Journal of Back and Musculoskeletal Rehabilitation最新文献

{"title":"Postural control and limits of stability are largely preserved despite increased fear of falling in patients with low disease activity Sjögren's disease: A cross-sectional study.","authors":"Sinem Kübra Beke, Kübra Turhal, Emine Aydın Dinçel, Gizem Cengiz","doi":"10.1177/10538127261502120","DOIUrl":"https://doi.org/10.1177/10538127261502120","url":null,"abstract":"<p><p>AimTo compare balance performance, posturographic measures, and limits of stability (LOS) between patients with Sjögren's disease (SjD) and healthy controls and examine associations with fatigue, functional disability, symptom burden, and fear of falling.MethodsThe study included 45 patients with SjD and 35 healthy controls. Balance was assessed using the Berg Balance Scale (BBS), computerized posturography, and LOS testing. Fatigue, symptom burden, fear of falling, kinesiophobia, and psychological symptoms were assessed using the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F), EULAR Sjögren's Syndrome Patient-Reported Index (ESSPRI), Falls Efficacy Scale-International (FES-I), Tampa Scale for Kinesiophobia (TSK), and Hospital Anxiety and Depression Scale (HADS), respectively. Posturographic parameters and LOS were analyzed using mixed-design repeated-measures ANOVA. Associations were examined using Spearman correlation analysis and multivariable linear regression.ResultsPatients with SjD had greater fatigue and fear of falling than controls (both p < 0.05), while BBS scores were statistically lower with a small absolute difference. No significant overall group effects were found for posturographic parameters or LOS, although group-related interactions occurred for balance score and directional LOS. Fear of falling was associated with poorer functional balance, greater fatigue, higher symptom burden, kinesiophobia, and depressive symptoms (all p < 0.05). Posturographic balance scores were not correlated with BBS, FACIT-F, TSK, or FES-I (all p > 0.05). ESSPRI remained independently associated with fear of falling (β = 0.347, p = 0.043).ConclusionIn patients with predominantly low systemic disease activity, posturographic performance was largely preserved despite increased fear of falling. Posturographic and clinical measures may capture complementary aspects of balance-related problems in SjD.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261502120"},"PeriodicalIF":1.6,"publicationDate":"2026-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149267728","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":"Silent mechanical adaptation: Passive mechanical properties of ankle-surrounding tissues in individuals with unilateral chronic ankle instability.","authors":"Büşra Seçkinoğulları Korkusuz, Süleyman Korkusuz","doi":"10.1177/10538127261500496","DOIUrl":"https://doi.org/10.1177/10538127261500496","url":null,"abstract":"<p><p>BackgroundChronic ankle instability (CAI) is a complex condition characterized by recurring sprains.ObjectiveOur study aimed to compare the tone, stiffness, and elasticity of the periarticular muscles, Achilles tendon (AT), and plantar fascia (PF) between the affected and non-affected limbs of individuals with unilateral CAI.MethodsThe cross-sectional study included 75 volunteers aged 18 to 45 years who had been diagnosed with CAI by a physician. Ankle instability was assessed using the Identification of Functional Ankle Instability (IdFAI). Passive mechanical properties (PMP), including frequency, stiffness, and logarithmic decrement, of the tibialis anterior (TA), peroneus longus (PL), medial and lateral gastrocnemius (MGC - LGC), AT, and PF were assessed bilaterally using the MyotonPRO. PMP were compared between sides, and relationships between IdFAI scores and PMP on the affected side were examined.ResultsThe mean age was 27.46 ± 4.23 years. Logarithmic decrement and stiffness values were higher on the affected side in the TA (p = 0.011, p = 0.027), PL (p = 0.017, p = 0.031), and PF (p = 0.020, p = 0.028) compared to the non-affected side. Logarithmic decrement was also higher in the MGC (p = 0.029) and LGC (p = 0.005). No significant difference in frequency was observed for any of these structures (p > 0.05). The AT showed no significant differences in frequency, stiffness, or logarithmic decrement between the affected and non-affected sides (p > 0.05).ConclusionsCAI is a multidimensional pathology characterized by deterioration of the PMP of the surrounding muscles and PF. These findings suggest that management of CAI should include interventions aimed at improving myofascial tissue elasticity in addition to neuromuscular rehabilitation.