Musculoskeletal Care最新文献_第3页

Exploring Barriers and Facilitators to Self-Management for Patients With Persistent Musculoskeletal Conditions Following NHS-Led Hydrotherapy: A Service Evaluation. 探索障碍和促进自我管理的持续性肌肉骨骼疾病患者在nhs主导的水疗：服务评估。

IF 1.5

Musculoskeletal Care Pub Date : 2025-03-01 DOI: 10.1002/msc.70075

Natasha Pathak, Roger Newham, Neil Smith, Roanna Burgess

{"title":"Exploring Barriers and Facilitators to Self-Management for Patients With Persistent Musculoskeletal Conditions Following NHS-Led Hydrotherapy: A Service Evaluation.","authors":"Natasha Pathak, Roger Newham, Neil Smith, Roanna Burgess","doi":"10.1002/msc.70075","DOIUrl":"10.1002/msc.70075","url":null,"abstract":"Introduction: Persistent musculoskeletal (MSK) disorders are one of the leading reasons for years lived with disability within the UK. Guidelines encourage integrating self-management support. Hydrotherapy supports patients with persistent MSK conditions; however, self-management following NHS-led hydrotherapy has been inconsistent.Aim: To identify outcomes of hydrotherapy alongside the barriers, facilitators, and contributory factors affecting self-management in the local persistent MSK pain population.Methods: Between April 2023 and May 2023, a service evaluation was undertaken exploring factors affecting self-management in the local persistent MSK pain population following NHS-led hydrotherapy. Demographics, clinical factors, functional status (MSK-HQ) and patient-reported experiences, including barriers and facilitators to self-management, were recorded. Data was analysed using descriptive statistics alongside exploration of themes.Results: Ninety patients completed hydrotherapy. White British (n = 24) and Indian British (n = 23) were the most common groups to attend. Multiple joint (n = 27) and spinal conditions (n = 26) were the most common MSK conditions. Mean pre- and post-MSK-HQ scores were 20.8 and 26.1, respectively. Among the contactable patients (n = 69), 49 patients did not maintain independent water-based self-management reporting barriers such as ongoing support, access and financial concerns. Patients supported the establishment of a support group (n = 56) to help maintain water-based exercises.Conclusions: The local persistent MSK pain population lacks self-efficacy for independent water-based self-management. A supportive and collaborative approach is proposed to address this via a patient-led hydrotherapy support group.","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 1","pages":"e70075"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516956","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}

引用次数: 0

Corticosteroid Injections for Frozen Shoulder: A Global Online Survey of Health Professionals' Current Practice and Opinion. 皮质类固醇注射治疗肩周炎：健康专业人员目前的实践和意见的全球在线调查。

IF 1.5

Musculoskeletal Care Pub Date : 2025-03-01 DOI: 10.1002/msc.70078

Christine Bilsborough Smith, Victoria Ryan, Dave Annison, Melinda Cairns, Rachel Chester, Jeremy Lewis

{"title":"Corticosteroid Injections for Frozen Shoulder: A Global Online Survey of Health Professionals' Current Practice and Opinion.","authors":"Christine Bilsborough Smith, Victoria Ryan, Dave Annison, Melinda Cairns, Rachel Chester, Jeremy Lewis","doi":"10.1002/msc.70078","DOIUrl":"10.1002/msc.70078","url":null,"abstract":"Introduction: Frozen shoulder is a disabling condition characterised by severe pain and loss of shoulder movement. Corticosteroid injections are targeted at reducing pain in the earlier painful phase. There are multiple studies on the effectiveness of injections for frozen shoulder, but none were identified to assess if this guidance has been translated into clinical practice. The aim of this survey was to investigate the current practice and opinion of musculoskeletal health professionals regarding corticosteroid injections for frozen shoulder.Design and methods: The online survey was disseminated via the social media platform 'X' (at the time of the survey known as Twitter) over a 5-week period. Recruitment was by the 'snowball' effect. Responses to multiple choice survey questions were analysed with descriptive data. Free text questions were analysed using content analysis.Results: The number of respondents to the survey was 235. Respondents felt injections have an important role in the management of frozen shoulder (155/235, 66%) and the best time to inject is during the pain predominant phase (191/233; 82%). The glenohumeral joint was the preferred anatomical site to inject (136/235; 58%) with triamcinolone as the preferred steroid (66/155; 43%). A steroid dose of 40 mg/mL was favoured by 55% (83/151) of respondents.Conclusion: Corticosteroid injections play an important role in the management of frozen shoulder. There was consensus for the type and dose of corticosteroid and anaesthetic; however, the range of preparations used indicated that many decisions may be based on personal preference or local guidelines.","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 1","pages":"e70078"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11946008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732061","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}

