Musculoskeletal Science and Practice最新文献

{"title":"From passive care to self-management support: A new era in manual and musculoskeletal physiotherapy","authors":"Nathan Hutting","doi":"10.1016/j.msksp.2025.103370","DOIUrl":"10.1016/j.msksp.2025.103370","url":null,"abstract":"","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103370"},"PeriodicalIF":2.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144329658","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":"Lesser-known patient-reported symptoms arising from the upper cervical spine – A scoping review","authors":"Amy Papinniemi ,&nbsp;Lucy Thomas ,&nbsp;Zhiqi Liang ,&nbsp;Julia Treleaven","doi":"10.1016/j.msksp.2025.103369","DOIUrl":"10.1016/j.msksp.2025.103369","url":null,"abstract":"<div><h3>Objective</h3><div>The aims of this scoping review were to (1) describe patient-reported symptoms and (2) identify the potential mechanisms for the development of these symptoms in people with lesser-known upper cervical spine disorders to inform potential neuro-musculoskeletal management</div></div><div><h3>Methods</h3><div>PubMed, Cinahl, Embase, Cochrane, Scopus and Web of Science databases were searched using predefined terms. Randomised control trials, observational studies and case studies were included in this review. Two reviewers independently screened titles, abstracts and full texts, and data was extracted into a charting table. Descriptive statistics were performed</div></div><div><h3>Results</h3><div>Ninety-nine cases from 66 studies were reviewed. Patient-reported symptoms were grouped into 16 location-specific sites. Although head and neck pain were most common, 14 other symptom groups were identified. Most symptoms appeared to be related to central nervous system structures (79 %), primarily lower cranial nerves and spinal cord. The remaining 21 % of patient symptoms appeared primarily to be related to the neurovascular structures around the styloid process and the C2 spinal nerve, impacted by changes in the upper cervical joints</div></div><div><h3>Conclusions</h3><div>The findings of this review will educate clinicians about a wide range of potential diagnoses and help them to comprehend the full spectrum of patient-reported symptoms associated with the upper cervical spine, thus improving practice. This information underscores the importance of clinicians inquiring about atypical symptoms not usually associated with musculoskeletal issues.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103369"},"PeriodicalIF":2.2,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144490005","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":"A comparison of the characteristics of physically active and inactive individuals with Greater Trochanteric Pain Syndrome: An online survey","authors":"Chris Clifford ,&nbsp;Lorna Paul ,&nbsp;Grant Syme ,&nbsp;Neal L. Millar","doi":"10.1016/j.msksp.2025.103368","DOIUrl":"10.1016/j.msksp.2025.103368","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the characteristics of physically active and inactive individuals with Greater Trochanteric Pain Syndrome (GTPS) and to explore factors associated with disability.</div></div><div><h3>Design</h3><div>Cross-sectional on-line survey.</div></div><div><h3>Methods</h3><div>Adults aged ≥18 years with lateral hip pain participated in an online survey. Comparisons were made between active individuals (≥150 min/week of physical activity) and inactive individuals (&lt;150 min/week of physical activity). Disability was measured using the Victoria Institute of Sports Assessment-Gluteal (VISA-G) and psychological factors with the Tampa Scale for Kinesiophobia (TSK) and Hospital Anxiety and Depression Scale (HADS). Number of pain sites (1–30) and self-reported body weight were also evaluated. Chi-squared (Chi²) and Mann-Whitney U tests determined group differences. Multiple linear regression identified characteristics associated with disability.</div></div><div><h3>Results</h3><div>261 individuals with self-reported GTPS responded. 209 (80 %) were physically active and 52 (20 %) inactive. Inactive individuals had higher disability (39 vs. 65 points) (p &lt; 0.001), higher number of pain sites (median 5, IQR 3–7) vs (3,2–5) (p &lt; 0.001) and were more likely to consider themselves overweight (65.4 % vs 29.7 %) (p &lt; 0.001) compared to active individuals. No differences were observed for kinesiophobia, anxiety or depression between groups. Eighty per cent of disability was explained by physical activity level, pain intensity during activity, kinesiophobia, depression, body weight status and sleep disturbance.