Musculoskeletal Care最新文献

{"title":"Profile of Patients With Chronic Musculoskeletal Pain Waiting for Physiotherapy in Secondary Health Care: A Cross-Sectional Study.","authors":"Bruno André Ney Schubert, Bruna Pereira Siqueira, Ana Alice Cardoso Faria, Aline J Waclawovsky, Eduardo L Caputo, Francisco Xavier de Araujo, Maíra Junkes-Cunha","doi":"10.1002/msc.70239","DOIUrl":"10.1002/msc.70239","url":null,"abstract":"<p><strong>Background: </strong>Chronic musculoskeletal pain (CMP) is a major cause of disability, with biopsychosocial effects that may be worsened by long waiting times for care.</p><p><strong>Objective: </strong>This study aimed to describe the profile of patients with CMP on the waiting list for physiotherapy.</p><p><strong>Methods: </strong>We conducted a cross-sectional study using an online survey distributed via telephone. Participants' information was obtained from the Municipal Health Department. The survey assessed data on clinical, physical and psychosocial characteristics.</p><p><strong>Results: </strong>Overall, we contacted 1208 individuals, and 134 completed the survey. The most common pain sites were the right shoulder (44.0%), lower back (42.5%), right hand (38.8) and right knee (38.8). Nearly half of the participants reported pain in 4 or more pain sites in the last seven days (49.3%) and use of antidepressants (48.5%) or analgesics (45.5%). Symptoms of anxiety and depression were present in 45.5% and 35.8% of participants, respectively. One out of five participants reported being unable to work in the last 30 days due to their health conditions. Only 23.9% had previously received physiotherapy care, and among these, 68.7% waited one year or longer for treatment.</p><p><strong>Conclusions: </strong>Patients on the waiting list for physiotherapy commonly report pain, psychosocial symptoms and functional disability. Strategies to improve timely access for physiotherapy are needed to reduce the burden of CMP.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 2","pages":"e70239"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240305","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 Core Components and Instruments of the Therapeutic Relationship in Musculoskeletal Physiotherapy: A Systematic Integrative Review.","authors":"Sini Puustinen, Tarja Kvist, Minna Stolt","doi":"10.1002/msc.70219","DOIUrl":"10.1002/msc.70219","url":null,"abstract":"<p><strong>Background: </strong>The therapeutic relationship is meaningful and valuable to patients in rehabilitation and is positively associated with improved rehabilitation outcomes. Despite its central role, a comprehensive understanding of what constitutes the therapeutic relationship in physiotherapy and how it can be assessed is yet to be achieved.</p><p><strong>Objective: </strong>This study aimed to identify the core components of the therapeutic relationship and the patient-reported instruments used to assess it in musculoskeletal physiotherapy.</p><p><strong>Methods: </strong>A systematic integrative review was conducted. Six databases (CINAHL, PubMed/Medline, Scopus, Web of Science, The Cochrane Library, and PEDro) were searched. Two reviewers independently conducted study selection and methodological quality appraisal. Data were synthesised using inductive qualitative content analysis.</p><p><strong>Results: </strong>Eighteen studies were included. Two core components and six subcomponents of the therapeutic relationship in musculoskeletal physiotherapy were identified: (1) therapeutic partnership (partnership and therapeutic communication) and (2) collaborative person-centred physiotherapy (collaboration; a holistic and individualised approach; coherent, competent, and credible physiotherapy; and empowerment support). Six instruments used to assess therapeutic relationships in musculoskeletal physiotherapy were identified.</p><p><strong>Conclusions: </strong>In musculoskeletal physiotherapy, the therapeutic relationship is a multidimensional and dynamic construct encompassing therapeutic partnership and collaborative person-centred practice. Physiotherapists can actively influence the therapeutic relationship by utilising multimodal communication, implementing person-centred care strategies, and supporting patients' agency and empowerment. Existing patient-reported therapeutic relationship instruments capture these components only partially. Future research is needed to strengthen conceptual clarity and refine both the operationalisation and assessment of the therapeutic relationship in musculoskeletal physiotherapy.