Musculoskeletal Care最新文献

{"title":"Beliefs of People With Patellofemoral Pain About Their Condition and Treatments Before and After Self-Directed Access to a Web-Based Education Platform.","authors":"Larissa Rodrigues Souto, Danilo De Oliveira Silva, Marcella Ferraz Pazzinatto, Christian John Barton","doi":"10.1002/msc.70165","DOIUrl":"10.1002/msc.70165","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the beliefs of people with patellofemoral pain (PFP) about their condition's development and persistence, and treatment options, before and after self-directed access to a web-based education platform.</p><p><strong>Design: </strong>Pre- and post-intervention trial.</p><p><strong>Methods: </strong>Fifty-eight people with PFP completed custom questionnaires (open-ended and multiple choice) before and 6 weeks after accessing the \"My Knee Cap\" web-based education platform. Questions covered beliefs about causes and persistence of pain, effectiveness of treatments, and willingness to undergo surgery. Open-ended responses were analysed thematically. McNemar's test with Yates correction compared changes between pre- and post-intervention for multiple choice questions.</p><p><strong>Results: </strong>At baseline and 6 weeks, PFP onset was primarily attributed to loading. At baseline, pain persistence was linked to loading, structure, and muscle impairments, with muscle impairments being replaced by sedentary behaviour at the 6-week follow-up. At baseline, most participants (69%-81%) believed that taping, bracing, foot orthoses, and exercises were effective treatment options. Fewer participants (16%-22%) believed that dry needling, injections, ultrasound, and surgery were effective. At 6 weeks, beliefs about the effectiveness of exercise (16% increase, ES = 0.15), injections (13% decrease, ES = 0.44), and ultrasound (15% decrease, ES = 0.50) changed. At baseline and 6 weeks, most participants (93%-95%) believed exercise was more effective than surgery, and 46%-59% were willing to undergo surgery if imaging revealed abnormalities.</p><p><strong>Conclusion: </strong>Beliefs about the causes and persistence of PFP centred on loading and pathoanatomical factors, remaining largely unchanged after self-directed web-based education. Web-based education may help to promote the benefits of exercise and reduce beliefs that injection and ultrasound are helpful.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 3","pages":"e70165"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745461","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":"Low Back Pain Belief Orientations Among Undergraduate Physiotherapy Students: A Cross-Sectional Study.","authors":"Ammar Suhail, Sarah Quais","doi":"10.1002/msc.70167","DOIUrl":"10.1002/msc.70167","url":null,"abstract":"<p><strong>Introduction: </strong>Low back pain (LBP) is a leading cause of disability worldwide, and its effective management requires a shift from a purely biomedical perspective to a biopsychosocial model. Physiotherapists play a crucial role in LBP care, and their belief systems significantly influence clinical decision-making. However, limited evidence exists on how undergraduate physiotherapy students conceptualise pain and whether their beliefs evolve during training. This study aimed to examine the dominant belief orientation (biomedical or biopsychosocial) among undergraduate physiotherapy students and evaluate differences across academic years. Understanding how students conceptualise low back pain (LBP) is essential to inform curriculum design and enhance evidence-based, patient-centred care in physiotherapy education.</p><p><strong>Design/methodology/approach: </strong>A cross-sectional survey was conducted among undergraduate physiotherapy students (1st year: n = 137; 4th year: n = 308) using the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS.PT). Standardized mean scores were computed separately for biomedical and biopsychosocial subscales. Wilcoxon signed-rank and Mann-Whitney U tests were applied to compare within- and between-group differences.</p><p><strong>Results: </strong>Students demonstrated higher biomedical belief scores (1st year: M = 34.5, SD = 6.05; 4th year: M = 33.5, SD = 7.25) than biopsychosocial scores (both years: M = 23.8). The difference in biomedical scores between 1st- and 4th-year students was statistically significant (U = 18,749, p = 0.006), while biopsychosocial scores showed no significant difference (U = 20,827, p = 0.829). Regression analysis found no association between students' belief orientation and personal experience of LBP.</p><p><strong>Conclusion: </strong>Findings suggest that physiotherapy students maintain predominantly biomedical pain beliefs, underscoring a need for targeted curricular reform. Integrating interprofessional and reflective learning strategies may enhance students' understanding of the biopsychosocial model, improving their readiness for holistic clinical reasoning.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 3","pages":"e70167"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691923","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":"Early Physiotherapy for Post-Total Knee Arthroplasty Recovery: A Systematic Review of Randomized Controlled Trials on Quality of Life, Pain, and Range of Motion Outcomes.","authors":"Saman Aftab, Hafiza Nida Ali, Bushra Saeed, Samaika Sarwar, Muhammad Hamza Dawood, Maira Pervez","doi":"10.1002/msc.70158","DOIUrl":"10.1002/msc.70158","url":null,"abstract":"<p><strong>Background: </strong>Total knee arthroplasty (TKA) is a common procedure for managing advanced knee osteoarthritis, offering pain relief and functional restoration. However, post-operative rehabilitation is critical to optimise recovery. Early physiotherapy has been proposed to enhance range of motion (ROM), reduce pain, and improve quality of life (QoL), though its effectiveness remains debated.