Journal of Manipulative and Physiological Therapeutics最新文献

{"title":"Reliability and Validity of the Turkish Version of the Atroshi–Lyrén 6-Item CTS Symptoms Scale in Unilateral Carpal Tunnel Syndrome","authors":"Abdurrahman Tanhan PhD, PT ,&nbsp;Tülay Çevik Saldıran PhD, PT ,&nbsp;İlke Kara Öz MSc, PT ,&nbsp;Berra Özberk Pamuk MD","doi":"10.1016/j.jmpt.2025.10.049","DOIUrl":"10.1016/j.jmpt.2025.10.049","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to assess the reliability and construct validity of the Turkish version of the Atroshi–Lyrén 6-Item carpal tunnel syndrome (CTS) Symptoms Scale (A–L Scale-Tr) and to examine its associations with patient-reported outcome measures, including the Boston Carpal Tunnel Questionnaire (BCTQ) and Quick Disability of the Arm, Shoulder and Hand <strong>(</strong>QuickDASH).</div></div><div><h3>Methods</h3><div>A forward-backward translation procedure was performed following international guidelines. Sixty-two patients with unilateral CTS were invited to complete the A–L Scale-Tr. The test-retest reliability, convergent, and discriminant validity were evaluated.</div></div><div><h3>Results</h3><div>The A–L Scale-Tr revealed high values of internal consistency (Cronbach’s alpha = 0.854), and test-retest reliability (ICC = 0.96, 95% CI = 0.93-0.98). In the A–L Scale-Tr the factor structure was found optimal and explained 58.39% of the variance. The validity analysis showed strong correlation with night pain (r = 0.821), moderate correlation with BCTQ Symptoms Severity Scale (r = 0.564) and BCTQ Functional Status Scale (r = 0.453), QuickDASH (r = 0.474), pain at rest (r = 0.557), and pain at activity (r = 0.497) (<em>P</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>It was found that the A–L Scale-Tr has good reliability and construct validity for symptom severity assessment in CTS. The A–L scale will be useful to clinicians and researchers in Turkish patients.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 844-852"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145505085","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 Including Cervical Stability Training with Treatment Modalities for Patients with Forward Head Posture and Chronic Neck Pain: a Randomized Trial","authors":"Salah Eid Ahmed MSc ,&nbsp;Ayman Shfei PhD ,&nbsp;Soheir Rezkalla PhD ,&nbsp;Alshaymaa Shaaban Abd El-Azeim PhD","doi":"10.1016/j.jmpt.2025.10.025","DOIUrl":"10.1016/j.jmpt.2025.10.025","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to examine the effect of adding cervical stability training (CST) to a battery of treatment modalities on somatosensory evoked potential (SSEP) in patients with forward head (FHP) and chronic mechanical neck pain (CMNP).</div></div><div><h3>Methods</h3><div>Sixty patients with FHP and CMNP were randomized into 2 groups: Group A (study group) was subjected to CST and a battery of treatment modalities, whereas Group B (traditional group) underwent a battery of treatment modalities alone. Treatment was applied 3 sessions per week for 8 successive weeks. The primary outcomes were SSEP and craniovertebral angle (CVA). The secondary outcomes were visual analog scale for pain intensity, Neck Disability Index Arabic version for functional disability, an endurance test for neck flexor and extensor muscles, craniocervical flexion test for deep cervical flexor muscles activation, lateral radiographs using the posterior tangent method for cervical lordotic curvatures, and a phone application clinometer for cervical range of motion.</div></div><div><h3>Results</h3><div>The findings demonstrated short-term statistically significant differences (<em>P</em> &lt; .05) at posttreatment between the study and traditional treatment groups in favor of the study group. The mean difference and 95% CI between both groups in SSEP and CVA = 1.83 (1.63, 2.03) and 7.37 (6.49, 8.25), respectively.</div></div><div><h3>Conclusion</h3><div>For patients with chronic neck pain, CST exercises plus a battery of treatment modalities exhibited a greater effect on primary and secondary outcomes than the battery of treatment modalities alone.