Sean Wilging , Cody Mansfield , Katherine Rethman , Laura Boucher , James Oñate , Matthew Briggs
{"title":"A pilot study examining the feasibility and effects of dry needling on pain during strength testing for individuals with bilateral patellofemoral pain and high kinesiophobia","authors":"Sean Wilging , Cody Mansfield , Katherine Rethman , Laura Boucher , James Oñate , Matthew Briggs","doi":"10.1016/j.jbmt.2025.03.024","DOIUrl":"10.1016/j.jbmt.2025.03.024","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine the feasibility of a dry needling study on pain with peak torque testing in individuals with bilateral patellofemoral pain (PFP) and high kinesiophobia.</div></div><div><h3>Design</h3><div>Cohort study.</div></div><div><h3>Setting</h3><div>Hospital based outpatient orthopedics.</div></div><div><h3>Participants</h3><div>Ten individuals [27.5 years old (SD: 5.6); 60 % female] with bilateral PFP greater than three months and high kinesiophobia (>37), based on Tampa Scale of Kinesiophobia, were recruited.</div></div><div><h3>Main outcome measures</h3><div>Feasibility was measured by treatment fidelity and adverse events. Pain was measured via Numeric Pain Rating Scale (NPRS). Effect size was measured using G∗power.</div></div><div><h3>Results</h3><div>There were no severe adverse events and all participants included were able to complete the study in full. The effect size of dry needling on pain during peak quad torque testing was large (0.85).</div></div><div><h3>Conclusion</h3><div>A larger scale study would be feasible to identify moderate to large effects as only 14 to 35 participants would be required to adequately power the study and dropout/attrition would likely be low.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"42 ","pages":"Pages 1128-1134"},"PeriodicalIF":1.2,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143687370","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}
Marco Pintucci , Thuane Da Roza , Daniela Saback Silva Oliveira , Hitomi Handa , Antonio Stecco , Carla Stecco , Carmelo Pirri
{"title":"Effects of Fascial Manipulation® on urinary symptoms: A case report","authors":"Marco Pintucci , Thuane Da Roza , Daniela Saback Silva Oliveira , Hitomi Handa , Antonio Stecco , Carla Stecco , Carmelo Pirri","doi":"10.1016/j.jbmt.2025.03.020","DOIUrl":"10.1016/j.jbmt.2025.03.020","url":null,"abstract":"<div><h3>Background</h3><div>Pelvic floor dysfunction (PFD) is prevalent post-childbirth, with urinary incontinence (UI) affecting approximately 30 % of women. Although pelvic floor muscle training is widely recognized as the first-line treatment for UI, emerging research underscores the significance of fascial tissue on pelvic floor muscle function. The fascia surrounding the pelvic diaphragm shares an intrinsic relationship with the abdomen, pelvis, lumbar region, and lower limb. In this sense, fascial restrictions in any of these segments may contribute to the development of UI. Fascial Manipulation® (FM®), is a method targeting fascial restrictions across the body and has shown promise in treating musculoskeletal and pelvic conditions. Given the potential influence of fascial dysfunction in PFD, this case explores the application of FM® to address UI symptoms.</div></div><div><h3>Case presentation</h3><div>A Japanese 36-year-old woman with UI symptoms that worsen six months post-partum. Two weeks after a vaginal delivery, she consulted a urologist due to increased urinary frequency and urgency, which was disrupting her sleep. At that time, she underwent a five-week program of pelvic floor muscle training, with no improvement in UI symptoms, prompting her to seek alternative treatment. A 72-h bladder diary was used to assess patient's voiding pattern, including daytime and nighttime urine frequency. Symptom severity and her distress symptoms were evaluated using the Overactive Bladder Symptom Score (OABSS) and Core Lower Urinary Tract Symptom Score (CLSS) questionnaires, respectively. Pelvic floor displacement was measured via ultrasound imaging. Additionally, movement specific tests and palpation, based on Stecco's Fascial Manipulation® (FM®) method, identified points of tissue densification. Pain intensity was measured using the 10-point Visual Analogue Scale (VAS). During the specific movement tests assessment, the patient complained about right knee pain and restricted dorsiflexion of the right ankle. Palpation revealed tissue densifications in the medial ankle and knee, posterior knee, right hip, bilateral pelvic region, and the area of the lower abdominal muscles. The patient underwent a single session of the FM® method, involving deep friction of the identified densification points. Follow-up assessments included a reassessment of the 72-h bladder diary, OABSS, and CLSS questionnaires one month after the intervention. Ultrasound images and the specific movement tests, with VAS score, were performed immediately after intervention and one month later.