Journal of Back and Musculoskeletal Rehabilitation最新文献

{"title":"Gender-based differences in postural stability, sensory integration of balance and fall risk between healthy young male and female adults: The GENAB study.","authors":"Muhammad Osama","doi":"10.1177/10538127251318941","DOIUrl":"https://doi.org/10.1177/10538127251318941","url":null,"abstract":"<p><p>BackgroundInherent differences in gender may influence balance and postural stability. However, despite existing theories, research addressing these differences in healthy young adults is limited and yields conflicting results.ObjectiveTo determine if there is a significant difference in postural stability (PS), fall risk (FR) and clinical test of sensory integration of balance (CTSIB) between healthy young male and female adults.MethodsA cross sectional comparative study was conducted on 90 healthy young adults, aged 19-24 years, with equal male to female ratio. PS, FR and CTSIB were measured via Biodex Balance System, and Independent t-test was used for gender based comparisons.ResultsThe mean age of the participants was 21.38 ± 1.77 and 22.07 ± 1.74 years for males and females respectively, with no significant differences in age and body mass index (p < 0.05). Males demonstrated significantly better PS with eyes-open (p < 0.05), whereas females demonstrated significantly superior PS and reduced FR (p < 0.05) as compared to males in eyes-closed conditions. No significant differences were observed in FR with eyes open and CTSIB (p > 0.05).ConclusionMales tend to show better postural stability with eyes-open, whereas females demonstrate reduced FR and superior PS as compared to males with eyes closed, suggesting that males may rely more on vision to maintain balance.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251318941"},"PeriodicalIF":1.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657285","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":"Predicting the performance of assistive device for elderly people using weighted KNN machine learning algorithm.","authors":"S Vaisali, C Maheswari, S Shankar, R Naveenkumar","doi":"10.1177/10538127251317602","DOIUrl":"https://doi.org/10.1177/10538127251317602","url":null,"abstract":"<p><p>BackgroundElderly people as age increases often struggle with weight lifting in their daily lives due to decreased muscle strength and endurance. This limits their ability to perform routine tasks, which affects their independence and quality of life.ObjectiveThe aim of this study is to evaluate and predict the effectiveness of the developed upper limb Exo-skeleton for weight lifting, using ergonomic analysis and a weighted K-Nearest Neighbors (KNN) machine learning algorithm.MethodsExperiments were conducted to measure Maximum Voluntary Isometric Contraction (MVIC) and Mean Power Frequency (MPF) values to assess muscle strength before and after wearing the device on elderly subjects.ResultsThe results of the %MVIC value of muscles when lifting no load after wearing the assistive device lies between 2% to 6%, whereas while adding 5 kg load on hand, MVIC lies between 25% to 40%, while adding 15 kg load, the MVIC value is slightly increased to 30% to 71%. The results indicated that the muscle fatigue in the Biceps Brachii (BB) and flexor carpi radialis (FCR) are increased during weight lifting without the Exo-skeleton, whereas the usage of the device significantly reduces the muscle fatigue.ConclusionThe results demonstrated that the exoskeleton significantly reduces MVIC range when lifting 5 kg and 15 kg weight, indicating decreased muscle fatigue in the biceps and radialis muscles when using the Exo-skeleton. The weighted K nearest neighboring algorithm which predicts the new nerve disordered elderly subject, whether the assistive device is suitable or not based on his Body Mass Index (BMI) and muscle fatigueless. The results suggested that the proposed upper limb assistive device compensates for muscular strength during weight lifting, potentially guiding the development of user-friendly assistive devices for the elderly. The study highlights the significance of ergonomic studies and AI algorithms in enhancing upper limb assistive device design and functionality.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251317602"},"PeriodicalIF":1.