Journal of Orthopaedic & Sports Physical Therapy最新文献

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Rotator Cuff Tendinopathy Diagnosis, Nonsurgical Medical Care, and Rehabilitation: A Clinical Practice Guideline.
IF 6 1区 医学
Journal of Orthopaedic & Sports Physical Therapy Pub Date : 2025-04-01 DOI: 10.2519/jospt.2025.13182
François Desmeules, Jean-Sébastien Roy, Simon Lafrance, Maxime Charron, Marc-Olivier Dubé, Frédérique Dupuis, Jason M Beneciuk, Jason Grimes, H Mike Kim, Martin Lamontagne, Karen McCreesh, Ellen Shanley, Tatiana Vukobrat, Lori A Michener
{"title":"Rotator Cuff Tendinopathy Diagnosis, Nonsurgical Medical Care, and Rehabilitation: A Clinical Practice Guideline.","authors":"François Desmeules, Jean-Sébastien Roy, Simon Lafrance, Maxime Charron, Marc-Olivier Dubé, Frédérique Dupuis, Jason M Beneciuk, Jason Grimes, H Mike Kim, Martin Lamontagne, Karen McCreesh, Ellen Shanley, Tatiana Vukobrat, Lori A Michener","doi":"10.2519/jospt.2025.13182","DOIUrl":"https://doi.org/10.2519/jospt.2025.13182","url":null,"abstract":"<p><p>This evidence-based clinical practice guideline (CPG) aims to guide clinicians with recommendations covering the assessment, treatment, and prognosis of adults with shoulder pain with suspected rotator cuff (RC) tendinopathy, the nonsurgical medical care and rehabilitation of adults with RC tendinopathy, as well as the return to function and sport for elite and recreational athletes. This CPG includes recommendations for managing RC tendinopathy with or without calcifications and partial-thickness RC tears. <i>J Orthop Sports Phys Ther 2025;55(4):235-274. Epub 30 January 2025. doi:10.2519/jospt.2025.13182</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"55 4","pages":"235-274"},"PeriodicalIF":6.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neuromuscular Control and Resistance Training for Chronic Low Back Pain: Discussing A Randomized Controlled Trial.
IF 6 1区 医学
Journal of Orthopaedic & Sports Physical Therapy Pub Date : 2025-04-01 DOI: 10.2519/jospt.2025.0203
André Pontes-Silva
{"title":"Neuromuscular Control and Resistance Training for Chronic Low Back Pain: Discussing A Randomized Controlled Trial.","authors":"André Pontes-Silva","doi":"10.2519/jospt.2025.0203","DOIUrl":"https://doi.org/10.2519/jospt.2025.0203","url":null,"abstract":"<p><p>Letter to the Editor-in-Chief in response to <i>JOSPT</i> article \"Neuromuscular Control and Resistance Training for People With Chronic Low Back Pain: a Randomized Controlled Trial\" by Farragher JB, Pranata A, Williams GP, et al. <i>J Orthop Sports Phys Ther 2025;55(4):305. doi:10.2519/jospt.2025.0203</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"55 4","pages":"305"},"PeriodicalIF":6.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comment on: Neuromuscular Control and Resistance Training for People With Chronic Low Back Pain: A Randomized Controlled Trial.
IF 6 1区 医学
Journal of Orthopaedic & Sports Physical Therapy Pub Date : 2025-04-01 DOI: 10.2519/jospt.2025.0203-R
Wei-Chun He, Jing Luo
{"title":"Comment on: Neuromuscular Control and Resistance Training for People With Chronic Low Back Pain: A Randomized Controlled Trial.","authors":"Wei-Chun He, Jing Luo","doi":"10.2519/jospt.2025.0203-R","DOIUrl":"https://doi.org/10.2519/jospt.2025.0203-R","url":null,"abstract":"<p><p>Author response to the <i>JOSPT</i> Letter to the Editor-in-Chief \"Neuromuscular Control and Resistance Training for Chronic Low Back Pain: Discussing a Randomized Controlled Trial\" <i>J Orthop Sports Phys Ther 2025;55(4):305-306. doi:10.2519/jospt.2025.0203-R</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"55 4","pages":"305-306"},"PeriodicalIF":6.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Are Women Less Likely to Return to Sport Compared to Men Following Hip Arthroscopy. A Systematic Review and Meta-analysis.