</div></div><div><h3>Results</h3><div>One month after the treatment, the 72-h Bladder Diary indicated a reduction in urination frequency from 10 to 13 times/day to 6 times/day, and nighttime frequency from 2 to 3 times/night to 1 time/night. Questionnaire scores reflected significant improvement, with OABSS severity decreasing from 7 to 1, and CLSS distress reducing from 6 to 1. Immediately a","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"42 ","pages":"Pages 1106-1112"},"PeriodicalIF":1.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143687369","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 instrument assisted soft tissue mobilization added to exercise in patients with posterior hip pain – A double blind randomized controlled trial","authors":"Ziyacan Ozkaya , Demet Bicki , Zeynep Turan , Mahir Topaloglu , Ozden Ozyemisci Taskiran","doi":"10.1016/j.jbmt.2025.03.015","DOIUrl":"10.1016/j.jbmt.2025.03.015","url":null,"abstract":"","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"42 ","pages":"Pages 1091-1097"},"PeriodicalIF":1.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143641663","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":"Auricular acupuncture associated with low-frequency laser in chronic low back pain: A randomized clinical trial","authors":"Kaue Batista Andrade , Carolina Amaral Oliveira Rodrigues , Vitória Cristina Ferreira Souza , Wesley Silva Teixeira , Camila Andrade , Ricardo Otávio Maia Gusmão , Hérica Pinheiro Corrêa , Ludmila de Oliveira Ruela , Rosangela Ramos Veloso Silva , Namie Okino Sawada , Caroline de Castro Moura , Diego Dias de Araújo","doi":"10.1016/j.jbmt.2025.03.019","DOIUrl":"10.1016/j.jbmt.2025.03.019","url":null,"abstract":"<div><h3>Background</h3><div>Low back pain is recognized as the leading cause of disability worldwide, affecting various populations and leading to social, psychological, functional, and economic consequences. Research into effective treatments for this condition is clinically relevant.</div></div><div><h3>Objective</h3><div>This study evaluated the effectiveness of auricular acupuncture combined with low-frequency laser therapy in treating chronic low back pain in primary care patients.</div></div><div><h3>Design</h3><div>A randomized clinical trial.</div></div><div><h3>Participants</h3><div>A sample of 104 individuals with chronic low back pain was divided into two groups: the experimental group (n = 52), which received four sessions of auricular acupuncture and low-frequency laser therapy (modified intravascular laser irradiation of blood), and the control group (n = 52).</div></div><div><h3>Intervention</h3><div>Participants were evaluated at the beginning and seven days after the last treatment session. Pain intensity was measured using a numerical pain scale, while the degree of physical disability was assessed using the Roland-Morris disability questionnaire. Quality of life was evaluated with the WHOQOL-BREF, and perceived self-efficacy in managing chronic pain was measured using the chronic pain self-efficacy scale.</div></div><div><h3>Results</h3><div>The experimental group showed significant reductions in pain intensity and improvements in physical disability, quality of life (specifically in health satisfaction, psychological well-being, and environmental factors), and self-efficacy in chronic low back pain management (all <em>p</em> < 0.0001).</div></div><div><h3>Conclusion</h3><div>Auricular acupuncture combined with low-frequency laser therapy was effective in reducing pain, improving physical disability, enhancing quality of life, and increasing self-efficacy beliefs related to chronic low back pain management.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"42 ","pages":"Pages 1098-1105"},"PeriodicalIF":1.