Journal of Rehabilitation Medicine最新文献

{"title":"Call for founding members of the European Organization For University Physical and Rehabilitation Medicine (UniPRM).","authors":"Stefano Negrini, Xavier De Boissezon, Gerold Stucki, Jari Arokoski, Katja Groleger Sršen, Sofie Rummens, Henk Stam, Alessandro Picelli, Francesca Gimigliano","doi":"10.2340/jrm.v57.44520","DOIUrl":"10.2340/jrm.v57.44520","url":null,"abstract":"<p><p>Rehabilitation is increasingly recognized as a key component of health systems worldwide. To meet the growing demand for rehabilitation services, it is essential to strengthen academic capacity in Physical and Rehabilitation Medicine within universities. Academic structures are critical for training future physicians and professionals, and for advancing research and innovation in rehabilitation. In response to this need, a new European organization has been established: the European Organization of University Physical and Rehabilitation Medicine. This organization aims to unite and support university-based educators and researchers in the field, fostering excellence in teaching, research, clinical care, and academic leadership. The initiative has been developed through collaboration with major European and international rehabilitation bodies and is grounded in the values of representativity, inclusiveness, and collaboration. The organization invites current and future university professors in Physical and Rehabilitation Medicine to join as founding members and contribute to shaping its mission, structure, and strategic direction. By building a strong academic network across Europe, this initiative seeks to reinforce the foundations of rehabilitation in health systems and promote the development of a skilled and innovative workforce. This commentary outlines the rationale, development, and goals of the new organization and calls for broad participation from the academic community.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm44520"},"PeriodicalIF":2.3,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12421331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Male and female workers suffering from chronic low back pain display different interrelationships between the biopsychosocial variables.","authors":"Charlotte Lanhers, Christian Dualé, Alice Corteval, Emmanuel Coudeyre, Bruno Pereira, Nicolas Kerckhove","doi":"10.2340/jrm.v57.43450","DOIUrl":"10.2340/jrm.v57.43450","url":null,"abstract":"<p><strong>Objective: </strong>To study the biopsychosocial model of chronic low back pain in the workplace and the role of sex in it.</p><p><strong>Design: </strong>Cross-sectional nationwide survey in a service company.</p><p><strong>Patients: </strong>256 workers (women 64.1%) reporting chronic low back pain.</p><p><strong>Methods: </strong>Variables on biometry, job description, physical activity, pain severity/interference, neuropathic features, and questionnaire-based cognitive and affective parameters were collected. Within each sex group, the interrelationships between variables by Multiple Correspondence Analysis were analysed, followed by cluster analysis.</p><p><strong>Results: </strong>In the overall sample, neuropathic features were reported by 28.9% of the patients; the cluster including the high pain disorder modalities (i.e., severity and interference) also included high pain catastrophizing and fear/avoidance towards work, as well as neuropathic features. However, in men, the modalities neighbouring high pain disorder were high anxiety and depression, and low mental quality of life, while in women, they were kinesiophobia, high fear/avoidance towards physical activity and stress at work, and low physical quality of life.</p><p><strong>Conclusion: </strong>As there is now a major demand for defining chronic low back pain patients based on their biopsychosocial profile to improve care and prognosis, this study's results indicate the relevance of conducting such phenotyping at an early stage in a working environment, and that it is preferable to construct predictive models for each sex group.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm43450"},"PeriodicalIF":2.3,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12421334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rehabilitation needs prior to adjuvant chemotherapy in a rural Swedish population.","authors":"Linn Norrgård, Bertil Axelsson","doi":"10.2340/jrm.v57.43516","DOIUrl":"10.2340/jrm.v57.43516","url":null,"abstract":"<p><strong>Objective: </strong>To assess well-being and unmet needs among participants, and examine differences between patients and their next of kin.</p><p><strong>Subjects: </strong>Cancer patients pre-adjuvant chemotherapy (n = 231) in rural northern Sweden, and their next of kin (n = 204).</p><p><strong>Methods: </strong>Well-being and unmet needs were assessed using the Edmonton Symptom Assessment System (ESAS), Functional Assessment of Cancer Therapy-General (FACT-G), Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp-12), Hospital Anxiety and Depression Scale (HADS), and Cancer Survivors' (Partners') Unmet Needs measure (CaSUN)/(CaSPUN). Descriptive methods summarized sociodemographic, cancer-specific, and psychosocial data. Non-parametric statistical tests examined the differences between patients and next of kin.