Journal of Back and Musculoskeletal Rehabilitation最新文献

{"title":"Addition of low-load blood flow restriction training to conventional physiotherapy improves handgrip strength and function in patients with lateral epicondylitis at the short-term: A single-blind randomized clinical trial.","authors":"Ahmed M El Melhat, Ibtissam M Saab, Rami L Abbas, Ayman El Khatib, Rabab A Mohamed, Bushra Hijazi, Mohammad Takkoush, Omar Kronfol, Khaled Takey Ahmed","doi":"10.1177/10538127261494053","DOIUrl":"https://doi.org/10.1177/10538127261494053","url":null,"abstract":"<p><p>BackgroundEvidence regarding Blood Flow Restriction (BFR) training for the management of lateral epicondylitis (LE) remains limited and conflicting, although BFR has shown potential to improve muscle strength in other musculoskeletal rehabilitation settings.ObjectiveTo investigate the short-term effects of adding low-load BFR training to a conventional physiotherapy (CPT) program on handgrip strength (HGS), function, and pain intensity during rest and activity, in patients with LE.DesignA single-blind, randomized clinical trial.MethodsFifty-two participants with LE were randomly allocated to either the CPT group or the CPT + BFR group. Both groups received 12 sessions over 6 weeks. The primary outcome was HGS using a hand-held dynamometer. Secondary outcomes were Patient-Rated Tennis Elbow Evaluation (PRTEE) scores, Numerical Pain Rating Scale (NPRS) scores, and satisfaction with treatments. These outcome measures were reassessed at the end of the six-week intervention period.ResultsBoth groups demonstrated statistically significant within-group improvements in HGS, PRTEE, and NPRS outcomes (all p < 0.001). Mean HGS increased by 17.50 ± 2.53 lb in the CPT group and by 35.54 ± 0.71 lb in the CPT + BFR group. The post-treatment HGS difference strongly favoured CPT + BFR (Mann-Whitney U = 30.0, p < 0.001; rank-biserial correlation r_rb = 0.911, 95% CI 0.800 to 0.984). PRTEE also favoured CPT + BFR, whereas no statistically significant between-group differences were observed for NPRS pain scores or treatment satisfaction.ConclusionIn patients with LE, addition of low-load BFR training to CPT resulted in greater short-term improvements in HGS and function, while pain reduction was comparable between groups.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261494053"},"PeriodicalIF":1.6,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127561","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":"Effect of SFMA-guided Qihuang Needling vs conventional acupuncture on paraspinal neuromuscular activity in lumbar disc herniation: A randomised controlled trial.","authors":"Shuangshuang Yuan, Hongcen Liu, Yuting Huang, Jianxia Zeng, Wenxu Deng, Zhihua Peng, Lixia Yang, Mingzhu Xu, Nanbu Wang, Shaoyang Cui","doi":"10.1177/10538127261494050","DOIUrl":"https://doi.org/10.1177/10538127261494050","url":null,"abstract":"<p><p>BackgroundLumbar disc herniation (LDH) commonly causes chronic low back and leg pain. Qihuang Needling (QN) is a micro-invasive technique targeting myofascial dysfunction, but its effects on paraspinal neuromuscular activity have not been objectively quantified.ObjectiveTo determine whether SFMA-guided QN produces greater immediate improvement than conventional acupuncture (CA) in paraspinal neuromuscular activity.MethodsIn this single-centre, assessor- and statistician-blinded trial, 68 outpatients with LDH were allocated 1:1 to five daily sessions of SFMA-guided QN or CA. The primary endpoint was static multifidus AEMG, analysed by ANCOVA with baseline adjustment; pain and disability were exploratory endpoints.ResultsAll 68 participants completed the trial. Static multifidus AEMG increased more with QN than CA (adjusted difference 7.43 μV, 95% CI 2.74 to 12.12; P = 0.002). All seven secondary sEMG endpoints also improved more with QN after false-discovery-rate control. The Oswestry Disability Index difference was -17.17 points (95% CI -20.53 to -13.81); responder rates were 76.5% versus 35.3% (P = 0.001). No serious adverse events occurred.ConclusionsFive daily sessions of SFMA-guided QN produced greater immediate improvement in paraspinal neuromuscular activity than CA. Whether these differences persist, and which components account for them, cannot be determined from this trial.