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143641662","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":"Physical-functional alterations in women with chronic migraine","authors":"Bruno Veloso Fracasso , Renato Bender Castro , Marcos Leal Brioschi , Taís Malysz","doi":"10.1016/j.jbmt.2025.03.013","DOIUrl":"10.1016/j.jbmt.2025.03.013","url":null,"abstract":"<div><h3>Background</h3><div>Migraine is a prevalent neurological disorder that significantly impacts quality of life. Despite its considerable burden, the underlying pathophysiology remains poorly understood.</div></div><div><h3>Objectives</h3><div>To identify physical-functional alterations in women with chronic migraine.</div></div><div><h3>Methods</h3><div>Twenty-four women (39.2 ± 7.7 years) with chronic migraine were assessed using tools selected for this study. We analyzed pain intensity and perception (Visual Analog Scale - VAS and McGill Pain Questionnaire), motion sickness (Dizziness Handicap Inventory - DHI), panic and agoraphobia (Panic and Agoraphobia Scale - PAS), postural stability (modified Clinical Test of Sensory Integration and Balance - mCTSIB and Dynamic Gait Index - DGI), and quality of life (WHOQOL-BREF).</div></div><div><h3>Results</h3><div>The prevalence of pain is widely reported, with a mean intensity score of 6.7 ± 1.7, and when assessed using the McGill scale, the total pain index was 60.6 ± 14.7. The DHI showed a score with a median of 34 points, while the PAS scored with a median of 4 points. In the WHOQOL, the Physical and Psychological domains had the worst scores (53.3 ± 17.8 and 58.9 ± 18.7, respectively). The mean DGI score was 21.5 ± 2.3, where 12.5 % of the participants presented a deficit, whose score indicates gait impairment and risk of falls. In the mCTSIB, the mean score was 5.3 ± 1.1. When correlating the uni or multidimensional aspects of pain with quality of life, the pain scores by VAS are significantly associated with the score of total quality of life.</div></div><div><h3>Conclusion</h3><div>Chronic migraine can alter physical-functional conditions in women.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"42 ","pages":"Pages 1113-1119"},"PeriodicalIF":1.2,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143686331","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":"Relationship between compressive stiffness and tensile stiffness in the human Achilles tendon in vivo","authors":"Tomonobu Ishigaki , Tomoya Ishida , Takumi Ino , Takumi Okunuki , Hiroko Yokoyama , Mutsuaki Edama","doi":"10.1016/j.jbmt.2025.03.011","DOIUrl":"10.1016/j.jbmt.2025.03.011","url":null,"abstract":"<div><h3>Background</h3><div>Tendon elongation is measured using ultrasound images during isometric ramp contractions in traditional measurement techniques for human tendon mechanical properties, and tendon tensile stiffness (TS) is calculated from the slope of specific force intervals in the tendon force–elongation curve. Recently, the compressive stiffness (CS) of tendons, measured using a myotonometer, has attracted attention as a new technique for investigating tendon mechanical properties <em>in vivo</em>. This study aimed to clarify the relationship between tensile and compressive Achilles tendon stiffness <em>in vivo</em>.</div></div><div><h3>Methods</h3><div>Thirty young healthy adults (20.7 ± 18 years) participated in this study. TS was measured using B-mode ultrasonography and a dynamometer and calculated from the slope of the specific force intervals (25–45%, 30–70%, 50–100%, and 90–100% maximum voluntary contraction) in the tendon force–elongation curve. CS in the resting condition was measured at 3, 4, 5, 6, and 7 cm proximal to the calcaneus Achilles tendon insertion. The data obtained from each measurement region, as well as the average of those data, were used for further correlation analysis. The relationship between TS and CS was evaluated using Spearman rank correlation coefficient.</div></div><div><h3>Results</h3><div>Correlation analysis demonstrated no relationship between TS and CS regardless of the force intervals in TS (<em>r</em> = - 0.019–0.251, <em>P</em> = 0.181–0.980).</div></div><div><h3>Conclusion</h3><div>The current results suggest that each measurement technique for the TS and CS evaluates different tendon mechanical properties. Researchers and clinicians should consider the characteristics of these two measurement techniques and select the appropriate method depending on the research purpose.