Musculoskeletal Science and Practice最新文献

{"title":"Network analysis of cognitive, physical/functional, sensory, and pain processing-related factors in individuals with knee osteoarthritis.","authors":"Bruno Ruocco Verengue, Patrícia Gabrielle Dos Santos, Barbara Greco Miura, Aron Charles Barbosa, Gabriela Nascimento de Santana, Almir Vieira Dibai-Filho, Soraia Micaela Silva, Cid André Fidelis de Paula Gomes","doi":"10.1016/j.msksp.2025.103434","DOIUrl":"https://doi.org/10.1016/j.msksp.2025.103434","url":null,"abstract":"<p><strong>Background: </strong>Knee osteoarthritis (KOA) is a complex condition influenced by cognitive, physical, functional, sensory, and pain-processing-related factors, all of which contribute to pain and limitations in daily activities. Understanding how these factors are connected is vital for better disease management.</p><p><strong>Objectives: </strong>To use network analysis to explore the relationships among cognitive (self-efficacy and catastrophizing), physical/functional (functionality and strength), sensory (central sensitization symptoms), and pain-processing-related factors (pain intensity) in individuals with KOA.</p><p><strong>Methods: </strong>Two hundred and forty individuals with KOA participated in this cross-sectional study. The assessments included: Numeric Pain Rating Scale (NPRS), Central Sensitization Inventory (CSI), Pain Catastrophizing Scale (PCS), Pain Self-Efficacy Questionnaire (PSEQ), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), World Health Organization Disability Assessment Schedule (WHODAS), and quadriceps isometric strength (QIS). The network was estimated using the graphical LASSO method combined with a walktrap algorithm to identify clusters and connections between nodes (factors).</p><p><strong>Results: </strong>The estimated network indicates that pain self-efficacy plays a key role in linking clinical and psychosocial factors, such as physical disability, pain during activities, and maladaptive pain thoughts. Its prominent position underscores its importance as a potential target for assessment and intervention in individuals with KOA.</p><p><strong>Conclusion: </strong>Self-efficacy, as measured by the PSEQ, appears to be a central factor connected to physical/functional and sensory factors in individuals with KOA.</p>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"80 ","pages":"103434"},"PeriodicalIF":2.2,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Masseter muscle thickness, jaw functional limitation, oral behaviors, and psychosocial factors in chronic non-specific neck pain: A cross-sectional study.","authors":"Büşra Şirin Ahısha, Nurdan Paker, Nur Kesi̇ktaş, Nazlı Derya Buğdayci, Yiğit Can Ahısha","doi":"10.1016/j.msksp.2025.103429","DOIUrl":"https://doi.org/10.1016/j.msksp.2025.103429","url":null,"abstract":"<p><strong>Background: </strong>Chronic non-specific neck pain (CNSNP) and temporomandibular disorders are frequently comorbid disorders.</p><p><strong>Objective: </strong>To evaluate masseter muscle thickness (MMT) via ultrasonography in women with/without CNSNP and compare oral behaviors, jaw function, and psychosocial factors.</p><p><strong>Methods: </strong>This cross-sectional study enrolled 30 female CNSNP patients (March-April 2025, secondary care clinic) and 30 healthy controls. Self-reported clenching/grinding was recorded. Assessments included the Neck Disability Index (NDI), ultrasonographic MMT at rest/maximum contraction, and jaw opening (painless, unassisted, assisted). Jaw function (JFLS-20), anxiety-related symptoms (GAD-7), depression-related symptoms (PHQ-9), somatization (PHQ-15), and oral behaviors (OBC) were assessed. Group comparisons used t-test, Mann-Whitney U, or χ²; correlations used Pearson's or Spearman's tests.</p><p><strong>Results: </strong>MMT was significantly greater in the CNSNP group at rest and contraction (p < 0.05). At rest, the mean difference was -0.09 cm (95 % CI: -0.19 to -0.01, p = 0.038); at contraction, -0.12 cm (95 % CI: -0.21 to -0.02, p = 0.017). Jaw opening did not differ between groups. CNSNP patients had higher GAD-7 (p = 0.001), PHQ-9 (p = 0.002), PHQ-15 (p < 0.001), and OBC (p = 0.002) scores. MMT at contraction correlated with pain duration (r = 0.358, p = 0.005), NDI (r = 0.280, p = 0.031), JFLS-20 (r = 0.261, p = 0.044), and GAD-7 (r = 0.261, p = 0.044); resting MMT correlated with PHQ-9 (r = 0.271, p = 0.036).</p><p><strong>Conclusion: </strong>Women with CNSNP had greater MMT and reported higher anxiety, depression, somatization symptoms, and oral behaviors. Alongside MMT evaluation, psychosocial factors appear important in this population.