Musculoskeletal Care最新文献

{"title":"One Spinal Manipulation Session Does Not Affect Static, Quasi-Static and Dynamic Balance or Pressure Pain Threshold in Individuals With Chronic Low Back Pain: A Randomized Clinical Controlled Trial.","authors":"Murilo Rafael Gonçalves Moreira, Henrique Prado Rodrigues, Iully Tiyoko Rebellato Suguiura, Gabriella Morello Toledo de Souza, Fabíola de Santana Genelhú, Alexandre Peiter Ferraz, Weber Shoity Resende Takaki, Huei Diana Lee, Wu Feng Chung, Alberito Rodrigo de Carvalho, Gladson Ricardo Flor Bertolini","doi":"10.1002/msc.70202","DOIUrl":"https://doi.org/10.1002/msc.70202","url":null,"abstract":"<p><strong>Background: </strong>Chronic low back pain is a highly prevalent and disabling condition that impairs physical function and has a broad social impact. This study aimed to assess the effects of manipulative techniques on static, quasi-static, and dynamic balance in individuals with chronic low back pain, and to compare these outcomes between an experimental group and a placebo group. The study is justified by the high prevalence of low back pain, the economic burden associated with treatment and work absence, and the need to clarify the effectiveness of therapeutic approaches.</p><p><strong>Methods: </strong>A randomized, controlled, longitudinal, pre/post-intervention clinical trial was conducted with 30 participants (18-59 years), of both sexes, all experiencing chronic low back pain. Individuals with other musculoskeletal, neurological, cognitive, cardiorespiratory, or balance-affecting conditions were excluded. Participants were randomly allocated to an experimental group, which received global spinal manipulation in the thoracolumbar and lumbopelvic regions, or a placebo group. Assessments included the modified Sensory Organization Test (SOT), the Star Excursion Balance Test (SEBT), and pain pressure threshold algometry, applied before and after the intervention.</p><p><strong>Results: </strong>Results indicated that a single session of spinal manipulation did not produce significant changes in static, quasi-static, or dynamic balance variables. Additionally, comparisons between pre- and post-intervention (immediate, 24 h, and 1 week follow-up) revealed no statistically significant differences were found.</p><p><strong>Conclusion: </strong>These findings suggest that a single session of spinal manipulation may not be sufficient to induce measurable changes in balance parameters in this population.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 1","pages":"e70202"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436576","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":"Gender Differences in Pain Coping Strategies, Body Awareness, Pain Beliefs, and Job Satisfaction Among Healthcare Workers With Musculoskeletal Pain: A Comparative Study.","authors":"Gokcen Akyurek, Selen Aydoner Bektas, Ecenur Sirin, Gizem Irem Kinikli","doi":"10.1002/msc.70204","DOIUrl":"https://doi.org/10.1002/msc.70204","url":null,"abstract":"<p><strong>Objective: </strong>To examine gender differences in pain coping strategies, body awareness, and pain beliefs, and to determine how these psychosocial factors are associated with job satisfaction among healthcare workers suffering from musculoskeletal pain.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in a private hospital (June 2021-January 2022) using convenience sampling. A total of 116 healthcare workers (72 women, 44 men) completed the Pain Coping Questionnaire, Body Awareness Questionnaire, Pain Beliefs Questionnaire, and Job Satisfaction Scale. Mann-Whitney U, Spearman correlation, and multiple linear regression analyses were performed. The study followed Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.</p><p><strong>Results: </strong>Women had better pain coping (t = 3.416, p = 0.001), body awareness (t = 3.372, p = 0.001), and pain beliefs (t = 2.637, p = 0.001) total scores than men. Women showed significantly higher pain coping, body awareness, and pain belief scores than men (all p < 0.05). The regression models explained 36.4% of the variance in job satisfaction among men (R² = 0.364, p < 0.001) and 6.6% among women (R² = 0.066, p = 0.029).</p><p><strong>Conclusion: </strong>It is important to consider gender-specific differences in pain coping, body awareness, and pain beliefs when designing interventions aimed at improving job satisfaction among healthcare workers with musculoskeletal pain.