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"42 ","pages":"Pages 1073-1078"},"PeriodicalIF":1.2,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609179","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":"Acute effects of instrument-assisted soft tissue mobilization on the flexibility, strength, vertical jump, and dynamic balance performances of the plantar flexor muscle in professional football players","authors":"Metehan Yana , Borna Farhoomand , Musa Güneş","doi":"10.1016/j.jbmt.2025.03.003","DOIUrl":"10.1016/j.jbmt.2025.03.003","url":null,"abstract":"<div><h3>Objectives</h3><div>This study examined the acute effects of instrument-assisted soft tissue mobilization (IASTM) on the flexibility, strength, vertical jump, and dynamic balance performance of the plantar flexor (PF) muscle in professional football players.</div></div><div><h3>Methods</h3><div>Forty professional healthy male football players participated in this study. Myofascial release was applied to individuals using the Graston technique (GT). In a session, GT was applied to the gastrocnemius and soleus muscles of the legs for 270 s. Finally, dorsiflexion range of motion (DF ROM, goniometer), jumping (My Jump 2 App), balance (Y balance test), and muscle strength (hand-held dynamometer) were evaluated before and immediately after the intervention.</div></div><div><h3>Results</h3><div>The mean age of the participants was 21.93 ± 3.47. IASTM-GT could significantly improve DF ROM bilaterally (p < 0.001). In addition, vertical jump performance significantly increased from 31.63 ± 4.65 cm to 32.72 ± 4.55 cm (p < 0.05). The Y balance test demonstrated significant improvements in all directions on the right side (p < 0.05) and the posterolateral direction on the left (p = 0.001). Total Y balance scores significantly increased (p < 0.05), while PF muscle strength represented no significant improvement (p > 0.05).</div></div><div><h3>Conclusion</h3><div>Overall, IASTM-GT acutely enhances DF ROM, vertical jump, and balance performance by improving PF muscle flexibility in professional football players. While no significant muscle strength improvement was observed, IASTM-GT may support injury prevention, performance enhancement, and rehabilitation.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"42 ","pages":"Pages 1079-1084"},"PeriodicalIF":1.2,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619379","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":"Back-leg-chest test as an alternative to the handgrip testing for measuring body strength in adults","authors":"M.J.S. Bortolini , L.A.R. Oliveira , R.O. Resende , M.B. Gerrero , B.K.S. Maia , E.A. Taketomi , M.B. Lanza","doi":"10.1016/j.jbmt.2025.03.007","DOIUrl":"10.1016/j.jbmt.2025.03.007","url":null,"abstract":"<div><div>The handgrip strength test is commonly used to measure muscle strength throughout the lifespan, other tests may offer equivalent information and potentially serve as better indicators of overall muscle strength. The primary objective of this study was to examine the relationship between handgrip strength and back-leg-chest strength tests. The secondary objective was to determine whether levels of physical activity affect the outcomes of handgrip and back-leg-chest strength tests differently. A convenience sample of participants aged 18–65 years was selected (n = 303), regardless of their engagement in physical activity and with no physical limitations that could prevent completion of the tests. In one laboratory session, they completed the International Physical Activity Questionnaire to determine their level of physical activity and performed the handgrip strength and back-leg-chest strength tests. A high correlation was found between handgrip strength and the back-leg-chest strength test (r = 0.739,p < 0.001). No significant difference in handgrip strength was observed across different levels of activity (p = 0.135). However, significant differences were noted for the back-leg-chest strength test across varying levels of physical activity, with individuals engaging in moderate levels of physical activity demonstrating greater strength on this test compared to those with lower activity levels (p = 0.012). Evidence was provided of a strong correlation between the handgrip and back-leg-chest strength tests, with the back-leg-chest strength test also showing better sensitivity to levels of activity. Thus, the back-leg-chest strength test may serve as a more comprehensive measure of strength, potentially reflecting overall body strength due to its involvement of multiple joints.