Musculoskeletal Science and Practice最新文献

{"title":"German translation, transcultural adaptation and test-retest reliability of the headache screening questionnaire","authors":"Ramon Gubser ,&nbsp;Caroline M. Speksnijder ,&nbsp;Hedwig A. van der Meer ,&nbsp;Markus J. Ernst","doi":"10.1016/j.msksp.2025.103288","DOIUrl":"10.1016/j.msksp.2025.103288","url":null,"abstract":"<div><h3>Introduction</h3><div>Tension-type headache (TTH) and migraines are frequent headache types. For appropriate treatment, physiotherapists need to be able to recognize these two headache types. The Dutch Headache Screening Questionnaire (HSQ-DV) is the only screening questionnaire designed specifically for migraines and TTH, based on the latest International Classification of Headache Disorders and supporting evidence. The aim of this study is to translate the HSQ-DV into German and evaluate its test-retest reliability.</div></div><div><h3>Methods</h3><div>A cross-sectional and prospective cohort study was conducted to answer the research questions. The HSQ-DV was translated according to the COMSIN checklist for patient-reported outcome measurement instruments. Test-retest reliability was assessed with a retest after two weeks. Weighted kappa values, intraclass-correlation coefficients (ICCs) and standard error of the measurements (SEMs) were calculated separately for migraines and THH, based on point scale ranging from 0 to 8.</div></div><div><h3>Results</h3><div>The HSQ-DV was translated and culturally adapted into German. An introductory clarification was added to guide participants with multiple headaches, which headache type to consider. Sixty-one subjects were included in the reliability study. For migraine, the weighted kappa was 0.70 (95% Confidence Interval (CI) 0.52 <u>to 0.87</u>), the ICC was 0.84 (95% CI: 0.71 to 0.91), and the SEM was 0.39 points. For TTH, the weighted kappa was 0.73 (95% CI: 0.57 to 0.90), the ICC was 0.85 (95% CI: 0.74 to 0.92), and the SEM was 0.29 points.</div></div><div><h3>Conclusion</h3><div>The HSQ-GV is a reliable screening questionnaire for migraines and TTH in physiotherapy settings, demonstrating substantial to nearly perfect reliability.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103288"},"PeriodicalIF":2.2,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143471465","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":"Patient perspectives of process variables in musculoskeletal care pathways","authors":"Daniel Harvey ,&nbsp;Steve White ,&nbsp;Duncan Reid ,&nbsp;Chad Cook","doi":"10.1016/j.msksp.2025.103287","DOIUrl":"10.1016/j.msksp.2025.103287","url":null,"abstract":"<div><h3>Background</h3><div>The prevalence of disability caused by musculoskeletal conditions continues to increase. Little research has considered the effect of process variables of a musculoskeletal care pathway on patient outcomes. A process variable is as any modifiable factor in a pathway that can be quantified and measured and that if varied may achieve a different operational or patient outcome. The perspective of patients on what process variables are important in musculoskeletal care pathways remains unknown.</div></div><div><h3>Objective</h3><div>The aim of this study was to investigate which process variables are important to patients and what their experiences of these processes were during the rehabilitation of their musculoskeletal conditions. <em>Method</em>: A qualitative study using a reflexive thematic analytical approach was undertaken. Four focus groups with 12 participants were conducted. Thematic analysis was utilized on the focus group data.</div></div><div><h3>Results</h3><div>Four key themes were generated: 1) Process matters; (2) Quantifying progress facilitated patient engagement; (3) Benefits of equitable access of care; and (4) Recovery made easier with navigation.</div></div><div><h3>Conclusion</h3><div>Patients with musculoskeletal conditions recognise the importance of process variables, especially timeliness, order of care, coordination of care delivery, quantifying progress, equity of access and navigation. These findings offer insights to care pathway designers as well as future research opportunities examining the effects of process variables on the outcomes of patients with musculoskeletal conditions.