IF 6 1区 医学
Journal of Orthopaedic & Sports Physical Therapy Pub Date : 2025-03-01 DOI: 10.2519/jospt.2025.12813
Matthew G King, Pim Van Klij, Fan Hoak, Signe Kierkegaard-Brøchner, Thomas J West, Mark J Scholes, Joshua J Heerey, Adam I Semciw, Charlotte Ganderton, Rachael M McMillan, Andrea M Bruder
{"title":"Are Women Less Likely to Return to Sport Compared to Men Following Hip Arthroscopy. A Systematic Review and Meta-analysis.","authors":"Matthew G King, Pim Van Klij, Fan Hoak, Signe Kierkegaard-Brøchner, Thomas J West, Mark J Scholes, Joshua J Heerey, Adam I Semciw, Charlotte Ganderton, Rachael M McMillan, Andrea M Bruder","doi":"10.2519/jospt.2025.12813","DOIUrl":"10.2519/jospt.2025.12813","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To compare return-to-sport outcomes between females/women/girls and males/men/boys undergoing hip arthroscopy and explore social and structural determinants of health that may influence return to sport. <b>DESIGN:</b> Systematic review with meta-analysis. <b>LITERATURE SEARCH:</b> CINAHL, Cochrane Central Register of Controlled Trials, Embase, Medline, SPORTDiscus, and Web of Science from inception to February 2024. <b>STUDY SELECTION CRITERIA:</b> Studies were included if they assessed return to sport after hip arthroscopy and analyzed the influence of sex/gender on return-to-sport outcomes, or reported sex- or gender-stratified return-to-sport rates. <b>DATA SYNTHESIS:</b> We used a random effects model to calculate pooled odds ratios and conducted meta-regressions to compare return-to-sport outcomes between females/women/girls and males/men/boys. <b>RESULTS:</b> Forty-five studies were included, with all pooled results deemed as very low-certainty evidence. Compared to males/men/boys, females/women/girls had inferior return to sport at the same or higher level between 1 and 3 years postoperatively (pooled OR = 0.53; 95% CI: 0.34, 0.81; <i>P</i> = .004), and at any level of sport at >3 years postoperatively (pooled OR = 0.46; 95% CI: 0.25, 0.86; <i>P</i> = .014). Sports participation decreased over time, with ~5.5% to 10% lower proportions observed in females/women/girls compared to males/men/boys. The reporting of determinants of returning to sport was minimal, precluding further exploration of their effects. <b>CONCLUSION</b>: Females/women/girls had lower odds of return to sport, especially during longer follow-up periods, than males/men/boys. The lack of reporting of social and structural determinants of health influencing return-to-sport outcomes makes the reasons for this disparity unclear. <i>J Orthop Sports Phys Ther 2025;55(3):1-13. Epub 10 February 2025. doi:10.2519/jospt.2025.12813</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"55 3","pages":"1-13"},"PeriodicalIF":6.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evolving the Control-Chaos Continuum: Part 2-Shifting "Attention" to Progress On-Pitch Rehabilitation.
