{"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":"https://doi.org/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":"10538127251314700"},"PeriodicalIF":1.4,"publicationDate":"2025-03-20","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}
Praveen Kumar Kandakurti, Arthur de Sá Ferreira, Leandro Alberto Calazans Nogueira, Watson Arulsingh Daniel Ragland, Sharad S Patil
{"title":"Influence of kinesiophobia on lumbar position sense in patients with chronic low back pain-a case-control study.","authors":"Praveen Kumar Kandakurti, Arthur de Sá Ferreira, Leandro Alberto Calazans Nogueira, Watson Arulsingh Daniel Ragland, Sharad S Patil","doi":"10.1177/10538127251326152","DOIUrl":"https://doi.org/10.1177/10538127251326152","url":null,"abstract":"<p><p>BackgroundChronic lower back pain condition (CLBP) was reported with a significantly higher disability levels and fear-avoidance beliefs than their asymptomatic counterparts. However, the anecdotal evidence is there to support whether kinesiophobia had impacted the level of lumbar position sense among CLBP. The aim of the study was to analyze the relation between kinesiophobia, and lumbar position sense in patients with CLBP and asymptomatic individual.MethodsThis is part of a major case-control study proceeded with 200 patients with CLBP and 400 controls. Kinesiophobia, and lumbar position sense were assessed with Tampa Scale for Kinesiophobia, and lumbar re-positioning test, respectively. Functional ability was measured with a patient- specific Functional Scale in patients with CLBP. Regression models was administered to explore the complex relation between kinesiophobia, and lumbar position sense.ResultsKinesiophobia was reported high among patients with CLBP (30%) than in controls (11%) with the mean difference of 6.49 ± 0.52, d = 1.07 and lumbar position sense (0.09) were positively correlated with kinesiophobia.Discussion and conclusionAlthough a higher rate of kinesiophobia was reported among patients with CLBP when compared to controls, majority of cases with CLBP did not report Kinesiophobia. Further, Kinesiophobia was found to influence lumbar position sense among patients with CLBP.ClinicalTrials.gov Identifier: NCT05079893 Registered on 14/10/2021.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251326152"},"PeriodicalIF":1.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669165","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}
Suna Aşkın Turan, Zafer Bütün, Masum Kayapınar, Hasan Turan
{"title":"Can ultrasound-guided steroid injection lead to an improvement in the symptoms of pregnancy-related carpal tunnel syndrome? With splint or alone?","authors":"Suna Aşkın Turan, Zafer Bütün, Masum Kayapınar, Hasan Turan","doi":"10.1177/10538127251323323","DOIUrl":"https://doi.org/10.1177/10538127251323323","url":null,"abstract":"<p><p>BackgroundPregnancy-related carpal tunnel syndrome (PRCTS) is the most common mononeuropathy during pregnancy.Objectiveto compare the efficacy of ultrasound (US)-guided steroid injection alone versus wiht splinting on symptom severity on PRCTS.MethodsThis retrospective cohort study included 37 pregnant women in their third trimester with PRCTS, treated with ultrasound-guided steroid injection of 4 mg dexamethasone into the median nerve (Group I, n = 15), volar splinting in a neutral position while sleeping and during the day whenever possible for at least ten weeks (Group S, n = 12), or both injection and splinting (Group I + S, n = 10). Patient data were collected from hospital records, and symptoms were assessed using the Boston Carpal Tunnel Symptom Questionnaire (BCTQ), the Douleur Neuropathique 4 (DN4) and the Numeric Rating Scale (NRS). Statistical analyses included Student's t-test, Mann-Whitney U test, Fisher's exact test, ANOVA, Kruskal-Wallis test, descriptive analyses, and power analyses.ResultsDuring the first month of intervention, group S had higher BCTQ scores than the other two groups <i>(p < 0.001</i>). In the postpartum period, the order of scores was Group S > Group I > Group I + S <i>(p < 0.001).</i> The effect size was significant with Partial eta squared = 0.369.ConclusionThe combination of splinting and injection seems to be more effective in the short term period. But still, to validate our findings, Additional randomized controlled trials are recommended.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251323323"},"PeriodicalIF":1.