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 882-894"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145530637","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 Different Exercises on the Gait Ability of Stroke Patients: A Network Meta-Analysis","authors":"Yuxin He MEd ,&nbsp;Zhikai Qin PhD ,&nbsp;Huan Niu MEd ,&nbsp;Fei Gao PhD ,&nbsp;Qing Liu MEd ,&nbsp;Jialong Bu MEd ,&nbsp;Junsheng Wang PhD","doi":"10.1016/j.jmpt.2025.10.045","DOIUrl":"10.1016/j.jmpt.2025.10.045","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to evaluate the effect of 9 types of exercise interventions on gait performance in stroke patients.</div></div><div><h3>Methods</h3><div>The methodology involved conducting computerized searches of databases such as PubMed, The Cochrane Library, Embase, and Web of Science to collect relevant literature on improving gait performance in stroke patients. The search period spanned from January 2000 to March 2024. After screening and extracting data from the literature, the quality of the studies was assessed using the Cochrane Handbook. Data analysis was done using Review Manager 5.4 and STATA software.</div></div><div><h3>Results</h3><div>The analysis included 32 studies with 1181 participants aged 18 or older. Results from network meta-analysis indicated that Task-Oriented Training substantially improved gait performance in stroke patients (84.2%), followed by Action observational training (76.3%), Walking intervention (65.4%), Cycling training (63.2%), High-intensity interval training (52.8%), Treadmill training (50.8%), Multicomponent exercise (41.7%), Balance training (39.8%), and Virtual reality training (VRT) (15.2%).</div></div><div><h3>Conclusions</h3><div>The study findings suggested that Task-oriented training was the most substantial improvement in gait ability among the 9 therapies, followed by action observational training and walking intervention.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 631-642"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145482358","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 Knee Flexion Angles for Maintaining Dynamic Balance on Negative Slopes: A Guide for Improving Postural Stability in Mountain Climbing and Downhill Walking","authors":"Maryam Hajian MD ,&nbsp;Shahram Mohaghegh MD","doi":"10.1016/j.jmpt.2025.10.060","DOIUrl":"10.1016/j.jmpt.2025.10.060","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to compare the dynamic balance at different knee flexion angles (maximal knee flexion angles of 30° and 45°) on a 20% negative slope.</div></div><div><h3>Methods</h3><div>In an observational cross-sectional study, 19 healthy male participants performed a modified Star Excursion Balance Test on a 20% negative slope, whereas the left standing knee was restricted by a knee brace in a maximum of 30° or 45° flexion.</div></div><div><h3>Results</h3><div>The balance scores were significantly better in 45° knee flexion compared with 30° flexion in the composite reach and also in the percentage of reach in any of the test directions.</div></div><div><h3>Conclusion</h3><div>On a 20% negative slope, 45° knee flexion resulted in better dynamic balance than 30° knee flexion.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 656-661"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145489110","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":"Reliability, Standard Error of Measurement, and Smallest Detectable Change of the Recommended Tests by the Osteoarthritis Research Society International in People With Knee Osteoarthritis","authors":"Rebecca Bianca Ramalho MSc,&nbsp;Vinicius Bianquini Viterbo Montilha PT,&nbsp;Natalia Aparecida Casonato MSc,&nbsp;Stela Marcia Mattiello PhD,&nbsp;Luiz Fernando Approbato Selistre PhD","doi":"10.1016/j.jmpt.2025.10.024","DOIUrl":"10.1016/j.jmpt.2025.10.024","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to investigate the intra and inter-rater reliability, standard error of measurement (SEM) and the smallest detectable change (SDC) of the tests recommended by Osteoarthritis Research Society International (OARSI) for patients with symptomatic knee osteoarthritis (KOA).