Journal of Back and Musculoskeletal Rehabilitation最新文献

{"title":"The effectiveness of artificial intelligence-based interventions on treatment outcomes for low back pain: A systematic review and meta-analysis of randomized controlled trials.","authors":"Kumaran Ramanujam, Samyr Carneiro, Mohamed Mohsen Helal, Vendhan Ramanujam","doi":"10.1177/10538127261464781","DOIUrl":"10.1177/10538127261464781","url":null,"abstract":"<p><p>BackgroundLow back pain is a global health challenge that requires constant progress to aid its management. Currently, artificial intelligence, as a major technological shift, has entered medicine to guide and improve management, and it is slowly being used for low back pain. With the growing number of studies, there is a lack of a summary of them.ObjectiveThe objective of this study is to investigate the effectiveness of artificial intelligence-based interventions in improving pain and functional outcomes among adults with low back pain when compared to standard interventions.MethodsA comprehensive search of PubMed, Scopus, and Web of Science was conducted. Intervention groups received artificial intelligence-based interventions, while control groups received standard interventions for low back pain. After data extraction, assessment of risk of bias was done, and then a meta-analysis was performed.ResultsFive studies met the inclusion criteria and were included in the systematic review, and four of them in the meta-analysis. Artificial intelligence-based interventions demonstrated lower pain scores (p = 0.001) and lower disability scores (p = 0.02) at endpoints than controls. Review of the studies revealed either significant or no improvement in the quality of recovery and psychological factors between the groups.ConclusionBased on the existing evidence, artificial intelligence-guided interventions, when compared to standard interventions, may improve pain and disability in adults with low back pain. But further research is necessary to establish its clinical relevance and future use.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"1892-1906"},"PeriodicalIF":1.6,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148368552","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 blood flow restriction exercise on pain and disability in patients with low back pain: A systematic review.","authors":"Alessandro de Sire, Emanuele Prestifilippo, Andrea Demeco, Adelaide Aprovitola, Andrea Parente, Giovanni Marco Galluzzo, Paola Emilia Ferrara, Gianpaolo Ronconi, Nicola Marotta, Antonio Ammendolia","doi":"10.1177/10538127261464779","DOIUrl":"10.1177/10538127261464779","url":null,"abstract":"<p><p>ObjectiveTo systematically evaluate the effectiveness of blood flow restriction exercise (BFRE) on disability and pain in individuals with chronic non-specific low back pain CNSLBP.MethodsA systematic review of randomized controlled trials was conducted following PRISMA 2020 guidelines. PubMed, Scopus, and Web of Science were searched up to September 2025. Eligible studies compared therapeutic exercise programs incorporating BFRE with identical or conventional exercise interventions without BFRE. Oswestry Disability Index or its modified version was the primary outcome. Risk of bias was evaluated using the Cochrane RoB 2 tool. The study protocol was registered in PROSPERO with the identification code CRD420261283862.ResultsThree randomized controlled trials involving 104 participants were included. All studies reported significant within-group improvements in disability following BFRE-based interventions. In two trials, reductions in disability were significantly greater in the BFRE groups compared with control interventions, despite the use of lower external loads. In the remaining trial, between-group differences did not reach statistical significance, although absolute improvements favored BFRE. Pain intensity generally improved to a greater extent in BFRE groups. Nevertheless, overall risk of bias was low, with some concerns related to missing outcome data in one study.ConclusionsBFRE may represent a potential adjunct to exercise-based rehabilitation for CNSLBP; however, current evidence remains preliminary, heterogeneous, and insufficient to establish clear superiority over standard exercise interventions. Further adequately powered randomized controlled trials with standardized protocols are needed to clarify its effectiveness, safety, and optimal application parameters.