引用次数: 0

The Effectiveness of Virtual Reality-Based Rehabilitation Versus Conventional Methods in Enhancing Functional Outcomes for Post-Operative Lower Limb Patients: A Systematic Review. 基于虚拟现实的康复与传统方法在增强下肢术后患者功能预后方面的有效性：一项系统综述。

IF 1.5

Musculoskeletal Care Pub Date : 2025-03-01 DOI: 10.1002/msc.70061

Aditi Thakur, Priyanka Rishi, Priyanka Sivach

{"title":"The Effectiveness of Virtual Reality-Based Rehabilitation Versus Conventional Methods in Enhancing Functional Outcomes for Post-Operative Lower Limb Patients: A Systematic Review.","authors":"Aditi Thakur, Priyanka Rishi, Priyanka Sivach","doi":"10.1002/msc.70061","DOIUrl":"10.1002/msc.70061","url":null,"abstract":"Background: After surgery, physical therapy is thought to be crucial for getting the best results. A growing number of people believe that virtual reality (VR) could be a useful tool for providing medical interventions. The impact of VR-based rehabilitation on results after lower limb surgeries is examined in this systematic analysis.Objectives: Evaluating the effectiveness of virtual reality and related technologies in postoperative lower limb rehabilitation using a systematic study.Design: systematic review of relevant literature (PROSPERO ID: CRD42024605158).Methods: The databases PubMed, Cochrane, Scopus, PEDro, and Google Scholar were used to search for the literature. To identify papers that satisfied the inclusion criteria, titles, abstracts, and then the full texts were screened. The methodological qualities of the studies were evaluated using the 11-point PEDro scale. Risk of Bias evaluation was performed through the Risk of Bias 2 (RoB 2) tool in Cochrane review tools.Results: Twenty-four studies met the inclusion criteria. Combined results showed that virtual reality (VR) and game-based interventions appear to be effective and safe adjuncts to traditional rehabilitation for lower limb surgeries, improving outcomes such as pain relief, proprioception, balance, and motivation, though their superiority over standard rehabilitation alone remains inconsistent and warrants further research.Conclusion: VR and game-based rehabilitation enhance traditional therapy for knee and hip surgeries, but further research is needed to confirm long-term benefits and effectiveness.","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 1","pages":"e70061"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081506","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}

引用次数: 0

An Exploration of the Content and Language Used in Publicly Available National Health Service Patient Information Leaflets for People Considering Shoulder Replacement Surgery: A Qualitative Study. 一项质性研究：对考虑进行肩关节置换手术的公众可获得的国家卫生服务患者信息单张的内容和语言的探索。

IF 1.5

Musculoskeletal Care Pub Date : 2025-03-01 DOI: 10.1002/msc.70079

Maria Moffatt, Nina Chalmers, Chris Littlewood

{"title":"An Exploration of the Content and Language Used in Publicly Available National Health Service Patient Information Leaflets for People Considering Shoulder Replacement Surgery: A Qualitative Study.","authors":"Maria Moffatt, Nina Chalmers, Chris Littlewood","doi":"10.1002/msc.70079","DOIUrl":"10.1002/msc.70079","url":null,"abstract":"Objectives: The decision to undergo total shoulder replacement surgery is a major one and should be a joint one between the patient and surgeon. It is important that patients are provided with accessible, meaningful and appropriate information to enable an informed decision. The aim of this study was to explore the content and language used within publicly available information leaflets produced by UK National Health Service (NHS) Trusts for people considering shoulder replacement surgery and to consider how this may influence surgical decision making.Design: An online search of publicly available NHS shoulder replacement patient information leaflets (PIL) was undertaken. The text within the PIL was analysed using reflexive thematic analysis.Results: Thirty-eight PIL were identified. The volume of information and content varied greatly. All PIL discussed the clinical problem, mainly within a biomedical framework and from a clinician's perspective in which normal shoulder anatomy was contrasted with shoulder pathology. Only a minority of the PIL discussed non-surgical treatments and of those that did, such approaches were predominantly portrayed as a temporary management option only, whilst surgery was frequently portrayed as the optimum treatment.Conclusion: There is variation in the content of NHS shoulder replacement PIL. The content and language used may not adequately support people in making an informed decision about whether surgery is the right treatment option for them. We need to better understand the information needs of people considering shoulder replacement surgery, and provide information that is accessible, culturally sensitive, and capable of facilitating shared decision making.","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 1","pages":"e70079"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11893374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598136","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}

