Musculoskeletal Care最新文献

{"title":"Patient Perspectives on Satisfaction After Physiotherapy Management for Non-Specific Neck Pain: A Phenomenological Qualitative Study.","authors":"Ashvitha, Saloni Shetty","doi":"10.1002/msc.70176","DOIUrl":"10.1002/msc.70176","url":null,"abstract":"<p><strong>Background: </strong>Neck pain is a common musculoskeletal problem that is particularly prevalent in young adults and is frequently brought on by poor posture, repetitive strain, and stress from working environments. Two hundred three million people were estimated to have neck pain with a higher age-standardized prevalence in women than in men by 2020, which is estimated to increase by 2 million by 2050, which makes non-specific neck pain (NSNP) highly prevalent.</p><p><strong>Purpose: </strong>This study aimed to explore patient perspectives and perceptions towards satisfaction post physiotherapy management in NSNP.</p><p><strong>Methods: </strong>A phenomenological qualitative design was employed; 13 patients who completed physiotherapy management for NSNP were recruited through criterion sampling. In-depth interviews were conducted post-management, transcribed verbatim, and analysed using reflective thematic analysis to identify patient satisfaction.</p><p><strong>Results: </strong>Thirteen interviews emerged four themes: (1) Patient Insights and Challenges, (2) Patient Satisfaction and Management Experience, (3) Engagement and Compliance in Physiotherapy, and (4) Holistic Impact of Management. Each theme consisted of three subthemes.</p><p><strong>Conclusions: </strong>This study found that physiotherapy for NSNP reported feeling better afterwards, with improved mobility, reduced pain, and improved mental health. The findings highlight the value of a comprehensive patient centred approach in physical therapy. To support these findings, further research should look at larger populations and longer-term effects.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 3","pages":"e70176"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754811","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 Patients With Rheumatoid Arthritis: A Systematic Review and Meta-Analysis.","authors":"Habiba Sundus, Zoheb Alam Khan, Harun Rashid, Archita Agarwal, Sohrab Ahmad Khan","doi":"10.1002/msc.70173","DOIUrl":"10.1002/msc.70173","url":null,"abstract":"<p><strong>Background: </strong>Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disorder causing joint damage, pain, and functional limitations. While pharmacotherapy remains central to management, physiotherapeutic interventions are increasingly recognised for their supportive role in symptom alleviation and quality of life enhancement.</p><p><strong>Objective: </strong>This systematic review and meta-analysis aimed to evaluate the effectiveness of various physiotherapeutic interventions in reducing pain and improving function and quality of life in patients with RA.</p><p><strong>Methods: </strong>Following PRISMA guidelines, a comprehensive search of PubMed, Scopus, and Web of Science (2010-2025) identified randomized controlled trials (RCTs) assessing physiotherapy modalities in RA. Methodological quality was appraised using the Cochrane RoB 2.0 tool. Pain outcomes were synthesised via meta-analysis using a random-effects model.</p><p><strong>Results: </strong>Seventeen RCTs involving 1362 participants were included. Interventions encompassed aerobic/resistance exercise, hydrotherapy, manual therapy, electrotherapy, and multimodal approaches. Meta-analysis of five trials (n = 307) revealed a statistically significant reduction in pain favouring physiotherapy (SMD = -0.347; 95% CI: -0.571 to -0.124; p = 0.002; I* = 0%). No significant publication bias was detected. Narrative synthesis indicated potential benefits in functional and cardiorespiratory outcomes, especially with combined exercise and lifestyle interventions.</p><p><strong>Conclusions: </strong>Physiotherapeutic interventions, particularly structured exercise programs, demonstrate moderate evidence for pain reduction in RA. Integrating multimodal physiotherapy with diet and adjunct therapies may enhance patient outcomes. Further high-quality, standardized RCTs are warranted to optimise intervention protocols and assess long-term benefits.