</div></div><div><h3>Methods</h3><div>Thirty participants with KOA were evaluated by 3 raters in 2 sessions with 1 week interval. Intra-rater and inter-rater reliability were calculated using the intraclass correlation coefficient (ICC) for the following tests: 30s Chair Stand Test (30sCST),40m Fast Paced Walk Test (40mFPWT), and 11-Step Climb Test (11-step SCT). The SEM and SDC were calculated for all the tests.</div></div><div><h3>Results</h3><div>The inter-rater reliability was excellent (ICC &gt; 0.90) for the 40mFPWT, 11-step SCT and moderate reliability (ICC &gt; 0.70) for the 30s CST. The intra-rater reliability was excellent (ICC&gt;0.90) for the 40m FPWT, 11-step SCT and moderate (ICC &gt; 0.70) for the 30s CST. The inter-rater SEM and SDC, respectively, were 1.2 and 3.3 for the 30s CST, 2.5 and 7.0 for the 40m FPWT, 4.5 and 12.6 for the 11-step SCT. The intra-rater SEM and SDC were calculated for all the tests.</div></div><div><h3>Conclusion</h3><div>The core set minimum of functional tests recommended by OARSI is reliable and demonstrates acceptable measurement error indicating they are appropriate to detect real change over assessments in individuals with knee osteoarthritis.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 706-711"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145495781","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 Manual Therapy on Patients with Functional Constipation: Systematic Review and Meta-analysis of Randomized Clinical Trials","authors":"Irene Torres-Sánchez PhD ,&nbsp;Andrea Ramírez-Zafra MSc ,&nbsp;Elisabet Rueda-García MSc ,&nbsp;Irene Cabrera-Martos PhD ,&nbsp;Esther Díaz-Mohedo PhD","doi":"10.1016/j.jmpt.2025.10.055","DOIUrl":"10.1016/j.jmpt.2025.10.055","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to analyze the effects of manual therapy techniques on adults with functional constipation (FC).</div></div><div><h3>Methods</h3><div>Four databases (CINAHL, PubMed, Scopus and Web of Science) were searched up to May 2025. Inclusion criteria were defined following PICOS recommendations. Methodological quality was assessed with the Downs and Black scale, and the risk of bias was evaluated with the Cochrane risk of bias assessment tool. The meta-analysis was performed using RevMan 5.4 software.</div></div><div><h3>Results</h3><div>Fifteen randomized clinical trials with a total of 859 patients were included in the systematic review and eleven were included in the meta-analysis. Manual therapy compared to no manual therapy significantly improved constipation severity, constipation status, quality of life (QOL), defecation frequency, and defecation duration. In addition, abdominal massage compared to no manual therapy significantly improved constipation severity. Manual therapy, compared to a control intervention, significantly improved constipation severity. Manual therapy applied alone or combined with another treatment showed significant differences compared to no manual therapy.</div></div><div><h3>Conclusion</h3><div>Manual therapy, compared to no manual therapy, significantly improved constipation severity and status, QOL and defecation frequency and duration in adults with FC without any other pathology. In addition, abdominal massage compared to no manual therapy and manual therapy compared to a control group also significantly improved constipation severity. Similar significant differences were also found in favor of manual therapy when it was applied alone or combined with another treatment. High heterogeneity between studies affected the consistency of results, therefore these findings should be considered with caution.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 712-723"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145495762","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":"Single Application of Low-Level or Infrared Laser Therapy Not Effective in the Short Term for Neck Pain: A Randomized Controlled Clinical Trial","authors":"Júlia Lacet Silva Ferreira MSc ,&nbsp;Silvana Cristina de Araújo Pereira Venceslau MSc ,&nbsp;Ronny Marcos de Morais PT ,&nbsp;Rayanne Kethleen do Nascimento Silva MSc ,&nbsp;Heleodório Honorato dos Santos PhD ,&nbsp;José Jamacy de Almeida Ferreira PhD ,&nbsp;Palloma Rodrigues de Andrade PhD","doi":"10.1016/j.jmpt.2025.10.015","DOIUrl":"10.1016/j.jmpt.2025.10.015","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to compare short-term effects of low-level laser therapy and far-infrared radiation on pain intensity, pressure-induced pain, and skin temperature of the trapezius muscle of individuals with subacute and chronic neck pain.