</div></div><div><h3>Conclusion</h3><div>Physically inactive individuals with GTPS exhibit higher disability, a higher number of pain sites and were more likely to consider themselves overweight compared to active individuals. Physical and psychological factors were associated with disability.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103368"},"PeriodicalIF":2.2,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481065","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":"Endogenous analgesia, assessed via conditioned pain modulation, is not different in people with hip osteoarthritis compared to controls: a cross-sectional study","authors":"Myles C. Murphy ,&nbsp;Molly Coventry ,&nbsp;Ebonie K. Rio ,&nbsp;Paola T. Chivers ,&nbsp;Benedict Wand ,&nbsp;Gordon Waddington ,&nbsp;Andrea B. Mosler","doi":"10.1016/j.msksp.2025.103367","DOIUrl":"10.1016/j.msksp.2025.103367","url":null,"abstract":"<div><h3>Background</h3><div>In people with knee osteoarthritis, measures of pain sensitivity have been demonstrated to relate to both pain severity and treatment outcomes, dependent on the type of pain sensitivity being tested.</div></div><div><h3>Objective</h3><div>Quantify if differences in the pressure pain thresholds (PPT) or conditioned pain modulation (CPM) effect exist between people with hip osteoarthritis and age-matched controls without hip osteoarthritis.</div></div><div><h3>Methods</h3><div>We performed a cross-sectional study across two geographic locations. PPTs at a local (hip) and remote (elbow) site were collected via a manual algometer. CPM was quantified using PPTs immediately prior to, and during ice water immersion of the hand contralateral to the tested hip. We performed two linear mixed models (hip and elbow) to evaluate between-group (case vs control) differences in PPT over time. Significance was accepted with p &lt; 0.05.</div></div><div><h3>Results</h3><div>We included 71 participants: 32 with hip osteoarthritis (75 % female sex), and 39 without hip osteoarthritis (82 % female sex). Osteoarthritis participants had significantly lower baseline hip PPTs than control participants (p = 0.038). Hip PPTs significantly increased over time following the conditioning stimulus (p &lt; 0.001). However, we did not detect a significant interaction effect for PPTs between group and time (p = 0.308). There were no significant differences detected in elbow PPT between hip osteoarthritis and control participants (p = 0.114). Elbow PPTs significantly increased over time following the conditioning stimulus (p &lt; 0.001). However, we did not detect a significant interaction for PPTs between group and time (p = 0.606).</div></div><div><h3>Conclusion</h3><div>This study demonstrates that people with hip osteoarthritis have local, but not widespread, increases in mechanical sensitivity. Further there were no group differences in CPM.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103367"},"PeriodicalIF":2.2,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144322053","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":"Survey of rehabilitation practice for patients undergoing lumbar surgery in the United Kingdom","authors":"Suzanne McIlroy ,&nbsp;Michael Reddington ,&nbsp;Lindsay Bearne ,&nbsp;Dominic Thurgood ,&nbsp;Andrew McCarter","doi":"10.1016/j.msksp.2025.103365","DOIUrl":"10.1016/j.msksp.2025.103365","url":null,"abstract":"<div><h3>Purpose</h3><div>National guidelines recommend rehabilitation for patients undergoing elective lumbar surgery, yet current provision within the UK is unknown. The aim of this study was to determine Physiotherapy practice regarding prehabilitation, peri-operative, and post-operative rehabilitation, for patients undergoing lumbar discectomy, laminectomy, and single-level fusion, within the UK.</div></div><div><h3>Methods</h3><div>Physiotherapists working within the UK were invited to complete a cross-sectional, descriptive online survey. Open and closed-ended questions enquired about aims, content, format, and frequency of rehabilitation. Quantitative data were analysed descriptively, and open-ended responses were analysed narratively.