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 2","pages":"e70219"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13035460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582667","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":"Patients With Chronic Pain and Their Perspectives on Barriers and Opportunities for Earlier Opioid Tapering-A Qualitative Study Using Patient Journey Mapping.","authors":"Mette Dalsgård Bergmann, Stine Aalkjær Clausen, Anne Mette Schmidt, Peter Vedsted, Morten Hoegh, Malene Kjær Bruun, Heidi Guldberg Blæsbjerg, Camilla Blach Rossen","doi":"10.1002/msc.70240","DOIUrl":"10.1002/msc.70240","url":null,"abstract":"<p><strong>Purpose: </strong>Long-term opioid use is associated at the population level with increased risks such as physical dependence, adverse effects and complex healthcare trajectories. While some patients report improved function and quality of life with carefully monitored opioid therapy, others experience diminishing benefits over time and substantial harms. While tapering is clinically recommended, little is known about patients' perspectives on barriers and opportunities for initiating earlier opioid tapering. This study explores how patients experience and reflect on these issues throughout their patient journey.</p><p><strong>Methods: </strong>We conducted semi-structured interviews with 10 patients who had completed opioid tapering at a Danish multidisciplinary pain clinic. Patient journey mapping was used to visualise and structure individual treatment journeys. Data were analysed using reflexive thematic analysis and supported by NVivo software.</p><p><strong>Results: </strong>Two overarching themes emerged: (1) living between fear of pain and dependence on opioids included emotional ambivalence, fear of pain recurrence, and insufficient guidance from healthcare providers; (2) Tapering responsibility falling through the cracks, illustrated how tapering responsibility often became fragmented across the healthcare system, leaving participants feeling unsupported and uncertain about how to initiate change. Conversely, proactive engagement by healthcare professionals, particularly general practitioners, enabled participants to consider tapering.</p><p><strong>Conclusion: </strong>This study identified personal and systemic barriers to opioid tapering, including fear of pain, emotional dependence, and fragmented care. Participants favoured earlier tapering, but success depended on addressing these factors and enhancing general practitioners' knowledge. Meaningful tapering becomes possible when healthcare professional responsiveness meets individual readiness.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 2","pages":"e70240"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13279846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279164","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":"Prevalence of Myofascial Pain Syndrome Among Overhead Athletes With Neck and Shoulder Pain: A Cross-Sectional Study.","authors":"Vidyasagar Pagilla, Bincy M George, G Arun Maiya, Prem Venkatesan, Savni Apte, Krishnaprasad P R, Roshan Kumar, Mohandas Rao K G","doi":"10.1002/msc.70229","DOIUrl":"10.1002/msc.70229","url":null,"abstract":"<p><strong>Background/objective: </strong>The occurrence of shoulder or neck pain in overhead sports is nontraumatic because of chronic overuse, biomechanical variability, and repetitive impaired techniques adapted during the performance. Myofascial Pain Syndrome (MPS) is of both acute and chronic types and is caused by repetitive movements, microtrauma to muscle fibres, and faulty postures. MPS can cause pain, decrease the Range of Motion (ROM), and influence the Overhead Athletes' (OA) performance. The present study aimed to estimate the prevalence of MPS among OA with neck and shoulder pain.</p><p><strong>Methods: </strong>A prospective, cross-sectional study was conducted on OA. A total of 370 OA aged between 18 and 35 years, students at a recognised college practising 4-5 days a week and participating in at least a university-level competition were screened. Athletes suffering from neck and shoulder pain were included. OA with recent injuries, fractures, surgeries, and other neck and shoulder pathologies were excluded. MPS was diagnosed with Travel and Simon's criteria. Pain and pressure pain threshold (PPT) were evaluated.</p><p><strong>Results: </strong>Among 345 OA with neck and shoulder pain, 86% of them were diagnosed with MPS. Most people had trigger points (MTrPs) in the Trapezius muscle (73%) and Infraspinatus muscle (42%), followed by Biceps brachii (22%), Deltoid (18%), Pectoralis major (17%), Sternocleidomastoid (16%), and Levator scapulae (14%). The PPT values of the muscles with the MTrPs were significantly lower on the left side compared to the right side.</p><p><strong>Conclusion: </strong>MPS is highly prevalent (86%) among overhead athletes with neck and shoulder pain.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 2","pages":"e70229"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148017925","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":"Provision of Health Information to Australians With Polymyalgia Rheumatica: Patient Recall and Perceived Opportunities for Improvement.","authors":"Peter G Osmotherly","doi":"10.1002/msc.70238","DOIUrl":"10.1002/msc.70238","url":null,"abstract":"<p><strong>Background: </strong>Most patients with polymyalgia rheumatica (PMR) are managed in primary care. Provision of health information to patients on management strategies and potential side effects is important given the complexity of this condition. This study aimed to describe the recall of information of people with PMR in receiving information from their treating doctor and their perceived need for further information.