</p><p><strong>Objective: </strong>This systematic review evaluates the impact of early physiotherapy on pain, ROM, and QoL in post-TKA patients using evidence from randomized controlled trials (RCTs).</p><p><strong>Methods: </strong>A comprehensive literature search was conducted using PubMed and EBSCOhost for RCTs published in the past 10 years, following PRISMA guidelines. The methodological quality of the included studies was assessed using the Cochrane Risk of Bias tool. Nineteen RCTs were selected, covering rehabilitation protocols including conventional physical therapy, range of motion exercises, isotonic strengthening exercises, patellar resurfacing, acupoint quadriceps massage, standard manual therapy, continuous passive movement, neuromuscular electrical stimulation, and supervised outpatient rehabilitation.</p><p><strong>Results: </strong>The analysis demonstrated that early physiotherapy significantly improves pain relief, ROM, and overall QoL in post-total knee replacement patients. Several interventions, particularly strengthening programs and early mobilisation, showed statistically significant improvements in clinical outcomes. While some studies had unclear or high risk of bias, the overall risk across the studies was assessed to be low, supporting the reliability of findings.</p><p><strong>Conclusion: </strong>Evidence from RCTs supports the incorporation of early physiotherapy into post-TKA rehabilitation protocols to improve clinical outcomes. Future high-quality trials and standardized guidelines are needed to further refine rehabilitation approaches and promote adherence among patients.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 3","pages":"e70158"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601882","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":"Effect of Different Physiotherapeutic Interventions in Plantar Fasciitis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Sona Raj, Chanchal Sharma, Habiba Sundus","doi":"10.1002/msc.70151","DOIUrl":"10.1002/msc.70151","url":null,"abstract":"<p><strong>Background: </strong>Plantar fasciitis (PF) is a prevalent cause of heel pain and is commonly managed through conservative physiotherapeutic interventions. Despite widespread clinical use, the relative effectiveness of various modalities remains unclear.</p><p><strong>Objective: </strong>To evaluate the efficacy of different physiotherapeutic interventions on pain and function in adults with plantar fasciitis through systematic review and meta-analysis of randomized controlled trials (RCTs).</p><p><strong>Methods: </strong>A comprehensive literature search was conducted in PubMed, Scopus, and Web of Science (January 2020-May 2025) for RCTs assessing physiotherapy-based interventions for PF. Primary outcomes included pain (Visual Analog Scale [VAS]) and function (Foot Function Index [FFI]). Meta-analyses were performed using random-effect models, and the GRADE framework was applied to assess evidence certainty.</p><p><strong>Results: </strong>Twenty-one RCTs (n = 1196) were included. Interventions included extracorporeal shock wave therapy (ESWT), kinesiology taping, laser therapy, manual therapy, and needling techniques. At 1-month follow-up, physiotherapy yielded a non-significant trend towards pain reduction (SMD = -0.390, 95% CI: -0.888 to 0.109, p = 0.125; I² = 88.7%). Functional outcomes showed no significant improvement (SMD = 0.000, 95% CI: -0.195 to 0.195, p = 1.000). Heterogeneity was high, and overall evidence quality was rated low.</p><p><strong>Conclusion: </strong>Physiotherapeutic interventions may modestly reduce pain in the short term but show limited impact on functional improvement in plantar fasciitis. ESWT and kinesiology taping appear most promising. Further high-quality, long-term studies are warranted to clarify their clinical utility.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 3","pages":"e70151"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545465","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":"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":1.6,"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}

{"title":"Musculoskeletal First Contact Practitioners Undertaking a Higher Education Training Route-A Qualitative Exploration of Clinical Supervision Experiences.","authors":"Sue Innes, Sarah Golding, Philip Nardone, Caroline Kerry, Anthony Smith, Sarah-Jane King, Fiona Blackman","doi":"10.1002/msc.70095","DOIUrl":"10.1002/msc.70095","url":null,"abstract":"<p><strong>Background: </strong>Musculoskeletal First Contact Practitioners (FCPs) are employed in primary care to assess patients and decrease workload for general practitioners. FCP training requirements are outlined in The Roadmap to Practice (RTP), which includes clinical supervision.</p><p><strong>Methods: </strong>In this qualitative study, 12 musculoskeletal FCPs who had completed FCP training at a specific English university participated in semi-structured interviews that explored their clinical supervision in primary care.</p><p><strong>Results: </strong>Thematic analysis identified three themes: operational factors, the role of personal and professional identity and the dynamics of learning. Participants reported variation in support and organisation provided in their places of work and the impact on their learning; specific barriers related to employment contracts were highlighted. Participants reflected on personal and professional factors that were inconsistently addressed, including cultural competence and the relevance of neurodiversity for both patients and professionals. Positive elements were raised relating to learning dynamics, including accessing supervision from more than one individual and representatives from more than one profession. The bidirectional learning opportunities offered from clinical supervision were highlighted, including supervisors who are not musculoskeletal specialists accessing musculoskeletal expertise from their mentees and the FCPs benefitting from supervisors who have extensive experience of managing complex consultations in primary care.