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 1","pages":"e70204"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147373433","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":"Feasibility of Multimodal Physical Therapy in Hispanic American Older Adults With Moderate Knee Osteoarthritis.","authors":"Amy M Gladin, Shiyun Zhu","doi":"10.1002/msc.70197","DOIUrl":"https://doi.org/10.1002/msc.70197","url":null,"abstract":"<p><strong>Background: </strong>Conservative, and culturally appropriate treatment options are needed for Hispanic American (HA) older adults with knee osteoarthritis (OA). The purpose of this pilot study was to explore feasibility, including recruitment, adherence, and retention in a quasi-experimental study among older HA adults with moderate knee OA after multimodal physical therapy. The secondary aim was to explore changes in physical performance.</p><p><strong>Methods: </strong>Hispanic American older adults with moderate knee OA were recruited from an urban health system. Participants attended 10, small group, physical therapy clinic visits over 8 weeks, followed by 4 weekly support phone calls. Participants were instructed to exercise 3 days per week. The intervention was led in Spanish and included progressive quadriceps and glutaeal strengthening, progressive cycling with short high-velocity intervals, manual therapy, and self-management training. Feasibility was explored by using descriptive statistics to document recruitment, retention, and adherence to exercise. Secondary physical function measures were compared pre/post intervention using paired sample t-tests.</p><p><strong>Results: </strong>Eighteen of the 20 participants who enrolled came from sending 500 targeted recruitment letters, mean age of 62.9 (SD 8.0, range: 51-75) years; mean exercise adherence was 3.7 (SD 1.5) days per week for the 12-week study duration. Preliminary estimates of changes in physical function were promising; however, the study was not powered to detect changes.</p><p><strong>Conclusions: </strong>Multimodal physical therapy was feasible in terms of retention, and adherence to exercise and recruitment was low. Clinical changes in physical function are promising. A controlled trial is warranted to test the efficacy of the intervention.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 1","pages":"e70197"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445532","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":"Is Swimming the Most Complete Sport? A Multidimensional Reappraisal.","authors":"Roberto Tedeschi","doi":"10.1002/msc.70218","DOIUrl":"https://doi.org/10.1002/msc.70218","url":null,"abstract":"","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 1","pages":"e70218"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522325","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":"Patients With Culturally Diverse Backgrounds and Their Experiences With an Interpretation Intervention Combining Video Interpretation, Extended Consultation Time, and Interdisciplinary Collaboration in a Medical Spine Clinic: A Qualitative Study.","authors":"Ann-Louise Larsen, Janni Tran, Knud Ryom, Stine Aalkjær Clausen, Anne Mette Schmidt","doi":"10.1002/msc.70199","DOIUrl":"10.1002/msc.70199","url":null,"abstract":"<p><strong>Introduction: </strong>Back pain is caused and driven by a complex interplay of multiple factors, including cultural background. In healthcare, patients from culturally diverse backgrounds may face barriers such as language difficulties and a lack of cultural sensitivity, which can exacerbate health disparities.</p><p><strong>Objective: </strong>How do patients with culturally diverse backgrounds and back pain experience an interpretation intervention combining video interpretation, extended consultation time, and interdisciplinary collaboration?</p><p><strong>Methods: </strong>This qualitative study was conducted at a Danish medical spine clinic. Participant observation and previous research informed the semi-structured interview guide. Individual interviews were conducted with seven patients from culturally diverse backgrounds (four women, aged 30-62 years, representing three different countries) with interpreter support. The interviews were audio-recorded, transcribed verbatim, and analysed using thematic network analysis.</p><p><strong>Results: </strong>Patients reported that video interpretation facilitated communication and respected cultural values and assumptions, with some women highlighting the importance of interpreter gender choice. The extended consultation time provided a clear structure, reinforced communication, enhanced disease-related knowledge, and supported patients' expectations. Finally, interdisciplinary collaboration further strengthened communication and disease-related knowledge, aligned care with patients' expectations, and contributed to a coherent structure, while emphasising the need to balance structured consultations with opportunities for patient expression.</p><p><strong>Conclusion: </strong>This study provides novel insights into how organisational adaptations support culturally responsive, person-centred management. Integrating video interpretation, extended consultation, and interdisciplinary collaboration promotes equitable care, enhances patient engagement, and highlights the value of organisational health literacy. Future improvements include involving patients in choice of interpreter and ensuring space for patient expression.