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 3","pages":"e70173"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761708","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 Acceptability of Musculoskeletal Community Appointment Days: A Mixed-Methods Service Evaluation.","authors":"Simon Ingram, Jonathon Gill, Isadora Stathers, Samantha Jenkins, Eleanor Neville, Alice Berry","doi":"10.1002/msc.70152","DOIUrl":"10.1002/msc.70152","url":null,"abstract":"<p><strong>Background: </strong>Musculoskeletal (MSK) conditions represent an increasing challenge within the NHS. Rising demand has driven a national shift towards more community-based care and supported self-management. Community Appointment Days (CAD) are community-based, full-day events providing access to clinical expertise, community partners and voluntary sector services. The collaborative ethos facilitates a personalised and holistic approach to musculoskeletal health. This evaluation aimed to explore the acceptability of the CAD model.</p><p><strong>Methods: </strong>Following a CAD in the Southwest of England, patient experience was collected using the Friends and Family test and CollaboRATE measure for level of shared decision-making. Interviews were conducted with patients, and a focus group was held with staff. The Theoretical Framework of Acceptability (TFA) informed the interview and focus group guides, and data analysis. Thematic analysis employed a hybrid deductive/inductive approach.</p><p><strong>Results: </strong>The CAD was attended by 130/160 (81%) patients. Experience measures were completed by 97/130 (75%) patients. The Friends and Family test demonstrated that most patients were 'extremely likely' (n = 63, 65%) or 'likely' (n = 32, 33%) to recommend a CAD. The average CollaboRATE score was 10.8/12. One-to-one interviews were completed with 13 patients, and a focus group with 10 staff. Four themes were identified: (1) a positive response to the CAD ethos; (2) the importance of effective planning and communication; (3) effective implementation of the CAD; and (4) potential impact and integration with existing musculoskeletal pathways.</p><p><strong>Conclusion: </strong>The CAD was perceived as an acceptable, personalised, and holistic model of care that supports self-management and cross-sector collaboration for supporting MSK health.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 3","pages":"e70152"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12230276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576656","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":"Physiotherapy for the Management of Polymyalgia Rheumatica: Results From a UK Cross-Sectional Survey.","authors":"Anne V O'Brien, Sara Muller, Jennifer Liddle, Martin J Thomas, Christian D Mallen","doi":"10.1002/msc.70155","DOIUrl":"10.1002/msc.70155","url":null,"abstract":"<p><strong>Introduction: </strong>Polymyalgia rheumatica (PMR) international management guidelines advocate patient education and individualised exercises but lack evidence and physiotherapy practice for PMR is unknown. PMR is typically treated with glucocorticoids, but side effects are frequent and concerning to patients. This study investigated UK physiotherapy practice in PMR.</p><p><strong>Method: </strong>Physiotherapists recruited from UK rheumatology and physiotherapy professional networks and university alumni were invited to complete a postal or online questionnaire. Topics included experiences of managing PMR, perceived role and value of physiotherapy in PMR, assessment and management priorities and physiotherapists' education about PMR. Results were summarised using descriptive statistics.</p><p><strong>Results: </strong>4288 invitations to participate were sent, and 1072 (25%) responses were received. Physiotherapy referrals for PMR were infrequent; 5.8% of respondents had treated ≥ 10 patients in the previous year. 80% of respondents advocated a physiotherapy role for PMR. 38% reported receiving some pre-registration education about PMR within their qualifying physiotherapy programme. Establishing patients' knowledge and understanding of PMR, pain levels, and ability to undertake activities of daily living were physiotherapists' assessment priorities. 90% of respondents promoted self-management approaches, including pacing and activity modification. Prioritising upper limbs, 89% prescribed individualised graded exercises to improve movement, muscle strength and activities of daily living function.</p><p><strong>Conclusion: </strong>A positive role for physiotherapy was reported for some people with PMR. Exercise, education and advice to improve daily functioning may be useful adjuncts to glucocorticoids. The limited PMR education for UK physiotherapists warrants attention. Further research is needed to evaluate the effectiveness of physiotherapy approaches for PMR.