Journal of Back and Musculoskeletal Rehabilitation最新文献

{"title":"The effect of painful exercise on ultrasonographic outcomes in rotator cuff-related shoulder pain: Secondary analysis of a randomized controlled trial.","authors":"Claudia Cavaggion, Santiago Navarro-Ledesma, Birgit Juul-Kristensen, Alejandro Luque-Suarez, Lennard Voogt, Filip Struyf","doi":"10.1177/10538127251334430","DOIUrl":"https://doi.org/10.1177/10538127251334430","url":null,"abstract":"<p><p>BackgroundThe effects of painful or pain-free exercises on Ultrasound (US) parameters in rotator cuff-related shoulder pain (RCRSP) is still unexplored.ObjectiveTo investigate in chronic RCRSP i) the differences between exercise with or without pain on US outcomes, ii) the relationship between changes in US findings and symptoms.MethodsSecondary analysis of randomized controlled trial. Patients were assigned to exercise with pain or without pain in a 12-week intervention. Acromiohumeral distance, coracohumeral distance, tendon thicknesses of supraspinatus, long head of the biceps (LHB), and subscapularis were measured at baseline, 9, 12, 26 weeks. Correlations between changes in US findings and the primary clinical outcome, Shoulder and Pain Disability Index (SPADI), were investigated.ResultsForty-one patients were analyzed. No difference between groups over time was found (time-by-group interaction: 0.07 ≤ <i>p</i> ≤ 0.85, time effect: 0.24 ≤ <i>p</i> ≤ 0.83). Changes in SPADI and US outcomes (baseline-26weeks) were not correlated, except for LHB (r = 0.45, <i>p</i> = 0.01). While SPADI significantly decreased, LHB non-significantly increased (0.07 mm).ConclusionsExercise with or without pain did not influence subacromial and subcoracoid spaces nor shoulder tendon thicknesses. Increase of subacromial space should not be an objective of rehabilitation programs. LHB activation might be relevant as compensating mechanism for rotator cuff deficiency.Clinical Trial Number: NCT04553289.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251334430"},"PeriodicalIF":1.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078261","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":"Translation, cross-cultural adaptation, and validation of the arabic version of the foot and ankle ability measure (FAAM-AR).","authors":"Nezar A Althagafi, Abdullah Alqarni, Majed Albadi, Rawan Aldhabi, Umar Alabasi","doi":"10.1177/10538127251339166","DOIUrl":"https://doi.org/10.1177/10538127251339166","url":null,"abstract":"<p><p>BackgroundThis study aimed to cross-cultural translate the Foot and Ankle Ability Measure to Arabic version (FAAM-AR) and to assess the psychometric properties of the FAAM-AR in a sample of Arabic-speaking participants.MethodologyThe FAAM-AR was translated according to the International Society for Quality of Life Assessment (IQOLA) guidelines. To determine construct validity, 106 participants with different foot and ankle musculoskeletal pathologies completed the FAAM-AR and SF-36. In addition, the FAAM-AR internal consistency was assessed by calculating Cronbach's alpha coefficient. Test-retest reliability was assessed using Intra-class correlation coefficient ICC_2,1.ResultsThe FAAM-AR was moderately correlated with Physical component Summary of SF-36 (ADL r = 0.67; Sport r = 0.67). Whereas, FAAM-AR showed weak correlations with Mental component Summary of SF-36 (ADL r = 0.33; Sport r = 0.19). The FAAM-AR showed excellent degree of internal consistency (ADL = 0.95; Sport = 0.92), and excellent test-retest reliability (ADL = 0.95; Sport = 0.95).ConclusionThe FAAM-AR is a valid and reliable tool for assessing ankle-foot functional status among Arabic-speaking patients with various ankle or foot musculoskeletal pathologies.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251339166"},"PeriodicalIF":1.