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261494050"},"PeriodicalIF":1.6,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080784","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":"Cross-cultural adaptation and psychometric validation of the Turkish Low Back Pain Knowledge Questionnaire (LKQ-Tr).","authors":"Elif Aygun-Polat, Fuat Yuksel, Yusuf Polat","doi":"10.1177/10538127261491775","DOIUrl":"https://doi.org/10.1177/10538127261491775","url":null,"abstract":"<p><p>BackgroundKnowledge about low back pain (LBP) may influence disability, beliefs, and self-management, but no validated Turkish instrument is available to assess this construct.ObjectiveTo translate, cross-culturally adapt, and evaluate the psychometric properties of the Turkish version of the Low Back Pain Knowledge Questionnaire in adults with LBP.MethodsThe questionnaire was translated and cross-culturally adapted using established procedures. The pre-final version was pilot tested in 30 adults with LBP. Psychometric testing was performed in 186 adults, and 25 participants completed the questionnaire again after 7 to 14 days. Internal consistency, test-retest reliability, measurement error, structural validity, construct validity, and floor and ceiling effects were examined.ResultsThe Turkish version showed high internal consistency, with a Cronbach's alpha of 0.896, and good test-retest reliability, with an intraclass correlation coefficient of 0.871. Structural validity supported the original three-factor structure and showed acceptable model fit. All predefined hypotheses were confirmed. Higher knowledge scores were associated with lower disability, more positive back beliefs, younger age, higher education level, and being a health professional. No floor or ceiling effects were observed.ConclusionThe Turkish version of the Low Back Pain Knowledge Questionnaire showed evidence of internal consistency, test-retest reliability, structural validity, and construct validity in Turkish-speaking adults with LBP. It may be a useful instrument for assessing LBP-related knowledge in clinical and research settings. Further studies in more diverse populations and evaluation of responsiveness are warranted.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261491775"},"PeriodicalIF":1.6,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110154","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 APECS mobile application for assessing knee joint position sense during functional squat tasks in healthy adults.","authors":"Eda Akbaş, Emin Ulaş Erdem, İlknur Tuğba Cavdar, İsmail Alak, Öznur Güney","doi":"10.1177/10538127261492775","DOIUrl":"https://doi.org/10.1177/10538127261492775","url":null,"abstract":"<p><p>BackgroundKnee joint position sense (JPS) is a vital component of proprioception, significantly impacting functional performance and clinical outcomes.ObjectiveThis study aimed to investigate the concurrent validity and the intra- and inter-tester reliability of APECS-derived JPS error measures during three different squat ranges.MethodsSixty-two participants (mean age: 25.5 ± 3.9 years) were evaluated across three sessions. Knee JPS was measured at low (30-50°), moderate (50-70°), and deep (70-90°) squat ranges. Concurrent validity was evaluated by comparing APECS-derived JPS error measures with digital goniometer-derived measures. Intra-tester reliability was assessed by comparing Sessions 2 and 3 (T1), and inter-tester reliability by comparing T1 and T2 in Session 3. JPS error was quantified using absolute (AAE), relative (RAE), and variable (VAE) angular errors.ResultsCorrelations between APECS- and digital goniometer-derived JPS error measures were low and non-significant across all ranges (r = -0.22 to 0.08). Intra-tester reliability was good only for AAE (ICC = 0.85) and RAE (ICC = 0.79) in the deep squat range, with poor reliability elsewhere. Inter-tester reliability was predominantly poor, with moderate reliability only for VAE in the moderate range (ICC = 0.69).ConclusionUnder the present protocol, APECS-derived JPS error measures showed limited agreement with digital goniometer-derived measures and inconsistent reliability across squat ranges and error parameters. These findings are specific to the present APECS-based assessment protocol and reference method and should not be generalized to the overall validity or reliability of the APECS application.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261492775"},"PeriodicalIF":1.6,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080773","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 problematic internet use and kinesiophobia-related factors in adults aged 18-45 years With non-specific low back pain: A cross-sectional study.","authors":"Zeynep Aktaş Melikoğlu, Abdullah Ozan Polat, Okcan Basat","doi":"10.1177/10538127261494714","DOIUrl":"https://doi.org/10.1177/10538127261494714","url":null,"abstract":"<p><p>BackgroundCKQ-based kinesiophobia-related factors may reflect biological and psychological barriers to movement in low back pain (LBP). Their association with problematic internet use in adults with