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 3","pages":"e70155"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12230277/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576655","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":"Effect of Interdisciplinary Discharge Programme on Daily Function, Quality of Life, and Pain Intensity in Patients Undergoing Joint Replacement Surgery.","authors":"Mohamad Ghasempour, Aliasghar Alamian, Alireza Amanollahi, Shideh Badeleh, Soolmaz Moosavi","doi":"10.1002/msc.70160","DOIUrl":"10.1002/msc.70160","url":null,"abstract":"<p><strong>Introduction: </strong>Osteoarthritis is a common cause of pain and disability, especially in adults over 65 years of age, with hip and knee joints most frequently affected. While total hip and knee arthroplasties are effective treatments for advanced cases, patients often face postoperative complications and challenges in resuming daily activities. Interprofessional collaboration (IPC) has shown potential to improve outcomes but remains underutilised in some settings, including Iran. This study aimed to assess the impact of an interprofessional discharge programme on quality of life, daily functioning and pain in patients undergoing hip and knee replacement.</p><p><strong>Methods: </strong>In this quasi-experimental study, 90 patients aged ≥ 50 years undergoing primary unilateral hip or knee replacement in Tehran (2024) were randomly assigned to intervention or control groups. The intervention group received an IPC-based discharge programme and the control group received routine care. Outcomes were measured preoperatively and after one and three months postoperatively using SF-36, Numerical Rating Scale, Harris Hip Score, and Knee Outcome Survey-ADLS. Data were analysed using linear mixed models.</p><p><strong>Results: </strong>No significant differences were found between groups in any outcome measures or surgery types at one or 3 months postoperatively (p > 0.05). However, the intervention group showed significantly improved daily functioning at 3 months (p = 0.01 for hip; p = 0.05 for knee). BMI was significantly associated with daily functioning after knee surgery (p < 0.05).</p><p><strong>Conclusion: </strong>The interprofessional discharge programme had limited impact, with only modest improvement in daily functioning. Individual factors, including BMI, should be considered in future postoperative care planning.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 3","pages":"e70160"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601883","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":"Exploration of Implementation and Uses of Telerehabilitation in Physical Therapy in France During the COVID-19 Pandemic.","authors":"Pauline Lemersre, Raphael Vincent, Diana Zidarov","doi":"10.1002/msc.70170","DOIUrl":"10.1002/msc.70170","url":null,"abstract":"<p><strong>Objective: </strong>To understand, through the study of telerehabilitation introduction, whether telerehabilitation in physical therapy ('masso-kinésithérapie') represents a lasting change in professional practices in France.</p><p><strong>Methods: </strong>A triangulation of different qualitative methodologies was used, including eight semi-structured interviews, an observation of a telerehabilitation session and a participant and retrospective observation. A specific interview guide was developed for the interviews and another specific guide was developed for the telerehabilitation session observation to analyse this session. All semi-structured interviews were transcribed, and an in-depth thematic analysis based on grounded theory was performed.</p><p><strong>Results: </strong>Three key themes emerged from our analysis. Firstly, physiotherapists quickly adopted telerehabilitation due to the widespread use of digital technologies and perceived clinical benefits. Secondly, they adapted their care delivery methods, transitioning from in-person to digital formats, and engaged in self-learning and peer support. These changes led to modifications in workspaces and communication practices, fostering closer relationships between physiotherapists and patients. Lastly, the implementation of telerehabilitation faces challenges, including technical difficulties, the lack of physical contact, and an unfavourable implementation context.</p><p><strong>Conclusion: </strong>Our results provide key elements to focus on for telerehabilitation implementation in physical therapy and professions for which professional practice is strongly associated with hands-on interventions.