</p><p><strong>Methods: </strong>Data were taken from a survey between September and November 2024 characterising the presentation and experiences of Australians with PMR collected from an online patient support group. Reported data included recall of provision of information from their treating doctor on aspects of management strategies including pain management, medication side effects, fatigue management and physical activity. Free responses regarding areas of further information desired were provided and thematically analysed.</p><p><strong>Results: </strong>One hundred and forty nine individuals participated in the online questionnaire. Information received on pain management (80.7%), maintaining bone strength (75.7%) and remaining physically active (79.7%) were the topics most recalled by respondents. Information related to fatigue (50.0%), fitness and strength (50.5% and 52.3%) and activity modification (49.1%) were less likely to be recalled. Thematic analysis of free responses revealed a desire for more specific guidance with regard to activity participation and exercise, medication side effects, balancing activity and pain and access to other sources of information.</p><p><strong>Conclusion: </strong>The majority of people with PMR recall receiving information about their condition from their treating doctor but seek further and more specific advice regarding aspects of managing their pain and function. Collaborative opportunities exist to supplement care with other health professionals.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 2","pages":"e70238"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13249787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212972","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":"Trends and Socioeconomic Inequalities in PFQ-Defined Functional Limitation Among U.S. Adults: NHANES 2005-2018.","authors":"Liwei Liu, Haisheng Jia, Shuxiang Chen, Yingjie Liu, Yuting Cao, Guang Hong","doi":"10.1002/msc.70227","DOIUrl":"10.1002/msc.70227","url":null,"abstract":"<p><strong>Background: </strong>Difficulty with physical functioning is relevant to disability surveillance and rehabilitation planning, but national trends and socioeconomic inequalities in higher-burden PFQ-defined functional limitations remain incompletely characterised.</p><p><strong>Methods: </strong>We analysed seven 2-year cycles of NHANES (2005-2018) among adults aged ≥ 20 years. The primary outcome was PFQ-defined functional limitation using a prespecified operational threshold of ≥ 2 difficulties across 20 physical functioning items. Survey-weighted logistic regression estimated per-2-year change (odds ratios [ORs]) overall and within the poverty-income ratio (PIR) and education strata; Wald tests evaluated time × SES interactions. Because the outcome was common, log-link models additionally estimated prevalence ratios (PRs). Supplementary analyses examined alternative thresholds, multiple imputation for missing PIR, alternative handling of response 5 ('do not do this activity'), categorical survey cycle with adjusted prevalence estimates, and PFQ063 as supportive descriptive evidence among participants reporting limitation.</p><p><strong>Results: </strong>The weighted prevalence of PFQ-defined functional limitation increased from 22.1% in 2005-2006 to 30.1% in 2017-2018. Each 2-year cycle was associated with higher odds (OR 1.08, 95% CI 1.05-1.12) and higher prevalence (PR 1.05, 95% CI 1.03-1.08) of limitation. Socioeconomic gradients persisted throughout the study period. Evidence for differential trends was limited overall, with little heterogeneity on the OR scale, modest heterogeneity by PIR on the PR scale, and minimal heterogeneity by education. In multiple-imputation analyses, results were materially similar to the complete-case findings (OR per cycle 1.093 vs. 1.092; PR 1.058 vs. 1.059). Among participants reporting any limitation, musculoskeletal-related causes identified by PFQ063 were associated with a higher likelihood of meeting the ≥ 2-difficulty threshold (OR 2.64, 95% CI 2.35-2.96; PR 1.19, 95% CI 1.16-1.21), which should be interpreted as supportive descriptive evidence rather than validation.</p><p><strong>Conclusions: </strong>PFQ-defined functional limitation increased modestly from 2005 to 2018 and remained socially patterned among U.S. adults. These findings suggest a rising population burden of more severe self-reported functional limitations, while the consistency of supplementary analyses supports the robustness of the overall interpretation.