引用次数: 0

Improving Standards of Care for Axial Spondyloarthritis Through Project CATALYST: Experience From Two UK Centres. 通过CATALYST项目提高中轴性脊柱炎的护理标准：来自两个英国中心的经验。

IF 1.5

Musculoskeletal Care Pub Date : 2025-03-01 DOI: 10.1002/msc.70073

Niamh Kennedy, Catherine Tonks, Keir Young, Tim Blake, Adrian Pendleton, Caroline Clarke, Tanya Rooney, Liesbet Van Rossen

引用次数: 0

Postoperative Rehabilitation Interventions in Patients at Risk of Poorer Outcomes Following Total Knee Arthroplasty: A Systematic Review. 全膝关节置换术后不良预后风险患者的术后康复干预：一项系统综述。

IF 1.5

Musculoskeletal Care Pub Date : 2025-03-01 DOI: 10.1002/msc.70054

Motahareh Karimijashni, Samantha Yoo, Keely Barnes, Héloïse Lessard-Dostie, Armaghan Dabbagh, Tim Ramsay, Stéphane Poitras

{"title":"Postoperative Rehabilitation Interventions in Patients at Risk of Poorer Outcomes Following Total Knee Arthroplasty: A Systematic Review.","authors":"Motahareh Karimijashni, Samantha Yoo, Keely Barnes, Héloïse Lessard-Dostie, Armaghan Dabbagh, Tim Ramsay, Stéphane Poitras","doi":"10.1002/msc.70054","DOIUrl":"10.1002/msc.70054","url":null,"abstract":"Purpose: This systematic review evaluated the efficacy of postoperative rehabilitation for patients at risk of poorer outcomes after total knee arthroplasty.Methods: Six databases were searched, and only randomised controlled trials were included. Two reviewers independently screened, extracted data, and appraised the quality of the studies.Results: Twenty-three studies were included. Insufficient evidence supports cognitive behavioural therapy for patients with kinesiophobia, while continuous passive motion may not be effective for range of motion deficits. The impact of exercise therapy on functional recovery is conflicting; however, longer durations tend to be more effective for older patients and those with functional limitations. Limited evidence suggests that exercise may not alleviate pain. Outpatient exercise therapy improves health-related quality of life more than home-based programs for older patients and those with functional limitations. The efficacy of other rehabilitation aspects remains inconclusive due to high heterogeneity in interventions and outcome measures, and high or unclear risk of bias in most studies.Conclusion: While limited evidence suggests benefits for specific rehabilitation interventions, there is insufficient data to assess the efficacy of most interventions on postoperative recovery in those at risk of poorer outcomes. More robust evidence is needed to guide clinical practice and standardise outcome measures.Trail registration: PROSPERO CRD42022355574.","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 1","pages":"e70054"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11757015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034549","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}

引用次数: 0

Low Back Pain Incidence Trends Globally, Regionally, and Nationally, 1990-2019: An Age-Period-Cohort Analysis, Cross-Sectional Studies. 1990-2019年全球、地区和国家腰痛发病率趋势：年龄时期队列分析，横断面研究