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"Article 103287"},"PeriodicalIF":2.2,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does motion sensor biofeedback augment change in movement? A longitudinal study of lifting spinal kinematics in people with chronic low back pain undergoing Cognitive Functional Therapy with and without biofeedback","authors":"Ivan Pui Hung Au ,&nbsp;Anne Smith ,&nbsp;Peter O'Sullivan ,&nbsp;Leo Ng ,&nbsp;Nic Saraceni ,&nbsp;Amity Campbell","doi":"10.1016/j.msksp.2025.103286","DOIUrl":"10.1016/j.msksp.2025.103286","url":null,"abstract":"<div><h3>Background</h3><div>Lifting is a functional movement commonly assessed and targeted in the treatment of people with low back pain (LBP).</div></div><div><h3>Objective</h3><div>To investigate changes in spinal range of motion (ROM) and velocity during lifting in people with lifting-related LBP over the course of Cognitive Functional Therapy (CFT), and to compare these changes between CFT-only and CFT-with-biofeedback.</div></div><div><h3>Design</h3><div>Longitudinal observational study.</div></div><div><h3>Method</h3><div>One hundred and forty-one people with lifting-related LBP received CFT and performed a lifting task prior to each treatment session. Measures included ROM and velocity from trunk and pelvis sensors independently and the intersensor angle. Multilevel models estimated the average amount of change and inter-individual variability. Time-group interaction was used to test the differences in the mean change between CFT-only and CFT-with-biofeedback.</div></div><div><h3>Results</h3><div>During the 13-week intervention period, the average trunk and pelvis ROM increased significantly between week 1 and week 8 (10.6°, 95% CI: 5.9, 15.4; 10.4°, 95% CI: 6.9, 14.0), while the average intersensor ROM did not change over 13 weeks (−0.79°, 95% CI: −3.74, 2.16). The average trunk, pelvis and intersensor velocity increased significantly up to weeks 9 or 10 (17.8°/sec, 95% CI: 14.0, 21.6; 10.8°/sec, 95% CI: 8.3, 13.4; 6.0°/sec, 95% CI: 3.7, 8.3). There was no evidence for differences in change in ROM or velocity measures between CFT-only and CFT-with-biofeedback (<em>P</em> = 0.14–0.64).</div></div><div><h3>Conclusions</h3><div>People with lifting-related LBP demonstrated increases in trunk and pelvis ROM and all velocity measures but not intersensor ROM during lifting over the course of CFT. Biofeedback did not augment changes in lifting kinematics.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"Article 103286"},"PeriodicalIF":2.2,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cervicocephalic force steadiness and force sense in people with and without neck pain","authors":"Daniel J. English ,&nbsp;Nivan Weerakkody ,&nbsp;Anita Zacharias ,&nbsp;Rodney A. Green ,&nbsp;Tegan French ,&nbsp;Cassandra Hocking ,&nbsp;Marcos de Noronha ,&nbsp;Rodrigo Rico Bini","doi":"10.1016/j.msksp.2025.103284","DOIUrl":"10.1016/j.msksp.2025.103284","url":null,"abstract":"<div><h3>Background</h3><div>Proprioceptive and motor control impairments have been identified in people with neck pain, but there is limited data regarding deficits and reliability of cervical force steadiness and force sense.</div></div><div><h3>Objectives</h3><div>To evaluate between-group differences and test-retest reliability of cervical force steadiness and force sense in people with and without neck pain.</div></div><div><h3>Design</h3><div>Cross-sectional comparative study.</div></div><div><h3>Method</h3><div>Fourteen people with chronic neck pain (CNP) and 15 healthy participants of comparable age range completed a force-matching protocol of randomised isometric contractions for cervical flexion, extension, rotation (left and right), and lateral flexion (left and right) at intensities of 10% and 25% of their maximal voluntary contraction (MVC). Twenty-four participants completed a second session 4–7 days later to evaluate reliability. Force was converted to coefficient of variation (COV) to measure force steadiness, and absolute error (AE), constant error (CE), and variable error (VE) for force sense.</div></div><div><h3>Results</h3><div>CNP participants demonstrated worse total VE at 10% MVC (mean difference 36.96%, p &lt; .001). Reliability of force sense varied between poor to good, with best reliability shown for CE (ICC estimates 0.21–0.88). Force steadiness was significantly worse in the CNP population for 10% MVC (mean difference 42.26%, p &lt; .001) and 25% MVC (mean difference 23.97%, p &lt; .001), and reliability was moderate-good for all contractions (ICC estimates 0.53–0.87) except two.