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Work-related musculoskeletal pain Among Jordanian dentists: Prevalence and associated demographic, physical, and psychosocial factors.","authors":"Bayan Labib, Yazan Hassona, Maysoon S Abdalrahim, Ahmad Jum''ah, Hamza Alduraidi","doi":"10.1177/10538127251328471","DOIUrl":"https://doi.org/10.1177/10538127251328471","url":null,"abstract":"<p><p>ObjectivesMusculoskeletal pain is recognized as a major occupational health hazard among dentists worldwide. Physical exertion at work plays a major role in the development of musculoskeletal problems. There is growing evidence that work-related psychosocial factors may also contribute to musculoskeletal pain. Therefore, the aim of this study was to investigate the prevalence of work-related musculoskeletal pain and its demographic, physical, and psychosocial risk factors among dentists in Jordan.MethodsThis cross-sectional study utilized a validated self-administered questionnaire distributed to 272 currently working Jordanian dentists. The questionnaire consisted of four sections: sociodemographic information, work physical characteristics, work-related psychosocial factors, and musculoskeletal pain assessment.ResultsFifty-one percent (51%) of Jordanian dentists reported experiencing musculoskeletal pain in the last 12 months. Neck pain (42%), followed by shoulder pain (40%), and lower back pain (40%), were the most common among dentists in Jordan. Increasing age, being a female, and obesity were significantly associated with musculoskeletal pain while smoking, exercise, and specialty level did not. A positive correlation between musculoskeletal pain and unfavorable physical characteristics at work was identified. In addition, increased work stress was positively correlated with musculoskeletal pain.ConclusionThis study showed a high prevalence of musculoskeletal pain among Jordanian dentists. Increasing dentists' and healthcare authorities' awareness about factors associated with work-related musculoskeletal pain is needed. Educational programs targeting dentists at risk of developing musculoskeletal pain might be of potential preventive value.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251328471"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657327","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":"Infant-carrying methods and their biomechanical influence on maternal gait patterns and joint mechanics.","authors":"Sevgi Pehlivan, Müberra Tanrıverdi, Hande Argunsah, Türkan Uygur Şahin","doi":"10.1177/10538127251321771","DOIUrl":"https://doi.org/10.1177/10538127251321771","url":null,"abstract":"<p><p>BackgroundInfant carrying is a common practice among caregivers. Carrying loads such as infant mannequins or bags may alter lower extremity joint angles and induce muscle fatigue in the upper extremities of carriers, including men, women, postpartum women, and women who have not given birth. However, the biomechanical effects of various carrying methods on mothers remain poorly understood.ObjectiveThis cross-sectional descriptive study compared the effects of unloaded walking with three infant-carrying conditions on gait mechanics.MethodsThirty healthy mothers' gait parameters were recorded using a motion capture system under four conditions: unloaded walking (UW), front-facing carrying (FC), back-facing carrying (BC), and in arms carrying (IA).ResultsAcross all infant-carrying conditions, notable changes were observed in gait parameters. The front-facing carrying condition elicited the greatest changes in gait mechanics, particularly in pelvis. The in arms carrying condition exhibited minimal changes in gait compared to the back and front-facing carrying conditions. Significant alterations in gait were observed in all infant-carrying conditions compared to unloaded walking (p < 0.05). The results indicated that ankle (M = 41.15 ± 0.25; M = 24.18 ± 0.29; p = 0.0024), and pelvis (M = 6.15 ± 0.35; M = 9.25 ± 0.45; p = 0.0036) movement patterns led to the greatest deviation in gait among four conditions.ConclusionFront-facing carrying imposes the greatest biomechanical and physiological strain while back carrier offers more ergonomically efficient alternative. The in arms carrying method introduces dynamic movement that may affect stability. These findings highlight important considerations for ergonomically optimized infant carriers to support maternal musculoskeletal health and minimize strain.