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078264","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":"Stability, functionality, balance, and muscle strength in CrossFit athletes with and without pain.","authors":"Merve Paksoy, Berkiye Kirmizigil","doi":"10.1177/10538127251341831","DOIUrl":"https://doi.org/10.1177/10538127251341831","url":null,"abstract":"<p><p>BackgroundThe objective of this study was to evaluate and compare the stability, functionality, balance, and muscular strength of the upper and lower extremities between CrossFit athletes with and without musculoskeletal pain.MethodsThe study included 65 individuals between the ages of 20-45 who did CrossFit training. The Extended Nordic Musculoskeletal System Questionnaire (NMQ-E) was used for musculoskeletal system problems, the Upper and Lower Extremity Y Balance Test (YBT) was used for lower and upper extremity balance assessments, respectively, the Single Leg Hop Test (SLHT) was used for functional performance assessments, the Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST) and Closed Kinetic Chain Lower Extremity Stability Tests (CKCLEST) were used for stability assessment, and an isokinetic dynamometer was used for muscle strength assessment of the athletes included in the study. The study was registered on the Clinical Trials website by the number NCT05682534.ResultsThe most frequently reported injury sites in CrossFit athletes were found to be shoulders (49.02%), waist (39.22%), knee (37.25%), and wrist (13.73%), respectively. While it was determined that there were statistically significant differences between the CKCLEST of athletes experiencing low back pain compared to those who did not (p < 0.05, p = 0.026), no differences were found between those with and without pain in any other measurement results (p > 0.05).ConclusionsWhile it was observed that CrossFit athletes frequently had musculoskeletal system pain in the shoulder, waist, knee and wrist regions, balance, stability, strength, and functional performance were not affected despite the athletes' pain.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251341831"},"PeriodicalIF":1.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078259","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":"Dynamic neuromuscular stabilization training for chronic ankle instability: A randomized controlled trial in amateur athletes.","authors":"Sevval Yesilkir, Gizem Ergezen Sahin","doi":"10.1177/10538127251338170","DOIUrl":"https://doi.org/10.1177/10538127251338170","url":null,"abstract":"<p><p>BackgroundChronic ankle instability (CAI) is a widespread condition in athletes, characterized by recurrent episodes of ankle \"giving way,\" diminished neuromuscular control and balance deficits. Traditional rehabilitation programmes typically emphasize strength and posture control, while more effective strategies incorporate balance training, including open chain exercises, vestibular training and multi-planar movements. In addition, novel approaches such as Dynamic Neuromuscular Stabilization (DNS) present an innovative method that aims to restore functional stability by activating the brain's natural movement control mechanisms.ObjectiveThis study aimed to determine and compare the impacts of balance and DNS training on functionality, instability severity, stabilization, balance, reaction time and performance in amateur athletes with CAI.MethodsThis single-blind randomized controlled trial was conducted with 36 amateur athletes (DNS training group: n = 12, balance training group: n = 12, conventional training group: n = 12) over a 6-week period. The DNS training group participated in exercises based on DNS principles, while the balance training group focused on training to enhance postural stability and vestibular function, and the conventional training group underwent conventional rehabilitation. The primary outcomes were measured using the Cumberland Ankle Instability Tool (CAIT) and Y Balance Test (YBT). Secondary measures were assessed through the Foot and Ankle Ability Measure (FAAM), Foot Lift Test (FLT), Balance Error Scoring System (BESS) and BlazePod™ Reaction Time (RT) Test. Assessments were carried out at three distinct time points: at baseline (pre-test), following 6 weeks of training (post-test), and at 12 weeks (follow-up test).ResultsDNS and balance training significantly improved all measures compared to conventional therapy (p < 0.05). DNS training showed significant superiority in FLT score, while balance training demonstrated significant performance increase in foam surface single-leg stance and foam surface tandem stance subscales of the BESS, with the high effect sizes (ranging from 0.95 to 1.00).ConclusionInnovative and effective interventions, such as DNS and balance training, play a crucial role in the rehabilitation processes of amateur athletes with CAI, with these effects being sustained in the long term.