Musculoskeletal Care最新文献

{"title":"Prevalence of Strength Deficits of Core and Hip Stabilizers in Knee Osteoarthritis: A Cross-Sectional Study.","authors":"Tarun Kumar, Sandeep Singh, Raju K Parasher","doi":"10.1002/msc.70262","DOIUrl":"10.1002/msc.70262","url":null,"abstract":"<p><strong>Background: </strong>Deficits in proximal hip and trunk stabilizers may increase mechanical stress on the knee and contribute to the progression of knee osteoarthritis (OA). The aim of the present study was to determine the prevalence of core and hip muscle deficits in individuals with knee OA compared with asymptomatic controls.</p><p><strong>Methods: </strong>152 participants with knee OA and 235 asymptomatic individuals aged 40-70 years were recruited from the community. Core muscle activation was assessed using a pressure biofeedback unit, and hip stabilizer's muscle strength was measured using a hand-held hydraulic dynamometer. Descriptive statistics, independent t-test, prevalence estimates, odds ratios (OR), risk ratios (RR), and 95% confidence intervals (CI) were used for data analysis.</p><p><strong>Results: </strong>Deep core muscle deficits were present in 94.07% of individuals with knee OA, with 83.91% unable to activate the transversus abdominis (TrA). Hip muscle weakness was substantially more prevalent in the OA group, affecting hip extensors (61.18%-64.47%), abductors (65.13%-73.68%), and external rotators (36.84%-51.97%). In contrast, the prevalence of hip strength and core activation deficits in asymptomatic individuals was significantly much lower. Individuals with knee OA had nearly fourfold higher odds ratio of TrA weakness and 2.5 to 8 fold higher odds of hip muscle weakness than asymptomatic participants.</p><p><strong>Conclusion: </strong>Core muscle and hip muscle deficits are significantly prevalent in individuals with knee OA. These findings support the inclusion of proximal strengthening exercises in rehabilitation programs, in addition to local knee strengthening exercises, for patients with knee OA.</p><p><strong>Trial registration: </strong>CTRI/2021/02/031534.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 3","pages":"e70262"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13571774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148963816","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":"Gender Influences Patient Characteristics, Fracture Pattern, Achievement of Clinical Care Targets and Postoperative Mortality Risk Following a Hip Fracture: A Retrospective Cohort Study.","authors":"Isabelle L Cochrane, Nick D Clement, Andrew Duffy, Andrew D Duckworth","doi":"10.1002/msc.70263","DOIUrl":"10.1002/msc.70263","url":null,"abstract":"<p><strong>Aims: </strong>This study assesses whether patient gender is associated with differences in demographics and fracture characteristics, clinical care, mortality risk and length of acute hospital stay following a hip fracture.</p><p><strong>Methods: </strong>A retrospective cohort study was undertaken of all patients aged ≥ 50 years admitted with a hip fracture from the emergency department (ED) at a single centre during a 42-month period. Patient demographics, perioperative variables and mortality were collected as part of the Scottish Hip Fracture Audit (SHFA).</p><p><strong>Results: </strong>3613 patients (mean age 80.9; 71% female) were included. The mean follow-up was 607 (range 240-1542) days. 1600 deaths were identified (44.3% mortality). Male patients were younger (p < 0.001), less likely to reside in a care home (p < 0.001), and more likely to sustain an extracapsular fracture (p = 0.048). Male patients spent longer in the ED (p = 0.030), were less likely to have the ED 'Big 6' completed (p = 0.017) and had a longer time to theatre (p = 0.001). Male gender was independently associated with an increased mortality risk (hazard ratio 1.56, 95% CI 1.39 to 1.74, p < 0.001, Cox regression) relative to females. Gender did not influence the length of acute hospital stay (mean difference 0.4 days, 95% CI 0.33 to 1.12, p = 0.290, regression analysis).</p><p><strong>Conclusion: </strong>Despite adjusting for several observed differences, male gender is associated with a greater mortality risk. These differences should be explored further to improve clinical care and outcomes.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 3","pages":"e70263"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13571775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148963784","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 Yoga and Combined Exercise in Female With Rheumatoid Arthritis: Randomized Controlled Trial.","authors":"Elif Umay Altaş, Sevtap Günay Uçurum, Karya Polat, Özlem Bolel, Serpil Bal","doi":"10.1002/msc.70261","DOIUrl":"10.1002/msc.70261","url":null,"abstract":"<p><strong>Background: </strong>Although exercise is beneficial for Rheumatoid Arthritis (RA), the comparative efficacy of different modalities for patients in clinical remission remains unclear. This study compared the short- and long-term effects of yoga versus a combined exercise programme on pain, balance, mobility, fatigue, depression, and quality of life in females with RA in remission.</p><p><strong>Methods: </strong>In this single-blind, randomized controlled trial, 74 female participants were allocated to yoga (n = 25), combined exercise (n = 25), or a usual care control group (n = 24). The intervention groups underwent an 8-week supervised programme. Clinical assessments, including the Visual Analogue Scale (pain), Berg Balance Scale, Timed Up and Go Test, Beck Depression Inventory, Fatigue Severity Scale, and Short Form-36, were conducted at baseline, post-intervention (8 weeks), and follow-up (20 weeks).