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"1882-1891"},"PeriodicalIF":1.6,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148470786","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":"Variability and influencing factors of posterior condylar offset in posterior-stabilized total knee arthroplasty.","authors":"Junfeng Wang, Bin Sun, Ke Zhang, Bin Yang","doi":"10.1177/10538127261466013","DOIUrl":"10.1177/10538127261466013","url":null,"abstract":"<p><p>BackgroundPosterior condylar offset (PCO) is a crucial knee anatomic parameter closely linked with joint function. Its restoration during posterior-stabilized total knee arthroplasty (TKA) draws wide research attention. Most studies focus on the impact of the PCO alterations on soft tissue balance and postoperative function, while relevant contributing factors remain poorly investigated.ObjectiveTo explore PCO variation after posterior-stabilized TKA and analyze potential influencing factors contributing to such changes.MethodsFrom November 2020 to November 2021, 146 consecutive participants with a diagnosis of severe knee osteoarthritis were enrolled for this prospective study. All participants underwent primary posterior-stabilized TKA utilizing 3D-printed patient-specific instrumentation. Perioperative clinical variables and radiographic parameters were assessed, and the osteotomy thickness in the posterior femoral condyle was quantified during the TKA procedure.ResultsA total of 134 participants (17 males and 117 females) were recruited in this prospective study, including 72 patients (53.7%) with changes of PCO after TKA < 3 mm in group 1, and 62 patients (46.3%) with changes of PCO after TKA ≥ 3 mm in group 2. The demographic characteristics, clinical scores, and radiographic measurements of the two groups were comparable before TKA. In general, postoperative PCO was considerably reduced compared with preoperative PCO (29.77 ± 3.52 mm vs. 27.67 ± 2.99 mm, <i>p</i> < 0.001). Postoperative PCO reduction was noted in 99 patients (73.9%). The correlation analysis indicated a relatively weak positive relationship between PCO variation and the osteotomy of posterior lateral femoral condyle (<i>r</i> = 0.282, <i>p</i> = 0.004). Moreover, radiographic evaluation revealed that patients in group 1 had a smaller preoperative posterior tibial slope (PTS, <i>p</i> < 0.001) and a smaller PTS change (<i>p</i> = 0.002) after TKA.ConclusionPCO tends to decrease after posterior-stabilized TKA. The osteotomy in posterior lateral femoral condyle may potentially serve as a direct influencing factor for such reduction. The preoperative PTS and a greater PTS change were found to be indirect influencing factors associated with PCO variability in posterior-stabilized TKA. These imply that the anatomical morphology in posterior femoral condyle should not be sacrificed for the pursuit of uniform femoral and tibial osteotomy concepts.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"2180-2188"},"PeriodicalIF":1.6,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148351603","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":"Response to \"interpreting pain sensitivity outcomes following whole-body strength training in chronic low back pain: the potential role of exercise dose\".","authors":"Fabian Tomschi, Thomas Hilberg","doi":"10.1177/10538127261479036","DOIUrl":"10.1177/10538127261479036","url":null,"abstract":"","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"2213-2214"},"PeriodicalIF":1.6,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13687612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148813068","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":"Trends and 2050 Outlook of occupational low back pain in working-age men: A SHapley Additive exPlanations-enhanced global burden of disease study.","authors":"Kexin Yu, Zhijun Xin","doi":"10.1177/10538127261448975","DOIUrl":"10.1177/10538127261448975","url":null,"abstract":"<p><p>ObjectiveQuantify the burden of occupational ergonomic-attributable low back pain (LBP) in men aged 20-54 from 1990-2021 at global, regional and national levels to inform targeted prevention.MethodsWe extracted Global Burden of Disease (GBD) 2021 estimates of disability-adjusted life-years (DALYs) for LBP (ICD-10 M54.3-M54.5) related to occupational ergonomic risks. Age-standardized DALY rates (ASDRs) and estimated annual percentage change (EAPC) were computed by Socio-demographic Index (SDI) quintile, 27 GBD regions, 204 countries and seven 5-year age bands. Predictive models linking burden with time, age, SDI and geography were trained and interpreted using SHAP to reveal each predictor's direction and contribution. Reference-scenario forecasts of DALYs and