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669959","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":"Low back pain and sitting time, posture and behavior in office workers: A scoping review.","authors":"Nuray Alaca, Ali Ömer Acar, Sergen Öztürk","doi":"10.1177/10538127251320320","DOIUrl":"https://doi.org/10.1177/10538127251320320","url":null,"abstract":"<p><p>BackgroundOffice workers spend approximately two-thirds of their daily work time in a sitting position.ObjectiveThis scoping review aimed to identify and categorize key themes and knowledge gaps in research on how sitting time, posture, and behavior affect the risk of low back pain among office workers.MethodsThe authors conducted a comprehensive literature search in electronic databases [MEDLINE [via PubMed], SCOPUS, CINAHL, PEDro, and CENTRAL] from inception to March 2024, resulting in 22 studies involving 7814 participants. The methodological quality of these studies was assessed using the Mixed Methods Appraisal Tool (MMAT).ResultsSeventeen studies [77%] were rated as high quality, four studies [18%] as moderate quality, and one study [5%] as low quality. Thirteen studies assessed sitting time, ten assessed sitting posture, and thirteen assessed sitting behavior. Among the studies investigating sitting time, five showed no relationship with low back pain (LBP) prevalence, while eight demonstrated a relationship with LBP prevalence. For studies exploring sitting posture, seven found a relationship with LBP. Regarding studies on sitting behavior, only one showed no relationship between LBP prevalence, while twelve indicated a relationship.ConclusionsLonger sitting time, poor sitting posture, fewer breaks and more static sitting in sitting behavior, were found to be associated with LBP. The strongest evidence for an association with LBP was found for sitting behavior. When considering workplace ergonomics and interventions for LBP, it is advisable to consider all factors, including sitting, posture and behavior.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251320320"},"PeriodicalIF":1.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669174","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":"An overlooked cause of groin pain: Ischiofemoral impingement syndrome.","authors":"Cemre Ozenbas, Duygu Engin, Tayfun Altinok","doi":"10.1177/10538127251325843","DOIUrl":"https://doi.org/10.1177/10538127251325843","url":null,"abstract":"<p><p>BackgroundIschiofemoral impingement syndrome (IFI) is a condition characterized by narrowing of the space between the ischium and femur, potentially compressing the quadratus femoris muscle. Although associated with hip pain, its role in groin pain is underexplored.ObjectiveTo assess the relationship between IFI and groin pain and examine the association between quadratus femoris muscle edema and ischiofemoral space (IFS) and quadratus femoris space (QFS) measurements.MethodsA retrospective study was performed on 568 hips from 284 patients who underwent pelvic MRI between January and September 2024. Patients were grouped based on groin pain. IFS and QFS were measured on T1-weighted axial MRI images, and quadratus femoris muscle edema was evaluated on T2-weighted fat-suppressed axial images. Statistical analysis included the Independent Samples t-test, Pearson Chi-square test, and ROC analysis, with significance set at p < 0.005.ResultsGroin pain was present in 23 of 568 hips (4%), with quadratus femoris muscle edema detected in 19 of these cases (82.6%, p < 0.001). Quadratus femoris edema was found in 116 of the 568 hips (20.4%). IFS and QFS measurements were significantly lower in patients with quadratus femoris edema. ROC analysis revealed an IFS cut-off of 16 mm (86.5% sensitivity, 80.3% specificity) and a QFS cut-off of 9.5 mm (92% sensitivity, 93.2% specificity).ConclusionsIFI should be considered in the differential diagnosis of unexplained groin pain, as smaller IFS and QFS are linked to quadratus femoris muscle edema.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251325843"},"PeriodicalIF":1.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657130","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}
Mohamed G Ali, Rehab S Mamoon, Reem M Alwhaibi, Mohammed A M Sarhan, Amel M Yousef, Fahima M Okeel, Hoda M Zakaria, Abeer A Mohammed, Mohammed A Soliman, Mohammad Auais
{"title":"Correlation between pressure pain threshold and L4-5 supraspinous ligament biomechanics after cesarean delivery under spinal anesthesia.","authors":"Mohamed G Ali, Rehab S Mamoon, Reem M Alwhaibi, Mohammed A M Sarhan, Amel M Yousef, Fahima M Okeel, Hoda M Zakaria, Abeer A Mohammed, Mohammed A Soliman, Mohammad Auais","doi":"10.1177/10538127251318943","DOIUrl":"https://doi.org/10.1177/10538127251318943","url":null,"abstract":"<p><p>BackgroundLocalized low back pain is a frequent complaint after spinal anesthesia for cesarean delivery (CD).ObjectivesThis study aimed to examine the pressure pain threshold (PPT) and biomechanical properties (stiffness, elasticity, relaxation time, and creep) of the L4-5 supraspinous ligament at the spinal anesthesia needle insertion site in women who had CD. These measurements were compared with those from the controls who never had pregnancy or anesthesia, and correlations between the variables were explored.MethodsA retrospective cohort study involved 44 women, divided into two groups. Group A: 22 women experienced spinal anesthesia for CD, and Group B: 22 women represented the controls. L4-5 supraspinous ligament's PPT was measured using pressure algometry, and its biomechanical properties were assessed with the MyotonPRO device.ResultsSignificant differences were found in PPT between the two groups (P = 0.0001), but non-significant differences were observed in stiffness, elasticity, relaxation time, or creep (P = 0.318, 0.344, 0.241, and 0.227, respectively). There were also non-significant correlations between PPT and biomechanical properties.ConclusionWomen who experienced spinal anesthesia for CD showed increased tenderness and lower PPT at the L4-5 site, 6-12 weeks postpartum, with minor changes in supraspinous ligament biomechanics. The relationship between PPT and these properties was negligible.