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251321771"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657256","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 relationship between spinopelvic alignment and knee osteoarthritis in female patients: A cross-sectional study.","authors":"Öykü Tomay Aksoy, Bülent Bütün","doi":"10.1177/10538127251321767","DOIUrl":"https://doi.org/10.1177/10538127251321767","url":null,"abstract":"<p><p>BackgroundThe spine, pelvis, and lower extremities move in the form of a kinematic chain.ObjectiveThis study aimed to evaluate the relationship between spinopelvic parameters and knee osteoarthritis.MethodsSixty-nine participants (50-70 years) were diagnosed with knee osteoarthritis: early-stage <i>(n </i>= 36) and late-stage (<i>n </i>= 33). Knee osteoarthritis severity was assessed using standing antero-posterior radiographs (Kellgren-Lawrence scores). A visual Analog Scale was used to evaluate knee and lumbar pain, the Western Ontario and McMaster Universities Osteoarthritis Index to evaluate knee joint function and disability, and the Oswestry Low Back Pain Disability Index to evaluate disability associated with lumbar pain. Lateral scoliosis radiographs were taken of all the study participants; pelvic incidence, pelvic tilt, sacral slope, lumbar lordosis, thoracic kyphosis, and sagittal vertical axis values were measured and recorded.ResultsMultivariate logistic regression analysis was performed to determine the independent risk factors associated with the clinical and radiological osteoarthritis severity as Body Mass Index, sagittal vertical axis and lumbopelvic mismatch increased. The sacral slope values were determined to be independently negatively correlated with the clinical osteoarthritis severity. However, no correlation was determined with the radiological severity.ConclusionIn this study, we determined that global sagittal imbalance and lumbopelvic mismatch are associated with advanced knee osteoarthritis. Although pelvic retroversion was not found to be correlated with the radiographic severity of osteoarthritis, it was found to be associated with poor functional results.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251321767"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657322","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":"Herpes zoster mimicking spinal cord injury after endoscopic spine surgery: A case review.","authors":"Chang-Hyun Lee, Sung-Kyu Kim","doi":"10.1177/10538127251318927","DOIUrl":"https://doi.org/10.1177/10538127251318927","url":null,"abstract":"<p><p>BackgroundHerpes zoster mimicking radiculopathy after spinal surgery has been reported in some studies. But immediate onset of herpes zoster after spinal surgery has not been reported.ObjectiveThis case report aims to increase the awareness of the possible misdiagnosis of herpes zoster as iatrogenic nerve damage because of the occurrence of dermatome pain immediately after surgery.Case descriptionA 41-year-old man presented with a tingling sensation in the lower part of his left trunk and leg and mild gait disturbance. He was diagnosed with T10-11 ossification of the yellow ligament and underwent excision using biportal endoscopy. The operative course was uneventful; however, after waking up from anesthesia, he complained of severe pain and allodynia in his right lower abdomen corresponding to the T10-11-12 dermatome. We suspected spinal cord injury and administered high-dose corticosteroids.ResultsFollow-up MRI showed no significant nerve damage. On postoperative day 5, the patient developed erythematous papules, mainly along the distribution of the T5, T11 root dermatome, which was diagnosed as disseminated zoster.ConclusionHerpes zoster reactivation should be considered in differential diagnosis for new symptoms in a dermatomal distribution after spine surgery in the absence of other suspected iatrogenic causes during surgery.