ASDRs to 2050 were produced with 95% uncertainty intervals. All statistical analyses were performed using R software (version 4.3.1).ResultsFrom 1990 to 2021, total DALYs rose while ASDRs declined. The greatest ASDR decrease occurred in low-SDI settings; high-SDI settings showed the largest 2021 burden. Andean Latin America had the largest increase, South Asia the steepest decline, and Central Europe the highest 2021 rate. China, India and the United States had the largest national DALY totals; the 45-49 age group carried the heaviest burden. Forecasts indicate continued growth in absolute DALYs alongside declining age-standardized rates through 2050.ConclusionAbsolute occupational LBP burden among men aged 20-54 increased despite falling ASDRs. SHAP-guided forecasts support prioritizing ergonomic interventions in high-burden settings and the 45-49 age cohort.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"2015-2029"},"PeriodicalIF":1.6,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147929793","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":"Adjunctive psychological approaches in randomized controlled trials of exercise interventions for pediatric chronic musculoskeletal diseases - A scoping review.","authors":"Sanja Schreiber, Libak Abou, Dominique Kinnett-Hopkins, Liz Dennett, Anna Kratz, Emily C Somers","doi":"10.1177/10538127261445501","DOIUrl":"10.1177/10538127261445501","url":null,"abstract":"<p><p>ObjectiveTo map existing research on adjunctive psychological approaches in exercise-based randomized controlled trials (RCTs) involving children with chronic musculoskeletal diseases (CMD).Data SourcesWe conducted a scoping review, following Joanna Briggs Institute methodology and a prospectively registered protocol. Medline, Embase, PsycInfo, CINAHL, Cochrane CENTRAL and Scopus databases were searched in February 2024 and September 2025.MethodsRCTs involving children with CMD, exploring therapeutic exercises with psychological approaches, were included. Four independent reviewers screened the studies; data were extracted by one reviewer and verified by another using standardized previously piloted forms. Covidence was used for all review steps. PRISMA extension for Scoping Reviews recommendations was followed for synthesis and reporting.ResultsOf 6793 screened studies, 21 were assessed for full-text eligibility, and five RCTs (223 children, 80% female, mean age 14.2 years) were included from two countries (USA [n = 4], Sweden). Conditions included chronic musculoskeletal pain (n = 2), complex regional pain syndrome, patellofemoral pain syndrome, and juvenile fibromyalgia. Outcomes focused on pain, psychological, and clinical findings. Psychological approaches (motivational interviewing, behavior modification, pain psychoeducation) were delivered by psychologists and physiotherapists. Exercise interventions included neuromuscular exercises (n = 3), usual physiotherapy (n = 1), and tailored physiotherapy (n = 1).ConclusionsManaging children with CMD is complex requiring multidisciplinary care, with psychological approaches potentially enhancing exercise-based rehabilitation. Although this integration appears promising, progress is limited by the lack of standardized protocols, scarce long-term evidence, and barriers such as accessibility, caregiver engagement, and therapist training.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"1779-1788"},"PeriodicalIF":1.6,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147929826","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":"Clinical analysis of demographic variables and factors contributing to outcomes in peripheral neuropathy secondary to lumbar spinal disorders following ozone therapy: A retrospective study.","authors":"Ioannis Iliakis, Emmanouil Iliakis, Demitrios Vynios, Emma Borrelli","doi":"10.1177/10538127261444793","DOIUrl":"10.1177/10538127261444793","url":null,"abstract":"<p><p>BackgroundNeuropathic pain secondary to lumbar spinal pathology is often refractory to conventional treatments, prompting interest in ozone therapy because of its anti-inflammatory and neuromodulatory effects. However, treatment outcomes vary, and factors influencing remission duration remain unclear.ObjectiveTo assess the influence of demographic variables and ozone therapy parameters on symptom remission duration in patients with lower-limb peripheral neuropathic pain treated with subcutaneous oxygen-ozone injections.MethodsThis retrospective study included 304 patients with lower-extremity neuropathic pain who achieved initial symptom remission after subcutaneous