<b>Trial registration:</b> ClinicalTrials.gov, TRN: NCT06987435.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261500496"},"PeriodicalIF":1.6,"publicationDate":"2026-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149267726","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":"Effects of inspiratory muscle training on posture and respiratory muscle performance in forward head posture: Randomized controlled trial.","authors":"Gürkan Demirtaş, Zeliha Çelik, Nevin A Güzel","doi":"10.1177/10538127261502109","DOIUrl":"https://doi.org/10.1177/10538127261502109","url":null,"abstract":"<p><p>BackgroundForward head posture (FHP) alters spinal alignment, impairs core stability, and disrupts respiratory mechanics. Due to the link between respiration and postural control, inspiratory muscle training (IMT) may serve as a targeted intervention to enhance respiratory function and postural alignment.PurposeThis study aimed to investigate the effects of IMT on posture, respiratory functions, respiratory muscle strength, and respiratory endurance in individuals with FHP.Materials and methodsThis prospective, randomized controlled trial was completed by 40 participants aged 18-35 years with a craniovertebral angle (CVA) ≤ 50°. Participants were allocated to the IMT or control group. The IMT group completed a structured 6-week IMT protocol with the PowerBreathe^® device, while the control group received no intervention. Postural assessments, pulmonary function tests, and respiratory muscle strength and endurance evaluations were conducted at baseline and after 6 weeks.ResultsMixed-model ANOVA showed significant group × time interaction effects for postural parameters, including CVA (F = 13.975, p = 0.001), sagittal head angle (F = 8.105, p = 0.007), C7-wall distance (F = 16.330, p < 0.001), and thoracic kyphosis (F = 8.135, p = 0.006). Respiratory function parameters showed no significant group, time, or group × time interaction effects (all p > 0.05). In contrast, significant group × time interaction effects were observed for respiratory muscle strength and endurance, including maximal inspiratory pressure (F = 53.645, p < 0.001), maximal expiratory pressure (F = 40.399, p < 0.001), and endurance (F = 12.386, p = 0.001).ConclusionInspiratory muscle training appears effective for improving postural alignment in individuals with FHP. The results indicate that IMT may be a valuable adjunct in the early conservative management of postural disorders.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261502109"},"PeriodicalIF":1.6,"publicationDate":"2026-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149267712","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":"Short-term effects of extracorporeal shockwave therapy and low-level laser therapy on clinical outcomes and ultrasonographic tendon thickness in lateral elbow tendinopathy.","authors":"Pınar Özge Başaran, Ayşe Gülşen Doğan, Aybüke Beyza Çiçek, Şükriye Askerden","doi":"10.1177/10538127261502104","DOIUrl":"https://doi.org/10.1177/10538127261502104","url":null,"abstract":"<p><p>BackgroundThis study aimed to compare the short-term effects of extracorporeal shock wave therapy (ESWT) and low-level laser therapy (LLLT) on pain, elbow function, health-related quality of life, hand grip strength, and ultrasonographic extensor tendon thickness in patients with LET.ObjectiveIn this prospective, randomized, controlled, single-blind trial, patients with LET were randomly assigned to either ESWT or LLLT. Both groups received the same standardized home exercise program and lateral epicondylitis brace. Visual Analog Scale (VAS), the Patient-Rated Tennis Elbow Evaluation (PRTEE), Short Form-36 (SF-36), hand grip strength, and ultrasonographic evaluation were assessed before and after three weeks of randomisation.ResultsAt three weeks, the ESWT group demonstrated significantly lower post-treatment pain intensity (VAS) than the LLLT group (p = 0.004). ESWT was also associated with significantly better outcomes in PRTEE pain scores (p = 0.030), ultrasonographic tendon thickness (p = 0.021), and the Role Physical (p = 0.029) and General Health (p = 0.005) domains of the SF-36. No significant between-group differences were observed in hand grip strength, PRTEE function, PRTEE total score, or the remaining SF-36 domains.ConclusionWhen used as adjuncts to a standardized exercise program and LET brace, ESWT was associated with greater short-term pain reduction and more favorable outcomes in the PRTEE pain subscale, ultrasonographic tendon thickness, and selected domains of health-related quality of life compared with LLLT. These findings suggest that ESWT may offer greater short-term pain-related benefits than LLLT when both are added to exercise and bracing.