</p>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"80 ","pages":"103429"},"PeriodicalIF":2.2,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing patient education materials about low back pain for understandability, actionability, quality, readability, accuracy, comprehensiveness, and coverage of information about patients' needs.","authors":"Bradley Furlong, Mona Frey, Simon Davidson, Giovanni Ferreira, Holly Etchegary, Kris Aubrey-Bassler, Amanda Hall","doi":"10.1016/j.msksp.2025.103430","DOIUrl":"https://doi.org/10.1016/j.msksp.2025.103430","url":null,"abstract":"<p><strong>Background: </strong>Patients have unhelpful beliefs about low back pain (LBP), which are associated with worse outcomes. Education may modify these beliefs, but patients with LBP rarely receive education in practice. Patient education materials (PEMs) are a quick, inexpensive intervention to support information provision.</p><p><strong>Objectives: </strong>assess PEMs for understandability, actionability, quality, readability, accuracy, comprehensiveness, and coverage of information about patients' needs to identify the best PEMs for practice.</p><p><strong>Methods: </strong>We searched published literature for PEMs tested in randomized trials or recommended in clinical guidelines. We used the Patient Education Materials Assessment Tool (PEMAT) to assess understandability and actionability, DISCERN to assess quality, the Patient Information and Education Needs Checklist for Low Back Pain (PINE-LBP) to assess information need coverage, and the Flesch Reading Ease (FRE) and Flesch-Kincaid Grade-Level (FKGL) algorithms to assess readability. We assessed accuracy (proportion of treatment recommendations aligning with guidelines) and comprehensiveness (proportion of correctly covered guideline recommendations), and qualitatively synthesized PEM content relating to 21 information and education needs about LBP.</p><p><strong>Results: </strong>Nineteen PEMs were included. None were actionable or comprehensive, and many had inaccurate treatment recommendations. There was considerable variation and conflicting information in the content provided across PEMs. Only the My Back Pain website met acceptable standards for more than half (4/7) outcomes.</p><p><strong>Conclusions: </strong>Educational messaging for LBP varies substantially and PEMs require improvement in various areas. The My Back Pain website met acceptable standards across most outcomes and may be the best available option for practice.</p>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"80 ","pages":"103430"},"PeriodicalIF":2.2,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between neck muscle size and physical features in individuals with chronic non-specific neck pain: A systematic review","authors":"Georgios Sidiropoulos ,&nbsp;Michail Arvanitidis ,&nbsp;Deborah Falla ,&nbsp;Asimakis Kanellopoulos ,&nbsp;Maria Tsekoura ,&nbsp;Nikolaos Strimpakos ,&nbsp;Zacharias Dimitriadis","doi":"10.1016/j.msksp.2025.103428","DOIUrl":"10.1016/j.msksp.2025.103428","url":null,"abstract":"<div><h3>Background</h3><div>Despite multiple studies investigating neck muscle structure in people with chronic non-specific neck pain (CNP), findings on the relationship between neck muscle size and commonly assessed physical features are inconsistent, highlighting the need for systematic synthesis and evaluation of the available evidence.</div></div><div><h3>Objective</h3><div>This systematic review examines the association between neck muscle size and commonly assessed physical features including neck strength, endurance, range of motion, proprioception and head posture in individuals with CNP.</div></div><div><h3>Methods</h3><div>A systematic search was conducted across MEDLINE, EMBASE, PubMed, CINAHL Plus, and Web of Science from inception to 21 October 2024. The included studies focused on adults with CNP, examining the correlation between measures of neck muscle morphology and physical features. Exclusion criteria included traumatic neck pain, neck surgery, and radiculopathy. Risk of bias was assessed using a modified Newcastle-Ottawa Scale and the certainty of evidence was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach. A narrative synthesis was used to summarise the findings.</div></div><div><h3>Results</h3><div>Of the 5,912 identified records, eight studies were included, comprising 246 participants. The narrative synthesis of the included studies identified significant correlations between the cross-sectional area (CSA) of longus colli and longus capitis with neck endurance, longus capitis CSA with neck proprioception, and longus colli CSA with measures of postural sway.</div></div><div><h3>Conclusions</h3><div>Based on very low certainty of evidence, reduced neck muscle size is associated with lower neck endurance, altered proprioception, and increased postural sway in individuals with CNP.</div></div><div><h3>Registration number</h3><div>CRD42024570776 (PROSPERO).