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":"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":"829-837"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","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":"Investigation of lumbar and cervical lordosis variation in sit-to-stand-to-sit movement with different strategies in healthy subjects.","authors":"Subodh Kumar Suman, Khyati Verma","doi":"10.1177/10538127251317634","DOIUrl":"10.1177/10538127251317634","url":null,"abstract":"<p><p>BackgroundDue to lower limb impairment, people use greater trunk flexion strategies and cannot maintain the alignment of the upper body, leading to loss of lordosis over time.ObjectiveA comprehensive study is needed to understand the heightened trunk flexion effect on lumbar and cervical lordosis and associated joint moments.MethodsThe three sit-to-stand-to-sit strategies, Natural, Full trunk flexion, and Pelvis-spine alignment, were conducted in 3D motion capture. The hypothesis is that increasing the total lumbar and cervical lordosis depth will reduce the total lumbosacral and cervicothoracic joint moment. Using Visual 3D, inverse kinematics and dynamics for joint moments and angles of the head, trunk, and pelvis at five events/phases, and the corresponding lordosis depth was calculated.ResultsPelvis-spine alignment strategies show a strong positive correlation (r = 0.70) between the total depth of lordosis and reducing the lumbosacral and cervicothoracic joint moment. The full flexion strategy mirrored the compensatory movement with a negative correlation (r = -0.88) on the reduction of lordosis depth and compensated by increasing the cervical lordosis depth.ConclusionsThese findings guide the correcting of spine disorders, the development of physical rehabilitation programs, the design of devices, and the correctness of posture to prevent low back pain and disease progression.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"838-851"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078203","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":"Investigation of archery experience on shoulder girdle motion and acromiohumeral distance at full draw: A pilot study.","authors":"Takeru Abekura, Noriaki Maeda, Satoshi Arima, Mitsuhiro Yoshimi, Shogo Tsutsumi, Yuki Tamura, Ryosuke Kaizuka, Makoto Komiya, Tsubasa Tashiro, Yukio Urabe","doi":"10.1177/10538127241303353","DOIUrl":"10.1177/10538127241303353","url":null,"abstract":"<p><p>BackgroundArchery experience may impact the acromiohumeral distance (AHD) related to shoulder injuries.ObjectiveTo compare the effect of full draw motion on the acromiohumeral distance in experienced archeries and controls using three-dimensional motion analysis dynamic ultrasonography examination methods.MethodsEight experienced archers (archer group) and 10 non-experienced archers (control group) drew with and without a string. Kinematic data of the scapulothoracic and glenohumeral (GH) joints were collected by an electromagnetic motion tracking device during the drawing motion. A full draw spanned 1000 msec before string release. We measured AHD under three conditions using an ultrasound: standing and both full draw positions. The statistical analysis used a two-way ANOVA with archery experience and conditions (<i>p</i> < 0.05).ResultsThe GH horizontal adduction angles and the AHD at full draws showed an interaction effect (<i>p</i> < 0.05). In the archer group, the AHD increased more in the with- than in the without-string conditions. In the control group, AHD decreased in the with-string condition compared with the without-string. GH joint angles differed in each group, and the increase in the horizontal adduction angle could contribute to AHD decrease.ConclusionsArcher group showed less reduction in shoulder joint horizontal abduction angle by string tension than the control group, and no reduction in AHD was observed.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"722-731"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208579","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":"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":"852-864"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","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":"The impact of self-reported temporomandibular pain on neck disability in office workers.","authors":"Tugba Sahbaz, Basak Cigdem-Karacay, Cansın Medin-Ceylan, Merve Damla Korkmaz, Hatice Kubra Asik","doi":"10.1177/10538127251315829","DOIUrl":"10.1177/10538127251315829","url":null,"abstract":"<p><p>BackgroundNeck pain (NP) and temporomandibular disorder (TMD) pain often