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261502104"},"PeriodicalIF":1.6,"publicationDate":"2026-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149267707","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 breathing exercises on pain, range of motion and quality of life in frozen shoulder rehabilitation: A randomized controlled study.","authors":"Songül Çelik Benli, Burçin Akçay Genal","doi":"10.1177/10538127261500497","DOIUrl":"https://doi.org/10.1177/10538127261500497","url":null,"abstract":"<p><p>ObjectiveThis randomized controlled trial evaluated the effects of breathing exercises as an adjunct to conventional physiotherapy on pain, range of motion (ROM), and quality of life (QoL) in patients with frozen shoulders.MethodsForty participants (mean age 48.2 ± 9.6 years) with adhesive capsulitis were randomly allocated to either: (1) an intervention group receiving 15 sessions of conventional physiotherapy plus diaphragmatic/costal breathing exercises (n = 20), or (2) a control group receiving conventional physiotherapy alone (n = 20). Conventional therapy included ultrasound, TENS, Codman exercises, and stretching. Primary outcomes included visual analog scale (VAS) for pain, digital goniometer-measured shoulder ROM, and SF-36 QoL questionnaire, assessed at baseline and post-intervention.ResultsBoth groups showed a significant within-group reduction in post-treatment VAS scores compared with baseline (p < 0.001); the between-group difference in pain was not significant, although a significant Group × Time interaction (p = 0.007) and a lower mean post-treatment pain score in the intervention group were observed. The intervention group demonstrated significantly greater improvements in shoulder abduction (p = 0.03) and external rotation (p = 0.04) compared to controls. SF-36 results revealed between-group differences favoring the intervention group in physical role (p = 0.02) and social functioning (p = 0.03) domains, with significant group-time interactions for physical functioning, emotional role, pain, and general health (all p < 0.05).ConclusionBreathing exercises combined with conventional physiotherapy provided additional benefits for improving shoulder mobility (particularly abduction/external rotation) and quality of life domains in frozen shoulder patients, though pain reduction was equivalent between groups. These findings support the integration of respiratory exercises as a complementary approach in frozen shoulder rehabilitation.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261500497"},"PeriodicalIF":1.6,"publicationDate":"2026-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149267761","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":"Validity and reliability of the Turkish versions of the pain catastrophizing scale and Tampa kinesiophobia scale short forms in chronic musculoskeletal pain.","authors":"Yasemin Mirza, Meltem Koç","doi":"10.1177/10538127261500816","DOIUrl":"https://doi.org/10.1177/10538127261500816","url":null,"abstract":"<p><p>ObjectiveThis study aimed to evaluate the reliability and validity of the Turkish versions of the Pain Catastrophizing Scale-5 (PCS-5) and the Tampa Scale for Kinesiophobia-6 (TSK-6) in individuals with chronic musculoskeletal pain (CMSP).MethodsA total of 174 participants with CMSP (115 females, 59 males; mean age: 43.81 ± 14.60 years) were included. Internal consistency, test-retest reliability, structural validity, and criterion validity were assessed. Exploratory factor analysis was performed to examine the underlying factor structure of the scales.ResultsThe PCS-5 demonstrated good internal consistency (Cronbach's α = 0.802), moderate test-retest reliability (ICC = 0.729), and a one-factor structure explaining 56.37% of the variance. Item-rest correlations ranged from 0.488 to 0.688. The TSK-6 