non-specific LBP remains unclear.ObjectiveTo examine the association between problematic internet use and CKQ-based kinesiophobia-related factor scores in adults aged 18-45 years with non-specific LBP, with pain intensity as a secondary variable.MethodsThis single-center, cross-sectional study included 140 adults aged 18-45 years presenting to a family medicine outpatient clinic between June 3 and July 3, 2024. CKQ mean score was the primary outcome. Problematic internet use was assessed using the Young Internet Addiction Test-Short Form (YIAT-SF), and pain intensity using the Visual Analog Scale (VAS). Spearman correlations, pain-group comparisons, and multivariable regression were performed.ResultsMean VAS, YIAT-SF, and CKQ mean scores were 4.20 ± 2.49, 29.37 ± 10.29, and 2.61 ± 0.97, respectively. YIAT-SF correlated positively with CKQ mean score (r = 0.579, p < 0.001). VAS pain intensity showed a weak positive correlation with CKQ mean score (r = 0.179, p = 0.035). Moderate pain was associated with higher YIAT-SF and CKQ mean scores than mild pain, but the severe pain group did not consistently show the highest scores. In regression, YIAT-SF showed the strongest association with CKQ mean score (standardized β=0.547, p < 0.001).ConclusionProblematic internet use was associated with higher CKQ mean scores in adults aged 18-45 years with non-specific LBP. Pain-intensity findings were weaker and did not indicate a clear dose-response pattern. Longitudinal studies are needed.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261494714"},"PeriodicalIF":1.6,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149074804","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":"Mapping the use of spinal manual therapy on the lumbo-pelvic area for lower extremity isolated pain: A scoping review.","authors":"Wilfried Serres, Jean-Philippe Deneuvile, Benjamin Hidalgo, Joachim Van Cant","doi":"10.1177/10538127261490649","DOIUrl":"https://doi.org/10.1177/10538127261490649","url":null,"abstract":"<p><p>BackgroundSpinal manual therapy is frequently employed to alleviate pain and improve function. Although traditionally applied to spinal disorders, its use for lower extremity isolated pain has been reported, within the framework of regional interdependence. However, the clinical rationale for selecting specific techniques remains insufficiently explored.ObjectiveOur scoping review aimed to systematically investigate and summarize the types of lower extremity conditions addressed using spinal manual therapy applied to the lumbo-pelvic area, the types of interventions used (manipulation, mobilization, soft-tissue techniques and others), and the clinical assessments and outcomes reported.MethodsA comprehensive search of PubMed/MEDLINE, Scopus, ProQuest, PEDro and SPORTDiscus was conducted, covering all study designs. The modified 11-item Consensus on Exercise Reporting Template checklist was used to evaluate the replicability and reporting of spinal manual therapy techniques. Data were systematically categorized, and frequency analyses were performed to identify trends in intervention types and assessment methods.ResultsFifty-one studies were included. Knee-related conditions were the most frequently addressed (62.7%), and manipulation was the most commonly reported spinal manual therapy (SMT) technique (82.4%). Pain, muscle strength and function were among the most frequently assessed outcomes. None of the studies met all modified Consensus on Exercise Reporting Template (mCERT) reporting criteria.ConclusionThe review identified various techniques, particularly for knee-related conditions. However, intervention descriptions were often insufficient to ensure reproducibility. Future research should provide replicable descriptions of spinal manual therapy techniques applied to the lumbo-pelvic area and investigate their effects on clinically relevant outcomes in specific lower extremity conditions.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261490649"},"PeriodicalIF":1.6,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069672","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 home-based exercise on disease activity, spinal mobility, functionality and systemic inflammatory indices in ankylosing spondylitis: A randomized controlled trial.","authors":"Merve İrem Uçar, Sibel Çağlar, Işıl Üstün","doi":"10.1177/10538127261492503","DOIUrl":"https://doi.org/10.1177/10538127261492503","url":null,"abstract":"<p><p>BackgroundExercise is a component of ankylosing spondylitis (AS) management, with home-based programs widely used due to their feasibility. However, their clinical effects and impact on novel inflammatory biomarkers such as SII and SIRI remain unclear.ObjectıveThis