</div></div><div><h3>Methods</h3><div>A randomized, sham-controlled, superiority clinical trial with 3 parallel arms and blind evaluator was performed. Ninety-one individuals were treated with phototherapy for subacute and chronic neck pain. Pain intensity was assessed using visual analog scale. Pressure-induced pain was assessed using a pressure dynamometer. Skin temperature of the trapezius region was evaluated with infrared thermography. Individuals were evaluated before (T0), immediately after (T1), 10 minutes (T2), 20 minutes (T3), and 48 hours (T4) after 1 session of phototherapy. Individuals were randomly allocated into 3 groups: (1) laser therapy (GLAS), punctual laser application (808 nm, 0.5 J/cm², power of 10 mW); (2) infrared (GINF), application at 30 cm and incidence angle of 90° for 30 minutes; (3) sham (GSHAM), simulated punctual laser. Mixed linear models were performed using group, time, and group-versus-time interaction, considering a first-order automatic covariance matrix.</div></div><div><h3>Results</h3><div>Pain intensity reduced in intragroup analysis among all evaluation times (<em>P</em> &lt; .05), but not intergroup. Pressure-induced pain was not altered. There was increased skin temperature with infrared at T1 and T2 compared with laser therapy and sham (<em>P</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>A single application of low-level or infrared laser therapy was not effective in the short term for subacute and chronic neck pain and did not change skin temperature in trapezius region.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 742-749"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145495796","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 Manual Therapy on Pain Processing in People With Knee Osteoarthritis:A Systematic Review","authors":"Paula Fernanda Sávio Ribeiro MSc ,&nbsp;Adriane A. Alves MSc ,&nbsp;Marcos Amaral de Noronha PhD ,&nbsp;Luiz Fernando Approbato Selistre PhD","doi":"10.1016/j.jmpt.2025.10.022","DOIUrl":"10.1016/j.jmpt.2025.10.022","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this systematic review was to determine the effect of manual therapy techniques on pain processing in individuals with knee osteoarthritis (KOA).</div></div><div><h3>Methods</h3><div><strong>:</strong> We conducted a comprehensive search across electronic databases through June 2023, including CENTRAL, Medline, Embase, CINAHL, and PEDro. Only randomized controlled trials were considered, and methodological quality was evaluated using the Physiotherapy Evidence Database (PEDro) scale.</div></div><div><h3>Results</h3><div>Four studies met the inclusion criteria and underwent full reading and critical analysis. The methodological quality of these studies was rated from good to excellent. Two of 4 studies showed favorable results for manual therapy. Pain processing was assessed using pressure pain threshold, but the results of the included studies were inconclusive, failing to demonstrate a significant change in pressure pain threshold due to manual therapy techniques.</div></div><div><h3>Conclusion</h3><div>The limited number of studies and substantial variation in techniques used may have contributed to the lack of positive outcomes and therefore the findings are limited. No studies investigated alternative forms of pain processing beyond pressure pain threshold.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 724-732"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145495705","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":"Bridge Maneuvers in Low Back Pain: Assessment of Internal and External Responsiveness","authors":"Carla Vanti PT, MSc ,&nbsp;Silvano Ferrari PT ,&nbsp;Francesco Marinelli PhD ,&nbsp;Giulia Cappello PT ,&nbsp;Vincenzo Corvasce PT ,&nbsp;Francesco Girardi PT ,&nbsp;Andrew A. Guccione MSPT, MSc, PhD ,&nbsp;Paolo Pillastrini PT, MSc","doi":"10.1016/j.jmpt.2025.11.002","DOIUrl":"10.1016/j.jmpt.2025.11.002","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to examine the responsiveness of bridge maneuvers in subjects with low back pain (LBP) with respect to these outcomes.