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 1","pages":"e70199"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12953199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345193","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":"Postural Disorders and Musculoskeletal Problems Among Baskent University Medical Students: A Cross-Sectional Study.","authors":"Ozlem Kuculmez, Sevgi Ikbali Afsar, Omer Kocabay, Elif Kocabay, Mehmet Unal, Idil Balik, Eda Nursel Pelitli, Bilge Hilal Benli, Mehmet Oguzhan Dikmenoglu, Duygu Kocak","doi":"10.1002/msc.70196","DOIUrl":"10.1002/msc.70196","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;This study aims to determine postural disorders in medical school students and the effects of postural disorders on musculoskeletal pain and quality of life. When grouped by musculoskeletal risk (moderate, high, or very high), no significant differences were found in posture (p = 0.344), BMI (p = 0.175), or physical activity (p = 0.197). However, SF-36 vitality scores were higher in the moderate-risk group compared with the high-risk (p = 0.032) and very high-risk groups (p = 0.043). Poorer posture (β = -0.28, p &lt; 0.01) and lower physical activity (β = -0.19, p = 0.03) independently predicted greater musculoskeletal discomfort, whereas BMI was not significant (p &gt; 0.05).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This was a cross-sectional study. Baskent University Medical Faculty students who agreed to participate by signing the voluntary consent form were included in the study. The participants were evaluated using the Cornell Musculoskeletal Disorders Questionnaire, International Physical Activity Scale-2, Short Form-36, and New York Posture Analysis Scale. The data of students at different grade levels were statistically compared, and p &lt; 0.05 was considered statistically significant. When grouped by musculoskeletal risk (moderate, high, or very high), no significant differences were found in posture (p = 0.344), BMI (p = 0.175), or physical activity (p = 0.197). However, SF-36 vitality scores were higher in the moderate-risk group compared with the high-risk (p = 0.032) and very high-risk groups (p = 0.043). Poorer posture (β = -0.28, p &lt; 0.01) and lower physical activity (β = -0.19, p = 0.03) independently predicted greater musculoskeletal discomfort, whereas BMI was not significant (p &gt; 0.05).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 274 students (186 females, 88 males; mean age 21.30 ± 2.10 years; BMI 22.87 ± 3.95 kg/m&lt;sup&gt;2&lt;/sup&gt;) were analysed. The mean physical activity level was 2361.25 ± 274.55 METs. Second-year students surprisingly had significantly lower physical activity levels (p &lt; 0.05). Although students demonstrated 'very good' posture on the New York Posture Analysis, according to the Cornell Musculoskeletal Disorders Questionnaire, second-year students had a moderate risk, whereas students in other academic years showed a high risk. When grouped by musculoskeletal risk (moderate, high, or very high), no significant differences were found in posture (p = 0.344), BMI (p = 0.175), or physical activity (p = 0.197). However, SF-36 vitality scores were higher in the moderate-risk group compared with the high-risk (p = 0.032) and very high-risk groups (p = 0.043). Poorer posture (β = -0.28, p &lt; 0.01) and lower physical activity (β = -0.19, p = 0.03) independently predicted greater musculoskeletal discomfort, whereas BMI was not significant (p &gt; 0.05).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Medical students showed a moderate to high risk of musculoskeletal discomfort despite generally good posture across all aca","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 1","pages":"e70196"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370440","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":"Screening and Referral Practices for Symptoms of Anxiety and Depression in Private Physiotherapy Practices for Chronic Musculoskeletal Pain: A Qualitative Study.","authors":"Ana Catarina Navarro Ramalho, Tine Van Damme, Monica Lambrechts, Ana Isabel Correia Ferreira Vieira, Ryan L McGrath, Davy Vancampfort","doi":"10.1002/msc.70213","DOIUrl":"https://doi.org/10.1002/msc.70213","url":null,"abstract":"<p><strong>Background: </strong>Chronic musculoskeletal pain often co-occurs with psychological comorbidities such as anxiety and depression; however, little is known about the screening and management practices of physiotherapists in private physiotherapy services. Gaining insight into how physiotherapists navigate the complexities of mental health screening, management, and referral is critical, as the effective integration of these practices has the potential to substantially improve patient outcomes.