</p><p><strong>Conclusion: </strong>Clinical supervision experiences of FCPs in this study were typically positive. High-quality supervision is dependent on stakeholders fully understanding the role and is optimised by multi-professional involvement. Future studies could include evaluation of referral patterns and clinical outcomes of FCPs from varying employment frameworks.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 2","pages":"e70095"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781640","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":"Peripheral Geographic District and Low Socioeconomic Status Are Associated With Decreased Access to Biologics in Patients With Rheumatoid Arthritis.","authors":"Fadi Hassan, Ziv Paz, Amir Saab, Avivit Golan Cohen, Eugene Merzon, Ilan Green, Mohammad E Naffaa","doi":"10.1002/msc.70111","DOIUrl":"10.1002/msc.70111","url":null,"abstract":"<p><strong>Objective: </strong>Lack of insurance coverage, limited access to health services and lower socioeconomic status (SES) are contributors to inadequate utilization of biologic disease modifying anti-rheumatic drugs (bDMARD) in rheumatoid arthritis (RA). The broad national insurance coverage for bDMARDs in Israel provides a unique opportunity to study the impact of SES and geographical location without being biased by the limitation of insurance coverage.</p><p><strong>Methods: </strong>We identified RA patients using the International Classification of Disease 9th revised codes. \"True\" RA patients are defined as patients receiving conventional DMARDs, being positive for rheumatoid factor or anti-cyclic citrullinated peptide, or being diagnosed by a rheumatologist. We compared the four geographical districts with regard to drug survival times on first bDMARD, age at RA diagnosis and the mean number of bDMARDs per patient.</p><p><strong>Results: </strong>The cohort included 4268 \"true\" RA patients. Drug survival times on first bDMARD were shorter in northern (3.74 ± 4.77 years) and central districts (2.74 ± 4.87 years) compared to Jerusalem (5.46 ± 7.42 years) and southern districts (5.23 ± 6.21 years) (p < 0.001). Mean age at the time of RA diagnosis was significantly higher in the southern district (58.3 ± 17.7 years) compared to the northern (55.5 ± 15.7 years), central (53.0 ± 17.8 years) and Jerusalem districts (55.3 ± 18.8 years) (p = 0.014). Higher SES was associated with a higher number of bDMARDs per patient (2.3 ± 1.9, 2.1 ± 1.9 and 1.7 ± 2.9 for high, intermediate and low SES, respectively) (p = 0.031).</p><p><strong>Conclusion: </strong>Residence in the Israeli periphery and lower SES are associated with delayed and suboptimal diagnosis and management of RA. Equal resources should be allocated to the periphery and areas with lower SES.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 2","pages":"e70111"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991349","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":"Australian General Practitioners' Use of Diagnostic Lumbar Spine Imaging for Patients With Acute Low Back Pain: A Qualitative Study.","authors":"Tomas Rozbroj, Benjamin Reed, Denise A O'Connor, Nicholas Gelber, Allison Bourne, Chris G Maher, Rachelle Buchbinder","doi":"10.1002/msc.70099","DOIUrl":"10.1002/msc.70099","url":null,"abstract":"<p><strong>Background: </strong>General practitioners (GPs) use of imaging for acute low back pain (LBP) is above guideline recommendations, and the reasons for this remain under-researched. We examined the perspectives, expectations and information needs of Australian GPs requesting lumbar spine diagnostic imaging for patients presenting with acute LBP.</p><p><strong>Methods: </strong>We completed semi-structured interviews with 12 GPs practising in Victoria, Australia. Transcripts were thematically analysed, and themes compared according to whether or not GPs reported they regularly requested imaging for LBP.</p><p><strong>Results: </strong>We identified four themes. (1) Besides responding to 'red flags', GPs' experiences of uncovering unexpected but serious findings on imaging for LBP as well as perceived external pressures motivated their defensive imaging practices. (2) While most were reluctant to request imaging for LBP, once requested, GPs escalated through imaging modalities and focused on the diagnostic benefit of their findings. (3) GPs supported the inclusion of epidemiological data on imaging reports, but (4) largely opposed imaging reports being written in plain language, believing reports to be clinician-to-clinician communications that patients would misunderstand. All GPs were aware of the limited utility of imaging for diagnosing LBP, and themes were similar between GPs who regularly requested imaging and those who did not. Factors other than knowledge of imaging efficacy for LBP seemed to play an important role in imaging requests.</p><p><strong>Conclusions: </strong>Our study identified key drivers of imaging use for LBP in primary care. The findings underscore that interventions targeting GPs addressing the overuse of imaging for LBP should transcend knowledge deficit models.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 2","pages":"e70099"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11989193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053776","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 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":1.6,"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":"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":"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":1.6,"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}