IF 6 1区 医学
Journal of Orthopaedic & Sports Physical Therapy Pub Date : 2025-03-01 DOI: 10.2519/jospt.2025.13159
Matt Taberner, Tom Allen, Jason O'keefe, Meredith Chaput, Dustin Grooms, Daniel Dylan Cohen
{"title":"Evolving the Control-Chaos Continuum: Part 2-Shifting \"Attention\" to Progress On-Pitch Rehabilitation.","authors":"Matt Taberner, Tom Allen, Jason O'keefe, Meredith Chaput, Dustin Grooms, Daniel Dylan Cohen","doi":"10.2519/jospt.2025.13159","DOIUrl":"10.2519/jospt.2025.13159","url":null,"abstract":"<p><p><b>BACKGROUND:</b> On-pitch rehabilitation is key to supporting return to sport in elite soccer (football). The <i>control-chaos continuum</i> (<i>CCC</i>) guides practitioners through the sport-specific components of return to sport. There is a need to update the framework with recent research in injury neurophysiology, soccer performance, and coaching science. <b>CLINICAL QUESTION:</b> How do practitioners integrate the insights from injury neurophysiology, soccer performance, and coaching science discussed in part 1 of this 2-part series into an updated version of the <i>CCC</i>, to enhance the planning and execution of on-pitch rehabilitation for elite soccer players? <b>KEY RESULTS:</b> The revised <i>CCC</i> framework emphasizes the design and delivery of progressive training in increasingly <i>chaotic</i> conditions. The updated framework supports practitioners to incorporate elements of visual-cognitive challenges, attentional challenges, decision making, and progression representation of the game model when players are preparing to return to sport. <b>CLINICAL APPLICATION:</b> The updated <i>CCC</i> outlines training progression from <i>High Control</i>, which involves returning to on-pitch linear running, to <i>High Chaos</i>, which simulates the team environment at game speed. The <i>High Chaos</i> phase can be tailored to support players during their reintegration into team training. The model is adaptable for both short- and long-term injuries, integrating physical-cognitive load monitoring and strength and power diagnostics to enhance decision making throughout return to sport. <i>J Orthop Sports Phys Ther 2025;55(3):1-11. Epub 17 January 2025. doi:10.2519/jospt.2025.13159</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"55 3","pages":"162-172"},"PeriodicalIF":6.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness of Manual Joint Mobilization Techniques in the Treatment of Nonspecific Neck Pain: Systematic Review With Meta-Analysis and Meta-Regression of Randomized Controlled Trials.
IF 6 1区 医学
Journal of Orthopaedic & Sports Physical Therapy Pub Date : 2025-03-01 DOI: 10.2519/jospt.2025.12836
Alessia Benetton, Simone Battista, Gianluca Bertoni, Giacomo Rossettini, Luca Falsiroli Maistrello
{"title":"Effectiveness of Manual Joint Mobilization Techniques in the Treatment of Nonspecific Neck Pain: Systematic Review With Meta-Analysis and Meta-Regression of Randomized Controlled Trials.","authors":"Alessia Benetton, Simone Battista, Gianluca Bertoni, Giacomo Rossettini, Luca Falsiroli Maistrello","doi":"10.2519/jospt.2025.12836","DOIUrl":"https://doi.org/10.2519/jospt.2025.12836","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> The purpose of this study was to investigate the effects of cervical joint mobilization techniques (JMTs) on pain and disability in adults with nonspecific neck pain. <b>DESIGN:</b> This study is an intervention systematic review with meta-analysis and meta-regression of randomized controlled trials (RCTs). <b>LITERATURE SEARCH:</b> We searched MEDLINE, Cochrane CENTRAL, EMBASE, Cumulative Index to Nursing and Allied Health Literature, Physiotherapy Evidence Database, and Web of Science databases, including references from other reviews or clinical practice guidelines up to October 16, 2024. <b>STUDY SELECTION CRITERIA:</b> Eligible RCTs evaluated JMTs compared to routine physiotherapy, minimally active interventions, or no treatment. The primary outcome was pain; secondary outcomes were disability, Global Perceived Effect (GPE), quality of life, psychosocial status, and adverse events. <b>DATA SYNTHESIS:</b> Meta-analyses and meta-regression were conducted for pain, disability, and GPE. The risk of bias was assessed with Cochrane RoB 2.0 Tool; the certainty of the evidence was assessed with the Grading of Recommendations, Assessment, Development, and Evaluations approach. We used The Template for the Intervention Description and Replication checklist to evaluate the quality of reporting of interventions delivered. <b>RESULTS:</b> Results from 16 RCTs were pooled (<i>n</i> = 1,157 participants), reporting nonclinically positive results on pain reduction (mean difference [MD] = -0.86 (95% confidence interval [-1.35, -0.36])), disability (MD=-2.11 [-3.31, -0.91]), and GPE (standardized mean difference = 0.11 ([-0.15, 0.37]) and high heterogeneity. The meta-regressions did not identify any covariates associated with the treatment effects. Minor side effects (increased neck pain and headache) were reported. <b>CONCLUSION:</b> There was very low certainty evidence supporting the efficacy of JTMs for reducing pain and improving disability in people with NSNP. <i>J Orthop Sports Phys Ther 2025;55(3):1-20. Epub 12 February 2025. doi:10.2519/jospt.2025.12836</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"55 3","pages":"1-20"},"PeriodicalIF":6.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Shouldering Our Way Into a More Meaningful Research Agenda for Atraumatic Shoulder Pain: A Priority Setting Study.