study evaluated the effects of a 6-week home-based exercise program on disease activity, spinal mobility, functional status, systemic immune-inflammation index (SII) and systemic inflammatory response index (SIRI) in patients with AS, with a 4-week post-intervention follow-up.MethodsPatients with AS were randomly assigned to a control group (n = 23) receiving pharmacological treatment alone or a home exercise group (n = 27) receiving pharmacological treatment plus a 6-week home-based exercise program. The home exercise group performed a program including spinal range of motion (ROM), stretching, and breathing exercises based on ASAS/EULAR recommendations, 5 days/week, 1 set of 10 repetitions, for approximately 40 min per day. Outcomes included the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), Bath Ankylosing Spondylitis Metrology Index (BASMI), Ankylosing Spondylitis Disease Activity Score C-reactive protein (ASDAS-CRP) and erythrocyte sedimentation rate (ASDAS-ESR), SII and SIRI. Assessments were performed at baseline (T0), after treatment (T1) and 4 weeks after T1 (T2).ResultsThe home exercise group showed a trend toward within-group improvement in BASMI at T1 (p = 0.047), not significant after Bonferroni correction, and significant improvement at T2 (p < 0.001); however, no significant Group × Time interaction or between-group difference was observed. No significant within-group changes were observed in BASDAI, BASFI, ASDAS, SII, or SIRI. In controls, BASDAI decreased at T1 and T2 (p = 0.136 and 0.060), but not after Bonferroni correction. No significant between-group differences were observed.ConclusıonA 6-week home exercise program was associated with a within-group improvement in spinal mobility at 4-week follow-up, while the control group showed a within-group reduction in BASDAI that did not remain significant after Bonferroni correction. BASFI, ASDAS, SII, and SIRI remained unchanged, and no significant between-group differences were observed in any outcome. Future studies should clarify whether structured home exercise can provide sustained and clinically meaningful improvements in spinal mobility and disease activity.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261492503"},"PeriodicalIF":1.6,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069677","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 blood flow restriction therapy on functional outcomes in patients with distal radius fracture: A systematic review with meta-analysis.","authors":"Héctor Gutiérrez-Espinoza, Iván Cuyúl-Vásquez, Juan Valenzuela-Fuenzalida, Felipe Ponce-Fuentes, Javier Román-Veas, Felipe Araya-Quintanilla","doi":"10.1177/10538127261489858","DOIUrl":"https://doi.org/10.1177/10538127261489858","url":null,"abstract":"<p><p>BackgroundNo previous systematic reviews have evaluated the effects of blood flow restriction therapy (BFRT) in addition to other therapeutic interventions on clinical outcomes in patients with distal radius fractures (DRFs).ObjectiveTo determine the clinical effects of BFRT on functional outcomes in patients with DRFs.MethodsAn electronic search was performed using the MEDLINE, CENTRAL, EMBASE, Web of Science, PEDro, CINAHL, SPORTDiscus, and LILACS databases. The eligibility criteria included randomized clinical trials (RCTs) investigating the effects of BFRT with or without other therapeutic interventions on functional outcomes in patients with DRFs. Two authors independently performed the searches, study selection, data extraction, and risk of bias assessment using the Cochrane Risk of Bias 2.0. Data were pooled using a Hartung-Knapp-Sidik-Jonkman random-effects method or Mantel-Haenszel fixed-effects model. Certainty of evidence was assessed using GRADE.ResultsFour RCTs met the eligibility criteria. For the comparison of BFRT plus standard rehabilitation versus standard rehabilitation alone, at four weeks and six to eight weeks, the overall mean difference (MD) for PRWE was -5.41 points (<i>p</i> = 0.39), DASH was 1.94 points (<i>p</i> = 0.84), grip strength was -2.47% (<i>p</i> = 0.66), pinch strength was 0.28 kg (<i>p</i> = 0.59), wrist flexion-extension range of motion was 4.30 degrees (<i>p</i> = 0.33), and VAS was 0.43 cm (<i>p</i> = 0.09).ConclusionsGiven the limited available evidence, the effectiveness of adding BFRT to standard rehabilitation remains uncertain. Preliminary findings suggest that BFRT did not improve any of the functional outcomes. More clinical trials, in both quantity and quality, are needed to confirm the clinical effects of BFRT in patients with DRFs.<b>PROSPERO registration:</b> CRD42021260589.