coexist, particularly among office workers, but their interaction and impact on neck disability remain insufficiently explored.ObjectivesTo investigate the prevalence of self-reported TMD pain in office workers with NP and assess its impact on neck disability.MethodsThis cross-sectional survey collected data through an online questionnaire from 662 office workers (66.3% female; mean age: 35.4 ± 8.9 years) with NP. Participants were categorized into two groups: isolated NP (NP group) and coexisting NP and temporomandibular disorder pain (NP + TMD pain group). TMD diagnosis was based on the Pain Screener. Neck pain and disability were assessed using the Bournemouth Neck Questionnaire (BNQ) and Neck Disability Index (NDI). Parafunctional behaviors were evaluated using the Oral Behaviors Checklist (OBC). Statistical significance was set at p < 0.05.ResultsThe NP + TMD pain group had significantly higher BNQ and NDI scores than the NP group (p < 0.001), indicating more severe pain and disability. Additionally, 69.1% of the NP + TMD pain group reported awake bruxism compared to 37.7% in the NP group (p < 0.001). Joint noises (80.5% vs. 6.9%) and jaw locking (30.1% vs. 1.9%) were also more frequent in the NP + TMD pain group (p < 0.001). Logistic regression showed that high OBC scores, joint noises, and closed jaw locking were strong predictors of NP + TMD pain.ConclusionThe findings reveal significant correlations between NP and TMD pain, but the cross-sectional design limits conclusions about causation. Further longitudinal or interventional studies are needed to explore whether TMD pain contributes to NP, vice versa, or if both share common underlying mechanisms.Clinical Trials Number: NCT04900870.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"774-782"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700505","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":"Association between sarcopenia and intervertebral disc degeneration: A bidirectional two-sample Mendelian randomization.","authors":"Jiawen Guo, Qiuyue Ding, Li Sun","doi":"10.1177/10538127251318926","DOIUrl":"10.1177/10538127251318926","url":null,"abstract":"<p><p>BackgroundSarcopenia (SP) and Intervertebral Disc Degeneration (IVDD) are common age-related diseases that significantly affect the physical and mental health of patients. A substantial body of evidence suggests a potential association between SP and IVDD. However, the causal relationship between SP and IVDD remains uncertain.ObjectivesThis study aimed to determine whether the association between SP and IVDD is causal by employing Mendelian randomization (MR) analysis.MethodsGenome-wide association study (GWAS) data related to SP (measured by muscle lean mass, left- and right-hand grip strength, and walking speed) and IVDD were obtained from the UK Biobank and FinnGen. To investigate the causal relationship between SP and IVDD, three MR analysis methods were employed, primarily focusing on the Inverse-Variance Weighted (IVW) approach. The robustness of causal effects was ensured through multiple methods: Instrumental Variables (IVs) were evaluated using F-values; heterogeneity was assessed using Cochran's Q; horizontal pleiotropy was evaluated using MR Egger regression; and outliers was detected using MR-PRESSO and the leave-one-out method.ResultsThe analysis indicates a potential causal relationship between appendicular lean mass (ALM) and the risk of IVDD (OR = 0.89, 95% CI: 0.809-0.98; P < 0.05). Similarly, left-hand grip strength shows a potential causal relationship with IVDD risk (OR = 1.52, 95% CI:1.08-2.14; P < 0.05), as does right-hand grip strength (OR = 1.50, 95% CI:1.09-2.07; P < 0.05). Additionally, a potential causal relationship is observed between IVDD and walking speed (OR = 0.99, 95% CI:0.97-1.00; P < 0.05).ConclusionThe findings suggest that ALM may serve as a protective factor against IVDD, while left- and right-hand grip strength may be risk factors for the development of IVDD. Furthermore, IVDD appears to be a risk factor associated with reduced walking speed. Further research is necessary to elucidate the underlying mechanisms of these associations.