</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"80 ","pages":"Article 103428"},"PeriodicalIF":2.2,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“I think there is something not right in my body”: Beliefs and attitudes of active adults with hip/groin pain towards hip crepitus – A qualitative study","authors":"Fernanda Serighelli ,&nbsp;David A. Snowdon ,&nbsp;Christian J. Barton ,&nbsp;Kay M. Crossley ,&nbsp;Matthew G. King ,&nbsp;Joanne L. Kemp ,&nbsp;Mark J. Scholes ,&nbsp;Joshua J. Heerey ,&nbsp;Danilo De Oliveira Silva","doi":"10.1016/j.msksp.2025.103427","DOIUrl":"10.1016/j.msksp.2025.103427","url":null,"abstract":"<div><h3>Background</h3><div>Hip crepitus is a persistent and highly prevalent symptom in active adults with hip/groin pain. Its presence may influence their perceptions about prognosis, treatment options and sports participation.</div></div><div><h3>Objective</h3><div>We explored the beliefs and attitudes of active adults with hip/groin pain towards hip crepitus.</div></div><div><h3>Methods</h3><div>Semi-structured interviews involving 15 adults with hip/groin pain who participated regularly in sports activities were conducted. Verbatim transcriptions of the interviews were independently analysed through a six-phase reflexive thematic analysis by two authors prior to the consensus meetings.</div></div><div><h3>Results</h3><div>We identified one overarching theme: <em>Crepitus – an unwanted sensation</em>, which divided the sample into two groups based on their description of crepitus and associated symptoms: <em>(i) clicking and tightness</em> and <em>(ii) grinding and pain</em>. The similarities and differences between the two groups were highlighted for the three main themes: (1) <em>Worries related to crepitus – uncertainty and anxiety</em>; (2) <em>Impact of crepitus on sport and daily life – hip flexion avoidance</em>; and (3) <em>Different mindsets about crepitus treatment – keep on moving</em>.</div></div><div><h3>Conclusion</h3><div>Our findings provide novel information regarding the perspectives of active adults with hip/groin pain towards hip crepitus, generating insights for health professionals on patients’ perceptions. In summary, active adults with hip/groin pain modify their activities, especially hip flexion movements, due to the sensation of hip crepitus. Additionally, they are typically worried about the meaning of their crepitus and the future of their hip joint health and are interested in active treatments to reduce the severity of hip crepitus.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"80 ","pages":"Article 103427"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a patient decision aid in relation to imaging for rotator cuff tendinopathy: a mixed-methods study.","authors":"P Malliaras, T P Haines, F Burstein, D Connell, P Delir Haghighi, T Hoffmann, J Neil, P Nicklen, H Skouteris, R S Page, R Whale, I Harris, J R Zadro","doi":"10.1016/j.msksp.2025.103388","DOIUrl":"10.1016/j.msksp.2025.103388","url":null,"abstract":"<p><strong>Background: </strong>Unnecessary imaging for rotator cuff related shoulder pain is common and may be related to inadequate shared decision making.</p><p><strong>Objective: </strong>To develop and evaluate a patient decision aid (PDA) for people with rotator cuff-related shoulder pain to inform decision-making.</p><p><strong>Design: </strong>Mixed-methods study guided by the International Patient Decision Aids Standards.</p><p><strong>Methods: </strong>A multidisciplinary steering group guided this research. The PDA was developed iteratively, incorporating feedback from people with shoulder pain and health professionals through semi-structured interviews and acceptability questionnaires (1 = strongly disagree and 5 = strongly agree). Thematic analysis of qualitative data and descriptive analysis of quantitative data was undertaken.</p><p><strong>Results: </strong>Twenty health professionals and nineteen patients participated in interviews, while a separate cohort of 54 patients and 15 health professionals completed acceptability questionnaires. Most patients (74-98 %) rated the PDA as acceptable, though 37 % perceived it as biased against imaging. Health professionals (median agreement score 4/5) found the PDA useful but highlighted concerns about feasibility in time-constrained settings. Interview feedback emphasized clarity, contextualization of imaging findings, and alignment with clinical guidelines. When using the final version of the PDA in a clinical encounter, all five patients (100 %) reported that the information in the decision aid influenced their decision to have a scan, and four of the five health professionals (80 %) reported that they would use the decision aid in their practice.</p><p><strong>Conclusion: </strong>This decision aid appears to be an acceptable and useful tool for helping people with rotator cuff-related shoulder pain to make informed decisions about imaging. A randomized controlled trial evaluating whether this decision aid reduces people's intentions to have imaging and facilitate informed treatment choices is now needed.