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251338170"},"PeriodicalIF":1.4,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991600","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 body awareness therapy on pain and pain coping strategies in postmenopausal women: A randomized controlled study.","authors":"Havva Gözgen, Beliz Belgen Kaygısız","doi":"10.1177/10538127251339819","DOIUrl":"https://doi.org/10.1177/10538127251339819","url":null,"abstract":"<p><p>ObjectiveOur study aimed to compare the effectiveness of adding Basic Body Awareness Therapy (BBAT) to Therapeutic Exercises (TE) and TE alone on pain and pain coping strategies in postmenopausal women (PmW).MethodsA total of 54 PmW with chronic musculoskeletal pain (cMSP) were randomly assigned to three groups. The first group underwent a combined intervention of BBAT and TE and the second group participated in a TE program 3 times a week for 12 weeks. The control group didn't receive any treatment. Number of pain dimensions and pain severity of the participants were assessed with the McGill Pain Questionnaire-Short Form (MG-SF), body awareness levels were assessed with Body Awareness Questionnaire (BAQ) and pain coping strategies were assessed with the Pain Coping Inventory (PCI).ResultsIn this study significant differences were found in pain intensity, number of pain dimensions, and PCI scores between the BBAT + TE and TE groups compared to the Control group, while the BBAT + TE group showed significant results in BAQ scores compared to the TE group.ConclusionFor PmW, participating in BBAT combined with TE program can be beneficial for pain parameters and body awareness. BBAT seems to be an equivalent and effective option for enhancing body awareness.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251339819"},"PeriodicalIF":1.4,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998535","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 Turkish version of the physical activity enjoyment scale-8 items in adults.","authors":"Özge Çınar-Medeni, Caner İncekas, Ayşenur Ozcan, Furkan Ozdemir, Burak Ulusoy, Zehra Can-Karahan","doi":"10.1177/10538127251340341","DOIUrl":"https://doi.org/10.1177/10538127251340341","url":null,"abstract":"<p><p>BackgroundThe enjoyment of physical activity significantly influences participation in sports and various forms of physical activity. This study aims to conduct a cross-cultural adaptation and assess the reliability and validity of the Turkish version of the Physical Activity Enjoyment Scale-8 Items (PACES-8).MethodsA total of 120 participants were included in the study. A standardized translation process was followed. Criterion-related validity was assessed using the Behavioral Regulation in Exercise Questionnaire-2 (BREQ-2) and the International Physical Activity Questionnaire-Short Form (IPAQ). All participants were evaluated in two sessions following a 15-min walk. Sociodemographic data, PACES-8, BREQ-2, and IPAQ questionnaires were administered during the initial measurement, while the second measurement focused solely on assessing physical activity enjoyment.ResultsExploratory factor analysis revealed factor loadings ranging from 0.78 to 0.94, indicating a strong single-factor structure. The model demonstrated a good fit to the data (Chi-Square Goodness of Fit Test (χ²/df) = 3.26, p < 0.001; Comparative Fit Index = 0.96; Tucker-Lewis Index = 0.93). The Cronbach's alpha coefficient was 0.95, reflecting excellent internal consistency. PACES-8 showed a low correlation with the external regulation score of BREQ-2 (r = -0.24, p = 0.03) and the physical activity score (IPAQ score) of participants (r = 0.24, p = 0.007).ConclusionsThe findings suggest that the Turkish version of PACES-8 is a unidimensional, reliable, and valid instrument for measuring enjoyment of physical activity. Further research is needed to assess its validity across different populations.