Journal of Back and Musculoskeletal Rehabilitation最新文献

{"title":"Intra-articular injections of oxygen-ozone versus hyaluronic acid for the treatment of knee osteoarthritis: A randomized controlled trial.","authors":"Cristiano Sconza, Andrea Parente, Nicola Marotta, Giacomo Farì, Dalila Scaturro, Michele Vecchio, Giulia Letizia Mauro, Antonio Ammendolia, Alessio Baricich, Alessandro de Sire","doi":"10.1177/10538127251358732","DOIUrl":"https://doi.org/10.1177/10538127251358732","url":null,"abstract":"<p><p>ObjectiveThe purpose of this paper was to evaluate the efficacy of intra-articular (AI) injections of Hyaluronic Acid (HA) versus Oxygen-Ozone (O₂O₃) in relieving pain and reducing disability in patients affected by knee osteoarthritis (KOA).MethodsPeople with painful KOA for at least three months were randomly allocated to receive three IA injections, once a week, of HA (Group A) vs O₂O₃ (Group B). They were evaluated at baseline (T0), at 1 (T1), 3 (T2), 6 (T3), and 12 months (T4) after the treatment, using as outcomes: WOMAC pain score, WOMAC LK 3.1, Numeric Rating Scale (NRS), and KOOS.ResultsOf the 122 patients assessed for eligibility, 112 participants were enrolled. Both groups A and B showed significant improvements in all outcomes measures from 1 month after the treatment (HA Group: 6.77 ± 2.53 vs 3.66 ± 2.57; O2O3 Group: 6.50 ± 2.24 vs 3.45 ± 2.30). In contrast, at T2 and T3, the HA-treated group showed significant pain and functional improvement compared to O₂O₃ group.ConclusionBoth HA and O₂O₃ might be considered safe and potential effective treatments for KOA, due to their anti-inflammatory effects. O₂O₃ seems to have a faster effect; rather, HA showed superior efficacy at 3 months onwards from the end of the treatment.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251358732"},"PeriodicalIF":1.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637108","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 the efficacy of acupoint stimulation therapy in the treatment of pain in musculoskeletal diseases: A network meta-analysis based on randomized controlled trials.","authors":"Ziwei Liu, Zedong Cheng, Kaixuan Zhang, Xingxing Lin, Yu Fu, Leichao Wang, Qiang Zhang, Feng Zhang, Xi Wu, Baoqiang Dong","doi":"10.1177/10538127251358729","DOIUrl":"https://doi.org/10.1177/10538127251358729","url":null,"abstract":"<p><p>BackgroundOrthopedic patients often present with significant pain symptoms, which can impact both the physical and mental well-being of patients, emerging as a significant concern. Given its safety, effectiveness, and absence of side effects, acupoint therapy is being increasingly utilized in the pain management of orthopedic patients. This study conducted a network meta-analysis to compare analgesic efficacy, safety, and effectiveness of acupuncture (AP), electroacupuncture (EA), moxibustion, and acupressure, so as to provide a reference for the clinical application of acupoint therapies in managing orthopedic pain.MethodsEight databases, including PubMed, Embase, Cochrane Library, Web of Science, CNKI, Wanfang Data, and VIP, were searched for clinical randomized controlled trials (RCTs) investigating the effects of AP, EA, moxibustion, and acupressure on orthopedic pain. The quality of the included documents was evaluated using the Cochrane Risk of Bias Tool, and graphs regarding the risk of bias and network meta-analysis were drawn by Revman 5.2, Stata 18.0 and R software (v4.3.2). Intervention ranking probabilities were quantified using SUCRA values derived from a Bayesian random-effects model.Results1) For decreasing Visual Analogue Scale (VAS) scores in patients with orthopedic pain, moxibustion therapy was identified as the optimal intervention (SUCRA=94.84%); 2) For decreasing VAS scores in patients with orthopedic pain undergoing surgical intervention, AP therapy was identified as the optimal intervention (SUCRA=76.99%); 3) For decreasing VAS scores in patients with orthopedic pain not undergoing surgical intervention, moxibustion therapy was identified as the optimal intervention (SUCRA=90.26%); 4) AP therapy (SUCRA=83.73%) demonstrated the most favorable safety profile; 5) Acupressure therapy (SUCRA=77.93%) was identified as the most effective therapeutic method.ConclusionIt is recommended to select differentiated acupoint therapies tailored to the type of orthopedic pain. Specifically, post-operative patients with orthopedic pain should prioritize AP, while moxibustion is advised for non-surgical patients.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251358729"},"PeriodicalIF":1.