demonstrated moderate internal consistency (α = 0.608) and moderate test-retest reliability (ICC = 0.740). Item 6 showed poor psychometric performance, with an item-rest correlation of 0.007 and a factor loading of 0.012. An exploratory analysis excluding item 6 resulted in improved internal consistency (α = 0.690) and a one-factor structure. Criterion validity analyses showed significant positive correlations of the PCS-5 with the PCS-13 (ρ = 0.708), TSK-17 (ρ = 0.438), and FABQ-physical activity (ρ = 0.377). The TSK-6 correlated with the PCS-13 (ρ = 0.549), TSK-17 (ρ = 0.504), and FABQ-physical activity (ρ = 0.349).ConclusionsThe Turkish PCS-5 demonstrated good internal consistency, moderate test-retest reliability, and a clear one-factor structure in individuals with CMSP. Although the TSK-6 demonstrated moderate reliability, item 6 showed poor psychometric performance and warrants further investigation. The findings from the exploratory analysis of the five-item version should be interpreted cautiously and do not support replacing the standardized TSK-6 without further evidence.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261500816"},"PeriodicalIF":1.6,"publicationDate":"2026-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149267704","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":"Neuromuscular effects of warm needle acupuncture versus mild moxibustion in knee osteoarthritis: An active-controlled randomized trial.","authors":"Gengzhao Chen, Chanjuan Su, Xin Chen, Yulong Zou, Senlin Chen, Zhichen Wang, Qianhong Zhu, Qiuyi Luo, Saie Huang","doi":"10.1177/10538127261499244","DOIUrl":"https://doi.org/10.1177/10538127261499244","url":null,"abstract":"<p><p>BackgroundKnee osteoarthritis (KOA) is associated with neuromuscular dysfunction and impaired quadriceps activation. This study compared the short-term neuromuscular effects of warm needle acupuncture (WNA) and mild moxibustion (MM).MethodsIn this single-center, assessor- and statistician-blinded randomized controlled trial, 60 patients with KOA were randomized 1:1 to WNA or MM for 4 weeks. Thirty healthy participants provided an exploratory physiological reference at baseline. Co-primary outcomes were isokinetic quadriceps peak torque (PT) and average power (AP). Secondary outcomes included VAS, WOMAC, thigh circumference asymmetry, and surface electromyography (sEMG). Between-group effects were assessed using baseline-adjusted ANCOVA.ResultsAt week 4, WNA showed greater baseline-adjusted improvements than MM in PT (adjusted difference 18.38 N·m, 95% CI 11.69-25.06; Holm-adjusted <i>p</i> < 0.001) and AP (10.45 W, 95% CI 6.61-14.29; Holm-adjusted <i>p</i> < 0.001). VAS and WOMAC also favored WNA, whereas thigh circumference asymmetry was not significantly different. Selected absolute sEMG parameters differed between groups. Credibility and expectancy were comparable, and no serious adverse events occurred.ConclusionsWNA was associated with greater short-term improvements than MM in quadriceps strength, pain, and function. These findings support comparative effectiveness of WNA versus MM but do not isolate thermal-specific, placebo-specific, or expectancy-independent effects.Trial registrationITMCTR2025001238; registered on 16 May 2025 after completion of participant recruitment and follow-up (late/retrospective registration).</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261499244"},"PeriodicalIF":1.6,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149194154","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":"Understanding pain: A patient's perspective informed by pain science.","authors":"A P Wolff","doi":"10.1177/10538127261497881","DOIUrl":"https://doi.org/10.1177/10538127261497881","url":null,"abstract":"","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261497881"},"PeriodicalIF":1.6,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182065","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":"Associated factors of low back pain classified by severity and chronicity among care workers: A cross-sectional study.","authors":"Daiki Yokoyama, Tomohiro Otani, Shuntaro Tamura, Kazuki Fujisaki, Tomohiko Sato, Tetsuya Yamagami, Shigeru Usuda","doi":"10.1177/10538127261496997","DOIUrl":"https://doi.org/10.1177/10538127261496997","url":null,"abstract":"<p><p>BackgroundLow back pain (LBP) is a major occupational health problem among care workers. However, few studies have