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 3","pages":"e70170"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754810","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":"Remote Sensor-Based Monitoring in Low Back Pain Management: A Review of Outcomes Related to Quality of Life and Rehabilitation Care.","authors":"Himanshu Gakhar, Sarika Bhati, Sonia Pawaria","doi":"10.1002/msc.70168","DOIUrl":"10.1002/msc.70168","url":null,"abstract":"<p><strong>Background: </strong>Low back pain (LBP) is one of the most prevalent musculoskeletal conditions globally, often leading to diminished quality of life, reduced physical function, and increased healthcare utilization. Recent advancements in remote sensor-based technologies have introduced innovative methods for continuous monitoring and personalised rehabilitation of individuals with LBP.</p><p><strong>Objective: </strong>This Narrative review aims to explore and synthesize current evidence on the use of remote sensor-based monitoring in the management of low back pain, with a focus on outcomes related to quality of life, functional recovery, and patient-centred care.</p><p><strong>Methods: </strong>A systematic search was performed across four major databases-PubMed, Scopus, Web of Science, and Google Scholar-for studies published between 2010 and 2025. Search terms included low back pain, remote monitoring, wearable sensors, digital health, and rehabilitation outcomes. Inclusion criteria comprised randomized controlled trials, cohort studies, systematic reviews, scoping and literature reviews that examined sensor-driven interventions in outpatient or home-based LBP rehabilitation settings.</p><p><strong>Results: </strong>The review identified evidence supporting the use of wearable sensors in enhancing patient engagement, tracking physical activity, and enabling real-time feedback during exercises. Improvements were noted in pain management, functional mobility, and patient-reported quality of life. Moreover, remote monitoring promoted adherence and early detection of relapses. Nonetheless, heterogeneity in sensor types, data interpretation, and outcome reporting was observed across studies.</p><p><strong>Conclusion: </strong>Remote sensor-based monitoring holds significant potential to complement conventional rehabilitation strategies for low back pain. Future research should prioritise standardized frameworks, integration into clinical pathways, and evaluation of long-term cost-effectiveness and patient acceptability.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 3","pages":"e70168"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668680","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 Effect of Early Post-Operative Outpatient Physiotherapy on Outcomes Following Lower Limb Arthroplasty: A Systematic Review and Meta-Analysis.","authors":"Simỡne LeBel, Matthew G King, Adam I Semciw, David A Snowdon","doi":"10.1002/msc.70162","DOIUrl":"10.1002/msc.70162","url":null,"abstract":"<p><strong>Background: </strong>Although joint arthroplasties are generally successful, many patients experience persistent impairments. It is unknown whether early outpatient physiotherapy can address these persistent impairments.</p><p><strong>Objective: </strong>To determine whether early outpatient physiotherapy, compared with delayed physiotherapy, improves pain, physical function and quality of life (QOL) in patients following lower limb arthroplasty.</p><p><strong>Method: </strong>A systematic review and meta-analysis was conducted following the PRISMA guidelines. Searches were conducted across MEDLINE, Embase, CINAHL, Cochrane and PsycINFO. Eligible studies included randomised control trials (RCTs) comparing early and delayed physiotherapy in patients after lower limb arthroplasty. Data were pooled using a random-effects model. Risk of bias assessment was completed using the Physiotherapy Evidence Database scale. The Grading of Recommendations Assessment, Development and Evaluation approach was used to assess the certainty of evidence.</p><p><strong>Results: </strong>Three RCTs involving 224 participants undergoing joint arthroplasty (lateral uni-compartment knee replacement, total knee replacement and total hip replacement) were included. Meta-analyses demonstrated no significant differences in pain, physical function or QOL between early and delayed physiotherapy in short, medium or long term follow-ups. The certainty of evidence ranged from very low to low, with negligible to minimal effect sizes indicating minimal clinical relevance.</p><p><strong>Conclusion: </strong>The systematic review and meta-analysis found low to very low quality evidence that early outpatient physiotherapy following knee or hip joint arthroplasty does not improve pain, physical function or QOL compared with delayed physiotherapy. Future research should aim to confirm modifiable risk factors contributing to poor outcomes post-operatively and evaluate the effectiveness of early targeted physiotherapy in these high-risk subgroups.