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642650","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":"Biopsychosocial phenotyping of patients with chronic low back pain using the pain and disability drivers management model: A retrospective cohort study.","authors":"Stéphane Le Cam, Romain Artico, Wendyam Nadège Yameogo, Yannick Tousignant-Laflamme, Bruno Fautrel, Florian Bailly","doi":"10.1177/10538127251357279","DOIUrl":"https://doi.org/10.1177/10538127251357279","url":null,"abstract":"<p><p>BackgroundChronic low back pain (CLBP) is a major burden. The Pain and Disability Drivers Management (PDDM) model is a framework developed to analyse factors contributing to disability and pain in CLBP patients.ObjectiveThe primary objective was to explore the prognostic value of the PDDM model using real-life data. The secondary objective was to explore its analytical value.MethodsA monocentric retrospective cohort study included CLBP patients who underwent a multidisciplinary rehabilitation program between January 2014 and December 2020. Regression analyses were performed using the five domains of the PDDM as explanatory variables. To assess its prognostic value, the main outcome was the change in disability over the course of the program. Secondary outcomes were change in pain and return to work. To assess its analytical value, the outcome was baseline disability.ResultsCognitive-emotional domain of the PDDM predicted change in disability. Nociceptive, Nervous System Dysfunction and Cognitive-Emotional domains of the PDDM were associated with baseline disability.ConclusionsThe PDDM model showed limited prognostic value in our context but provided valuable insights into the bio-psycho-social dimensions contributing to disability in CLBP patients.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251357279"},"PeriodicalIF":1.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637107","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":"Associations between trunk mobility, pain, and quality of life in individuals with chronic low back pain treated with different therapeutic protocols: Potential clinical parameters.","authors":"Robbert Van Amstel, Karl Noten, Shaun Malone, Peter Vaes","doi":"10.1177/10538127251358730","DOIUrl":"https://doi.org/10.1177/10538127251358730","url":null,"abstract":"<p><p>BackgroundPhysiotherapy guidelines for managing low back pain (LBP) recommend the use of validated measures such as trunk mobility, pain intensity, and questionnaires to evaluate function. However, the relationship between these clinical parameters remains insufficiently understood.ObjectiveTo investigate associations between trunk mobility, mobility-dependent pain, and quality of life (QOL) as potential clinical parameters in individuals with nonspecific chronic low back pain (NSCLBP).MethodsA secondary analysis was conducted on data from 51 individuals with NSCLBP enrolled in a randomized trial comparing the 4xT method and physiotherapeutic-guided exercise. Both groups completed a six-week rehabilitation program with two sessions per week, followed by a six-week therapy-free period. Trunk range of motion, mobility-dependent pain, and perceived health were analyzed as predictors of QOL using correlation and linear regression.ResultsIncreased trunk mobility and elevated perceived health are positively associated with QOL in individuals with NSCLBP. Higher levels of mobility-dependent pain are negatively associated with QOL. The interaction between trunk mobility and changes in mobility-dependent pain intensity did not have an additional impact on QOL. Overall, our findings indicate that these associations were moderate or occasionally weak.ConclusionsTrunk mobility, mobility-dependent pain, and perceived health are relevant clinical predictors of QOL in individuals with NSCLBP. These findings highlight the importance of assessing both <u>objective</u> physical function and <u>subjective</u> pain perception when evaluating rehabilitation outcomes. Targeting trunk mobility and mobility-dependent pain in LBP treatment may lead to more personalized care and improved QOL. Including these measures should be standard practice when assessing rehabilitation effectiveness.<b>Clinical Trial Registration Number:</b> NCT03309540.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251358730"},"PeriodicalIF":1.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626438","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":"Active release techniques^® reduces stiffness in the medial gastrocnemius measured using elastography.","authors":"Andrew B Dane, Michelle Fenech, Deborah Carmody, Steven J Obst, Jason Pajaczkowski, Andrew L Vitiello, François Hug, Luke J Heales","doi":"10.1177/10538127251358731","DOIUrl":"https://doi.org/10.1177/10538127251358731","url":null,"abstract":"<p><p>IntroductionThis study examined the effect of a single treatment of Active Release Techniques (ART^®) on resting stiffness of the medial gastrocnemius (MG), resting tension of the triceps surae unit, plantar-flexion strength, and active ankle range of motion (ROM).MethodsTwenty-four healthy participants (14 females, mean (SD) age: 24.8 (4.6) years) were randomised to 4 min of ART^® applied to one leg. With the foot fixed in 5° plantar-flexion, shear wave velocity (SWV) was measured using ultrasound elastography and resting tension was measured using a dynamometer, acquired before, immediately, and 5 min post intervention. Active ankle ROM and plantar-flexion maximal voluntary isometric strength (MVIC) were measured before and after ART^®. Repeated measures ANOVAs with factors of limb and time were used.ResultsMG SWV of the intervention limb decreased immediately following ART^® (mean % change = -5.65% [95%CI: -2.05 to -9.26], <i>p</i> = 0.003) and at 5 min (mean % change = -5.50% [95%CI: -1.22 to -9.78], <i>p</i> = 0.017). There was no difference post ART^® for resting tension of the triceps surae unit, plantar-flexion MVIC, or active ankle ROM for either the intervention or control limb.ConclusionFour minutes of ART^® applied to the MG induces a significant reduction in resting MG SWV, which persisted for 5 min, but was not coupled with a change in resting tension of the triceps surae unit, plantar-flexion MVIC, or ROM.