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251318927"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of scapular upward rotator activity among three different Y-raise exercises in healthy male individuals.","authors":"Byeong-Hun Hwang, In-Cheol Jeon","doi":"10.1177/10538127251320329","DOIUrl":"https://doi.org/10.1177/10538127251320329","url":null,"abstract":"<p><p>BackgroundScapular upward rotators are important for the ideal movement pattern of the glenohumeral joint. The Y-raise exercise (YR) can be recommended for the activation of these muscles overall and selectively for the lower trapezius (LT).ObjectiveThis study investigated and compared the activity of scapular upward rotators and activity ratios among three different Y-raise exercises (YR1, YR2, and YR3).MethodsFifteen healthy male individuals participated. All participants performed three different Y-raise exercises in random order: YR1, YR2, and YR3. Muscle activity of the upper trapezius (UT), LT, and serratus anterior (SA) was measured during each exercise using surface electromyography. Comparisons were analyzed by one-way repeated measures ANOVA, followed by Bonferroni adjustment.ResultsUT activity decreased in YR2 (23.21%) compared to YR1 (46.54%) and YR3 (42.95%) (p = 0.001). LT activity increased in YR3 (58.32%) compared to YR1 (46.44%) and YR2 (47.96%) (p = 0.001). The LT/UT activity ratio was higher in YR2 (2.57) compared to YR1 (1.14) and YR3 (1.74) (p = 0.001).ConclusionYR2 and YR3 can be recommended for selective LT activation in early-stage rehabilitation and overall scapular upward rotator activity in late-stage rehabilitation, respectively.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251320329"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657139","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 moving cupping therapy on pain and functionality in rotator cuff injuries: A randomised controlled pilot study.","authors":"Hatice Hümeyra Akil, Sümeyye Tunç, Esra Atilgan","doi":"10.1177/10538127251323106","DOIUrl":"https://doi.org/10.1177/10538127251323106","url":null,"abstract":"<p><p>BackgroundShoulder pain is commonly caused by rotator cuff pathologies. Cupping therapy is one of the mostly used traditional and complementary medicine techniques. In recent years, evidence of potential benefits in musculoskeletal conditions has increased, but studies are limited.ObjectiveThe study aimed to investigate the effectiveness of moving cupping therapy (MCT) additionally to conventional physiotherapy on pain and functionality in patients with Rotator Cuff Injuries (RCI).MethodsIn this randomised controlled pilot study thirty women 25-65 aged diagnosed with RCI who applied to Istanbul Medipol University Physical Therapy and Rehabilitation clinic in 2019 were included and they were randomly divided into two groups. Conventional physiotherapy was applied to both of groups five days a week for four weeks. Additionally, the MCT group was treated with MCT for ten minutes, two days a week for four weeks. Pain (Numeric Rating Scale (NRS), range of motion (ROM), functionality (DASH-Constant) and quality of life (SF 36) were evaluated before and after treatment. Within-group comparisons were performed by Wilcoxon Signed-Rank test. Comparisons between-group were provided by Mann Whitney U test.ResultsAfter treatment there were significant differences in pain, ROM, DASH, Constant scores in both groups (<i>p</i> < .05). NRS, abduction and external rotation ROM, DASH and Constant measurements were significantly more effective in MCT group (<i>p</i> < .05). Significant improvements were seen in all SF 36 subscales in control group (<i>p</i> < .05). Significant improvements were also found in all parameters except role limitations due to emotional problems, emotional well-being and social function in MCT group. According to the comparisons between the groups, only emotional well-being subscale showed a significant difference in favor of control group (<i>p</i> < .05).ConclusionsWe concluded that MCT can be used with conservative physiotherapy to improve pain and functional level in RCI as a non-invasive, easily applicable and economical complementary in medicine practices.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251323106"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657232","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":"Adolescent idiopathic scoliosis causes pelvic floor dysfunction: A cross-sectional study.","authors":"Batuhan İbrahim Dericioğlu, Adile Öniz Özgören, Salih Angın","doi":"10.1177/10538127241301667","DOIUrl":"10.1177/10538127241301667","url":null,"abstract":"<p><p>BackgroundScoliosis is a complex three-dimensional deformity of the spine and causes spinal misalignment and pelvic structure changes.ObjectiveThis cross-sectional study was designed to investigate the relationship between postural deviation, scoliosis angle and pelvic floor dysfunctions in individuals with adolescent idiopathic scoliosis (AIS).MethodsTwelve AIS aged between 