</p><p><strong>Results: </strong>The HADS indicated that one-quarter of patients and one-third of next of kin possibly/probably had anxiety, and one-seventh of participants possibly/probably had depression. One-third of participants experienced no/minimal impact of cancer on well-being. The CaSUN identified unmet needs in all domains, but mostly in information and psychosocial domains. At least 15% of patients/next of kin reported unmet needs in 12/26 items. For most items, next of kin reported unmet needs at a similar/higher frequency than patients (10-25%).</p><p><strong>Conclusion: </strong>These findings underscore the importance of assessing well-being and rehabilitative needs in patients and their next of kin before chemotherapy, to identify those who may benefit from early professional support.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm43516"},"PeriodicalIF":2.3,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12416336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Automated assessment of upper limb spasticity in stroke patients with fusion of multichannel surface electromyography features.","authors":"Xin Li, Feiyu Nong, Xu Zhang, Lin Chen, Tian Li, Shengliang Shi, Yaobin Long","doi":"10.2340/jrm.v57.43745","DOIUrl":"10.2340/jrm.v57.43745","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to investigate a more accurate and efficient technique for assessing spasticity in stroke patients via surface electromyography (sEMG).</p><p><strong>Methods: </strong>45 hemiplegic individuals were recruited and spasticity was assessed via the modified Ashworth scale (MAS). Multichannel sEMG data were collected from 3 muscles: the long head of the biceps brachii (LB), the short head of the biceps brachii (SB), and the brachioradialis (BR). Both time-domain and frequency-domain features were extracted. A K-nearest neighbour (k-NN) classifier was used to develop a new feature vector consisting of multichannel sEMG features. Finally, a model using this new feature was constructed and evaluated for classification accuracy.</p><p><strong>Results: </strong>Data from 40 patients were analysed, revealing significant correlations between MAS scores and sEMG features. Specifically, MAS exhibited strong positive correlations with 3 time-domain features: root mean square (RMS), integral sEMG (iEMG), and envelope area (EA) (r > 0.7). In contrast, frequency-domain features were negatively correlated with the MAS score (r < -0.7). A single-channel model and a single-feature model were developed as baselines. A k-NN classifier using a novel feature vector - -integrating single-channel and single-feature data - enabled automatic spasticity grading, surpassing the performance of the baseline models. The proposed multichannel sEMG feature fusion model achieved an average accuracy of 78.7%, significantly outperforming both the single-channel model (LB: 66.0%, SB: 64.3%, BR: 70.4%) and the single-feature model (RMS 70.8%, iEMG 71.4%, and EA 63.4%).</p><p><strong>Conclusions: </strong>Compared with single-channel and single-feature models, the k-NN model, which uses multichannel sEMG features, has superior accuracy in spasticity assessments and is a reliable tool for objective evaluation. This approach holds promise for enhancing rehabilitation strategies by enabling precise and data-driven efficacy assessments, ultimately improving patient outcomes.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm43745"},"PeriodicalIF":2.3,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Soft robotic gloves versus mirror therapy: a long-term comparative study on hand function and motor recovery in post-stroke rehabilitation.","authors":"Osama R Abdelraouf, Mohamed A Abdel Ghafar, Mariam E Mohamed, Zizi M Ibrahim, Eman M Harraz, Mohamed K Seyam, Gihan Samir Mousa, Rafik E Radwan, Amira E El-Bagalaty","doi":"10.2340/jrm.v57.43482","DOIUrl":"10.2340/jrm.v57.43482","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the long-term effects of soft robotic gloves (SRGs) and mirror therapy on hand function and motor recovery in post-stroke patients.</p><p><strong>Methods: </strong>A single-blinded, randomized controlled comparative study was conducted on 49 patients with chronic stroke assigned randomly to either the SRGs or mirror therapy group. Both groups underwent an 8-week intervention alongside conventional rehabilitation. The Box and Block Test (BBT), hand grip strength, and Fugl-Meyer Assessment-Upper Extremity (FMA-UE), were assessed at baseline, post-intervention, and 6-month follow-up.</p><p><strong>Results: </strong>Post-intervention, the SRGs group demonstrated significantly greater improvements in all outcome measures compared with the mirror therapy group (p = 0.004, 0.011, and 0.021, respectively). These improvements were sustained at follow-up (p < 0.001, < 0.001, and 0.003, respectively). Within-group comparisons showed significant post-intervention improvements in both groups; however, the mirror therapy group exhibited no significant changes between post-intervention and follow-up (p = 0.197, 0.125, and 0.317, respectively), whereas the SRGs group maintained significant gains (p = 0.003, 0.012, and 0.005, respectively).</p><p><strong>Conclusion: </strong>Findings suggest that SRGs provide superior improvements in hand function and motor recovery compared with mirror therapy in post-stroke rehabilitation. The long-term benefits highlight the potential of SRGs as an effective intervention for promoting functional independence in stroke survivors.