</p><p><strong>Objective: </strong>This study explores the facilitators and barriers influencing physiotherapists' adoption of screening and referral practices for symptoms of anxiety and depression supporting a more biopsychosocial approach to physiotherapy.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 18 Belgian physiotherapists working in private settings and analysed using framework analysis to identify themes capturing their approaches to recognising, screening, managing, and referring patients with anxiety and/or depressive symptoms in clinical practice.</p><p><strong>Results: </strong>Ten interrelated themes were identified. Physiotherapists relied predominantly on informal, intuitive screening rather than structured validated tools. Barriers encompassed limited formal training, unclear professional boundaries, and systemic challenges such as time constraints and inconsistent referral pathways. Key facilitators included intrinsic motivation to provide biopsychosocial care, strong therapeutic alliances, and clinical intuition. Many physiotherapists reported emotional burden when managing anxiety and/or depressive symptoms without adequate support.</p><p><strong>Conclusion: </strong>Physiotherapists acknowledge the importance of addressing co-occurring anxiety and/or depressive symptoms in chronic musculoskeletal pain management but face personal, patient-related and systemic barriers. Enhancing training, embedding validated screening tools, and improving interprofessional collaboration are critical for advancing mental health practices within private physiotherapy settings.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 1","pages":"e70213"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515756","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":"Association Between Diastasis of the Rectus Abdominis Muscles and Musculoskeletal Conditions in the First 2 Years Postpartum: A Cross-Sectional Study.","authors":"Eloise Simpson, Madeline Hannington, Kari Bø, Andrew Hahne","doi":"10.1002/msc.70209","DOIUrl":"10.1002/msc.70209","url":null,"abstract":"<p><strong>Objective: </strong>To explore associations between the presence and severity of diastasis of the rectus abdominis muscles (DRAM) and common postpartum musculoskeletal complaints in the first 2 years postpartum.</p><p><strong>Study design: </strong>Cross-sectional survey among women within 2 years of childbirth.</p><p><strong>Background: </strong>DRAM commonly affects women during pregnancy and postpartum, but its relationship with musculoskeletal complaints remains unclear. This study investigates the association between DRAM and postpartum musculoskeletal complaints, including low back pain, pelvic girdle pain, abdominal pain, and pelvic floor dysfunction.</p><p><strong>Methods and measures: </strong>Participants were identified from medical records of women who had delivered a baby in the previous 2 years at Southwest Healthcare, Warrnambool, Victoria, Australia. An electronic questionnaire collected data on DRAM presence and severity (self-reported based on self-assessment or prior healthcare professional screening), musculoskeletal complaints, and pelvic floor dysfunction both currently (within the past week) and early postpartum (within the first 3 months). Statistical univariate and multivariate regression analyses explored associations between DRAM presence or severity and reported symptoms adjusted for age, parity, delivery method and time since last delivery.</p><p><strong>Results: </strong>Of 177 respondents (from 785 survey invitations), 38% (n = 70) reported DRAM. In multivariate analysis, DRAM presence was significantly associated with current (p = 0.034) and early postpartum (p = 0.037) abdominal discomfort, and urinary urgency symptoms early postpartum (p = 0.033). No significant associations were found between DRAM and low back pain, pelvic girdle pain, or stress urinary incontinence.</p><p><strong>Conclusion: </strong>DRAM was weakly associated with abdominal discomfort and urinary urgency symptoms but not with other musculoskeletal complaints. These findings align with limited previous research on this topic. More data are needed to explore the association between DRAM severity and musculoskeletal disorders.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 1","pages":"e70209"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13008823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505313","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":"Why We Still Get Back Pain Wrong: Beliefs and Attitudes Towards Low Back Pain Among Austrian Physiotherapists and Healthcare Students: A Cross-Sectional Study.","authors":"Jean-Pascal Grenier, Alexander Thiel, Barbara Scheiber","doi":"10.1002/msc.70195","DOIUrl":"10.1002/msc.70195","url":null,"abstract":"<p><strong>Background: </strong>Healthcare practitioners' beliefs and attitudes towards low back pain (LBP) influence patients' beliefs, pain experience, and treatment outcomes. This study examined beliefs, attitudes, and conceptual understanding of LBP among practicing physiotherapists (PTs) in Austria and compared them with first-semester healthcare students.