Musculoskeletal Care最新文献

{"title":"Lower Back Pain Management Through a Digital Musculoskeletal Practice Unit: Pain and Functional Outcomes.","authors":"Jared Aguilar, Calandra White, Myung Choi, Ryan A Grant, Mary I O'Connor","doi":"10.1002/msc.70236","DOIUrl":"10.1002/msc.70236","url":null,"abstract":"<p><strong>Background: </strong>Leading cause of global disability, lower back pain, affects 84% of adults and costs the U.S. $134 billion annually. Traditional care fails to improve outcomes despite rising spending. This study assessed the effectiveness of a digital musculoskeletal integrated practice unit (IPU) in reducing pain and function in adults with back pain.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study of 784 adults (18-95 years) with low back pain enroled in our IPU between September 2023 and February 2025. Intervention included virtual physician/nurse practitioner and physical therapist assessments, coordinated care with health coaching and nutrition counselling, and digital physical therapy. Primary outcomes were improvement in pain (Numeric Pain Rating Scale) and function (Single Assessment Numeric Evaluation). Analyses used paired t-tests for within-subject changes, multivariable linear regression adjusting for baseline severity, follow-up duration, age, sex, and comorbidities, and engagement-stratified analyses to assess associations between visit frequency and outcomes.</p><p><strong>Results: </strong>Among 784 patients (mean age 60.1 ± 17.0 years), mean pain scores decreased 4.94 ± 0.07 to 2.61 ± 0.08 (p < 0.001, Cohen's d = -1.02), with 61.9% achieving the MCID of ≥ 2-point pain reduction. Among patients with severe baseline pain (≥ 7), 78.1% achieved pain MCID. Among the 688 patients (87.8%) with paired functional data, SANE scores increased 51.18 ± 0.96 to 74.97 ± 0.83 (p < 0.001, Cohen's d = 0.94), with 58.0% achieving SANE MCID of ≥ 15 points.</p><p><strong>Conclusions: </strong>Digital musculoskeletal IPU care for low back pain may provide convenient access to care for patients while supporting clinical effectiveness.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 2","pages":"e70236"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158573","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":"Attitudes, Beliefs, and Clinical Decision-Making Regarding Low Back Pain: A Cross-Sectional Study of Pakistani Medical Practitioners, Physiotherapists, and Exercise Professionals.","authors":"Muhammad Naseeb Ullah Khan, Aastha Malhotra, Melainie Cameron","doi":"10.1002/msc.70228","DOIUrl":"10.1002/msc.70228","url":null,"abstract":"<p><strong>Background: </strong>Low back pain (LBP) is a leading global cause of disability, particularly burdensome in LMICs like Pakistan, where biomedical approaches remain dominant in clinical care. This study examined how healthcare professionals' (HCPs) beliefs, attitudes, and confidence influence clinical decision-making for LBP.</p><p><strong>Methods: </strong>A cross-sectional survey of 343 HCPs comprising medical practitioners (n = 123), physiotherapists (n = 124), and exercise professionals (n = 96) in Pakistan was conducted between August 2023 and December 2024. Participants completed the PABS-PT, Medical Scans Beliefs Questionnaire (MSBQ), two clinical vignettes, and rated their confidence in the use of various LBP treatments. Group differences were tested with ANOVA and chi-square. Stepwise linear regression and binary logistic regression identified predictors of confidence, decision-making, and treatment practices.</p><p><strong>Results: </strong>Physiotherapists demonstrated the strongest biomedical orientation (p = 0.01), with no significant group differences in biopsychosocial orientation. MSBQ scores (mean = 17.27) were moderate across all groups, with high agreement that imaging is essential for LBP care. Clinical decisions were predicted by experience, physical activity, gender, and biomedical orientation. Biopsychosocial beliefs predicted greater confidence in pain education, exercise, and CBT (p < 0.001) but not in their actual use. Physiotherapists and exercise professionals were significantly more likely than medical practitioners to employ pain education as a treatment strategy (physiotherapists: OR = 5.7, 95% CI = 3.1-10.7; exercise professionals: OR = 6.0, 95% CI = 3.2-11.3; both p < 0.001).</p><p><strong>Conclusions: </strong>Pakistani HCPs show a prevalent biomedical orientation and share some persistent misconceptions about the value of imaging in LBP care. While biopsychosocial beliefs enhance confidence in evidence-based treatments, translation into practice remains limited. We recommend targeted educational interventions, curricular reforms, and interdisciplinary collaborations to facilitate biopsychosocially informed care.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 2","pages":"e70228"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844517","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":"Acute Clinical Effects of Dual-Task Resistance Exercise on Muscle Endurance and Pressure Sensitivity in Patients With Carpal Tunnel Syndrome After Surgery.","authors":"Rodrigo Núñez-Cortés, Carlos Cruz-Montecinos, Laura López-Bueno, Rubén López-Bueno, Luis Suso-Martí, Joaquín Salazar-Méndez, Guillermo Méndez-Rebolledo, Antoni Morral, Lars Louis Andersen, Joaquín Calatayud","doi":"10.1002/msc.70223","DOIUrl":"10.1002/msc.70223","url":null,"abstract":"<p><strong>Objective: </strong>To examine the acute effect of a self-regulated dual-task during resistance exercise on muscular endurance, pain intensity and pressure pain threshold (PPT) in patients undergoing carpal tunnel release (CTR).