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251318943"},"PeriodicalIF":1.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657228","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":"Gender-based differences in postural stability, sensory integration of balance and fall risk between healthy young male and female adults: The GENAB study.","authors":"Muhammad Osama","doi":"10.1177/10538127251318941","DOIUrl":"https://doi.org/10.1177/10538127251318941","url":null,"abstract":"<p><p>BackgroundInherent differences in gender may influence balance and postural stability. However, despite existing theories, research addressing these differences in healthy young adults is limited and yields conflicting results.ObjectiveTo determine if there is a significant difference in postural stability (PS), fall risk (FR) and clinical test of sensory integration of balance (CTSIB) between healthy young male and female adults.MethodsA cross sectional comparative study was conducted on 90 healthy young adults, aged 19-24 years, with equal male to female ratio. PS, FR and CTSIB were measured via Biodex Balance System, and Independent t-test was used for gender based comparisons.ResultsThe mean age of the participants was 21.38 ± 1.77 and 22.07 ± 1.74 years for males and females respectively, with no significant differences in age and body mass index (p < 0.05). Males demonstrated significantly better PS with eyes-open (p < 0.05), whereas females demonstrated significantly superior PS and reduced FR (p < 0.05) as compared to males in eyes-closed conditions. No significant differences were observed in FR with eyes open and CTSIB (p > 0.05).ConclusionMales tend to show better postural stability with eyes-open, whereas females demonstrate reduced FR and superior PS as compared to males with eyes closed, suggesting that males may rely more on vision to maintain balance.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251318941"},"PeriodicalIF":1.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Predicting the performance of assistive device for elderly people using weighted KNN machine learning algorithm.","authors":"S Vaisali, C Maheswari, S Shankar, R Naveenkumar","doi":"10.1177/10538127251317602","DOIUrl":"https://doi.org/10.1177/10538127251317602","url":null,"abstract":"<p><p>BackgroundElderly people as age increases often struggle with weight lifting in their daily lives due to decreased muscle strength and endurance. This limits their ability to perform routine tasks, which affects their independence and quality of life.ObjectiveThe aim of this study is to evaluate and predict the effectiveness of the developed upper limb Exo-skeleton for weight lifting, using ergonomic analysis and a weighted K-Nearest Neighbors (KNN) machine learning algorithm.MethodsExperiments were conducted to measure Maximum Voluntary Isometric Contraction (MVIC) and Mean Power Frequency (MPF) values to assess muscle strength before and after wearing the device on elderly subjects.ResultsThe results of the %MVIC value of muscles when lifting no load after wearing the assistive device lies between 2% to 6%, whereas while adding 5 kg load on hand, MVIC lies between 25% to 40%, while adding 15 kg load, the MVIC value is slightly increased to 30% to 71%. The results indicated that the muscle fatigue in the Biceps Brachii (BB) and flexor carpi radialis (FCR) are increased during weight lifting without the Exo-skeleton, whereas the usage of the device significantly reduces the muscle fatigue.ConclusionThe results demonstrated that the exoskeleton significantly reduces MVIC range when lifting 5 kg and 15 kg weight, indicating decreased muscle fatigue in the biceps and radialis muscles when using the Exo-skeleton. The weighted K nearest neighboring algorithm which predicts the new nerve disordered elderly subject, whether the assistive device is suitable or not based on his Body Mass Index (BMI) and muscle fatigueless. The results suggested that the proposed upper limb assistive device compensates for muscular strength during weight lifting, potentially guiding the development of user-friendly assistive devices for the elderly. The study highlights the significance of ergonomic studies and AI algorithms in enhancing upper limb assistive device design and functionality.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251317602"},"PeriodicalIF":1.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bayan Labib, Yazan Hassona, Maysoon S Abdalrahim, Ahmad Jum''ah, Hamza Alduraidi