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261489858"},"PeriodicalIF":1.6,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069616","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":"Turkish cultural adaptation and measurement properties of the Brief Assessment of Distress about Pain (BADP-TR).","authors":"Hasan Atacan Tonak, Fatoş Kırteke Duman, Sultan Baştürk, Ozan Demirci","doi":"10.1177/10538127261491783","DOIUrl":"https://doi.org/10.1177/10538127261491783","url":null,"abstract":"<p><p>BackgroundPain-related affective distress may influence rehabilitation participation and outcomes. The four-item Brief Assessment of Distress about Pain (BADP) provides a brief measure of this construct.ObjectiveTo translate and culturally adapt the BADP into Turkish (BADP-TR) and initially evaluate its measurement properties.MethodsTurkish-speaking adults recruited consecutively from outpatient physiotherapy and rehabilitation clinics in Türkiye completed baseline assessment (n = 104); 48 completed a 1-week retest. Structural validity, internal consistency, relative reliability, measurement error, and hypothesis-based construct validity were evaluated. Additional post hoc analyses compared current-pain (n = 59) and no-current-pain (n = 45) scores and repeated CFA/internal-consistency analyses in n = 104, n = 93 excluding pain-naive respondents, and n = 59 current-pain participants.ResultsA one-factor ordinal CFA fit the total sample well (CFI = 0.999; TLI = 0.995; RMSEA = 0.043; SRMR = 0.062), with high internal consistency (α = 0.844; ω = 0.875; ordinal α = 0.874). Sensitivity analyses yielded broadly similar estimates. ICC(A,1) and ICC(C,1) were 0.815 and 0.847; mean scores decreased and stability was not externally verified. Current-pain status did not clearly differentiate BADP-TR scores (mean difference = 0.73, 95% CI -0.70 to 2.16; Hedges' g = 0.19; p = 0.315). All four construct-validity correlation hypotheses were supported.ConclusionThe BADP-TR showed unidimensionality, high internal consistency, acceptable group-level relative reliability with limited individual-level precision, and construct-validity support, although the predicted correlation ordering was not reproduced. Individual-level use should remain cautious pending further validation.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261491783"},"PeriodicalIF":1.6,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149074819","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 Oswestry Disability Index for low back pain: Translation into Persian and validation within a Persian-speaking population - an update.","authors":"Keyvan Mostofi, Kamran Shirbache, Ali Shirbacheh, Morad Peyravi","doi":"10.1177/10538127261488512","DOIUrl":"https://doi.org/10.1177/10538127261488512","url":null,"abstract":"<p><p>BackgroundThe Oswestry Disability Index (ODI) is widely used to assess disability due to low back pain. Existing Persian versions were developed in Iran only and do not reflect the full linguistic and cultural diversity of Persian speakers worldwide.ObjectiveThis study had two aims: (1) to provide an updated, culturally inclusive Persian translation and adaptation of the ODI following the Beaton cross-cultural adaptation guidelines, and (2) to evaluate, per the COSMIN taxonomy of measurement properties, its reliability and inter-method agreement across diverse Persian speakers. The translation was refined through a structured five-stage process and reviewed by native speakers from Iran, Afghanistan, Tajikistan, and diaspora communities.Methods578 participants with low back pain (aged 18-86) completed the Persian ODI twice in a single session, once alone (self-administered) and once with an interviewer, to assess inter-method agreement. Reliability and agreement were analyzed using paired t-test, Wilcoxon test, Cohen's d, ICC, and Bland-Altman limits of agreement.ResultsMean ODI scores were 13.83 ± 12.06 (Alone) and 14.55 ± 12.46 (With interviewer). ICC(2,1) was 0.95, indicating excellent reliability, while Cohen's d = 0.18 indicated a small, non-significant effect. Bland-Altman limits of agreement ranged from -6.91 to +8.35.ConclusionThe updated Persian ODI, developed and evaluated per established cross-cultural adaptation and measurement-property guidelines, shows excellent reliability and agreement across diverse Persian-speaking populations. Interviewer administration yielded slightly higher scores, but the difference was small and not clinically significant. This version can be confidently used for clinical and research purposes across Persian-speaking communities worldwide.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261488512"},"PeriodicalIF":1.6,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149030385","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}