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"902-913"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063889","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":"Bilateral training guided by contralaterally controlled functional electrical stimulation for shoulder pain and subluxation in subacute stroke: A randomized controlled trial.","authors":"Yafei Zhou, Yaolong Tu, Qingzhen Chen, Yingying Li, Qingqing Sun, Fenglan Zhan, Shihong Hu","doi":"10.1177/10538127251318940","DOIUrl":"10.1177/10538127251318940","url":null,"abstract":"<p><p>BackgroundShoulder pain, subluxation, and motor dysfunction are common issues in hemiplegic patients, which hinder the recovery of upper limb function and have a negative impact on patients' daily life abilities and quality of life. Current rehabilitation interventions alone can not purposefully address the aforementioned problems, while bilateral training (BT) and contralaterally controlled functional electrical stimulation (CCFES) can be synergistically coordinated to provide a simultaneous treatment for hemiplegic shoulders.ObjectiveThis study attempted to treat hemiplegic patients using bilateral training with contralaterally controlled functional electrical stimulation (BT-CCFES), aiming to observe the changes of shoulder pain, subluxation, and motor function.MethodsThirty-eight individuals who had experienced hemiplegia with shoulder pain and subluxation due to stroke were randomly divided into two groups: a control group and an experimental group consisting of nineteen cases both. Patients in the control group underwent neuromuscular electrical stimulation (NMES) therapy, while those in the experimental group received BT-CCFES. Before and after a four-week treatment period, shoulder subluxation distance (SSD) was measured using a flexible ruler, and the pain level was assessed using the visual analogue scale (VAS). Additionally, shoulder joint active range of motion (AROM) and the upper extremity Fugl-Meyer assessment (UE-FMA) were used to evaluate shoulder motor function.ResultsAfter four weeks of treatment, there were significant improvements in SSD, VAS, UE-FMA, and AROM in the experimental group (<i>p </i>< 0.001), as well as in the control group (<i>p </i>< 0.05). The changes between the experimental group and control group showed significant differences in SSD (-9.74 ± 6.63 vs -3.58 ± 5.51, <i>p </i>= 0.016), flexion (37.37 ± 14.08 vs 21.05 ± 12.65, <i>p </i>= 0.001), and UE-FMA (15.21 ± 4.30 vs 8.84 ± 4.26, <i>p </i>< 0.001), while the difference in VAS (-1.31 ± 1.34 vs -1.10 ± 1.24, <i>p </i>= 0.619) and abduction (15.00 ± 8.82 vs 10.79 ± 7.86, <i>p </i>= 0.111) was not significant.ConclusionBT-CCFES can be used to prevent and treat hemiplegic shoulder subluxation after stroke, improve shoulder and upper limb function, and is superior to NMES except in pain relief.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"876-885"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700417","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 a neuromuscular exercise program conducted with a physiotherapist in individuals with degenerative meniscal tears.","authors":"Zeynep Bilge Aksu, Hazal Genç","doi":"10.1177/10538127251352977","DOIUrl":"https://doi.org/10.1177/10538127251352977","url":null,"abstract":"<p><p>BackgroundDegenerative meniscal tears are common, causing knee pain, functional limitations, and reduced quality of life. Effective treatment is essential to restore daily functionality. This study evaluated the impact of a neuromuscular exercise program on individuals with degenerative meniscal tears.Materials and MethodsFifty patients (ages 20-65) with degenerative meniscal tears were randomly divided into two groups. Group 1 participated in a physiotherapist-guided neuromuscular exercise program, while Group 2 performed a home exercise program. Both groups underwent treatment three times a week for six weeks. Effectiveness was assessed using the Tegner Activity Level Scale, Knee Injury and Osteoarthritis Outcome Score - Physical Function Short Form (KOOS-PS), Western Ontario Meniscal Evaluation Tool (WOMET), pain assessment, and jump performance before and after treatment.ResultsBoth groups showed significant improvements. However, Group 1 improved WOMET General Calculation, Night Pain, and KOOS-PS Symptoms (p < 0.001). Neuromuscular exercises with physiotherapist support yielded superior outcomes compared to the home program. Significant changes were observed in parameters such as \"Pain Activity\" and \"Pain Rest\" (p < 0.001) in both groups, with notable improvements in Group 1. WOMET tests also showed significant gains for Group 1 (p < 0.001) and Group 2 (p < 0.001).ConclusionPhysiotherapist-supervised neuromuscular exercise programs significantly improved pain, knee function, and quality of life in individuals with degenerative meniscal tears. The findings underscore the added value of professional supervision in maximizing clinical outcomes.