{"title":"Work-related musculoskeletal pain Among Jordanian dentists: Prevalence and associated demographic, physical, and psychosocial factors.","authors":"Bayan Labib, Yazan Hassona, Maysoon S Abdalrahim, Ahmad Jum''ah, Hamza Alduraidi","doi":"10.1177/10538127251328471","DOIUrl":"https://doi.org/10.1177/10538127251328471","url":null,"abstract":"<p><p>ObjectivesMusculoskeletal pain is recognized as a major occupational health hazard among dentists worldwide. Physical exertion at work plays a major role in the development of musculoskeletal problems. There is growing evidence that work-related psychosocial factors may also contribute to musculoskeletal pain. Therefore, the aim of this study was to investigate the prevalence of work-related musculoskeletal pain and its demographic, physical, and psychosocial risk factors among dentists in Jordan.MethodsThis cross-sectional study utilized a validated self-administered questionnaire distributed to 272 currently working Jordanian dentists. The questionnaire consisted of four sections: sociodemographic information, work physical characteristics, work-related psychosocial factors, and musculoskeletal pain assessment.ResultsFifty-one percent (51%) of Jordanian dentists reported experiencing musculoskeletal pain in the last 12 months. Neck pain (42%), followed by shoulder pain (40%), and lower back pain (40%), were the most common among dentists in Jordan. Increasing age, being a female, and obesity were significantly associated with musculoskeletal pain while smoking, exercise, and specialty level did not. A positive correlation between musculoskeletal pain and unfavorable physical characteristics at work was identified. In addition, increased work stress was positively correlated with musculoskeletal pain.ConclusionThis study showed a high prevalence of musculoskeletal pain among Jordanian dentists. Increasing dentists' and healthcare authorities' awareness about factors associated with work-related musculoskeletal pain is needed. Educational programs targeting dentists at risk of developing musculoskeletal pain might be of potential preventive value.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251328471"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657327","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}
Sevgi Pehlivan, Müberra Tanrıverdi, Hande Argunsah, Türkan Uygur Şahin
{"title":"Infant-carrying methods and their biomechanical influence on maternal gait patterns and joint mechanics.","authors":"Sevgi Pehlivan, Müberra Tanrıverdi, Hande Argunsah, Türkan Uygur Şahin","doi":"10.1177/10538127251321771","DOIUrl":"https://doi.org/10.1177/10538127251321771","url":null,"abstract":"<p><p>BackgroundInfant carrying is a common practice among caregivers. Carrying loads such as infant mannequins or bags may alter lower extremity joint angles and induce muscle fatigue in the upper extremities of carriers, including men, women, postpartum women, and women who have not given birth. However, the biomechanical effects of various carrying methods on mothers remain poorly understood.ObjectiveThis cross-sectional descriptive study compared the effects of unloaded walking with three infant-carrying conditions on gait mechanics.MethodsThirty healthy mothers' gait parameters were recorded using a motion capture system under four conditions: unloaded walking (UW), front-facing carrying (FC), back-facing carrying (BC), and in arms carrying (IA).ResultsAcross all infant-carrying conditions, notable changes were observed in gait parameters. The front-facing carrying condition elicited the greatest changes in gait mechanics, particularly in pelvis. The in arms carrying condition exhibited minimal changes in gait compared to the back and front-facing carrying conditions. Significant alterations in gait were observed in all infant-carrying conditions compared to unloaded walking (p < 0.05). The results indicated that ankle (M = 41.15 ± 0.25; M = 24.18 ± 0.29; p = 0.0024), and pelvis (M = 6.15 ± 0.35; M = 9.25 ± 0.45; p = 0.0036) movement patterns led to the greatest deviation in gait among four conditions.ConclusionFront-facing carrying imposes the greatest biomechanical and physiological strain while back carrier offers more ergonomically efficient alternative. The in arms carrying method introduces dynamic movement that may affect stability. These findings highlight important considerations for ergonomically optimized infant carriers to support maternal musculoskeletal health and minimize strain.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251321771"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657256","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}