Musculoskeletal Care最新文献

{"title":"What Service Characteristics Are Important to Patients Treated in Musculoskeletal Physiotherapy Services: Designing a Discrete Choice Experiment.","authors":"Panos Sarigiovannis, Luis Enrique Loría-Rebolledo, Nadine E Foster, Sue Jowett, Benjamin Saunders","doi":"10.1002/msc.70175","DOIUrl":"https://doi.org/10.1002/msc.70175","url":null,"abstract":"","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 3","pages":"e70175"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence in Physical Therapy Education: Evaluating Clinical Reasoning Performance in Musculoskeletal Care Using ChatGPT.","authors":"Jie Hao, Zixuan Yao, Ka-Chun Siu","doi":"10.1002/msc.70177","DOIUrl":"https://doi.org/10.1002/msc.70177","url":null,"abstract":"","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 3","pages":"e70177"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do Italian Physiotherapists Follow Evidence-Based Guidelines When Managing Patients With Low Back Pain? A Cross-Sectional Survey.","authors":"Ryan D Muller, Samuel M Schut, Paolo Perna, Alberto Ferrara, Daniele Banchetto, Joshua R Zadro","doi":"10.1002/msc.70164","DOIUrl":"10.1002/msc.70164","url":null,"abstract":"<p><strong>Introduction: </strong>Guideline-recommended management of low back pain (LBP) is associated with improved patient outcomes and costs. This study aimed to assess Italian physiotherapists' attitudes towards and adherence to LBP clinical practice guidelines (CPGs).</p><p><strong>Methods: </strong>We conducted an online cross-sectional survey of Italian physiotherapists. Participants' demographics, attitudes towards, and familiarity with CPGs were collected. Six vignettes of patients with LBP were presented. For each, participants selected management options from a pre-specified list. Management options were categorised as recommended, not recommended, and no recommendation based on CPG recommendations and systematic reviews. Ordinal logistic regression assessed associations between participant characteristics and the number of vignettes for which recommended and not recommended care options were selected (stratified by non-specific LBP and red flag vignettes).</p><p><strong>Results: </strong>Of the 272 participants completing the demographic section of the survey, 142 completed all vignettes. Care that was recommended, not recommended, and had no recommendation was selected by 87%, 32%, and 93% of participants on average in the six vignettes, respectively. Working in a hospital setting was associated with a reduced likelihood of selecting recommended care for non-specific LBP (coefficient: -1.28; 95% CI: -2.20, -0.36). Stronger self-reported familiarity with three published CPGs was associated with decreased likelihood of selecting not recommended care but was not associated with selecting recommended care for non-specific LBP. All other variables were not associated with selecting recommended and not recommended care.</p><p><strong>Conclusions: </strong>Physiotherapists commonly selected recommended care options for patients with LBP, yet there remains considerable scope to reduce selection of care which is not recommended.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 3","pages":"e70164"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Looking Inwards: The Role of Self-Care, Self-Management and Self-Healing in Musculoskeletal Pain.","authors":"Joyce McSwan, Catherine E Panwar, Ali Mobasheri","doi":"10.1002/msc.70169","DOIUrl":"https://doi.org/10.1002/msc.70169","url":null,"abstract":"","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 3","pages":"e70169"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Mediating Effect of Psychological Flexibility in the Relationship Between Two-Way Social Support and Rehabilitation Exercise Adherence in Patients With Total Knee Arthroplasty.","authors":"Hongyun Li, Lan Li, Dan Wang, Xin Li, Jing Li, Guilan Chen","doi":"10.1002/msc.70181","DOIUrl":"10.1002/msc.70181","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to investigate the impact of two-way social support on rehabilitation exercise compliance among patients undergoing total knee arthroplasty and examine psychological flexibility's mediating role.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>A convenience sample of 266 total knee arthroplasty patients was recruited from the orthopaedic department of a tertiary hospital in Guiyang, Guizhou Province, between November 12, 2024, and March 20, 2025. Data were collected using standardised instruments, including a general demographic questionnaire, a brief two-way social support scale, a simplified multidimensional psychological flexibility inventory, and a rehabilitation exercise adherence scale. Amos 29.0 software was used to construct a structural equation model of the mediating effect of psychological flexibility between two-way social support and rehabilitation exercise compliance.</p><p><strong>Results: </strong>Pearson correlation analysis revealed significant positive associations among two-way social support, psychological flexibility, and rehabilitation exercise compliance ( <math> <semantics><mrow><mi>r</mi></mrow> <annotation>$r$</annotation></semantics> </math>  = 0.538-0.730, <math> <semantics><mrow><mi>p</mi></mrow> <annotation>$p$</annotation></semantics> </math>  < 0.001). Mediation analysis demonstrated that two-way social support enhanced rehabilitation exercise compliance indirectly through increased psychological flexibility (effect size = 0.336, 95% <math> <semantics><mrow><mi>C</mi> <mi>I</mi></mrow> <annotation>$mathrm{C}mathrm{I}$</annotation></semantics> </math> [0.253-0.442], <math> <semantics><mrow><mi>p</mi></mrow> <annotation>$p$</annotation></semantics> </math>  < 0.05), accounting for 53.0% of the total effect. Additionally, a significant direct effect of two-way social support on rehabilitation exercise compliance was observed (effect size = 0.298, 95% <math> <semantics><mrow><mi>C</mi> <mi>I</mi></mrow> <annotation>$mathrm{C}mathrm{I}$</annotation></semantics> </math> [0.181-0.432], <math> <semantics><mrow><mi>p</mi></mrow> <annotation>$p$</annotation></semantics> </math>  < 0.05).