</p><p><strong>Methods: </strong>This cross-sectional online survey was conducted between May and November 2025. Beliefs about LBP were assessed using the Back Beliefs Questionnaire (BBQ; range 14-70, higher scores indicate more positive beliefs) and the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS; range 15-105, higher scores indicate stronger pain-disability beliefs). Participants included practicing Austrian PTs and first-semester students enrolled in healthcare-related programs at two universities.</p><p><strong>Results: </strong>In total, 517 participants completed the survey (391 PTs, 99 students; 27 others excluded). PTs demonstrated significantly more positive beliefs than students, with higher BBQ scores (34.5 ± 5.9 vs. 28.7 ± 5.4; p < 0.001) and lower HC-PAIRS scores (54.9 ± 12.9 vs. 65.5 ± 10.8; p < 0.001). These differences remained significant after adjustment for age, education, and professional experience. Despite this, both groups predominantly held negative, pain-implies-disability-oriented beliefs about LBP. Notably, greater professional experience among PTs was associated with more negative, disability-oriented and biomedical pain beliefs.</p><p><strong>Conclusion: </strong>Although PTs held more positive beliefs about LBP than students, increasing professional experience was paradoxically linked to more negative pain-disability beliefs. These findings underscore the need for improved, longitudinal educational strategies that reinforce contemporary, evidence-based perspectives on LBP throughout clinical careers.</p><p><strong>Trial registration: </strong>We registered our study at https://osf.io/kr7ag.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 1","pages":"e70195"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318459","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":"Assessing the Link Between Physical Activity and Musculoskeletal Disorders in Taxi Drivers: A Comparison of Accelerometry and Self-Report Measures.","authors":"Marta Marín-Berges, Pablo A Lizana, Isabel Iguacel, Marcos Echevarría-Polo, Valentina Marroquín-Pinochet, Constanza Rivas-Sanhueza, German Vicente-Rodríguez, Alejandro Gómez-Bruton","doi":"10.1002/msc.70201","DOIUrl":"10.1002/msc.70201","url":null,"abstract":"<p><strong>Background: </strong>Taxi drivers are at an elevated risk for work-related musculoskeletal disorders (MSDs), and the reasons for this are prolonged sitting, static postures, and whole-body vibration. Physical activity (PA) may mitigate MSD risk but is often assessed subjectively. This study compared objective (wrist-worn accelerometry) and subjective (IPAQ-S) measures of PA and sedentary behaviours by examining their associations with MSD prevalence in taxi drivers from Spain and Chile.</p><p><strong>Methods: </strong>In this cross-sectional study, 170 taxi drivers (mean age 51.9 ± 10.7 years; 87.1% male) completed sociodemographic and Nordic questionnaires on MSDs (7-day recall), and the IPAQ-S for PA. A subsample of 36 wore a wrist-worn accelerometer for seven days to quantify sedentary time and PA amount and intensities.</p><p><strong>Results: </strong>Overall, 68.8% of drivers reported pain in at least one body region in the past 7 days, most commonly the neck (36.5%) and lower back (32.9%). IPAQ-S overestimated moderate-to-vigorous PA (145.7 ± 140.2 vs. 42.4 ± 31.2 min/day, p < 0.01) compared with accelerometry, with moderate correlation (r = 0.47). Sedentary time averaged 715.5 ± 146.9 min/day by accelerometry, with negligible correlation to IPAQ-S (r = -0.01). Female drivers had higher odds of neck, upper back, and lower back pain, while higher BMI was associated with knee pain. No significant associations were found between PA levels and MSD prevalence.</p><p><strong>Conclusions: </strong>Taxi drivers exhibit high MSD prevalence, extreme sedentary exposure, and marked overestimation of PA in self-reports. Neither self-reported nor accelerometer-measured physical activity was significantly associated with 7-day MSD prevalence. Targeted interventions should combine ergonomic improvements, active breaks, and accurate monitoring tools to reduce occupational health risks.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 1","pages":"e70201"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12965851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370448","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}