IF 1.5

Musculoskeletal Care Pub Date : 2025-03-01 DOI: 10.1002/msc.70056

Fei Wang, Yu Cao, Hao Lu, Yuehan Pan, Shibo Huang, Youping Tao, Jigong Wu

{"title":"Low Back Pain Incidence Trends Globally, Regionally, and Nationally, 1990-2019: An Age-Period-Cohort Analysis, Cross-Sectional Studies.","authors":"Fei Wang, Yu Cao, Hao Lu, Yuehan Pan, Shibo Huang, Youping Tao, Jigong Wu","doi":"10.1002/msc.70056","DOIUrl":"10.1002/msc.70056","url":null,"abstract":"Introduction: Low back pain (LBP) imposes a significant burden on global health, yet it remains deficient in comprehensive investigations pertaining to its incidence patterns. The aim of this study was to analyse global, regional and national trends and associated factors in the incidence of LBP from 1990-2019.Methods: In order to examine global and country-specific 30-year incidence patterns of LBP, data were obtained from the 2019 Global Burden of Disease Study. An age-period cohort (APC) model was utilised to determine annual percent changes, age-specific changes, and period/cohort effects.Results: The age-standardized global LBP incidence rate significantly declined from 1990-2019. However, the absolute number of cases increased by 2.39 billion, predominantly in middle-, low-middle- and low-socio-demographic index (SDI) regions, affecting mostly 50-69 years old with a higher incidence in women. LBP incidence increased progressively from low to high SDI regions. Period and cohort effects trended downward in all regions except high-SDI countries, which had the lowest incidence decline and a slight rebound after 2012.Conclusions: Our study updates global and regional LBP incidence from 1990-2019 using APC modelling, showing declining age-standardized rates globally but increased case numbers due to population growth and ageing. Prevention likely helped reduce incidence, but more health strengthening and minimally invasive treatments are still needed, especially where LBP has plateaued or rebounded recently.","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 1","pages":"e70056"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450340","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}

引用次数: 0

Effect of Pilates Exercises on Pain, Endurance, Quality-of-Life, and Disability in Postmenopausal Women With Low Back Pain. 普拉提运动对绝经后腰痛妇女疼痛、耐力、生活质量和残疾的影响。

IF 1.5

Musculoskeletal Care Pub Date : 2025-03-01 DOI: 10.1002/msc.70071

C Nageswari, N Meena, Sachin Gupta, B Thillaieaswaran

{"title":"Effect of Pilates Exercises on Pain, Endurance, Quality-of-Life, and Disability in Postmenopausal Women With Low Back Pain.","authors":"C Nageswari, N Meena, Sachin Gupta, B Thillaieaswaran","doi":"10.1002/msc.70071","DOIUrl":"10.1002/msc.70071","url":null,"abstract":"Purpose: To determine the effect of Pilates exercises on pain, endurance, quality-of-life, and disability in post-menopausal women with low back pain.Methods: After obtaining signed written consent, 128 women in the post-menopausal stage were randomly allocated to two groups: group 'A' (experimental) and group 'B' (control-conventional). The participants underwent evaluations for disability using the Oswestry Disability Scale. Pain levels were recorded using a numerical pain rating scale (NPRS), while endurance was tested using the Krause Weber test. Quality of life (QOL) was evaluated using the Menopause-Specific Quality of Life (MENQOL) Questionnaire.Results: Both the exercises Pilates (group A) and the conventional exercise (group B) showed improvement and compared to group B, group A showed significant changes in all outcome variables.Conclusion: Pilates training proves superior to conventional physical therapy for alleviating non-specific LBP and enhancing lumbar health in post-menopausal women.Trial registration: Clinical Trials Registry-India (CTRI), CTRI/2024/04/065057. Registered on 02/04/2024.","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 1","pages":"e70071"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433718","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}

引用次数: 0

Treatment Utilisation and Satisfaction With Management in Individuals With Osteoarthritis and Metabolic Multimorbidity: A Cross-Sectional Multi-Country Study. 骨性关节炎和代谢性多重疾病患者的治疗利用和管理满意度：一项多国横断面研究。

IF 1.5

Musculoskeletal Care Pub Date : 2025-03-01 DOI: 10.1002/msc.70058

Filippo Recenti, Andrea Dell'isola, Benedetto Giardulli, Marco Testa, Polina Pchelnikova, Mwidimi Ndosi, Simone Battista