</p><p><strong>Conclusion: </strong>Two-way social support has a positive influence on rehabilitation exercise compliance in TKA patients, with psychological flexibility serving as a partial mediator. These findings suggest that healthcare professionals can improve patient compliance with rehabilitation protocols by fostering greater psychological flexibility.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 3","pages":"e70181"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of a Decision Aid on Perceptions of Shared Decision-Making in the Primary Care Management of Patients With Subacromial Pain Syndrome: A Two-Phased Multi-Methods Study.","authors":"Samantha C Bengtsen, Michael S Rathleff, Joshua R Zadro, Jens L Olesen, Nadine E Foster, Janus L Thomsen, Glyn Elwyn, Jens Søndergaard, Kristian D Lyng","doi":"10.1002/msc.70172","DOIUrl":"10.1002/msc.70172","url":null,"abstract":"<p><strong>Background: </strong>Subacromial pain syndrome (SAPS) is the most common shoulder pain condition in primary care. Despite the importance of shared decision-making (SDM) being increasingly recognised, its application in SAPS care remains poorly understood. The primary aim of this study was to explore the influence of a decision aid on patient and observer perceptions of SDM, and secondarily to explore correlations between these ratings in the primary care management of patients with SAPS.</p><p><strong>Methods: </strong>We conducted a multi-methods study including observations of consenting patients with SAPS in their clinical consultations with clinicians from four Danish primary care practices using OPTION-12. We gathered patients' perceptions of SDM 2 weeks after the consultation using the CollaboRATE questionnaire and Shared Decision-Making Questionnaire (SDM-Q-9). We observed consultations with and without the introduction of a decision aid tailored to support the management of patients.</p><p><strong>Results: </strong>Thirty-four consultations were observed (16 with and 18 without the decision aid). Without the aid, the mean (SD) OPTION-12 score was 10.5 (3.3), while the median (IQR) CollaboRATE and mean (SD) SDM-Q-9 scores were 5 (1.3) and 22.2 (7.5), respectively. With the aid, scores significantly increased: OPTION-12 to 22.7 (6.87, range 5-32), CollaboRATE to 6.5 (1.4), and SDM-Q-9 to 30.6 (8.4). Patients' and observers' OPTION-12 and SDM-Q-9 scores correlated significantly across both phases, but no significant correlation was found between CollaboRATE, OPTION-12, and SDM-Q-9 scores in either phase.</p><p><strong>Conclusion: </strong>A decision aid significantly improved observer- and patient-rated SDM in primary care consultations for patients with SAPS. Observer-rated SDM scores more than doubled with the decision aid, and patients reported higher levels of SDM.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 3","pages":"e70172"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12358763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Quadriceps Strength Training in Adults With Knee Osteoarthritis: A Systematized Review.","authors":"Disha D Hegde, Kalashree Hadya Ananda, Noble Vavachan","doi":"10.1002/msc.70134","DOIUrl":"https://doi.org/10.1002/msc.70134","url":null,"abstract":"<p><strong>Background: </strong>Knee osteoarthritis (KOA) is a common degenerative condition causing pain, affecting mobility, and quality of life. As muscle weakness worsens in KOA, this review evaluates the effectiveness of quadriceps strengthening exercises in managing pain.</p><p><strong>Methods: </strong>This review used the PubMed database to identify free full-text randomized controlled trials from the past 5 years, limited to English-language human studies, guided by the PICO framework. The Joanna Briggs Institute Critical Appraisal Tool was used to assess study quality; RCTs scoring ≥ 80% were included. Data were analysed descriptively, and effect sizes were calculated using G*Power software.</p><p><strong>Results: </strong>Nine RCTs showed that quadriceps strengthening significantly reduced pain and improved function in KOA. Effective exercises included straight leg raises, terminal knee extensions, and open/closed chain movements over 8-12 weeks.</p><p><strong>Conclusion: </strong>Quadriceps strengthening as a part of lower extremity strengthening is effective in reducing pain in KOA and should be prioritised in patient-specific programs.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 2","pages":"e70134"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Adherence in Telehealth: A Comparative Analysis With Conventional Outpatient Services.","authors":"Priyanka Siwach, Sonia Pawaria, Rahul Bajaj, Shail Sachdeva","doi":"10.1002/msc.70137","DOIUrl":"10.1002/msc.70137","url":null,"abstract":"<p><strong>Background: </strong>The rise of telehealth has transformed healthcare delivery, but its impact on treatment adherence compared with traditional outpatient departments (OPD) remains underexplored.</p><p><strong>Objective: </strong>This study aimed to assess and compare patient adherence to treatment protocols in telehealth with regular OPD settings among patients with neck pain.