</p><p><strong>Results: </strong>Both intervention groups demonstrated significant improvements in all outcome measures compared with the control group at post-treatment and follow-up (p < 0.05). Notably, the yoga group exhibited superior outcomes compared to the combined exercise group in reducing pain intensity (median reduction of 4.00 vs. 2.00 points; p < 0.001, η² = 0.724), as well as in physical function, balance, fatigue, depression, and quality of life at the 20-week follow-up. These benefits may be partly attributed to the incorporation of breathing and relaxation techniques inherent to yoga practice.</p><p><strong>Conclusions: </strong>Both 8-week yoga and combined exercise programs are effective in managing residual symptoms in females with RA in clinical remission. However, yoga appears to provide superior benefits in pain management and psychosocial well-being, supporting its integration into multidisciplinary RA management protocols, particularly for addressing psychosocial burden in patients achieving remission.</p><p><strong>Trial registration: </strong>This study was retrospectively registered at NCT07072754 (clinicaltrials.gov).</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 3","pages":"e70261"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13522644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841188","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":"Development of a Co-Designed Patient Handout for Adults With Hallux Valgus.","authors":"Matthew Cotchett, Steven Edwards, Rebecca Jessup, Hylton B Menz","doi":"10.1002/msc.70260","DOIUrl":"10.1002/msc.70260","url":null,"abstract":"<p><strong>Introduction: </strong>Patient education handouts are used to enhance patient knowledge and support decision making, although many handouts do not meet recommended readability benchmarks. For people with hallux valgus, there is a dearth of co-designed, credible, evidence-based and readable resources to enhance health literacy. The aim of this study was to co-design an evidence-based, clinically accurate handout for hallux valgus targeting a readability level of grade seven or below.</p><p><strong>Methods: </strong>Between October 2023 and August 2024, a descriptive qualitative design was used across two stages. Stage 1 involved focus groups with six health professionals and two individuals with hallux valgus to inform content development. Stage 2 presented a prototype to five health professionals and 10 individuals with hallux valgus for feedback on clarity, completeness and accuracy. Readability was assessed using Flesch Reading Ease and Flesch-Kincaid Grade Level tools.</p><p><strong>Results: </strong>The handout included information about the characteristics of hallux valgus and a balance between non-surgical and surgical approaches, with transparency about limited evidence for some treatments. Participants emphasised the need for clarity, relevance, and accessibility and reinforced that treatment decisions, especially surgery, are often not urgent and can evolve over time. The handout is a starting point for discussion and not a standalone resource. The final version meets the readability standards for ages 9-10 years. The readability was further enhanced with the use of visuals and adherence to accessibility guidelines.</p><p><strong>Conclusion: </strong>A co-designed, evidence-based handout was produced that meets recommended readability and accessibility standards for consumer health information.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 3","pages":"e70260"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148898138","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":"First Contact Physiotherapists (FCPs) Referral Practices to Rheumatology: A Scoping Review of the Evidence Base.","authors":"Sarah Golding, Sue Innes, Anthony Smith, Jo Jackson","doi":"10.1002/msc.70265","DOIUrl":"10.1002/msc.70265","url":null,"abstract":"<p><strong>Background: </strong>First Contact Physiotherapists (FCP) are central to musculoskeletal practice within UK primary care, supporting patients at the earliest point of their healthcare journey. Early recognition and referral of rheumatological conditions are critical aspects of the role, necessitating knowledge, skills and capability.</p><p><strong>Objectives: </strong>To explore and map existing literature on FCP rheumatology referral practices, identify gaps within the evidence base and inform future research.</p><p><strong>Design: </strong>Scoping review following Joanna Briggs Institute guidelines.</p><p><strong>Method: </strong>Four bibliographic databases and grey literature were searched for sources published between 2015 and 2025. Study selection and data extraction were completed by the author and additional reviewers. Data were charted in extraction tables and synthesised inductively informing a narrative thematic summary.</p><p><strong>Results: </strong>29 sources were included, comprising 8 journal articles, 19 clinical guidelines and 2 frameworks. A paucity of evidence exists across the spectrum of rheumatological conditions, with dominance within axial spondyloarthritis (axSpA). FCPs have been shown to appropriately refer patients with axSpA, thereby reducing the time to diagnosis. Access to investigations is variable, but with ambiguities in interpreting results, clinical correlation is essential. Numerous referral guidelines support diagnosis and referral. Experience, training and effective relationships with rheumatology services were deemed of central importance.