IF 6 1区 医学
Journal of Orthopaedic & Sports Physical Therapy Pub Date : 2025-03-01 DOI: 10.2519/jospt.2025.13059
Kristian Damgaard Lyng, Torben Krejberg Børsting, Mikkel Bek Clausen, Annelene Houen Larsen, Behnam Liaghat, Kim Gordon Ingwersen, Marcus Bateman, Amar Rangan, Karen Toftdahl Bjørnholdt, David Høyrup Christiansen, Steen Lund Jensen, Janus Laust Thomsen, Kristian Thorborg, Connie Ziegler, Jens Lykkegaard Olesen, Michael Skovdal Rathleff
{"title":"Shouldering Our Way Into a More Meaningful Research Agenda for Atraumatic Shoulder Pain: <i>A Priority Setting Study</i>.","authors":"Kristian Damgaard Lyng, Torben Krejberg Børsting, Mikkel Bek Clausen, Annelene Houen Larsen, Behnam Liaghat, Kim Gordon Ingwersen, Marcus Bateman, Amar Rangan, Karen Toftdahl Bjørnholdt, David Høyrup Christiansen, Steen Lund Jensen, Janus Laust Thomsen, Kristian Thorborg, Connie Ziegler, Jens Lykkegaard Olesen, Michael Skovdal Rathleff","doi":"10.2519/jospt.2025.13059","DOIUrl":"https://doi.org/10.2519/jospt.2025.13059","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To amplify the voices of people living with atraumatic shoulder pain, their relatives, and health care practitioners, and to establish research questions. <b>DESIGN:</b> A priority-setting study using a modified approach originally formulated by the James Lind Alliance (JLA). <b>METHODS:</b> The process consisted of 6 phases (initiation, consultation, collation, prioritization, validation, and reporting), and included 2 e-surveys and 2 separate virtual workshops. We included people with atraumatic shoulder pain, relatives, health care practitioners managing shoulder pain, and researchers conducting research within the field. <b>RESULTS:</b> Six hundred and eight people participated (n = 383 [63%] patients, n = 213 [35%] health care practitioners, and n = 12 [2%] carers). In the first survey, 297 participants submitted 1080 potential research questions, which were collated into 16 main themes and 94 subthemes and transformed into research questions. These research questions were featured in the second survey, where 290 participants prioritized the questions, resulting in a compilation of the top 25 questions. Based on discussions from 2 separate online workshops with a total of 21 participants, a top-10 list was created. <b>CONCLUSION:</b> In the final priority list, the 3 research questions with the highest ranking were, first, \"how can we improve the translation of research into clinical practice?\"; second, \"how can we prevent atraumatic shoulder pain?\"; and third, \"who benefits from surgery, and who does not?\" <i>J Orthop Sports Phys Ther 2025;55(3):1-12. Epub 12 February 2025. doi:10.2519/jospt.2025.13059</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"55 3","pages":"1-12"},"PeriodicalIF":6.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evolving the Control-Chaos Continuum: Part 1 - Translating Knowledge to Enhance On-Pitch Rehabilitation.