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 2","pages":"e70227"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785540","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":"\"Advanced\" Practice Physiotherapy in Musculoskeletal Care, in the UK and Ireland: A Critical Narrative Review.","authors":"Peter Alan Brookes, Daniel Thomas Jackson","doi":"10.1002/msc.70225","DOIUrl":"10.1002/msc.70225","url":null,"abstract":"<p><strong>Introduction: </strong>Advanced practice physiotherapy is well established within musculoskeletal (MSK) services in the UK and Ireland, yet the meaning of \"advanced\" remains inconsistently defined. Although multiprofessional frameworks conceptualise advanced practice as capability across four pillars: clinical practice, leadership, education, and research, how this is represented within the musculoskeletal physiotherapy literature is unclear.</p><p><strong>Methods: </strong>A critical narrative review with systematic mapping and interpretive synthesis was undertaken. MEDLINE, CINAHL, and Embase were searched from inception to January 2026. Literature describing musculoskeletal advanced practice physiotherapy in the UK and Ireland was included. Data were analysed inductively to examine definitions, governance arrangements, and implicit assumptions underpinning advanced practice.</p><p><strong>Ethical approval: </strong>Ethical approval was not required as this study synthesised published literature.</p><p><strong>Results: </strong>Advanced practice was most commonly operationalised through clinical task expansion, role substitution, and service efficiency. Explicit definitions were uncommon, engagement with non-clinical pillars was inconsistent, and governance and credentialling arrangements were frequently absent or inferred. Implicit assumptions equating experience or task complexity with advancement were widespread.</p><p><strong>Discussion: </strong>The findings highlight a persistent gap between policy intent and enacted practice, contributing to conceptual ambiguity and variability in how advanced practice is understood and implemented.</p><p><strong>Conclusion: </strong>Advanced practice physiotherapy in musculoskeletal care is variably defined and weakly governed within the literature. Greater conceptual clarity and alignment with multiprofessional frameworks are required to support role legitimacy and sustainability.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 2","pages":"e70225"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821994","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 Role of Core Stability Exercises in Lumbopelvic Coordination in Men With Chronic Nonspecific Low Back Pain.","authors":"Hamze Ayazi, Navid Kalani, Mohammad Rabiee, Ali Shafizadeh","doi":"10.1002/msc.70189","DOIUrl":"10.1002/msc.70189","url":null,"abstract":"<p><strong>Background and purpose: </strong>Lumbopelvic rhythm describes the relationship between the lumbar spine and hip motion during trunk bending tasks, while the lumbar lordosis angle represents the normal sagittal curvature of the lumbar spine. This study aimed to investigate the effect of core stabilisation exercises on lumbopelvic rhythm, lumbar lordosis angle, and pain in men with chronic nonspecific low back pain (CNSLBP).</p><p><strong>Methods: </strong>This clinical trial was conducted among men aged 30-50 years with CNSLBP in Chaharmahal and Bakhtiari provinces of Iran. Participants (n = 28) were randomly assigned to an experimental group (n = 14), which received core stabilisation training for eight weeks (three sessions per week, 45-60 min per session), and a control group (n = 14) with no intervention. Lumbopelvic rhythm during trunk flexion and return was assessed using Kinovea software and smartphone video analysis; lumbar lordosis angle was measured using a flexible ruler; and pain levels were assessed using the Visual Analog Scale (VAS).</p><p><strong>Results: </strong>At baseline, there were no significant differences between groups in pain, lumbopelvic rhythm, or lumbar lordosis. After 8 weeks, the experimental group showed a significant reduction in pain compared with the control group (p ≤ 0.05). However, significant changes in lumbopelvic rhythm were only observed in the hip return angle and the lumbar-to-hip ratio during forward bending. No significant differences were found in other angles or in lumbar lordosis.</p><p><strong>Conclusion: </strong>The findings suggested that core stabilisation exercises significantly reduced pain in men with CNSLBP; however, no significant changes were observed in lumbopelvic rhythm patterns or lumbar lordosis angle, suggesting that pain relief may occur through neuromuscular or functional adaptations rather than structural changes in the spine or pelvis.</p><p><strong>Trial registration: </strong>IRCT20240210060953N1 Registration date: 2024/03/09.