</p><p><strong>Methods: </strong>Participants were randomly assigned to resistance exercise combined with a self-regulated cognitive task (dual-task) or resistance exercise alone (single-task). Exercise was prescribed using elastic resistance until task failure with a prespecified intensity of 3 on the Borg CR10 scale. The primary outcome measure was muscular endurance (maximum number of repetitions to failure) for wrist flexors and extensors. Secondary outcomes included pain intensity (visual analogue scale) and pressure sensitivity (PPT). Covariates included: catastrophizing, kinesiophobia, self-efficacy and perceived difficulty.</p><p><strong>Results: </strong>Twenty-two participants (63.6% female) with a mean age of 47.8 ± 10.3 years. Participants performed a greater number of repetitions to failure under the dual-task condition compared with the single-task condition, with increases of 9.7 [95% CI: 5.7-13.8] repetitions for wrist flexion and 12.0 [95% CI: 7.7-16.2] repetitions for wrist extension. Pain intensity decreased in both conditions, with no significant condition or time × condition effects. PPTs increased following exercise at the unaffected hand and at the lateral epicondyle, whereas only a trend was observed at the affected hand. No significant time × condition interactions were identified for pain intensity or PPT. Catastrophizing and kinesiophobia were negatively associated with changes in PPT, whereas self-efficacy showed a positive association.</p><p><strong>Conclusion: </strong>In patients recovering from CTR surgery, dual-tasking as a cognitive distraction strategy acutely improved exercise capacity by increasing the number of repetitions to failure.</p><p><strong>Trial registration: </strong>Protocol Registration Number: ClinicalTrials.gov (NCT05592184).</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 2","pages":"e70223"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13091818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718304","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 Association Between Functional Gait Recovery and Pain Reduction in Musculoskeletal Pain.","authors":"Stephen Stache, Gabriel Furey, Yuval Naveh, Einat Granot-Hershkovitz, Christopher J Mehallo","doi":"10.1002/msc.70233","DOIUrl":"10.1002/msc.70233","url":null,"abstract":"<p><strong>Background: </strong>Musculoskeletal pain (knee or lower back) significantly impairs physical function. Altered gait patterns are often associated with pain, creating a feedback loop. Understanding the relationship between gait and pain is crucial for optimising treatment and monitoring patient progress. The purpose of this study was to investigate the longitudinal association between functional gait improvement and pain reduction in patients with knee or lower back musculoskeletal pain.</p><p><strong>Methods: </strong>Data were analysed from a retrospective cohort of patients attending a clinic between December 2023 and April 2025. Pain was assessed with the Numeric Pain Rating Scale (NPRS, 0-10) at initial evaluation and follow-up (60-150 days) for (a) walking-evoked pain (N = 503) and (b) overall pain at rest (N = 547). Five objective gait parameters (velocity, step length and single-support time) were assessed using a smartphone-based application. Multivariable regression models analysed the relationship between gait improvement and pain reduction, adjusting for demographics and clinical confounders.</p><p><strong>Conclusion: </strong>Participants in both analysis sets demonstrated significant changes in pain and gait. Multivariable regression models, adjusted for confounders, showed that improvements in gait velocity (β = 0.503 NPRS points per 1-SD change) and affected step length (β = 0.409) were significantly associated with greater reductions in walking-evoked pain (p < 0.05). A similar, though weaker, pattern was observed for general pain. Sensitivity analysis of patients with moderate to severe baseline walking-evoked pain (≥ 4) revealed even stronger associations. These findings indicate a moderate-to-high association between functional gait recovery and reduced musculoskeletal pain. The more pronounced relationship for task-specific pain supports the validity of using gait analysis as a direct measure of functional improvement. Objective gait metrics, particularly using scalable technology such as smartphone applications, are valuable outcome measures for clinical practice.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 2","pages":"e70233"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007032","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 Effects of TECAR Therapy in the Treatment of Patients With Myofascial Trigger Points in the Upper Trapezius Muscle: A Randomized Controlled Trial.","authors":"Hojjat Radinmehr, Soulmaz Rahbar, Ailin Talimkhani, Parsa Owliaee, Hanieh Montazerlotf, Mohammad Reza Asadi","doi":"10.1002/msc.70203","DOIUrl":"10.1002/msc.70203","url":null,"abstract":"<p><strong>Objectives: </strong>Myofascial pain syndrome affecting the upper trapezius significantly impairs function, and conventional physiotherapy often has limited efficacy in refractory cases. TECAR therapy has emerged as a potential adjunct treatment, though robust evidence supporting its use remains scarce. This study aimed to evaluate the effects of TECAR therapy on pain reduction, neck range of motion, and Neck Disability Index scores in patients with upper trapezius myofascial trigger points.