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251358731"},"PeriodicalIF":1.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626437","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 body perception disturbance on pain and disability in patients with lumbar spinal surgery for lumbar spinal stenosis - longitudinal changes during 3 months postoperatively: A prospective study.","authors":"Yoshito Kurashima, Atsushi Endo, Kaisei Kiriyama, Ryoji Fujii, Satoshi Ogihara, Ryota Yoshida, Taro Toraiwa, Hironobu Kuruma","doi":"10.1177/10538127251357045","DOIUrl":"https://doi.org/10.1177/10538127251357045","url":null,"abstract":"<p><p>ObjectivesNo previous studies have investigated the relationship between body perception disturbance (BPD) and functional outcomes in patients who underwent lumbar spinal surgery. This study prospectively investigated temporal changes in BPD and its relationship with postoperative pain and disability in patients who underwent surgery for lumbar spinal stenosis.MethodsIn this prospective observational study, a total of ninety patients who underwent lumbar spinal surgery at our institution between September 2023 and July 2024 were included. BPD, pain intensity, and disability were assessed by using Fremantle Back Awareness Questionnaire, Visual Analog Scale, and Oswestry Disabilty Index at three time points: preoperatively, at discharge, and 3 months postoperatively.ResultsThe results showed a significant decrease in BPD from the preoperative period to 3 months postoperatively (<i>p</i> < 0.05). However, no significant association was observed between BPD and the postoperative pain intensity or disability. Furthermore, high preoperative BPD levels had no significant impact on postoperative outcomes at 3 months.ConclusionsThe results of this study suggest that BPD significantly improves postoperatively, and that the effects of preoperative BPD on pain and disability are limited. Further studies with extended follow-up periods and the consideration of psychosocial factors are needed to fully understand the long-term effects of BPD on postoperative outcomes.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251357045"},"PeriodicalIF":1.4,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144591248","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":"Musculoskeletal disorders in smartphone play to earn gamers: A comparative study.","authors":"Milad Gholami, Arshia Ahmadi Shoar, Reza Kalantari","doi":"10.1177/10538127251354965","DOIUrl":"https://doi.org/10.1177/10538127251354965","url":null,"abstract":"<p><p>BackgroundPlay-to-earn (P2E) games are a growing category of smartphone games that require repetitive tapping and prolonged gaming in poor postures, increasing the risk of musculoskeletal disorders (MSDs).ObjectiveThis study aimed to assess the prevalence of MSDs among smartphone P2E gamers and compare it with non-P2E gamers among students and staff at Zanjan University of Medical Sciences.MethodsA cross-sectional study was conducted in 2024 on 938 students and staff. Data were collected using a demographic questionnaire and the standardized Nordic Musculoskeletal Questionnaire. Descriptive statistics, independent sample t-tests, and Chi-square tests were used for data analysis.ResultsThe one-year and seven-day prevalence of MSDs among P2E gamers were 80% and 70.3%, respectively, both higher than those observed in non-P2E gamers. The upper back had the highest prevalence of pain, followed by the neck and lower back. The seven-day prevalence of MSDs in the wrists/hands and upper back was significantly higher in P2E gamers. A history of gaming and the frequency of unlocking the smartphone touchscreen were associated with increased MSD prevalence.ConclusionAs P2E games may increase the probability of MSDs, developing guidelines for smartphone P2E gamers may help raise awareness and prevent MSDs.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251354965"},"PeriodicalIF":1.4,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144583992","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":"A clinical prediction rule based on the decision tree model for falls among patients with hip osteoarthritis.","authors":"Takashi Tsuru, Shigeharu Tanaka, Atsushi Shinonaga, Gaito Kitada, Masahiro Taguchi, Yasushi Miura","doi":"10.1177/10538127251355926","DOIUrl":"https://doi.org/10.1177/10538127251355926","url":null,"abstract":"<p><p>BackgroundThe factors and thresholds associated with falls in patients with hip osteoarthritis (HOA) have not been clarified. This study aimed to clarify the internal factors associated with falls in patients with HOA and their thresholds using a decision tree analysis.MethodsThe study participants were 203 patients with HOA scheduled to undergo total hip arthroplasty at multiple facilities in Japan. The study evaluated various potential predictors, including sociodemographic factors, medical information, and assessments of motor function. Classification and regression tree techniques were used to develop clinical prediction rules.ResultsIn total, 24.1% of the participants had experienced a fall. Age was selected as the first factor for falls in patients with HOA, with age > 79 years found to be highly associated with falls (57.1%). Pain scores on the Japanese Orthopaedic Association Hip-Disease Evaluation Questionnaire (JHEQ) were selected as the second factor. The findings indicated that even among those aged ≤ 69 years, those with a JHEQ pain score ≤ 9 (severe pain) were more likely to experience a fall (40.7%). The model demonstrated a fair level of predictive performance, as indicated by the area under the receiver operating characteristic curve (AUROC) of 0.738.ConclusionBeing older and having severe pain even at a young age were identified as significant predictors of falls among patients with HOA. These findings could help health-care providers develop more effective interventions to prevent falls in patients with HOA.