12 and 18 years were included in the study. Standard scoliosis radiography was used for Cobb angle measurement. The posture screen mobile (PSM) application was used for determining postural deviation, and a real-time ultrasound image was obtained for pelvic floor muscle activity. The pelvic floor distress inventory was used for the evaluation of pelvic floor dysfunctions.ResultsThere was a significant negative correlation between bladder base elevation and the following variables, including thoracic and lumbar Cobb angles (r = -0.640, p < 0.05; r = -0.779, p < 0.05), Dysfunctional Voiding Scoring System (DVSS) (r = -0.753, p < 0.05), Pelvic Floor Distress Inventory (PFDI) (r = -0.722, p < 0.05) and Urinary Distress Inventory (UDI) (r = -0.585, p < 0.05). The apical shift in the frontal plane was found to be positively correlated with DVSS (r = 0.701, p < 0.05), UDI (r = 0.641, p < 0.05) and PFDI-20 (r = 0.628, p < 0.05) and negatively correlated with bladder base elevation (r = -0,615, p < 0.05). The average pelvic shift in frontal plan was found to be positively correlated with DVSS (r = 0.810, p < 0.05), PFDI-20 (r = 0.722, p < 0.05), Pelvic Organ Prolapse Distress Inventory (POPDI) and UDI (r = 0.626, p < 0.05) and negatively correlated with bladder base elevation (r = -0.626, p < 0.05).ConclusionScoliosis negatively affects pelvic floor muscle activity, and pelvic floor functions, resulting in urinary dysfunction. Pelvic floor assessment may be added to the evaluation process in patients with AIS.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"314-323"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458085","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":"Diagnostic value of high-frequency ultrasound combined with magnetic resonance in different clinical stages of frozen shoulder: A retrospective cohort study.","authors":"Lei Zhang, Hua Chen, Qi Yang, Zhichao Ding, Laizhi Zhang, Yifeng Gu","doi":"10.1177/10538127241298533","DOIUrl":"https://doi.org/10.1177/10538127241298533","url":null,"abstract":"<p><p>BackgroundFrozen shoulder (FS) is a common musculoskeletal disease. Imaging plays an active role in the clinical diagnosis and staging of FS.ObjectiveThis study is undertaken to assess the application value of high-frequency ultrasound (HFU) combined with magnetic resonance (MR) in clinical staging diagnosis of FS.MethodsThis was a retrospective cohort study. The medical records of FS patients (from January 2021 to February 2022, n = 100) were collected. Patients were categorized into stage I (n = 30), stage II (n = 35) and stage III (n = 35) groups. The diagnostic value of HFU-related and MR-related indicators was assessed by the receiver operating characteristic (ROC) curve. The correlation between HFU/MR indicator and passive range of motion-related indicators was analyzed by Spearman rank method.ResultsThere were no statistically significant differences in gender, age, height, weight, and affected shoulder (left: right) among the three groups at different stages (<i>p </i>> 0.05). HFU and MR in combination had a higher diagnostic coincidence rate when compared to their single use (96.00% vs. 91.00% or 93.00%). There was high diagnostic value for inferior capsule thickness (ICT) (area under the curve (AUC) = 0.914, <i>p </i>< 0.001, 95%<i>CI</i> (0.836-0.992)), glenohumeral distance (GHD) (AUC = 0.999, <i>p </i>< 0.001, 95%<i>CI</i> (0.996-1.000)) and articular capsule thickness (ACT) (AUC = 1.000, <i>p </i>< 0.001, 95%<i>CI</i> (0.998-1.000)) in stage I FS, for ICT (AUC = 0.947, <i>p </i>< 0.001, 95%<i>CI</i> (0.885-1.000)) and GHD (AUC = 0.974, <i>p </i>< 0.001, 95%<i>CI</i> (0.949-0.999)) in stage II FS, and for ACT (AUC = 0.989, <i>p </i>< 0.001, 95%<i>CI</i> (0.975-1.000)) in stage III FS. ICT/ACT positively correlated with internal rotation (IR), and negatively correlated with external rotation (ER)/extension (EX)/flexion (FL)/abduction (AB). GHD had a negative correlation with IR, and a positive correlation with ER/EX/FL/AB.ConclusionHigh-frequency ultrasound combined with magnetic resonance can improve the accuracy in clinical diagnosis of FS, promote better staging of FS, and provide a more reliable basis for clinical diagnosis and treatment of FS.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":"38 2","pages":"253-264"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624684","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}