IF 6 1区 医学
Journal of Orthopaedic & Sports Physical Therapy Pub Date : 2025-02-01 DOI: 10.2519/jospt.2025.13158
Matt Taberner, Tom Allen, Jason O'keefe, Meredith Chaput, Dustin Grooms, Daniel Dylan Cohen
{"title":"Evolving the Control-Chaos Continuum: Part 1 - Translating Knowledge to Enhance On-Pitch Rehabilitation.","authors":"Matt Taberner, Tom Allen, Jason O'keefe, Meredith Chaput, Dustin Grooms, Daniel Dylan Cohen","doi":"10.2519/jospt.2025.13158","DOIUrl":"10.2519/jospt.2025.13158","url":null,"abstract":"<p><p><b>BACKGROUND:</b> On-pitch rehabilitation is a crucial part of returning to sport after injury in elite soccer. The <i>control-chaos continuum</i> (<i>CCC</i>) initially offered a framework for practitioners to plan on-pitch rehabilitation, focusing on physical preparation and sport specificity. However, our experiences with the <i>CCC</i>, combined with recent research in injury neurophysiology, point to a need for an updated model that integrates practice design and physical-cognitive interactions. <b>CLINICAL QUESTION:</b> What are the insights from injury neurophysiology, soccer performance, and coaching science needed to update the <i>CCC</i> and improve the planning, delivery, and progression of on-pitch rehabilitation in elite soccer? <b>KEY RESULTS:</b> Drawing on extensive experience in elite sport, we explain how recent research on neurophysiological recovery from injury, game models, and practice design has been applied to update the <i>CCC</i> and evolve the existing framework. <b>CLINICAL APPLICATION:</b> The evolution of the <i>CCC</i> expands on the original model to enhance planning, delivery, and progression of on-pitch rehabilitation. The updated framework incorporates elements of visual cognition, attentional challenges, decision-making, and progressive representation of the game model to enhance sport-specific preparation for returning to sport. <i>J Orthop Sports Phys Ther 2025;55(2):1-11. Epub 3 January 2025. doi:10.2519/jospt.2025.13158</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"55 2","pages":"78-88"},"PeriodicalIF":6.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effectiveness of Spinal Manipulative Therapy in Treating Spinal Pain Does Not Depend on the Application Procedures: A Systematic Review and Network Meta-analysis.
IF 6 1区 医学
Journal of Orthopaedic & Sports Physical Therapy Pub Date : 2025-02-01 DOI: 10.2519/jospt.2025.12707
Casper Nim, Sasha L Aspinall, Chad E Cook, Leticia A Corrêa, Megan Donaldson, Aron S Downie, Steen Harsted, Simone Hansen, Hazel J Jenkins, David McNaughton, Luana Nyirö, Stephen M Perle, Eric J Roseen, James J Young, Anika Young, Gong-He Zhao, Jan Hartvigsen, Carsten B Juhl
{"title":"The Effectiveness of Spinal Manipulative Therapy in Treating Spinal Pain Does Not Depend on the Application Procedures: A Systematic Review and Network Meta-analysis.","authors":"Casper Nim, Sasha L Aspinall, Chad E Cook, Leticia A Corrêa, Megan Donaldson, Aron S Downie, Steen Harsted, Simone Hansen, Hazel J Jenkins, David McNaughton, Luana Nyirö, Stephen M Perle, Eric J Roseen, James J Young, Anika Young, Gong-He Zhao, Jan Hartvigsen, Carsten B Juhl","doi":"10.2519/jospt.2025.12707","DOIUrl":"10.2519/jospt.2025.12707","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To assess whether spinal manipulative therapy (SMT) application procedures (ie, target, thrust, and region) impacted changes in pain and disability for adults with spine pain. <b>DESIGN:</b> Systematic review with network meta-analysis. <b>LITERATURE SEARCH:</b> We searched PubMed and Epistemonikos for systematic reviews indexed up to February 2022 and conducted a systematic search of 5 databases (MEDLINE, EMBASE, CENTRAL [Cochrane Central Register of Controlled Trials], PEDro [Physiotherapy Evidence Database], and Index to Chiropractic Literature) from January 1, 2018, to September 12, 2023. We included randomized controlled trials (RCTs) from recent systematic reviews and newly identified RCTs published during the review process and employed artificial intelligence to identify potentially relevant articles not retrieved through our electronic database