</p><p><strong>Methods: </strong>This double-blind, randomized controlled trial enrolled 44 participants with active upper trapezius trigger points. Participants were randomly assigned to one of two groups: standard physiotherapy alone or physiotherapy combined with TECAR therapy. Primary outcomes-assessed before and after the intervention-included pain intensity (measured by VAS), cervical lateral flexion range of motion, and functional disability (evaluated using the NDI).</p><p><strong>Results: </strong>The TECAR therapy group showed significantly better outcomes across all measured parameters compared to the control group: greater pain reduction (mean VAS difference: -3.77 vs. -2.33), greater improvement in cervical lateral flexion (+7.50° vs. +4.47°), and more substantial functional recovery (NDI change: -14.90 vs. -6.40). These between-group differences remained statistically significant after adjusting for baseline severity (p < 0.05 for all comparisons).</p><p><strong>Conclusion: </strong>TECAR therapy demonstrates clinically meaningful enhancement of conventional physiotherapy outcomes in upper trapezius myofascial pain, particularly among patients with greater baseline disability. Its noninvasive profile and synergistic treatment effects justify its consideration for integration into standard rehabilitation protocols. However, further research with extended follow-up periods is needed to evaluate its long-term efficacy.</p><p><strong>Trial registration: </strong>Trial Registration Number: IRCT20190202042581N4, Date of trial registration: 2/11/2022.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 2","pages":"e70203"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724394","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":"Non-Surgical Management of People With Frozen Shoulder in the National Health Service: A Review of Publicly Available Patient Information Leaflets.","authors":"Ashlie Winter, Gareth Whelan, Hayley Carter, Lisa Pitt, Natasha Maher, Stacey Lalande, Chris Littlewood","doi":"10.1002/msc.70237","DOIUrl":"10.1002/msc.70237","url":null,"abstract":"<p><strong>Background: </strong>Frozen shoulder, also known as adhesive capsulitis, is a common and disabling condition that causes shoulder pain and progressive stiffness. Patient information leaflets (PILs) are produced by UK National Health Service (NHS) Trusts to help patients understand frozen shoulder and treatment options. However, the content and consistency of these PILs and their alignment with national clinical guidance are currently unclear.</p><p><strong>Objectives: </strong>This study aimed to identify, analyse and describe the non-surgical management recommendations presented in publicly available NHS Trust PILs for frozen shoulder and to assess their alignment with the National Institute for Health and Care Excellence (NICE) Clinical Knowledge Summary and British Elbow and Shoulder Society (BESS) best practice resources.</p><p><strong>Methods: </strong>An online search was undertaken by one reviewer to identify publicly available PILs produced by NHS Trusts detailing non-surgical management of frozen shoulder. Relevant data were extracted and analysed by one reviewer and verified by five reviewers. Descriptive statistics were used to summarise findings.</p><p><strong>Results: </strong>Thirty-eight PILs were identified from 38 NHS Trusts with publication dates ranging from April 2013 to March 2025. Considerable variation was observed in the content, including reference to analgesia, activity modification, exercise prescription and corticosteroid injections. No single PIL reflected all key elements recommended in the NICE Clinical Knowledge Summary and BESS best practice.</p><p><strong>Conclusion: </strong>The findings demonstrate substantial variation in content, frequent misalignment with current national guidance and best practice exercise recommendations. Such variation may limit and may reduce the clarity, consistency and usefulness of information provided to patients.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"24 2","pages":"e70237"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13287040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303475","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":"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":"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":1.5,"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":"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":"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":"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":1.5,"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":"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":"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":1.5,"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}