</div></div><div><h3>Conclusions</h3><div>People with CNP demonstrated impairments in force steadiness and force sense, particularly at 10% MVC intensity contractions. Reliability was varied for force sense and most contractions demonstrated moderate-good reliability for force steadiness.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"Article 103284"},"PeriodicalIF":2.2,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386538","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":"GPs’ experience of embedded Musculoskeletal Advanced Practice Physiotherapists in Primary Care: A cross-sectional survey with content analysis","authors":"Jordan Hepburn ,&nbsp;Gordon Cameron ,&nbsp;Libby Dale ,&nbsp;Gavin Frizzell ,&nbsp;Amegad Abdelgawad ,&nbsp;Cathy Bulley ,&nbsp;Kerrie Crisp","doi":"10.1016/j.msksp.2025.103285","DOIUrl":"10.1016/j.msksp.2025.103285","url":null,"abstract":"<div><h3>Background</h3><div>General Practices across Scotland have expanded their multi-disciplinary teams (MDTs) to include non-medical allied health professionals (NMAHPs) as part of the 2018 General Medical Services Contract (GMS), including musculoskeletal (MSK) Advanced Practice Physiotherapists (APPs). MDT expansion was hoped to reduce General Practitioner (GP) workloads and release their time to care for patients with complex needs. Published research concerning GPs’ experiences of these roles is conflicting on whether they perceive this to be the case.</div></div><div><h3>Aim</h3><div>To understand GPs’ experience of MSK APPs since their integration within MDTs.</div></div><div><h3>Design and setting</h3><div>Observational study of N = 22 GPs’ from a single health and social care partnership (HSCP) within an NHS Scotland Health Board.</div></div><div><h3>Method</h3><div>Cross-sectional survey study with conceptual analysis of open free-text responses.</div></div><div><h3>Results</h3><div>The majority of GPs’ agreed that MSK APPs: impacted positively on their management of clinical caseloads and diagnostic uncertainty; improved quality of care and system flow for patients with MSK conditions; had been embedded successfully with adequate implementation support, and their role was clear.</div></div><div><h3>Conclusion</h3><div>Findings support the argument that APPs are contributing to the achievement of GMS contract aims. Further research is required to increase the pool of available studies from which evidence-based recommendations can be made to health boards. Consistency in the design and wording of future surveys would improve the level of inference that can be drawn on GPs’ experiences of MSK APP services.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"Article 103285"},"PeriodicalIF":2.2,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445295","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":"Quality indicators for the community care of MSK conditions: An online modified-Delphi study","authors":"A. Braybrooke ,&nbsp;R. Burgess ,&nbsp;M. Brooks ,&nbsp;A. Banerjee ,&nbsp;J.C. Hill","doi":"10.1016/j.msksp.2025.103283","DOIUrl":"10.1016/j.msksp.2025.103283","url":null,"abstract":"<div><h3>Background</h3><div>Quality indicators can be used within healthcare to measure and benchmark performance. Variations in the access and quality of healthcare for musculoskeletal conditions highlights the need for a nationally agreed set of indicators.</div></div><div><h3>Objectives</h3><div>The study's primary aim was to develop a set of care quality themes and indicators for musculoskeletal community care.</div></div><div><h3>Methods</h3><div>An online Delphi process was used, that included clinicians, managers, researchers, and patients. In round one, participants rated 79 indicators, across six care quality themes, for their importance to quality community musculoskeletal care. Following this, participants discussed the results of the first round in an online panel and then re-rated indicators in a second-round survey. The panel discussion focused on a) the importance rating of indicators, and b) the wording of care quality themes. Consensus for high importance was set at ≥60% in both rounds of the study.