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"42 ","pages":"Pages 1085-1090"},"PeriodicalIF":1.2,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619380","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":"Immediate effects of foam rolling on lateral thigh soft tissue movement: A pilot study","authors":"Hiroshi Ishida, Tadanobu Suehiro","doi":"10.1016/j.jbmt.2025.03.017","DOIUrl":"10.1016/j.jbmt.2025.03.017","url":null,"abstract":"<div><h3>Introduction</h3><div>Foam rolling interventions have shown improved range of motion and reduced mechanical stiffness. However, little is known about the effect of foam rolling on the movement of the fascia lata and surrounding muscles. Therefore, this study aimed to evaluate the movement of the fascia lata and vastus lateralis muscle during knee joint motion before and after a foam rolling intervention.</div></div><div><h3>Method</h3><div>This was an interventional laboratory study of 18 sedentary men (age 20.8 ± 0.4 years); no controls were included. A total of 3 min of foam rolling was conducted on the right lateral thigh. The right lateral mid-thigh was assessed twice (before and 5 min after the intervention). Stiffness at rest was measured using a durometer, and video analysis of ultrasound imaging was performed to measure the movement of the fascia lata and vastus lateralis muscles during isokinetic passive knee motion. The tissue movement velocity during five cycles of knee motion was arranged as a time series. Negative values indicated displacement in the proximal direction and positive values indicated displacement in the distal direction. The maximum, minimum, and mean velocities were calculated from the time-series data.</div></div><div><h3>Results</h3><div>After the foam rolling intervention, the stiffness (p < 0.001) and minimum velocity of the fascia lata (p = 0.04) significantly decreased.</div></div><div><h3>Conclusions</h3><div>Foam rolling on the lateral thigh can improve proximal sliding of the fascia lata during passive knee extension.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"42 ","pages":"Pages 1047-1051"},"PeriodicalIF":1.2,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578637","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":"Effects of an artificial intelligence-based exercise program on pain intensity and disability in patients with neck pain compared with group exercise therapy: A cohort study","authors":"Griefahn Annika , Hartmann Rica , Avermann Florian , Zalpour Christoff , Luedtke Kerstin","doi":"10.1016/j.jbmt.2025.02.018","DOIUrl":"10.1016/j.jbmt.2025.02.018","url":null,"abstract":"<div><h3>Objectives</h3><div>This study compares the effects of an artificial intelligence app-based exercise program with group exercise therapy on pain intensity and neck-related disability in patients with neck pain.</div></div><div><h3>Participants</h3><div>84 patients with neck pain. 70 fulfilled the study requirements. 52 were in the intervention and 18 in the comparison group.</div></div><div><h3>Intervention</h3><div>The intervention group utilized an AI-based exercise program accessible via digital devices. The AI provided 3–5 daily exercises tailored to individual feedback, pain intensity, and well-being. The exercise duration was up to 15 min per day. The comparison group attended up to two 45-min group exercise sessions weekly.</div></div><div><h3>Methods</h3><div>Pain intensity and neck-related disability were assessed using an 11-point numerical rating scale and the Neck Disability Index via online questionnaires at baseline, 4 weeks, and 8 weeks. The non-parametric Mann-Whitney <em>U</em> test was used to test for between group differences.</div></div><div><h3>Results</h3><div>After 8 weeks, the intervention group showed a significantly lower pain intensity than the comparison group (U = 287, Z = −2.447, p = 0.042, r = 0.3). Compared to baseline, the intervention group showed a significant reduction in neck pain (Chi<sup>2</sup> (2) = 15.775, p < 0.001, W = 0.15) and an improvement in neck-related disability (Chi<sup>2</sup> (2) = 25.094, p < 0.001, W = 0.24). The comparison group showed no significant change over time.</div></div><div><h3>Conclusion</h3><div>The app-based exercise program demonstrated promising results for the reduction of pain intensity and neck-related disability, offering a personalized and mobile alternative to group exercise therapy for patients with neck pain.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"42 ","pages":"Pages 1031-1038"},"PeriodicalIF":1.2,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578540","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}