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251355926"},"PeriodicalIF":1.4,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540270","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 physical agent modalities for pain relief in injured athletes: A systematic review.","authors":"Alessandro de Sire, Nicola Marotta, Emanuele Prestifilippo, Andrea Parente, Lorenzo Lippi, Marco Invernizzi, Umile Giuseppe Longo, Antonio Ammendolia","doi":"10.1177/10538127251314711","DOIUrl":"10.1177/10538127251314711","url":null,"abstract":"<p><p>IntroductionFrom a rehabilitation perspective, various approaches can be applied to help athletes overcome injury, including drugs, physical agent modalities (PAMs) with conventional physical therapy. This systematic review aimed to evaluate the impact of physical agent modalities (PAMs) for pain relief in injured athletes.MethodsPubMed, Scopus, and Web of Science were systematically searched from inception until May 8^th, 2024. The papers were considered eligible for review in compliance with the conditions determined by the following PICO model: P) Participants: injured athletes; I) Intervention: magnetic therapy, TENS, lasertherapy, ultrasound therapy, diathermy, and extracorporeal shockwave therapy (ESWT); C) Comparator: NA; O) Outcome measure: any pain assessment. PROSPERO registration number: CRD42024532304ResultsStudy selection reported a total of 785 records, resulting in 484 articles after duplicate removal. After the title and abstract screening, 433 papers were excluded and 51 articles were evaluated for eligibility. Therefore, 21 studies were included, involving a total of 806 subjects: 10 ESWT, 1 Cryotherapy, 2 Cryo + ultrasound, 3 diathermy, 1 NMES, 1 TENS, 2 Laser therapy, 1 combined procedure.ConclusionsThe systematic review indicated potential effectiveness of PAMs in managing and reducing pain in sport-related injuries. Taken together, our findings suggested a positive role of ESWT in term of pain relief, also considering that these PAMs are the most used in these subjects. However, the high heterogeneity of the results could not consent to define the specific effect of the single PAMs.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"674-699"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700497","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 kinesiophobia on clinical parameters in sacroiliac joint dysfunction: A cross-sectional study.","authors":"Cemal Arman Öztürk, Bilge Targıtay Öztürk, Hülya Ellidokuz, Zehra Dinç Demir, Elif Akalın","doi":"10.1177/10538127251314700","DOIUrl":"10.1177/10538127251314700","url":null,"abstract":"<p><p>BackgroundSacroiliac joint dysfunction (SJD) is often recognized as a contributing factor to chronic low back pain. Nevertheless, studies evaluating the connection between SJD and kinesiophobia are currently lacking.ObjectiveIt aims to examine the occurrence of kinesiophobia and its impact on emotional well-being, spinal flexibility, disability, quality of life and pain in individuals with SJD.MethodsThe study assessed the occurrence of kinesiophobia and its clinical effects in 55 patients with SJD. The Tampa Scale of Kinesiophobia (TSK) was utilized to measure kinesiophobia. Clinical parameters were evaluated using Oswestry Disability Index (ODI), 36-Item Short Form Survey (SF-36), Hospital Anxiety and Depression Scale (HADS), finger-to-floor distance test (FTF), Visual Analogue Scale (VAS) and the modified Schober Test (MST).ResultsParticipants were grouped based on their TSK scores. SJD symptom duration was longer in patients with kinesiophobia compared to those without (p = 0.002) and a positive relationship was identified between symptom duration and TSK scores (p < 0.001). Higher mean VAS score (p = 0.047), ODI (p = 0.003) and HADS-Depression sub-scores (p = 0.024) were determined in kinesiophobic group. Although HADS-Anxiety sub-scores were higher in the kinesiophobic group, these scores did not exceed the cut-off value in both groups. A significant association was identified between ODI and TSK scores (ρ=0.467 p = 0.002), and between FTF distance and TSK scores in the kinesiophobic group (ρ=0.307 p = 0.046).ConclusionKinesiophobia has the potential to elevate the risk of developing chronic pain. Therefore, identifying kinesiophobia in individuals with SJD and incorporating it into treatment strategies may enhance rehabilitation outcomes.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"759-765"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669855","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}