</div></div><div><h3>Results/findings</h3><div>Forty-six individuals participated in the first round of the study, with 21 participating in the second round. After the second round, six care quality themes emerged: 1) Optimising patient access and assessment, 2) Optimising patient education, self-management, and rehabilitation, 3) Optimising personalised care, 4) Optimising diagnosis, imaging, investigation, and referrals, 5) Optimising patient experience and outcomes, and 6) Population health relevant to musculoskeletal conditions. Within the six themes, 59 indicators were ranked as highly important.</div></div><div><h3>Conclusions</h3><div>This study has developed a set of care quality themes and indicators for community musculoskeletal care. In the next stage of indicator development, real-world data will be used to validate the indicators across several constructs.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"Article 103283"},"PeriodicalIF":2.2,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity of a qualitative visual method for diagnosing forward head posture","authors":"Shohei Shibasaki ,&nbsp;Tomonori Kishino ,&nbsp;Yoriko Sei ,&nbsp;Keiichiro Harashima ,&nbsp;Konomi Sakata ,&nbsp;Hiroaki Ohnishi ,&nbsp;Takashi Watanabe","doi":"10.1016/j.msksp.2025.103282","DOIUrl":"10.1016/j.msksp.2025.103282","url":null,"abstract":"<div><h3>Introduction</h3><div>Forward head posture (FHP) is quantitatively diagnosed by measuring the craniovertebral angle (CVA). A qualitative visual method has recently been introduced but the validity of this method has not been confirmed. The present study aimed to clarify the validity of the visual method, using CVA methods as a standard.</div></div><div><h3>Methods</h3><div>CVAs were measured photographically, adopting reported criteria of less than 53° or 55° to diagnose FHP. The visual method defined a positive FHP as the back of participant's head not touching the wall while standing with heels, buttocks and shoulder blades touching the wall. These studies were performed in healthy young adults. Rates of positive FHP were compared between methods. Positive predictive values were then calculated for FHP based on CVA methods.</div></div><div><h3>Results</h3><div>The study population comprised 37 men and 43 women (21 ± 1 years). With the visual method, 41% (33/80) had FHP. With CVA methods using criteria of 53° and 55°, 34% (27/80) and 50% (40/80) displayed FHP, respectively. However, the visual method exhibited a male predominance in the group with FHP compared to that without FHP, together with high body mass index (BMI). Positive predictive values were 0.42 and 0.61 for FHP by CVA methods using criteria of 53° and 55°, respectively.</div></div><div><h3>Conclusion</h3><div>The visual method exhibited positivity rates approximating those using CVA methods of 53° and 55°. However, the relatively low positive predictive values suggested the visual method was inferior to CVA methods, partly due to the increased positivity rate for males with high BMI.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"Article 103282"},"PeriodicalIF":2.2,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143427566","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":"The International Headache Society welcomes a physiotherapy special interest group.","authors":"Kerstin Luedtke, Zhiqi Liang, Debora Bevilaqua-Grossi, Gwendolen Jull","doi":"10.1016/j.msksp.2025.103281","DOIUrl":"https://doi.org/10.1016/j.msksp.2025.103281","url":null,"abstract":"","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":" ","pages":"103281"},"PeriodicalIF":2.2,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426693","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 pain modulation is not different in basketball or volleyball athletes with patellar tendinopathy compared to asymptomatic athletic controls","authors":"Patrick Vallance ,&nbsp;Dawson J. Kidgell ,&nbsp;Bill Vicenzino ,&nbsp;Peter Malliaras","doi":"10.1016/j.msksp.2025.103280","DOIUrl":"10.1016/j.msksp.2025.103280","url":null,"abstract":"<div><h3>Background</h3><div>Patellar tendinopathy is highly prevalent in basketball and volleyball athletes. Despite pain being the main symptom reported, underlying mechanisms are unclear.</div></div><div><h3>Objectives</h3><div>Our primary aim was to compare endogenous pain inhibition using a conditioned pain modulation protocol in basketball and volleyball athletes with patellar tendinopathy to asymptomatic athletic controls. Our secondary aim was to compare endogenous pain facilitation using a temporal summation protocol.