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm43482"},"PeriodicalIF":2.3,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telerehabilitation versus face-to-face physical therapy for middle-aged patients with degenerative meniscal tear in China: a non-inferiority randomized controlled trial.","authors":"Jiye He, Caiqi Xu, Lihua Huang, Hui Wang, Shengdi Lu","doi":"10.2340/jrm.v57.43237","DOIUrl":"https://doi.org/10.2340/jrm.v57.43237","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the effectiveness of telerehabilitation to traditional face- to-face physical therapy for patients with degenerative meniscal tears in Shanghai, China.</p><p><strong>Design: </strong>A two-arm, single-blinded, randomized controlled trial was conducted across two hospitals in Shanghai, China Subjects/Patients: Participants with clinically diagnosed degenerative meniscal tears were randomly assigned to either the telerehabilitation group or the face-to-face physical therapy group.</p><p><strong>Methods: </strong>Both groups underwent a 12-week intervention. Participants in telerehabilitation group used a digital platform for remote physical therapy, while participants in physical therapy group received traditional clinic-based rehabilitation. A predefined non-inferiority margin of 10 points on the Knee Injury and Osteoarthritis Outcome Score (KOOS) was applied to determine clinical equivalence between the interventions.</p><p><strong>Results: </strong>Both groups demonstrated significant improvements in knee function and quality of life, with no significant differences in the KOOS, SF-36, or functional tests at any time point (p > 0.05). Both groups had high adherence rates, with no significant differences in exercise completion or satisfaction scores. The TELE group had a significantly lower total cost compared to the PT group (p < 0.001), demonstrating greater cost-effectiveness.</p><p><strong>Conclusion: </strong>Telerehabilitation was found to be clinically non-inferior to face-to-face physical therapy for improving knee function, pain, and quality of life in patients with degenerative meniscal tears. It offered significant cost savings, making it a cost-effective alternative to traditional in-person rehabilitation.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm43237"},"PeriodicalIF":2.3,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sternal interferential current stimulation after sternotomy: A randomized, sham-controlled trial on pain and wound healing.","authors":"Nils Schulz, Gian Vo, Pascal Van Wijnen, Tim Wilhelmi, Michael Coch, Uwe Lange, Philipp Klemm","doi":"10.2340/jrm.v57.43941","DOIUrl":"https://doi.org/10.2340/jrm.v57.43941","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effect and safety of serial interferential current stimulation on postoperative pain and wound healing after sternotomy in cardiac rehabilitation.</p><p><strong>Design: </strong>Prospective, randomized, double-blinded, sham-controlled clinical trial.</p><p><strong>Subjects/patients: </strong>200 patients undergoing open-heart surgery via sternotomy were enrolled during inpatient cardiac rehabilitation, 8 to 12 days postoperatively.</p><p><strong>Methods: </strong>Patients were randomized into an intervention group receiving interferential current stimulation over the sternum (six sessions across 21 days) or a control group receiving sham stimulation. All participants underwent the same standardized cardiac rehabilitation program. The primary outcome was pain reduction over 21 days. Secondary outcomes included analgesic use, inflammatory cytokine levels, pulmonary function, wound healing, and adverse events.</p><p><strong>Results: </strong>Interferential current stimulation significantly reduced pain scores compared to sham treatment. Analgesic use decreased more in the intervention group. A greater reduction in tumor necrosis factor alpha and interleukin 6 levels was observed. Pulmonary function and quality of life improved in both groups without significant between-group differences. No adverse effects or wound infections occurred in the intervention group.</p><p><strong>Conclusion: </strong>Serial interferential current stimulation is a safe, effective non-pharmacological therapy for reducing post-sternotomy pain and analgesic use in cardiac rehabilitation. The effect may be mediated by modulation of inflammatory cytokines.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm43941"},"PeriodicalIF":2.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12379721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating relapse prophylaxis in addition to interdisciplinary multimodal pain therapy for back pain: a randomised controlled trial.","authors":"Julia Schmetsdorf, Kathrin Krüger, Jacqueline Posselt, Runde Werner, Hans-Georg Zechel, Thomas Kohlmann, Christian Krauth","doi":"10.2340/jrm.v57.42088","DOIUrl":"https://doi.org/10.2340/jrm.v57.42088","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the effectiveness of a 12-month relapse prophylaxis following a 4-week interdisciplinary multimodal pain therapy approach for patients with back pain. The study examined whether the intervention reduced days of incapacity to work (primary outcome) and improved functional capacity and health-related quality of life (secondary outcomes) compared with interdisciplinary multimodal pain therapy alone.