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251352977"},"PeriodicalIF":1.4,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144496774","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":"\"Guidelines… yeah, they just haven't felt relevant to me.\" A qualitative exploration of chiropractors' perspectives on physical activity promotion.","authors":"Matthew Fernandez, Kathryn Di, Marina Pinheiro, Katie de Luca, Jeffrey Hebert, Peter Stilwell","doi":"10.1177/10538127251350848","DOIUrl":"10.1177/10538127251350848","url":null,"abstract":"<p><p>BackgroundGlobally, almost one-third of adults are considered physically inactive. Chiropractors knownly promote physical activity (PA) within their musculoskeletal management plans, despite their limited PA and sedentary behavior (SB) guideline knowledge.ObjectiveTo deepen our understanding of chiropractors' perspectives, including factors that may influence PA promotion. Specifically our objectives are to (1) explore chiropractors' knowledge of PA guidelines, (2) examine chiropractors' practices in PA assessment and advice, and (3) identify barriers, enablers, and factors influencing PA promotion in chiropractic.MethodsTwenty registered Australian chiropractors were interviewed to understand their perspectives on promoting PA in practice. We used a qualitative descriptive approach with inductive content analysis to identify patterns and themes.ResultsFour themes captured chiropractors' perspectives regarding PA: (1) chiropractors striving to take a person-centered approach to PA promotion, (2) chiropractors had limited knowledge of the PA/SB guidelines, (3) chiropractors relied on their personal intuitions and experience to try and be PA role models for their patients, and (4) chiropractors identified important enablers including longer appointment time and patient motivation as well as barriers such as limited knowledge, skill and time. Chiropractors identified interest and motivation as patient barriers.ConclusionChiropractors have limited PA/SB guideline knowledge but nevertheless report being confident, safe and person-centered with respect to PA promotion, often relying on their own experiences to be PA role models for their patients. Supporting behavior change among chiropractors, while addressing time constraints and patient motivation are important considerations.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251350848"},"PeriodicalIF":1.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325798","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":"Acupotomy for knee osteoarthritis: Literature review and meta-analysis.","authors":"Anqi Di, Danghan Xu, Anxin Zhang, Zhaoxi Liu, Yuxiang Lin, Nanbu Wang, Jun He, Liang Zheng, Fang Fang","doi":"10.1177/10538127251349150","DOIUrl":"10.1177/10538127251349150","url":null,"abstract":"<p><p>PurposeAs a contemporary acupuncture technique combined with modern anatomy and biomechanics, acupotomy was widely used in clinical treatment of knee osteoarthritis (KOA). This article aims to evaluate the advantages and potential of acupotomy of KOA and to provide a reference for clinical decision-making.Patients and methodsWe conducted a comprehensive search across four databases of ancient Chinese classics to trace the historical development of acupotomy. Seven databases were searched for the meta-analysis of Randomized controlled trials (RCTs) that met the criteria to evaluate the clinical efficacy of acupotomy for KOA. Furthermore, we reviewed potential mechanisms underlying acupotomy treatment for KOA.ResultsAcupotomy originated from traditional acupuncture \"Nine Needles\" in China ancient books 2000 years ago, which had advantages in the treatment of muscle and bone related diseases. The results of the meta-analysis following PRISMA2020 showed that acupotomy was helpful for pain relief and improvement of knee mobility in KOA. Experiments showed that acupotomy may treat KOA through a variety of mechanisms, such as inhibiting the expression of inflammatory factors, promoting the proliferation of chondrocytes, affecting the degradation and synthesis of extracellular matrix, and adjusting the mechanical balance of the knee joint.DiscussionThe results of this meta-analysis suggest that the use of acupotomy can effectively improve the pain and increase the range of motion of KOA. The experimental data showed that acupotomy may play a therapeutic role by inhibiting inflammatory factors and changing the mechanical balance of the knee joint. All these can prove that acupotomy treatment has a good prospect.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251349150"},"PeriodicalIF":1.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333216","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}