</div></div><div><h3>Design</h3><div>Cross-sectional case-control.</div></div><div><h3>Methods</h3><div>Twenty-six athletes and 19 asymptomatic controls participated. We calculated the difference in PPT at the patellar tendon over the most painful site (pain site), the ipsilateral tibialis anterior (regional site), and the contralateral elbow lateral epicondyle (remote site), before and after immersion of the hand (ipsilateral to pain site) in painful cold-water. PPT change was used to quantify endogenous pain inhibition. Participants rated pain on a numerical rating scale (NRS; 0 = no pain to 10 = worst pain imaginable) at five, 20, 60 and 120 s during the cold-water immersion task. Change in NRS from five to 20 s quantified temporal summation.</div></div><div><h3>Results</h3><div>Median symptom duration in our patellar tendinopathy group was 39 (IQR 22.5–55.5) months, and 85% experienced symptoms bilaterally. We did not observe alterations in endogenous pain inhibition at any site, or in temporal summation, in athletes with patellar tendinopathy compared to controls (p &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>Our findings indicate that altered central nervous system function is not a predominate feature contributing to pain in jumping athletes with patellar tendinopathy. Accordingly, clinicians should view pain as being of a local tissue source if targeting this symptom.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"Article 103280"},"PeriodicalIF":2.2,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143373089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tactile acuity, left/right judgment performance, motor imagery ability, and pressure-pain threshold in patients with chronic rotator cuff-related shoulder pain: a cross-sectional case-control study","authors":"Nuray Alaca ,&nbsp;Dilek Çağrı Arslan ,&nbsp;Seda Sırlan ,&nbsp;Hacı Ahmet Yarar ,&nbsp;Onur Başcı","doi":"10.1016/j.msksp.2025.103278","DOIUrl":"10.1016/j.msksp.2025.103278","url":null,"abstract":"<div><h3>Background</h3><div>Chronic pain can alter cortical pain representation, and tests like Two-Point Discrimination Test (TPDT), Left/Right Judgment Task (LRJT), motor imagery, and Pressure-Pain Threshold (PPT) can assess these changes. However, their applicability to all pain mechanisms is uncertain.</div></div><div><h3>Objective</h3><div>To compare the TPDT, LRJT, motor imagery ability, and PPT of chronic rotator cuff-related shoulder pain (C-RCRSP) patients with asymptomatic and pain-free controls.</div></div><div><h3>Methods</h3><div>Forty-eight C-RCRSP patients and 45 pain-free controls were assessed using a caliper for TPDT and the Recognize® application for LRJT. Motor ability, PPT, physical function, fear avoidance, pain catastrophizing, and Central Sensitization Inventory (CSI) were also evaluated. As part of the subgroup analysis, C-RCRSP patients were divided into two groups based on their CSI (≥40, n = 19; &lt;40, n = 29).</div></div><div><h3>Results</h3><div>C-RCRSP patients demonstrated higher TPDT thresholds [acromion (F = 5.41, p = 0.001) and deltoid (F = 26.67, p &lt; 0.001)] but no significant differences in LRJT performance [recognition accuracy (F = 2.47, p = 0.063) and response time (F = 0.98, p = 0.414)] than pain-free controls in both shoulder joints. C-RCRSP patients had poorer motor imagery abilities (p &lt; 0.001). The deltoid region PPT differed significantly between the groups (F = 17.45, p &lt; 0.001), but it was not significant for the tibialis anterior region (F = 1.16, p = 0.33). C-RCRSP patients with a CSI≥40 reported higher night pain, reduced shoulder range of motion, slower response times, poorer motor imagery ability, and higher scores on pain-related questionnaires compared to those with a CSI&lt;40 (p = 0.043-&lt;0.001).</div></div><div><h3>Conclusion</h3><div>C-RCRSP patients demonstrated poorer tactile acuity, mechanical sensitivity, and motor imagery ability especially in those with central sensitization, which should be considered in treatment planning.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"Article 103278"},"PeriodicalIF":2.2,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143377702","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}