</p><p><strong>Methods: </strong>A cross-sectional study was conducted at SGT University with neck pain patients in telehealth and traditional OPD settings. Adherence was measured using a validated adherence scale and electronic health records. Data were analysed using statistical methods to identify significant differences between the two groups.</p><p><strong>Results: </strong>A total of 300 patients participated, with 150 in the telehealth group and 150 in the regular OPD group. Preliminary findings indicated adherence rates. Factors influencing adherence, such as convenience and accessibility, were also analysed.</p><p><strong>Conclusion: </strong>Telehealth appears to enhance treatment adherence compared with traditional outpatient care. These findings suggest that integrating telehealth into healthcare delivery may improve patient outcomes. Future research should explore long-term adherence trends and the underlying mechanisms that drive these differences.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 2","pages":"e70137"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Patient Experience of Living With Knee Osteoarthritis Pain: Development of a Conceptual Model.","authors":"Chisom Kanu, Natalie V J Aldhouse, Ekin Seçinti, Hannah Edge, Katie Mellor, Katie Giblin, Rebecca Robinson, Julia Fraseur Brumm, Sarah L Knight","doi":"10.1002/msc.70133","DOIUrl":"10.1002/msc.70133","url":null,"abstract":"<p><strong>Background: </strong>Knee osteoarthritis (KOA) is a chronic degenerative condition. Pain is the most prominent symptom of KOA, which can be exacerbated by obesity. The US Food and Drug Administration recommends using patient-reported outcome (PRO) measures to assess KOA pain and function in clinical trials, but none have been validated for patients with KOA and obesity/overweight. The objective of this study was to explore and document the patient experience of signs, symptoms, and health-related quality of life (HRQoL) impacts of KOA pain, including the impact of obesity/overweight, to facilitate future validation studies.</p><p><strong>Methods: </strong>A targeted literature review and interviews with US participants with KOA pain (including some with comorbid obesity) were conducted. Publications and interview transcripts were analysed using content analysis methods to develop a conceptual model of KOA pain experience.</p><p><strong>Results: </strong>Eighteen publications were reviewed and 25 participants were interviewed. All participants in the interviews reported knee pain and described that their physical functioning had been negatively affected. Many experienced a negative emotional/psychological impact. Many participants believed that there was a relationship between their weight and experience of KOA pain, reporting a 'vicious cycle' of pain and weight gain due to KOA.</p><p><strong>Conclusions: </strong>This study highlights the burden of living with KOA pain and the negative impact of obesity/overweight on patients' HRQoL. A conceptual model was developed, which may be used to explore the content validity of PRO measures and promote a robust understanding of the patient experience of living with KOA pain during the development of new therapies.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 2","pages":"e70133"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of a Digitally Supported Physical Activity Intervention in Knee Osteoarthritis: A Pilot Randomized Controlled Trial.","authors":"Hakan Akgül, Murat Birtane, Eda Tonga","doi":"10.1002/msc.70085","DOIUrl":"10.1002/msc.70085","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to investigate the effects of a digitally supported physical activity (PA) intervention on pain, physical function, exercise adherence and quality of life in females with knee osteoarthritis (OA).</p><p><strong>Methods: </strong>Thirty female participants with knee OA were randomly assigned to either a control group (n = 15) receiving patient education, smartwatch use, and a home exercise programme, or an intervention group (n = 15) receiving an additional digitally supported walking programme. The primary outcome measures were pain severity (Numerical Pain Rating Scale [NPRS]), physical function (Western Ontario and McMaster Universities Arthritis Index [WOMAC]) and exercise adherence. Secondary outcomes included quality of life (European Quality of Life Scale 5 Dimensions/EQ-5D-3L), daily step count and pain catastrophizing (Pain Catastrophizing Scale/PCS). Assessments were performed at baseline and after 8 weeks.</p><p><strong>Results: </strong>The intervention group showed significantly greater improvements in pain severity (1.4 cm larger improvement on NPRS; p = 0.005), physical function (6.4-point larger improvement on WOMAC total score; p = 0.003) and daily step count (1548 steps larger improvement; p = 0.045) compared to the control group. Both groups demonstrated similar significant improvements in exercise adherence, pain catastrophizing, and quality of life (p < 0.05).</p><p><strong>Conclusions: </strong>A digitally supported PA intervention, in addition to patient education and a home exercise programme, significantly improved pain, physical function and PA in females with knee OA. These findings support the efficacy of structured, supervised digital interventions for enhancing outcomes in this population. Future studies should explore strategies to enhance long-term adherence through digital PA interventions.</p><p><strong>Trial registration: </strong>This study was conducted in compliance with the Declaration of Helsinki (Clinical Trial Registry Number: NCT05810376).</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 2","pages":"e70085"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11949769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}