{"title":"Treatment Utilisation and Satisfaction With Management in Individuals With Osteoarthritis and Metabolic Multimorbidity: A Cross-Sectional Multi-Country Study.","authors":"Filippo Recenti, Andrea Dell'isola, Benedetto Giardulli, Marco Testa, Polina Pchelnikova, Mwidimi Ndosi, Simone Battista","doi":"10.1002/msc.70058","DOIUrl":"10.1002/msc.70058","url":null,"abstract":"Purpose: To compare treatment utilisation for osteoarthritis (OA) and satisfaction with OA management between individuals with and without comorbid metabolic conditions (e.g., diabetes, obesity, dyslipidaemia, hypertension).Methods: Secondary analysis of a cross-sectional international survey study (Italy, Russia, Sweden) on people ≥ 40 years old with knee/hip OA. Metabolic comorbidity was self-reported. We used direct standardisation with prevalence ratios and mixed-effect models to estimate the associations between comorbidity with treatment utilisation and satisfaction (score 0-100).Results: We analysed 401 individuals (48% Sweden, 28% Italy, 24% Russia; 53% with ≥ 1 metabolic condition). Those with and without comorbid metabolic conditions showed similar prevalence for first-line interventions (exercise, education, and weight management). Metabolically unhealthy individuals showed higher use of opioids (prevalence ratio [95% CI] 1.9 [1.3-2.4]), antidepressants (1.8 [1.1-2.5]), corticosteroid injections (1.4 [1.0-1.8]), and homoeopathic products (2.1 [1.2-3.0]). Satisfaction with care (adjusted difference: -3.9 [95% CI: -8.5 to 2.4]) and information received about treatments (-4.0 [-9.7 to 1.7]) were similar.Conclusions: While first-line OA interventions were similarly used, those with metabolic conditions relied more on second-line and non-recommended treatments, showing comparable satisfaction. More effort is needed to increase the adoption of lifestyle-focused treatments in OA and to minimise the use of less recommended options among individuals with metabolic comorbidities.","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 1","pages":"e70058"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11757013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034551","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}

引用次数: 0

Quality of Life With Ehlers-Danlos Syndrome/Joint Hypermobility Syndrome: A Systematic Review of Psychosocial Interventions. ehers - danlos综合征/关节过度活动综合征的生活质量：社会心理干预的系统回顾。

IF 1.5

Musculoskeletal Care Pub Date : 2025-03-01 DOI: 10.1002/msc.70070

Erika Bohling-Davis, Boushra Khan-Lodhi, Elizabeth Jenkinson, Maddie Tremblett, Jane Meyrick

{"title":"Quality of Life With Ehlers-Danlos Syndrome/Joint Hypermobility Syndrome: A Systematic Review of Psychosocial Interventions.","authors":"Erika Bohling-Davis, Boushra Khan-Lodhi, Elizabeth Jenkinson, Maddie Tremblett, Jane Meyrick","doi":"10.1002/msc.70070","DOIUrl":"10.1002/msc.70070","url":null,"abstract":"Background: Psychosocial interventions may improve QoL in people with wider chronic pain conditions. However, the evidence requires refining for application to EDS/JHMS. This systematic review aimed to identify, assess and synthesise the evidence of the effectiveness of psychosocial interventions concerning EDS/JHMS. EBSCO, OpenGrey, Cochrane, Prospero, Researchgate and BPS Wiley online were searched for papers published approximately 2000-2024 for studies in which (1) Participants diagnosed with EDS/JHMS. (2) Quantitative or mixed methods. (3) Assessed a Psychosocial intervention to a (4) quality of life outcome. (5) in English. EPHPP quality assessment tool was used to assess the quality and risk of bias.Main text: The study identified six studies, including 343 participants aged 13-69 (F = 248, M = 8), of unknown ethnicity. Five studies were cohort and one non-randomised controlled trial. Key methodological flaws included no reported effect size and no control group. With quality assessed as low (5) or moderate (1), there was weak evidence that psychosocial interventions containing mindfulness and CBT resulted in a general improvement in QoL compared to no intervention.Conclusions: Findings from this review indicate the potential of mindfulness and CBT in improving QOL in EDS/JHMS and, in some studies, pain and fatigue. However, existing research is at high risk of bias, has low methodological quality, and is predominately focused on female patients. Future research should adopt methodologically robust approaches such as RCTs and more inclusive samples and consider co-production.","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 1","pages":"e70070"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426415","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}

引用次数: 0