</p><p><strong>Design: </strong>A randomized controlled trial was conducted. The recruitment period was 24 months.</p><p><strong>Subjects/patients: </strong>The study comprised 297 employed patients from a rural region in north-west Germany, diagnosed with back pain in different regions of the spine.</p><p><strong>Methods: </strong>The analyses were based on quantitative data: claims data and questionnaire data.</p><p><strong>Results: </strong>The results showed a mean of 70.07 days of incapacity to work after the interdisciplinary multimodal pain therapy for the control group and a lower mean of 56.41 days for the intervention group. The group difference was not significant (p = 0.259). Analysis of change scores revealed statistically significant larger improvements of functional capacity and health-related quality of life in the intervention group.</p><p><strong>Conclusion: </strong>Findings of this study show improvements in the secondary outcomes. The results indicate that further studies are needed to determine how to sustainably reduce days off work due to back pain.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42088"},"PeriodicalIF":2.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12379723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of work and environmental factors on quality of life in community-dwelling spinal cord injury individuals in South Korea using latent profile analysis.","authors":"Bum-Suk Lee, Boram Lee, Jincheol Lim, Onyoo Kim","doi":"10.2340/jrm.v57.41903","DOIUrl":"https://doi.org/10.2340/jrm.v57.41903","url":null,"abstract":"<p><strong>Objective: </strong>To classify Koreans with spinal cord injury into groups with similar levels of life satisfaction and analyse the differences in life satisfaction between the groups, and identify the factors influencing their quality of life.</p><p><strong>Design: </strong>A cross-sectional study was conducted.</p><p><strong>Subjects: </strong>The International Spinal Cord Injury Survey of 711 persons with traumatic or non-traumatic spinal cord injury was used.</p><p><strong>Methods: </strong>The latent profiles were classified according to the sub-items of quality of life, and variables influencing the latent profiles were identified. The Mplus 8.0 program was used for the main analysis. Logistic regression analysis was performed to examine how the predictors were associated with latent profile membership.</p><p><strong>Results: </strong>The factors associated with a higher likelihood of belonging to the high quality of life group included marital status; having less bowel dysfunction and muscle spasms or spasticity; receiving vocational rehabilitation services and currently engaging in paid work; and negative social attitude and problematic financial status.</p><p><strong>Conclusion: </strong>Enhancing the quality of life of individuals with spinal cord injury necessitates providing medical care for bowel dysfunction or spasticity, providing vocational rehabilitation services, enabling successful return to work, improving negative perceptions regarding people with disabilities, and implementing policies to guarantee them an income.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm41903"},"PeriodicalIF":2.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12376383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-sectional differences of physical and psychosocial measures in low back pain according to pain chronification risk groups.","authors":"Elisabeth Fehrmann, Linda Fischer-Grote, Julian Dietl, Patrick Mair, Gerold Ebenbichler, Thomas Kienbacher","doi":"10.2340/jrm.v57.42639","DOIUrl":"https://doi.org/10.2340/jrm.v57.42639","url":null,"abstract":"<p><strong>Objective: </strong>To investigate whether low-back-pain patients classified based on the risk of pain chronification (low, medium, high) differ in psychosocial and physical function measures, and whether these subgroup differences are moderated by age, gender, and body mass index.</p><p><strong>Methods: </strong>In this cross-sectional study, 595 Austrian patients with chronic low back pain (68% female; mean age: 53 ± 6.7 years) completed the STarT Back screening tool, visual analogue scale, Roland Morris Disability Questionnaire, Pain Disability Index, 5-level European Quality of Life Questionnaire, Hospital Anxiety and Depression Scale, and Avoidance-Endurance fast screen. Physical function tests assessed maximum trunk strength, trunk range of motion, and hand grip strength, while multivariate analyses of variance evaluated differences among the risk groups.</p><p><strong>Results: </strong>The intensity of physical and psychosocial problems differed significantly among the pain chronification risk groups. Physical function also varied across subgroups, with the high-risk group exhibiting the weakest muscle strength and the greatest stiffness. Gender significantly moderated the association between pain risk group and trunk strength.</p><p><strong>Conclusion: </strong>In people of working age with chronic low back pain, the STarT risk of pain chronification was correlated with physical and psychosocial variables. Moreover, this screening tool can be used irrespective of personal factors such as age, gender, and BMI.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42639"},"PeriodicalIF":2.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12379722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}