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 2","pages":"e70189"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857446","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":"Interrater Reliability of the Ankylosing Spondylitis Performance Index in Patients With Axial Spondyloarthritis.","authors":"Christopher Alexander Rasmussen, Sebastian Bülow Mink, Jette Primdahl, Kirsten Lykke Knak","doi":"10.1002/msc.70224","DOIUrl":"10.1002/msc.70224","url":null,"abstract":"<p><strong>Introduction: </strong>In recent years, the Ankylosing Spondylitis Performance Index (ASPI) has emerged as a new objective measure of physical function in patients with axial spondyloarthritis (axSpA). So far, only the relative interrater reliability of the ASPI test has been reported, but the absolute interrater reliability remains to be investigated.</p><p><strong>Objective: </strong>This study investigated the interrater absolute and relative reliability of the ASPI test in patients with axSpA from a [Nordic] country.</p><p><strong>Methods: </strong>Patients with axSpA were recruited from [a Danish] rheumatology outpatient clinic between October and November 2023. The participants performed the ASPI twice with two different raters, with a 15-min pause between tests. Absolute and relative reliability were assessed.</p><p><strong>Results: </strong>Fifty-two participants were included. The standard error measurement for the overall ASPI test was 3.4%, and the minimal detectable difference was 9.5%. The participants performed the ASPI test faster with the second rater (mean 38.15 s (standard deviation, SD 12.16 s) compared to the first rater (40.92 s (SD 12.07 s)) with a statistically significant reduction in time of -2.77 s (SD 4.53 s) (p < 0.001). The intraclass correlation coefficient of the ASPI test was 0.91 (95% CI 0.76-0.96).</p><p><strong>Conclusion: </strong>The study showed high absolute interrater reliability with low interrater measurement error for single individuals and groups in patients with axSpA. The relative reliability was also high. However, ASPI demonstrated a learning effect at group level. This study offers clinically relevant guidance for interpreting differences in the ASPI scores when tests are repeated by different raters, relevant for real-world clinical practice.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 2","pages":"e70224"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13106106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785511","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":"Physical Activity Knowledge in People With Knee Osteoarthritis Before and After Participation in an Education and Exercise Therapy Programme.","authors":"A Couper, M Pazzinatto, A M Ezzat, N F Taylor, J L Kemp, D De Oliveira Silva, C J Barton","doi":"10.1002/msc.70226","DOIUrl":"10.1002/msc.70226","url":null,"abstract":"<p><strong>Objective: </strong>Few people with knee osteoarthritis meet the World Health Organization (WHO) physical activity guidelines, and knowledge of guidelines in this population is not well known. We examined (i) baseline knowledge of physical activity guidelines in people with knee osteoarthritis; (ii) change in knowledge following participation in an education and exercise therapy programme; and (iii) its association with programme adherence and physical activity participation.</p><p><strong>Design: </strong>An observational cohort pre-post study including 1470 participants with knee osteoarthritis (72% female) from the Good Life with osteoArthritis from Denmark (GLA:D) Australia registry. Five multiple-choice questions assessed knowledge of the WHO physical activity guidelines at baseline and at 3 months post baseline. Programme adherence was self-reported and physical activity participation was assessed using the University of California, Los Angeles (UCLA) physical activity scale. Changes in overall knowledge score were assessed through the Wilcoxon test and changes within individual questions were assessed with McNemar's tests. Associations between variables were assessed using Spearman's correlations.</p><p><strong>Results: </strong>The median physical activity knowledge score was 2/5 [IQR 1, 2] correct responses at both baseline and follow-up without change between time points (p = 0.080). Follow-up physical activity knowledge score was not associated with physical activity participation (r_s = 0.020) or programme adherence (r_s = 0.060). 61% of participants attended a minimum of 10 exercise and 2 education sessions.</p><p><strong>Conclusions: </strong>Knowledge of physical activity guidelines is limited among people with knee osteoarthritis and does not appear to change following participation in an education and exercise therapy programme. This large study indicates that physical activity knowledge may not drive physical activity behaviour in people with knee osteoarthritis.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 2","pages":"e70226"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13128535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785495","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}