</p><p><strong>Conclusion: </strong>No included studies reported safety concerns related to FCP or a contribution to diagnostic delay; however, the limited evidence precludes conclusions on these outcomes. Studies support the value of FCP in rheumatology although they provide limited 'real world' evidence. Future research should evaluate referral practices across the spectrum of rheumatological disorders, the impact of FCP on diagnostic delays and conversion rates, and educational requirements to support rheumatology practice.</p><p><strong>Trial registration: </strong>Open Science Framework (OSF) https://doi.org/10.17605/OSF.IO/ZV4Y6.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 3","pages":"e70265"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13612721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041051","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":"Sex Differences in Experiencing and Reporting Low Back Pain Using Standardised Questionnaires: A Cross-Sectional Study.","authors":"Fernanda Silveira Santos Ferreira, Ayla Nohemí Colmenarez Espinoza, Amanda Cristina Neves Dos Santos, Vitória da Silva Santos, Maria Fernanda Herzer, Jeniffer Aline de Oliveira Ribeiro, Isabela da Silva Leonardo, Ana Carolina Brandt de Macedo","doi":"10.1002/msc.70259","DOIUrl":"10.1002/msc.70259","url":null,"abstract":"<p><strong>Background: </strong>Chronic low back pain (CLBP) is one of the leading causes of disability. Evidence suggests that women experience and report pain differently than men, showing lower thresholds, greater intensity, and higher frequency of pain reports. Understanding these differences is crucial for the interpretation of standardized questionnaires. The aim of the study was to investigate sex differences in the descriptors of the McGill Pain Questionnaire (MPQ) chosen by men and women with CLBP and their relationship with pain intensity.</p><p><strong>Methods: </strong>This is a descriptive, cross-sectional, and observational study. Men and women with nonspecific CLBP aged 18-80 years and numerical pain rating scale (NPRS) > 1, were recruited. Participants completed sociodemographic forms, NPRS and the MPQ.</p><p><strong>Results: </strong>The study assessed 310 participants (women: n = 201, 64.8%; men: n = 109, 35.2%). Out of the 20 subcategories analysed, five showed a difference in the prevalence of words between sexes (subcategories 1, 5, 6, 9, and 11). The most frequently selected words of the MPQ, with over 80% of responses, were 'crushing', 'aching', 'tiring', 'tight', and 'cool'. A correlation was found between NPRS and total PRI, sensory PRI, and miscellaneous PRI were observed only in women (p < 0.05, r > 0.3).</p><p><strong>Conclusion: </strong>This study reinforces the importance of considering sex when interpreting standardized questionnaires in CLBP. Although pain intensity measured by the NPRS did not differ significantly between sexes, women presented higher MPQ-derived scores and different qualitative pain descriptors. These findings suggest that qualitative pain expression may differ between sexes and should be interpreted within a broader biopsychosocial context.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 3","pages":"e70259"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13538824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882127","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":"An Integrated Approach to Improving the Patient Journey to Axial Spondyloarthritis Diagnosis: A Quality Improvement Pilot.","authors":"Thomas A Ingram, Niamh Kennedy, Adrian Pendleton, Neil Heron, Joe Eddison, Karl Gaffney, Raj Sengupta, Dale Webb","doi":"10.1002/msc.70264","DOIUrl":"https://doi.org/10.1002/msc.70264","url":null,"abstract":"","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 3","pages":"e70264"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149008883","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":"Exploration of Physiotherapists' Understanding and Application of Safety Netting Procedures in France-A Qualitative Study.","authors":"Sylvain Riquier, Alex Morley, Yannick Tousignant-Laflamme, Nancy Ali","doi":"10.1002/msc.70258","DOIUrl":"10.1002/msc.70258","url":null,"abstract":"<p><strong>Background: </strong>Physiotherapists in primary care frequently manage patients with musculoskeletal disorders that may conceal serious underlying pathologies, leading to diagnostic uncertainty. Although safety netting is recommended to enhance diagnostic reasoning and ensure patient safety, its conceptualisation and implementation in physiotherapy remain poorly understood.</p><p><strong>Purpose: </strong>This study aimed to explore how physiotherapists understand and apply safety netting in clinical practice, with particular attention to diagnostic uncertainty, patient safety and interprofessional collaboration.</p><p><strong>Methods: </strong>A generic qualitative study was undertaken in France. Twenty-eight (28) physiotherapists were purposively recruited to achieve maximum variation in clinical experience, practice setting and postgraduate training. Semi-structured interviews were analysed using an inductive reflexive thematic analysis.</p><p><strong>Results: </strong>An interpretive typology comprising three diagnostic uncertainty scenarios (controlled, manageable and challenging uncertainty), was developed. The typology shows that safety netting implementation is shaped by the interaction between clinical expertise, organisational support, interprofessional collaboration and access to healthcare resources. Controlled uncertainty was characterised by integrated support systems that facilitated confident clinical decision-making, whereas challenging uncertainty reflected fragmented care pathways, limited resources and reduced confidence in managing serious underlying pathologies. Across all scenarios, participants framed safety netting as a dynamic patient-centred framework, integrating clinical assessment, clinical reasoning, patient education, follow-up planning and referral decision-making.