O₂/O₃ injections. The primary outcome was time to pain recurrence up to 18 years. Variables analyzed included age, sex, number of treatment sessions, and ozone concentration. All patients received a constant total ozone dose of 800 μg. Statistical analysis included two-way ANCOVA, Kruskal-Wallis testing, and Spearman correlation analysis.ResultsRecovery duration differed significantly according to patient age and ozone concentration. An optimal ozone concentration of approximately 21 μg O₃/mL O₂ was identified. Increasing ozone concentration was associated with a reduction in recovery duration of approximately 1.8% per unit increase. Age demonstrated a significant negative correlation with recovery duration (p < 0.01), with an estimated 0.2% decrease per additional year of age. No association was found between age and ozone concentration. Sex and number of treatment sessions were not significantly associated with outcome duration. Lower-to-middle ozone concentrations were associated with longer recovery duration.ConclusionSubcutaneous oxygen-ozone therapy provided sustained clinical benefit in patients with peripheral neuropathic pain secondary to lumbar spinal disorders. Demographic outcomes highlight the importance of individualized dose selection.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"1923-1933"},"PeriodicalIF":1.6,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147972696","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":"Performance evaluation of an EEG-guided robotic glove with machine learning models for hand rehabilitation in injured athletes.","authors":"Maheswari Chenniappan, Manjupriya Rajamani, Ramya Suresh, Shankar Subramaniam","doi":"10.1177/10538127261446416","DOIUrl":"10.1177/10538127261446416","url":null,"abstract":"<p><p>BackgroundAssistive rehabilitation technologies play a crucial role in improving motor recovery for individuals with hand injuries particularly athletes where traditional methods often lack real-time neural feedback and adaptability.ObjectiveThis study aims to evaluate the effectiveness of an EEG-guided robotic glove integrated with machine learning techniques for enhancing hand rehabilitation and motor engagement. A total of 250 subjects including 50 healthy individuals and 200 injured athletes were analysed under conditions with and without the robotic glove. Electroencephalography (EEG) that captures and preprocesses brain signals utilizing MATLAB subsequently performing effective feature extraction and frequency analysis of alpha and beta bands. The research also seeks to uncover notable trends in EEG signals by conducting power spectral density analysis, utilize machine learning techniques for precise classification of injured athletes and healthy individuals and assess system performance using metrics like accuracy and ROC analysis. The Receiver Operating Characteristic (ROC) curve is a crucial assessment tool employed to evaluate the effectiveness of machine learning algorithms in distinguishing EEG signals from athletes with injuries and healthy participants. Moreover the aim encompasses enhancing electrode choice and guaranteeing dependable and uniform outcomes for possible application in rehabilitation tracking.MethodsMultiple machine learning models including Linear Discriminant Analysis (LDA), Extended Logistic Regression (ELR), Tuned Neural Network (TNN), K-Nearest Neighbor-Based (KNB) and Fine Gaussian Support Vector Machine (SVM) were employed to classify motor engagement levels into low, medium and high categories.ResultsThe results showed significant variations in EEG signals (p < 0.05) with injured participants using the robotic glove demonstrating increased beta activity and reduced alpha activity indicating enhanced motor engagement. Among the models LDA achieved the highest classification accuracy of 99%, followed by ELR and TNN at 98.5% while Fine Gaussian SVM showed the lowest accuracy at 73.5%.ConclusionOverall, the findings confirm that the EEG-guided robotic glove significantly improves motor function and cognitive engagement and the integration of machine learning provides an effective and reliable approach for advanced rehabilitation systems.