classified LBP by both severity and chronicity or examined associations of health literacy with presenteeism. This study aimed to assess LBP prevalence, classify LBP by severity and chronicity, and identify the associated physical and psychosocial factors. We conducted a secondary exploratory analysis to examine hypothesized indirect associations between health literacy and presenteeism involving psychological distress and LBP-related disability.MethodsA cross-sectional survey was conducted among 1022 care workers employed at long-term care facilities. Participants were categorized into five groups: non-LBP and four LBP groups defined by severity (non-severe vs. severe) and chronicity (non-chronic vs. chronic). Sociodemographic, work-related, health literacy, and psychosocial factors were analyzed using multinomial logistic regression. The secondary exploratory analysis examined the hypothesized indirect statistical associations using psychological distress and LBP-related disability.ResultsThe prevalence of LBP was 75%. Severity and chronicity were not fully concordant, supporting classification by both dimensions. Unsuitable posture was associated with all LBP groups. Severe LBP was associated with higher psychological distress and greater presenteeism, whereas low health literacy was independently associated with severe chronic LBP. The secondary exploratory analysis identified significant indirect associations of health literacy with presenteeism involving psychological distress and LBP-related disability.ConclusionsLBP among care workers is highly prevalent and multifactorial. The factors associated with LBP differed according to severity and chronicity, highlighting the importance of considering both dimensions together with physical and psychosocial factors when assessing LBP among care workers.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261496997"},"PeriodicalIF":1.6,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182044","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":"Immediate and 30-min effects of active versus passive scapular correction on clinical and sensorimotor outcomes in individuals with neck pain and scapular dysfunction: A double-blind, randomized, sham-controlled trial.","authors":"Nipaporn Wannaprom, Sinthuporn Maharan, Suphannika Ladawan","doi":"10.1177/10538127261496990","DOIUrl":"https://doi.org/10.1177/10538127261496990","url":null,"abstract":"<p><p>BackgroundScapular correction has been demonstrated to improve pain, cervical range of motion (CROM), joint position error (JPE), and pressure pain threshold (PPT) in individuals with neck pain. However, whether active or passive scapular correction produces superior acute, short-term adaptations remains unknown.ObjectiveThe study aimed to investigate the immediate and 30-min follow-up effects of active and passive scapular correction, compared to sham control, on pain, CROM, JPEs, and PPTs in people with neck pain and scapular dysfunction.MethodsIn this double-blind randomized controlled trial, seventy-eight participants with neck pain and scapular dysfunction were randomly allocated to active, passive, or sham scapular correction. Each intervention consisted of 10 repetitions of 10 s: active self-correction in the active group, physiotherapist-performed passive correction in the passive group, or gentle touch in the sham group. Pain, CROM, JPEs, and PPTs were assessed at baseline, immediately post-intervention, and at 30-min follow-up.ResultsImmediately post-intervention, both active and passive groups demonstrated reduced pain intensity and increased CROM and PPTs compared to the sham group (all <i>p</i> < 0.05). At 30-min follow-up, these improvements were maintained only in the active group (all <i>p</i> < 0.05). Reductions in cervical and shoulder JPEs were observed only in the active group immediately post-intervention (all <i>p</i> < 0.05).ConclusionBoth active and passive scapular correction effectively improved pain intensity, cervical mobility and pain sensitivity immediately after intervention. However, active scapular correction may provide greater benefits by maintaining these effects at 30-min post-intervention and immediately improving joint position sense.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261496990"},"PeriodicalIF":1.6,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167075","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}