searches. <b>STUDY SELECTION CRITERIA:</b> We included RCTs of the effects of high-velocity, low-amplitude SMT, compared to other SMT approaches, interventions, or controls, in adults with spine pain. <b>DATA SYNTHESIS:</b> The outcomes were spinal pain intensity and disability measured at short-term (end of treatment) and long-term (closest to 12 months) follow-ups. Risk of bias (RoB) was assessed using version 2 of the Cochrane RoB tool. Results were presented as network plots, evidence rankings, and league tables. <b>RESULTS:</b> We included 161 RCTs (11 849 participants). Most SMT procedures were equal to clinical guideline interventions and were slightly more effective than other treatments. When comparing inter-SMT procedures, effects were small and not clinically relevant. A general and nonspecific rather than a specific and targeted SMT approach had the highest probability of achieving the largest effects. Results were based on very low- to low-certainty evidence, mainly downgraded owing to large within-study heterogeneity, high RoB, and an absence of direct comparisons. <b>CONCLUSION:</b> There was low-certainty evidence that clinicians could apply SMT according to their preferences and the patients' preferences and comfort. Differences between SMT approaches appear small and likely not clinically relevant. <i>J Orthop Sports Phys Ther 2025;55(2):1-14. Epub 7 January 2025.</i> <i>https://doi.org/10.2519/jospt.2025.12707</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"55 2","pages":"109-122"},"PeriodicalIF":6.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What Do Women (With Serious Knee Injury) Want to Know About Knee Health? Identifying Research Priorities With a Consumer Advisory Group.
IF 6 1区 医学
Journal of Orthopaedic & Sports Physical Therapy Pub Date : 2025-02-01 DOI: 10.2519/jospt.2025.12869
Melissa J Haberfield, Kay M Crossley, Brooke E Patterson, Andrea M Bruder
{"title":"What Do Women (With Serious Knee Injury) Want to Know About Knee Health? Identifying Research Priorities With a Consumer Advisory Group.","authors":"Melissa J Haberfield, Kay M Crossley, Brooke E Patterson, Andrea M Bruder","doi":"10.2519/jospt.2025.12869","DOIUrl":"10.2519/jospt.2025.12869","url":null,"abstract":"<p><p><b>OBJECTIVES:</b> To (1) establish a women's knee health consumer advisory group (CAG) via an evidence-informed process and (2) identify the CAG's research priorities to inform future projects. <b>DESIGN:</b> Mixed-methods priority-setting study. <b>METHODS:</b> The CAG was established, grounded in a participatory action research approach and using the Patient Engagement in Research Framework, to inform a 4-phase process: (1) understand, (2) plan, (3) undertake, and (4) evaluate. We identified the CAG's priorities for knee health research via a mixed-methods approach using the nominal group technique (NGT). We adopted a constructivist epistemology, using reflexive thematic analysis to construct codes and themes inductively. <b>RESULTS:</b> Six women (mean age of 35 years) joined the CAG, generating, reviewing, and discussing 70 ideas during NGT phases 1 to 3. We constructed 14 codes, grouped into 3 key themes: (1) best practice management and support for serious knee injury and rehabilitation, (2) social and gendered factors; and (3) physical, psychological, and personal factors. Voting and ranking (NGT phases 3-6) revealed the CAG's highest priority for future research was \"Knowledge of, and access to specialised knee rehabilitation and practitioners.\" <b>CONCLUSION:</b> Establishing a CAG was an achievable and novel approach to identifying consumer priorities to enhance women's knee health outcomes. Women wanted improved access to information and best-practice care via genuine therapeutic relationships with practitioners who understand the gendered-social rehabilitation environment. <i>J Orthop Sports Phys Ther 2025;55(2):1-14. Epub 15 January 2025. doi:10.2519/jospt.2025.12869</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"55 2","pages":"148-161"},"PeriodicalIF":6.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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