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 3","pages":"e70162"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638330","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":"Impact of a Decision Aid on Perceptions of Shared Decision-Making in the Primary Care Management of Patients With Subacromial Pain Syndrome: A Two-Phased Multi-Methods Study.","authors":"Samantha C Bengtsen, Michael S Rathleff, Joshua R Zadro, Jens L Olesen, Nadine E Foster, Janus L Thomsen, Glyn Elwyn, Jens Søndergaard, Kristian D Lyng","doi":"10.1002/msc.70172","DOIUrl":"10.1002/msc.70172","url":null,"abstract":"<p><strong>Background: </strong>Subacromial pain syndrome (SAPS) is the most common shoulder pain condition in primary care. Despite the importance of shared decision-making (SDM) being increasingly recognised, its application in SAPS care remains poorly understood. The primary aim of this study was to explore the influence of a decision aid on patient and observer perceptions of SDM, and secondarily to explore correlations between these ratings in the primary care management of patients with SAPS.</p><p><strong>Methods: </strong>We conducted a multi-methods study including observations of consenting patients with SAPS in their clinical consultations with clinicians from four Danish primary care practices using OPTION-12. We gathered patients' perceptions of SDM 2 weeks after the consultation using the CollaboRATE questionnaire and Shared Decision-Making Questionnaire (SDM-Q-9). We observed consultations with and without the introduction of a decision aid tailored to support the management of patients.</p><p><strong>Results: </strong>Thirty-four consultations were observed (16 with and 18 without the decision aid). Without the aid, the mean (SD) OPTION-12 score was 10.5 (3.3), while the median (IQR) CollaboRATE and mean (SD) SDM-Q-9 scores were 5 (1.3) and 22.2 (7.5), respectively. With the aid, scores significantly increased: OPTION-12 to 22.7 (6.87, range 5-32), CollaboRATE to 6.5 (1.4), and SDM-Q-9 to 30.6 (8.4). Patients' and observers' OPTION-12 and SDM-Q-9 scores correlated significantly across both phases, but no significant correlation was found between CollaboRATE, OPTION-12, and SDM-Q-9 scores in either phase.</p><p><strong>Conclusion: </strong>A decision aid significantly improved observer- and patient-rated SDM in primary care consultations for patients with SAPS. Observer-rated SDM scores more than doubled with the decision aid, and patients reported higher levels of SDM.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 3","pages":"e70172"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12358763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875920","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 Efficiency of Insoles on Quality of Life, Functional Balance and Mobility in Elderly People.","authors":"Sara Eftekhari, Atefeh Aboutorabi, Zhale Zandieh, Farhoud Saeid Ershadi, Masoumeh Veiskarami","doi":"10.1002/msc.70149","DOIUrl":"10.1002/msc.70149","url":null,"abstract":"<p><strong>Objective: </strong>Ageing leads to declines in physiological function, impairing mobility, and increasing the risk of falls. Muscle atrophy, particularly in the intrinsic foot muscles, exacerbates these issues. This study evaluates the effects of two types of insoles on balance, mobility, and quality of life in older adults.</p><p><strong>Methods: </strong>A controlled clinical trial was conducted with 30 participants aged 60 and older assigned to either a thin rigid heel cup insole (TRHI) or a toe-grip insole (TGI). Primary outcomes, including balance, mobility, and quality of life, were assessed using the Berg Balance Scale, Timed Up and Go (TUG) test, and the SF-36 questionnaire, at baseline and after one month of use.</p><p><strong>Results: </strong>Both groups were comparable at baseline (p > 0.05). Significant improvements were observed in the TGI group regarding quality of life, functional balance, and mobility (p < 0.05), with pain reductions (p < 0.001). While both groups showed within-group improvements, the TGI group demonstrated superior mobility (p < 0.05).</p><p><strong>Conclusion: </strong>Both types of insoles improved balance, mobility, and pain in the elderly, with greater benefits for mobility was shown in TGI group. These findings suggest that insoles can effectively enhance balance, reduce fall risk, and improve quality of life and functional independence in elderly individuals.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 3","pages":"e70149"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601884","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}