</div></div><div><h3>Methods</h3><div>One hundred and thirty-nine patients with subacute and chronic LBP participated in a physical therapy program averaging 7.46 sessions of supervised exercises and home exercises to improve lumbar stability. At the beginning of the program and after the last session, participants completed the Oswestry Disability Index (ODI-I) and the Pain Numerical Rating Scale (NRS), and performed Supine Bridge test (SBT), Right Side Bridge Test (RBT), Left Side Bridge Test (LBT), and Prone Bridge Test (PBT). Global perception of effectiveness was measured with a 7-point Global Perceived Effect Questionnaire.</div></div><div><h3>Results</h3><div>The optimal cutoff points were approximately 38.5 seconds for the Prone Bridge Test (PBT), (44% sensitivity; 78% specificity), 29.5 seconds for the RBT (55% sensitivity; 67% specificity), and 142 seconds for the SBT (45% sensitivity; 67% specificity). The areas under curves ranged from 0.56 (SBT) to 0.61 (PBT and RBT). Low to moderate significant relationships (<em>p</em> &lt; .01) among bridge maneuvers, pain and disability (−0.23 to −0.39) and high correlations among each bridge maneuver and each other (0.69-0.81) emerged.</div></div><div><h3>Conclusion</h3><div>Although bridge maneuvers were responsive to changes in lumbar stability and correlated significantly with pain and disability, these measures were not sufficiently sensitive or specific at baseline to predict these outcomes.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 956-966"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145634505","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 Telerehabilitation-Based and Face-to-Face Core Stabilization Exercises on Core Muscle Thickness and Functional Capacity in Asymptomatic Individuals: A Randomized Trial","authors":"Yasemin Özel Aslıyüce PT, MSc ,&nbsp;MerveKaşıkcı MSc ,&nbsp;Erkan Demirci MD ,&nbsp;Egemen Turhan MD ,&nbsp;Özlem Ülger PT, PhD","doi":"10.1016/j.jmpt.2025.10.044","DOIUrl":"10.1016/j.jmpt.2025.10.044","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to establish the effect of core stabilization exercises applied face-to-face (FTF) and with telerehabilitation (TR) on core muscle thickness, functional capacity, back-related performance, and quality of life in asymptomatic individuals.</div></div><div><h3>Method</h3><div>In this randomized trial, 54 asymptomatic individuals were included in the study. FTF and TR groups performed core stabilization exercises 3 days a week for 8 weeks. Core muscle thickness was assessed by ultrasound imaging; functional capacity was assessed with repetitive side reaching, overhead lifting, and overhead working tests; back performance was assessed with the back performance scale (BPS); and quality of life was assessed with the SF-36 questionnaire.</div></div><div><h3>Results</h3><div>Following the core stabilization exercise program, the thickness of the right and left Transversus Abdominis muscles—measured at rest and during contraction and the thickness of the Internal Oblique muscle increased in both groups; however, the increases in Transversus Abdominis thickness at both resting and during contraction, were significantly greater in the FTF group compared with the TR group (<em>P</em> &lt; .005). The improvement in the overhead working test (<em>P</em> = .02, effect size [ES] = 0.33) and back performance scale (BPS) score (<em>P</em> = .00, ES = 0.39) was greater in the FTF group compared with the TR group.</div></div><div><h3>Conclusion</h3><div>Core stabilization exercises provided improvements in core muscle thickness, functional capacity, back-related performance, and quality of life in asymptomatic individuals. Improvements in these parameters might inform future research investigating the prevention of low back pain with therapeutic exercise. In addition, this study demonstrated that core stabilization exercises can be implemented via TR as an alternative to FTF interventions.</div></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"48 6","pages":"Pages 820-832"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145505105","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}