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"1968-1982"},"PeriodicalIF":1.6,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147963650","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":"Evaluating paravertebral ozone injections versus passive physical modalities, as adjuncts to home exercise, for chronic non-specific low back pain: A randomized pilot study.","authors":"Naseh Yousefi, Mahdieh Saki, Kamyar Kazemi, Katayoun Moradi, Gholamreza Raissi, Bijan Forogh","doi":"10.1177/10538127261502126","DOIUrl":"https://doi.org/10.1177/10538127261502126","url":null,"abstract":"<p><p>BackgroundChronic non-specific low back pain (CNSLBP) is a major global cause of disability. While medical ozone injections have a long history, their comparative effectiveness against passive electrothermal modalities as adjuncts to exercise remains unclear. This study aimed to evaluate the preliminary clinical outcomes of these two adjunctive strategies.MethodsWe conducted a pilot randomized controlled trial with 64 adult patients suffering from CNSLBP. All participants were instructed in a standardized home exercise program. They were then randomly assigned to receive either three weekly sessions of paravertebral ozone injections or ten sessions of passive electrothermal modalities. The primary endpoint was functional disability measured by the Oswestry Disability Index (ODI version 2.1a) at 3 months post-intervention. Secondary outcomes included Visual Analogue Scale (VAS) pain scores at 1, 3, and 6 months.ResultsAt the 3-month primary endpoint for disability, ANCOVA adjusting for baseline ODI score, age, and BMI revealed no statistically significant between-group difference (adjusted mean difference [MD]: 2.67, 95% CI: -1.40 to 6.74; <math><mi>p</mi><mo>=</mo><mn>0.195</mn></math>). Similarly, no statistically significant between-group differences in pain intensity were detected at 1 month (<math><mi>p</mi><mo>=</mo><mn>0.095</mn></math>), 3 months (adjusted MD: 0.18, 95% CI: -1.03 to 1.39; <math><mi>p</mi><mo>=</mo><mn>0.767</mn></math>), or 6 months (<math><mi>p</mi><mo>=</mo><mn>0.119</mn></math>).ConclusionsIn patients with CNSLBP engaged in a structured home exercise program, no statistically significant differences in pain or functional disability were detected between adding a 3-session course of paravertebral ozone injections and adding a 10-session course of passive electrothermal modalities within this pilot study. Given the study design and sample size, these findings indicate a lack of statistically significant between-group differences. Larger, multi-arm definitive trials including an exercise-only control arm are required.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261502126"},"PeriodicalIF":1.6,"publicationDate":"2026-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149267752","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":"Relationships between technology addiction, musculoskeletal discomfort, and life satisfaction among university students: A cross-sectional analysis.","authors":"Ayşe Ünal, Şeref Duhan Altuğ, Gülsüm Tikaç","doi":"10.1177/10538127261500499","DOIUrl":"https://doi.org/10.1177/10538127261500499","url":null,"abstract":"<p><p>BackgroundThe rapid integration of technology into daily life has raised concerns about physical and psychosocial health. Problematic smartphone and internet use may coexist with prolonged static postures and musculoskeletal discomfort among university students.ObjectiveTo examine the relationships of smartphone and internet addiction with academic performance, musculoskeletal discomfort, life satisfaction, and health-related quality of life among university students.MethodsThis descriptive cross-sectional study began in 2020 and included 473 university students (258 males, 215 females). Validated questionnaires assessed smartphone and internet addiction, musculoskeletal discomfort, health-related quality of life, and life satisfaction. Grade point average was recorded. Descriptive statistics, one-way analysis of variance, and Pearson correlations were used.ResultsSmartphone and internet addiction scores showed weak and negligible positive correlations with musculoskeletal discomfort, respectively (<i>r</i> = 0.111 and <i>r</i> = 0.091). Both scores were weakly associated with poorer health-related quality of life. Internet addiction scores were weakly associated with lower life satisfaction; the association for smartphone addiction scores was not statistically significant. Neither score was significantly associated with grade point average.ConclusionHigher smartphone and internet addiction scores were associated with greater musculoskeletal discomfort and poorer health-related quality of life, although the associations were small.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261500499"},"PeriodicalIF":1.6,"publicationDate":"2026-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149267799","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}