</div></div><div><h3>Results</h3><div>360 responses were received, revealing varied practices. Routine provision of prehabilitation was low (18 %) whereas peri-operative and post-operative rehabilitation was offered more frequently (&gt;60 %). Rehabilitation was predominantly delivered in-person, on a one-to-one basis. Prehabilitation focused on educating patients and optimising psychological and physical health, peri-operative rehabilitation focused on safe mobility, and post-operative rehabilitation on improving function. Advice and education were the most common interventions across all rehabilitation phases. Exercise prescription was frequently used within peri-operative and post-operative rehabilitation. Post-operative restrictions were advised by 62 % of respondents. The most frequently provided activity restrictions were for lifting, driving, walking, sitting, and back movement, with timeframes varying considerably.</div></div><div><h3>Conclusion</h3><div>This study highlights considerable variation in access to and content of rehabilitation for patients undergoing lumbar surgery in the UK. While some variation may reflect personalised care, it also suggests uncertainty in the evidence base and inconsistent guideline use. Findings support the need for patient-centred pathways, updated UK-specific guidelines, and further research into implementation barriers, the impact of postoperative restrictions, and tailored rehabilitation interventions.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103365"},"PeriodicalIF":2.2,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144322052","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 of psychological factors and sleep quality with activity-related pain and disability in individuals with frozen shoulder","authors":"Romário Nóbrega Santos Fonseca ,&nbsp;Pablo Oscar Policastro ,&nbsp;João Felipe Medeiros Filho ,&nbsp;Eleazar Marinho Freitas Lucena ,&nbsp;Danilo Harudy Kamonseki ,&nbsp;Germanna Medeiros Barbosa","doi":"10.1016/j.msksp.2025.103366","DOIUrl":"10.1016/j.msksp.2025.103366","url":null,"abstract":"<div><h3>Background</h3><div>Frozen shoulder (FS) is a common condition that cause high levels of pain and disability. Psychological factors such as anxiety, depression, pain self-efficacy, kinesiophobia, pain catastrophizing and sleep quality may be associated with activity related pain and disability in individuals with FS.</div></div><div><h3>Objective</h3><div>To analyze the association of psychological factors and sleep quality with activity related activity-related pain and disability in individuals with FS.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 96 individuals with FS. Psychological variables included anxiety and depression (Hospital Anxiety and Depression Scale), pain self-efficacy (Pain Self-Efficacy Questionnaire), kinesiophobia (Tampa Scale for Kinesiophobia-11), pain catastrophizing (Pain Catastrophizing Scale), and sleep quality (Pittsburgh Sleep Quality Index). Activity-related pain and disability were assessed using the Shoulder Pain and Disability Index (SPADI). Control variables included sex, age, duration of symptoms, type of FS, body mass index (BMI), and presence of comorbidities. Univariate and multiple linear regression analyses were performed.</div></div><div><h3>Results</h3><div>Pain self-efficacy, kinesiophobia, and BMI explained 22.3 % of the variance in disability (f (3.92) = 10.08, p &lt; 0.001, adjusted R² = 0.223). Pain self-efficacy and anxiety explained 21.2 % of the variance in activity-related pain (f (2.93) = 13.74, p &lt; 0.001, adjusted R² = 0.212). Depression, pain catastrophizing, and sleep quality, as well as other control variables, were not significantly associated with the activity-related pain and disability.</div></div><div><h3>Conclusion</h3><div>Higher self-efficacy scores were associated with lower activity-related pain and disability scores, while higher kinesiophobia, anxiety, and BMI scores were associated with worse activity-related pain and disability scores.