective interventions and improving quality of life.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251372782"},"PeriodicalIF":1.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069521","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":"Letter to the Editor: 3D CT visualization of injectate spread following femoral and obturator nerve articular branches radiofrequency - An anatomical contribution to our previous findings.","authors":"Sinem Sarı, Mustafa Gök, Akylai Dosieva, Osman Nuri Aydın","doi":"10.1177/10538127251377194","DOIUrl":"https://doi.org/10.1177/10538127251377194","url":null,"abstract":"<p><p>In our previous study, radiofrequency (RF) thermocoagulation of femoral and obturator articular branches was shown to provide superior outcomes in chronic hip pain compared with pericapsular nerve group block and intra-articular steroid injection. Here, we present a complementary case in which three-dimensional computed tomography (3D CT) was used to visualize injectate spread following RF. Imaging demonstrated localized distribution at the articular branch level of both nerves, without main trunk involvement. These findings provide anatomical confirmation of dual nerve coverage and suggest that 3D CT may enhance understanding of procedural efficacy.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251377194"},"PeriodicalIF":1.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069565","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 pain in aging populations: A global analysis of disability and healthcare burden over three decades.","authors":"Shaomin Huang, Zengbo Lu, Siwei Xie, Jiale He, Yubao Lu, Mao Pang, Bin Liu","doi":"10.1177/10538127251369280","DOIUrl":"https://doi.org/10.1177/10538127251369280","url":null,"abstract":"<p><p>BackgroundLow back pain (LBP) has emerged as a critical public health concern whose associated disability burden and healthcare expenditures have been persistently escalating among aging populations worldwide.ObjectiveThis global study analyzed the disability burden of LBP among the older population for over three decades and identified interventions specifically targeting older adults.MethodsRepeated cross-sectional data on LBP among individuals aged ≥65 years from the Global Burden of Disease Study 2021 were extracted and compared to age-standardized rates of LBP incidence and disability adjusted life years (DALYs) across various demographic and geographic categories.ResultsCountries with a high sociodemographic index (SDI), advanced health systems, and high incomes, including North America and the Latin America and Caribbean region, exhibited the highest incidence rates and DALYs of LBP. Occupational ergonomics is still the primary factor for LBP in countries with low SDI, and minimal health level countries. Body mass index (BMI) was substantially increased in all global subgroups, especially in countries with low-middle SDI, limited health systems, world bank low-income level groups.ConclusionAdvanced economic development and healthcare showed a non-linear correlation with LBP. High BMI is projected to become a predominant modifiable risk factor for LBP progression, highlighting the urgent need for the implementation of lifestyle strategies.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251369280"},"PeriodicalIF":1.4,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145053368","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":"Misinformation in spinal cord rehabilitation on YouTube: Enhancing standards for patient safety.","authors":"Özlem Karataş, Serpil Tuna, Seden Demirci","doi":"10.1177/10538127251369997","DOIUrl":"https://doi.org/10.1177/10538127251369997","url":null,"abstract":"<p><p>BackgroundSpinal cord injury is a complex condition affecting millions globally, often requiring extensive rehabilitation. YouTube is increasingly utilized by spinal cord injury-patients and caregivers for rehabilitation information, despite potential misinformation risks. However, few studies have assessed the quality of spinal cord injury -related content on this platform.AimThis study evaluates the quality, reliability, and effectiveness of YouTube videos on spinal cord rehabilitation to identify credible resources and improve patient education.MethodsA systematic search was conducted on YouTube using keywords related to spinal cord injury rehabilitation, yielding 74 videos that met inclusion criteria. These were assessed independently by two reviewers for quality indicators using DISCERN, JAMA, and Global Quality Score criteria. Viewer engagement metrics such as views, likes, and comments were also analyzed.ResultsMost videos were of low to moderate quality, with only 24% rated as high quality. Videos uploaded by physicians received significantly higher quality ratings compared to those from other sources (<i>p</i> < 0.01), although their view counts were generally lower. Viewer engagement was positively correlated with likes and comments but inversely correlated with quality metrics, indicating that popular videos often lacked reliable information. Among the included videos, 28.4% were uploaded by physicians, 52.7% by physiotherapists, and 18.9% by others, providing insight into the source reliability.ConclusionThe overall quality of spinal cord injury rehabilitation videos on YouTube is low, posing risks for misinformation among patients. Efforts are needed to enhance the accessibility of scientifically accurate information. Healthcare professionals and digital platforms should collaborate to improve the quality of health-related videos, supporting informed decision-making for spinal cord injury patients.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251369997"},"PeriodicalIF":1.4,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015457","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":"Normative values and phenotypic performance profiles in the modified closed kinetic chain upper extremity stability test among healthy indian adults- A cross-sectional study.","authors":"Akshitha Rajasekhar, Rifna Kousar, Ravi Ramadevarapura Honnahalagegowda, Remya Raveendran, Vijayakumar Palaniswamy","doi":"10.1177/10538127251371534","DOIUrl":"https://doi.org/10.1177/10538127251371534","url":null,"abstract":"<p><p>BackgroundThe closed kinetic chain upper extremity stability test (CKCUEST) is widely used to assess shoulder stability. The modified CKCUEST (mCKCUEST) incorporates height-normalized hand spacing (50%) to account for individual anthropometric variations and improve biomechanical validity.ObjectiveTo establish normative reference values for mCKCUEST performance in healthy Indian adults and to define diagnostic thresholds and performance phenotypes using percentile classification, ROC analysis, and clustering techniques.MethodsA cross-sectional study was conducted among 517 physically active participants (53.6% females) aged 18-28 years. Each participant completed three mCKCUEST trials. Mean, relative (touches/meter), and power scores were calculated. Percentile ranks were stratified by sex. ROC analysis assessed discriminatory cut-offs, while k-means clustering was used to identify phenotypic subgroups. An adaptation index (Trial 3-Trial 1) was computed to evaluate neuromuscular responsiveness.ResultsThe mean mCKCUEST score was 17.6 ± 2.3 repetitions with a relative score of 10.5 ± 1.5 touches/meter and a power score of 56.2 ± 11.9. Males performed better than females in Trials 2 and 3 (p < 0.001). No significant correlations were observed between anthropometric variables and performance outcomes. K-means clustering revealed three distinct performance phenotypes, including one with low baseline scores but high neuromuscular adaptability. BMI-based stratification showed most participants were in the normal range (72.5%).ConclusionThis study provides normative benchmarks for mCKCUEST in healthy Indian adults. The integration of percentile norms, BMI stratification, and adaptation-based phenotypes enhances individualized interpretation in clinical and performance assessment settings.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251371534"},"PeriodicalIF":1.4,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992572","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}