</p>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"79 ","pages":"103388"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Education, rapport and convenience are key to participants’ perceptions of receiving physiotherapy or shockwave for proximal hamstring tendinopathy: a qualitative study","authors":"Aidan Rich ,&nbsp;Andrew Hahne ,&nbsp;Jon Ford ,&nbsp;Jilliane Cook ,&nbsp;Casey Peiris","doi":"10.1016/j.msksp.2025.103426","DOIUrl":"10.1016/j.msksp.2025.103426","url":null,"abstract":"<div><h3>Background</h3><div>Proximal hamstring tendinopathy (PHT) is a challenging musculoskeletal condition commonly affecting active populations, presenting as localised lower buttock pain. While various treatments have been investigated, including physiotherapy and extracorporeal shockwave therapy (ESWT), there is limited understanding of patient experiences with these interventions.</div></div><div><h3>Aim</h3><div>This study aimed to explore patient perspectives and experiences of receiving physiotherapy and ESWT treatments for PHT to provide insights into their perceived effectiveness and acceptability.</div></div><div><h3>Methods</h3><div>A qualitative design with semi-structured interviews and an interpretive description approach was applied. Participants were recruited from a randomised trial comparing individualised physiotherapy versus ESWT for PHT. Twenty-two participants (16 women, mean age 46 years), were interviewed after completing their allocated interventions. Data were analysed using thematic analysis to identify patterns and themes.</div></div><div><h3>Results</h3><div>Participants reported improvements in symptoms and function with both interventions, attributed to education and strong rapport with physiotherapists. Differences between treatment groups emerged in their perceptions of ease of adherence and additional benefits. The physiotherapy intervention group participants reported that exercises were challenging to adhere to but perceived unique functional and strength improvements. Shockwave therapy group participants felt it was easier to comply with, offering pain relief and functional gains but lacked the physical conditioning benefits of physiotherapy.</div></div><div><h3>Conclusion</h3><div>Both physiotherapy and ESWT were perceived as beneficial for PHT management, with important differences related to ease of treatment adherence and other benefits. These findings emphasise the importance of individualised care and consultation with the patient when choosing treatment for PHT.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"80 ","pages":"Article 103426"},"PeriodicalIF":2.2,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pain science knowledge among healthcare Professionals: A cross-sectional survey within the United States department of veterans Affairs","authors":"Damian Keter ,&nbsp;Kristin Eneberg-Boldon ,&nbsp;Wesley Kurszewski ,&nbsp;Lindsay Marth ,&nbsp;Tonya Rich ,&nbsp;Kathryn Schopmeyer ,&nbsp;Rebecca Vogsland","doi":"10.1016/j.msksp.2025.103422","DOIUrl":"10.1016/j.msksp.2025.103422","url":null,"abstract":"<div><h3>Background</h3><div>Pain complaints are one of the primary reasons that military veterans seek healthcare within the United States Veterans Health Administration (VHA). VHA providers therefore need to be able to appropriately identify and classify clinical pain presentations and provide evidence-based management strategies.</div></div><div><h3>Objective</h3><div>The objective of this exploratory quality improvement (QI) project was to identify gaps in pain science knowledge across healthcare professionals who participate in the pharmacological and non-pharmacological management of pain within the United States VHA.</div></div><div><h3>Design</h3><div>Cross-sectional survey.</div></div><div><h3>Results/findings</h3><div>Healthcare providers (n = 311; 2 % response rate) representing 17 professions completed the survey. Significant between group difference was demonstrated by profession (H = 23.46; p &lt; .001), and by provider age (H = 65.29; p &lt; .001) in self-reported confidence measures and revised neurophysiology of pain (rNPQ) scores (p &lt; .001). None of the professions reported confidence identifying/treating nociplastic pain and a single profession (pharmacists) reported confidence differentiating between pain phenotypes. Overall, the mean rNPQ score was 9.0 out of 12. Physical therapists (9.9) and psychologists (9.2) scored highest while nurse practitioners (7.3) and clinical social workers (7.6) scored lowest. Individuals 31–40 years old scored the highest (9.0) while individuals greater than 60 years old scored the lowest (7.2).</div></div><div><h3>Conclusion</h3><div>Pain knowledge within the VHA varies by profession and age. Educational opportunities within the VHA should be catered towards professions likely to benefit the most, including non-physician primary care providers. Educational opportunities should focus on terminology, differentiating between pain phenotypes, and understanding nociplastic pain phenotypes.