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103366"},"PeriodicalIF":2.2,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144471734","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":"Effects of combining manual therapies, neck muscle exercises, and therapeutic education pain neuroscience in patients with migraine: a 3-armed randomized clinical trial","authors":"Gabriella de Almeida Tolentino ,&nbsp;Lidiane Lima Florencio ,&nbsp;Juliana Pradela ,&nbsp;Carina Ferreira Pinheiro-Araújo ,&nbsp;Jaqueline Martins ,&nbsp;Adrila de Cassia Cabral Norato ,&nbsp;Felipe Daniel Sambini ,&nbsp;José Lucas Malosti Teodoro Rodrigues ,&nbsp;César Fernández-de-las-Peñas ,&nbsp;Fabiola Dach ,&nbsp;Débora Bevilaqua-Grossi","doi":"10.1016/j.msksp.2025.103360","DOIUrl":"10.1016/j.msksp.2025.103360","url":null,"abstract":"<div><h3>Background</h3><div>Physical therapy is a non-pharmacological approach for migraine management. However, the effectiveness of a multimodal approach combining manual therapies, cervical exercises, and therapeutic education, compared to these interventions individually, remains unclear.</div></div><div><h3>Objectives</h3><div>to investigate the effects of a multimodal approach versus manual therapies or pain neuroscience education alone in migraine patients.</div></div><div><h3>Methods</h3><div>A three-arm, parallel, single-blind, randomized clinical trial was conducted over 12 weeks, with assessments at baseline, 4, 8, and 12 weeks, and follow-up assessments at 1, 2, and 4 months. Seventy-five participants were randomly allocated to the Therapeutic Education Pain Neuroscience Group (TEG), Manual Therapies Group (MTG), or Multimodal Group (MUG). The primary outcome was the Headache Impact Test (HIT-6). Secondary outcomes included headache frequency, intensity, and duration; neck disability index (NDI); Allodynia Symptom Checklist (ASC-12); maladaptive beliefs; pain catastrophizing; quality of life; dizziness; and cervical assessments. Mixed models were analyzed in SPSS, considering group, time, and group-by-time interactions.</div></div><div><h3>Results</h3><div>All groups demonstrated significant HIT-6 improvement (p &lt; 0.001). MTG showed greater improvement at week 4, while TEG surpassed MTG by week 12. At follow-up, MUG demonstrated superior reduction in headache impact. Significant group-by-time interactions favored multimodal treatment for headache frequency, intensity, neck pain, ASC-12, NDI, quality of life, and Flexion Rotation Test (p &lt; 0.01). Also, MUG showed clinically relevant changes in NDI, Pain Catastrophizing Scale, quality of life, ASC-12, and Tampa Scale for Kinesiophobia.</div></div><div><h3>Conclusion</h3><div>Although all treatments were effective, MUG was superior in sustaining reductions in headache impact at follow-up, and improving psychosocial, headache and neck-related outcomes.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103360"},"PeriodicalIF":2.2,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194460","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":"Self-management interventions for adults with chronic lumbar radicular pain: A scoping review","authors":"Robert Goldsmith ,&nbsp;Sarah Rudd ,&nbsp;Sam Harding","doi":"10.1016/j.msksp.2025.103364","DOIUrl":"10.1016/j.msksp.2025.103364","url":null,"abstract":"<div><h3>Background</h3><div>Several studies have evaluated physiotherapy treatment and/or post-operative care for chronic lumbar radicular pain (CLRP). The extent, range, and nature of research addressing self-management for CLRP is not clear. This scoping review explores existing research evaluating self-management interventions for CLRP.</div></div><div><h3>Methods</h3><div>A methodology framework based on Arksey &amp; O'Malley 2005 was followed.</div></div><div><h3>Data sources</h3><div>Four databases were searched from inception to September 2024.</div></div><div><h3>Selection criteria</h3><div>We included studies evaluating self-management interventions for adults with CLRP (with or without a control group) and reporting an outcome relevant to self-management. We excluded studies that did not evaluate a self-management intervention, or did not involve a CLRP population.</div></div><div><h3>Results</h3><div>A total of 7,998 titles and abstracts were screened. Although six full text articles were retained for review, none meet inclusion criteria during full text screening.</div></div><div><h3>Conclusions</h3><div>This systematic scoping review highlights a lack of research addressing self-management interventions for CLRP.