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251340341"},"PeriodicalIF":1.4,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005310","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":"Assessment of Piriformis muscle thickening in sciatica: Focused ultrasonographic evidence in patients with lumbar disc herniation.","authors":"Yusak Mangara Tua Siahaan, Kennytha Yoesdyanto, Tasya Meidy Pradhana","doi":"10.1177/10538127251338181","DOIUrl":"https://doi.org/10.1177/10538127251338181","url":null,"abstract":"<p><p>BackgroundLow back pain (LBP) is a leading contributor to global disability, with lumbar disc herniation (LDH) being a common etiology. Despite the coexistence of LDH and piriformis muscle thickness, their potential relationship remains underexplored.ObjectiveTo investigate the correlation between LDH and piriformis muscle thickness in individuals diagnosed with LDH with no history of piriformis syndrome.MethodsThis cross-sectional study enrolled 107 participants diagnosed with LDH at the Neurology Outpatient Clinic in Siloam Hospital from September to November 2024. Piriformis muscle thickness was measured bilaterally using ultrasonography. Demographic data, clinical presentations, and magnetic resonance imaging (MRI) findings were collected.ResultsThe mean age was 54.39 ± 12.69 years, with 58.9% being male. Affected sides demonstrated significantly increased piriformis muscle thickness compared to the unaffected sides (1.17 ± 0.22 cm vs. 0.93 ± 0.18 cm, p < 0.05). Age, weight, and body mass index (BMI) significantly influenced piriformis muscle thickness on the affected side. Age exhibited a negative correlation (r = -0.308), whereas weight and BMI demonstrated positive correlations (r = 0.218/0.192).ConclusionThis study highlights significant thickening of the piriformis muscle on the affected side in patients with LDH, likely due to mechanical and inflammatory adaptations.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251338181"},"PeriodicalIF":1.4,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can foot orthoses be an effective supplement to brace therapy for adolescent idiopathic scoliosis? A systematic review and meta-analysis of randomized controlled trials.","authors":"Zhanxiang Lin, Hui Du, Jinling Cheng, Xinxuan Han, Dacun Wang, Zicai Liu, Ying Huang","doi":"10.1177/10538127251337689","DOIUrl":"https://doi.org/10.1177/10538127251337689","url":null,"abstract":"<p><p>BackgroundThe golden time for treatment of adolescent idiopathic scoliosis (AIS) is short, and how to effectively improve treatment outcomes to avoid surgery has been a focus of medical attention. Scoliosis orthoses are the preferred method of conservative treatment for AIS, but there are limitations in efficacy. Foot orthoses (FO) have gained traction in treating musculoskeletal disorders, potentially enhancing traditional brace therapy and offering renewed hope for AIS patients.ObjectiveThis study aimed to investigate whether a treatment regimen combined with FO would have a more positive impact on patients with AIS than using a scoliosis orthosis alone.MethodsPubMed, Web of Science, Embase, Cochrane Library, Scopus, CNKI, and Wanfang Data were searched for relevant randomized controlled trials (RCTs) published up to August 20, 2024. The risk of bias was assessed using the Cochrane Risk of Bias Tool. The quality of the outcomes was evaluated using the Grading, Assessment, Development, and Evaluation of Letters of Recommendation (GRADE). Statistical analyses were performed using Review Manager 5.3.ResultsCompared with scoliosis orthosis treatment alone, combined FO treatment significantly improved bilateral whole-foot pressure distribution<i>（SMD</i> <i>=</i> <i>-0.38, 95% CI</i> <i>=</i> <i>[-0.70, -0.07], P</i> <i>=</i> <i>0.02</i>) and monopedal medial heel to lateral heel pressure ratio (M/L)<i>（MD</i> <i>=</i> <i>-0.14, 95% CI</i> <i>=</i> <i>[-0.24, -0.04], P</i> <i>=</i> <i>0.007</i>), but failed to significantly improve the Cobb angle in patients with AIS<i>（MD</i> <i>=</i> <i>-1.88, 95% CI</i> <i>=</i> <i>[-3.87, -0.10], P</i> <i>=</i> <i>0.06</i>) and the centre of pressure excursion index (CPEI)<i>（MD</i> <i>=</i> <i>-1.36, 95% CI</i> <i>=</i> <i>[-2.85, -0.12], P</i> <i>=</i> <i>0.07</i>), also had no significant effect on quality of life. The RCTs exhibited a low risk of bias overall, with evidence quality ranging from low to moderate. No significant adverse effects were reported.ConclusionFO is a safe and effective intervention. Although its significant impact on improving the Cobb angle, CPEI, or quality of life was not definitively demonstrated, FO successfully optimised plantar pressure distribution and bilateral M/L balance. These improvements contribute to better static balance and postural stability in patients, suggesting FO as a promising complement to brace therapy.