</p><p><strong>Conclusions: </strong>In physiotherapy, safety netting appears to be a context-dependent approach to managing diagnostic uncertainty rather than a standardised procedure. The proposed typology provides a conceptual framework for understanding how individual, professional and organisational factors interact to shape safety netting implementation, with implications for physiotherapy education, interprofessional collaboration and patient safety.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 3","pages":"e70258"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13525578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851634","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":"Impact of a Combined Exercise Programme on Pain, Disability, Health-Related Quality of Life, Sleep, Function, Sports Performance and Strength in Athletes With Chronic Low Back Pain: A Randomised Controlled Trial.","authors":"Sumbul Ansari, Saurabh Sharma","doi":"10.1002/msc.70222","DOIUrl":"10.1002/msc.70222","url":null,"abstract":"<p><strong>Aims: </strong>This randomised controlled trial examined the impact of a combined stabilisation exercise (SE) and back extensor endurance exercise (BEEE) programme versus BEEE alone on pain, disability, health-related quality of life (HRQoL), sleep, function, sports performance, peak force and peak power in athletes with chronic low back pain (CLBP).</p><p><strong>Methods: </strong>Forty-eight university-level athletes with CLBP were randomly assigned to either the SE + BEEE group or the BEEE alone group. Both groups received their respective exercise interventions three times per week for 8 weeks. Outcomes were assessed at baseline, 8th week, and 12-week follow-up. Repeated measures ANOVA with partial eta-squared (ηp²) effect sizes was used to evaluate group, time, and interaction effects.</p><p><strong>Results: </strong>Significant time effects were observed across all outcomes (p < 0.05). Significant time × group interactions (p < 0.05) were found for pain (ηp² = 0.17), disability (ηp² = 0.14), functional score (ηp² = 0.07), sprint (ηp² = 0.45), and agility (ηp² = 0.23), indicating greater improvements in the SE + BEEE group than in the BEEE alone group. Both groups improved in HRQoL, sleep, peak force and power over time with no interaction effects. Most improvements achieved after 8 weeks were maintained at 12-week follow-up.</p><p><strong>Conclusions: </strong>While both exercise regimens yielded significant improvements, adding SEs to BEEE resulted in larger effect sizes and greater gains in key outcomes including pain, disability, function, and sports performance compared with BEEE alone, highlighting the added benefit of combined training in athletes with CLBP.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 2","pages":"e70222"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646812","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":"'There's No Improvement. I'm Still Bedridden': Recovery After Hospital Admission for Low Back Pain and Alignment With Patient Expectations.","authors":"Joseph F Orlando, Matthew Beard, Anne L J Burke, Michelle Guerin, Saravana Kumar","doi":"10.1002/msc.70216","DOIUrl":"10.1002/msc.70216","url":null,"abstract":"<p><strong>Background: </strong>Patients with non-serious low back pain (LBP) may present to hospital emergency departments expecting high-value care when community healthcare options are perceived as inaccessible or ineffective.</p><p><strong>Objectives: </strong>This study explored the experiences and expectations of patients following a LBP-related admission to provide insight into their recoveries and ongoing care needs.</p><p><strong>Design: </strong>Qualitative descriptive methodology using semi-structured interviews.</p><p><strong>Methods: </strong>Patients admitted with non-serious LBP at a large Australian tertiary public hospital meeting specific inclusion/exclusion criteria and able to participate in semi-structured interviews were pragmatically identified, recruited and consented to participate. Interviews were conducted via telephone with patients in their homes at two and 6 weeks following hospital discharge. Thematic analysis generated codes and themes from interview transcripts.</p><p><strong>Results: </strong>Sixteen patients consented to participate. The cohort had an average age of 52 years (SD = 17) and an average hospital length of stay of 13 days (SD = 10.8, range = 2-31). Two overarching themes were identified. The first described patients' unresolved care needs during an uncertain path to recovery due to persistent pain, failure to experience improvements, and the need for ongoing treatments despite having been admitted to hospital. The second described the heavy burden of pain on physical function and mental health following hospital discharge.</p><p><strong>Conclusions: </strong>Patients remained negatively impacted and uncertain about their recoveries due to unmet care needs following hospital admission for LBP. Managing expectations of care whilst providing multidisciplinary supports on discharge from hospital may help guide patients' journeys to recovery.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 2","pages":"e70216"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13048623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147616980","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}