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103364"},"PeriodicalIF":2.2,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203360","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 matters when it comes to pain: a cross-sectional study of self-reported pain competencies among physiotherapists","authors":"Morten Hoegh ,&nbsp;Kasper Boegh ,&nbsp;Roland Reezigt","doi":"10.1016/j.msksp.2025.103363","DOIUrl":"10.1016/j.msksp.2025.103363","url":null,"abstract":"<div><div>The increasing burden of chronic pain raises demands for improved competencies for physiotherapists. Research suggests that postgraduate training and improved prelicensure pain curriculum might enhance physiotherapists skills in the management of people with chronic pain. The aim of this cross-sectional study was to determine self-reported pain competences among physiotherapists, and to look for potential impact of experience and education. Competencies were evaluated using an online questionnaire based on The European Diploma in Pain Physiotherapy curriculum (EDPP) using the approach of Bloom's taxonomy. Questions reflected all sections of the curriculum for the EDPP. Total score of the EDPP-questionnaire was used as the primary outcome. Responses were grouped by years of professional experience (&lt;2, 2–7, &gt;7 years) and level of education (entry-level, professional courses, MSc-level or higher). The validity of the hypothesis was analyzed using a two-factor ANOVA. 369 physiotherapists were eligible for analysis. A large main effect of education was found, ω² = 0.149 (95 % CI: 0.085–0.215), p &lt; 0.001. Additionally, a small, but significant main effect of experience was found as well, ω² = 0.018 (95 % CI: 0.00–0.050), p = 0.008. We conclude that physiotherapists with post-graduate education are more likely to report higher levels of pain competencies, independently of how long they have worked as physiotherapists. We speculate that this may relate to their scholarly achievements, e.g., critical thinking skills, rather than more pain education alone.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103363"},"PeriodicalIF":2.2,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184524","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":"Are self-reported exercise adherence measures associated with pain and function outcomes among participants receiving treatment for Achilles tendinopathy? A secondary analysis of a randomised controlled trial","authors":"Matthew Kenny ,&nbsp;Shannon E. Munteanu ,&nbsp;Peter Malliaras","doi":"10.1016/j.msksp.2025.103362","DOIUrl":"10.1016/j.msksp.2025.103362","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate whether self-reported exercise adherence to a 12-week calf exercise program is associated with pain and function in individuals with Achilles tendinopathy.</div></div><div><h3>Methods</h3><div>A secondary analysis of a randomised controlled trial, examining self-reported exercise adherence data in 127 participants with Achilles tendinopathy performing a 12-week rehabilitation program. Exercise adherence measures – frequency, volume, and intensity along with patient outcomes - VISA-A and pain, were collected via self-report questionnaires at 6 and 12 weeks.</div></div><div><h3>Results</h3><div>Completion rates were high (91 %–95 %) for adherence assessments and reported outcome measures. Adherence to frequency (78 %–58 %) reduced from 6 to 12 weeks, but adherence to sets (83 %–79 %) and repetitions was stable over this period (59 %–63 %). Pain and function (VISA-A) scores significantly improved over time. Linear mixed modelling revealed adherence to sets (p = 0.04), repetitions (p = 0.013), and added weight (p = 0.002), were significantly associated with higher VISA-A, and adherence to repetitions (p = 0.014) were significantly associated with lower pain, whilst also controlling for potential confounders. Adherence to frequency was not associated with either outcome.</div></div><div><h3>Conclusion</h3><div>Although adherence to frequency of exercise is commonly assessed in the literature, it was not associated with clinical outcomes in people with Achilles tendinopathy performing a 12-week rehabilitation program. However, using more weight and doing higher volume may have some relationship with improvement in clinical outcomes. This study highlights the need for researchers to improve their measurement and reporting of exercise adherence in Achilles tendinopathy.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103362"},"PeriodicalIF":2.2,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144242242","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}