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251337689"},"PeriodicalIF":1.4,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004952","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":"Influence of depression on functional outcomes in patients with knee osteoarthritis undergone unicompartmental knee arthroplasty or total knee arthroplasty: A prospective study.","authors":"Umile Giuseppe Longo, Stefano Campi, Martina Marino, Alessandra Greco, Ilaria Piergentili, Sergio De Salvatore, Antonio Ammendolia, Pieter D'Hooghe, Alessandro de Sire, Rocco Papalia","doi":"10.1177/10538127251336743","DOIUrl":"https://doi.org/10.1177/10538127251336743","url":null,"abstract":"<p><strong>Background: </strong>Total knee arthroplasty (TKA) and unilateral knee arthroplasty (UKA) are often the treatment of choice for knee osteoarthritis. Approximately 20% of patients affected by osteoarthritis suffer from depressive symptoms.</p><p><strong>Objective: </strong>The present study aims to evaluate the influence of depression on functional outcomes in patients with knee osteoarthritis undergone UKA and TKA.</p><p><strong>Methods: </strong>Depression was assessed using the preoperative Geriatric Depression Scale (GDS), on postoperative outcomes of TKA and UKA measured using Forgotten Joint Score-12 (FJS-12), Short Form Health Survey-36 (SF-36), Western Ontario and McMaster Universities Arthritis Index (WOMAC), Oxford Knee Score (OKS), and Barthel Index.</p><p><strong>Results: </strong>A total of 90 patients (47 UKA, 43 TKA) met inclusion criteria and were enrolled in the present study. Correlation between preoperative GDS score and postoperative outcome measures revealed a low-moderate correlation with WOMAC Functional limitations (rho = 0.239, <i>p</i> = 0.046) at 6-month follow-up. Patients that underwent UKA with a higher GDS score preoperatively were found to have a higher WOMAC functional limitations score postoperatively. Other statistically significant correlations between preoperative GDA and postoperative outcome scores following UKA and TKA were not found.</p><p><strong>Conclusion: </strong>Taken together, findings of our study suggested that more literature is needed to fully elucidate the influence of psychological factors such as depression and depressive symptoms on postoperative outcomes of UKA and TKA. Understanding such correlations is potentially beneficial in the development of preoperative and postoperative treatment programs that deal with psychosocial components of illness.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251336743"},"PeriodicalIF":1.4,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036088","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 effects of TENS and NMES applied simultaneously with stretching on ROM and performance.","authors":"Gurkan Gunaydin, Ozge Ece Gunaydin, Gul Oznur Karabicak, Sercan Aykar, Esin Ergin","doi":"10.1177/10538127251340347","DOIUrl":"https://doi.org/10.1177/10538127251340347","url":null,"abstract":"<p><p>BackgroundElectrotherapy is used to alleviate pain and improve muscle strength. However, its effect on stretching is unclear.ObjectiveThis research evaluates the effect of combining static stretching (SS) with transcutaneous electrical nerve stimulation (TENS) and neuromuscular electrical stimulation (NMES) on range of motion (ROM) and performance.MethodsThis randomized-controlled study included 45 sport sciences students (25 women-20 men). To evaluate the acute effects of SS with electrotherapy the participants were divided into 3 groups randomly and each group had one practice session. The first group received only SS. The second group performed SS and TENS, while the last group undertook SS and NMES. For the statistical analyses a 3 × 2 repeated measures ANOVA was conducted using the SPSS 21 software.ResultsThe analyses indicated a significant increase in ROM in all groups (<i>P</i> < 0.001, η2: 0.356). However, no significant differences were observed between the groups (<i>P</i> = 0.255, partial η2: 0.063). Performance analyses revealed no significant differences among intra (<i>P</i> = 0.100, partial η2: 0.063) and inter-groups (<i>P</i> = 0.062, partial η2: 0.124).ConclusionThis study found SS effective in increasing ROM, but electrotherapy modalities added to stretching did not further enhance hamstring flexibility. Furthermore, different stretching techniques had no impact on performance.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251340347"},"PeriodicalIF":1.4,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000749","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}