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"80 ","pages":"Article 103422"},"PeriodicalIF":2.2,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between left/right judgment task performance and psychosocial pain factors in women with fibromyalgia: A cross-sectional study","authors":"Erick Atenas-Núñez ,&nbsp;María Jesús Muñoz-Yánez ,&nbsp;Andrea Lizama-Lefno ,&nbsp;Ángel Roco-Videla ,&nbsp;Mayte Serrat ,&nbsp;Sergio Flores-Carrasco","doi":"10.1016/j.msksp.2025.103423","DOIUrl":"10.1016/j.msksp.2025.103423","url":null,"abstract":"<div><h3>Background/objectives</h3><div>Fibromyalgia (FM) is a chronic pain condition characterized by widespread pain and associated with psychosocial factors such as kinesiophobia and catastrophizing. This study aims to identify psychosocial variables that explain variance in left/right judgment task (LRJ) performance in women with FM and to compare LRJ performance between women with low pain intensity and those with moderate-high pain intensity.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted with 56 women recruited from a rehabilitation foundation. Pain intensity, kinesiophobia, and catastrophizing were assessed using validated instruments, including the Visual Analog Scale (VAS) and the Tampa Scale for Kinesiophobia. LRJ tasks were performed with Recognise™ software, measuring reaction time (RT) and accuracy (AC). Data were analyzed with multiple linear regression models and Mann-Whitney U tests to examine variables that explained variance in LRJ performance and to compare groups with low versus moderate-high pain intensity.</div></div><div><h3>Results</h3><div>Age and kinesiophobia significantly explained variance in RT, accounting for up to 10.2 % of the variation. Pain intensity explained 21 % of the variance in AC when combined with age. Significant differences in RT and AC were observed between women with low pain intensity and those with moderate-high pain intensity.</div></div><div><h3>Conclusions</h3><div>Age, pain intensity, and kinesiophobia influence LRJ performance in women with FM, supporting the hypothesis of an altered body schema in this population. These findings emphasize the need for comprehensive treatment that addresses both physical and psychosocial factors, and suggest that LRJ-based strategies could be further explored as complementary tools in rehabilitation.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"80 ","pages":"Article 103423"},"PeriodicalIF":2.2,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acceptability of a 12-week movement program (Motum) to address functional outcomes in people with chronic non-specific low back pain: a mixed methods pilot study","authors":"Alice Farmer ,&nbsp;Saravana Kumar ,&nbsp;Harry Truong ,&nbsp;Jacinta Brinsley","doi":"10.1016/j.msksp.2025.103424","DOIUrl":"10.1016/j.msksp.2025.103424","url":null,"abstract":"<div><h3>Introduction</h3><div>Chronic non-specific low back pain (CNSLBP) is a major cause of disability globally. Due to the multifactorial nature of CNSLBP, non-pharmacological management such as exercise therapy, has been recommended as a first-line treatment. This pilot study examined the acceptability and clinical impact of a novel physiotherapist-led movement-based intervention for people with CNSLBP.</div></div><div><h3>Methods</h3><div>A mixed-methods study design was used. Twenty-nine adults with CNSLBP were allocated to a 12-week movement-based program (Motum) or waitlist control. The intervention comprised 12 sessions based on fundamental movement patterns and motor control principles. The primary outcome was acceptability and secondary measures were balance, pain, function, self-efficacy and kinesiophobia. Semi-structured interviews explored participants experiences of the intervention.</div></div><div><h3>Results</h3><div>The intervention was acceptable to participants with all sub-domains (affective attitude, perceived effectiveness, intervention coherence, opportunity costs, self-efficacy, and ethicality) scoring ‘highly acceptable’ (<em>p</em> &lt; .001), except burden which scored ‘acceptable’ (<em>p</em> &lt; .02). The intervention demonstrated large positive changes for improving fear avoidance of movement (Hedges <em>g</em> = .92) and balance (<em>g</em> = 1.04) and smaller positive effects on pain and function (<em>g</em> = .62) and self-efficacy (<em>g</em> = .23), compared to controls. Themes emerging from qualitative data with 10 participants were: 1) acceptability of program structure; 2) positive impacts attributed to the intervention; and 3) barriers to engagement.</div></div><div><h3>Conclusion</h3><div>Motum was an acceptable intervention and demonstrated positive impacts across a range of clinical outcomes. While these findings are encouraging, further research through mature study designs (such as randomised controlled trials) are required to substantiate these findings.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"80 ","pages":"Article 103424"},"PeriodicalIF":2.2,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}