Musculoskeletal Science and Practice最新文献

{"title":"Does your patient education material for low back pain meet patients’ information and education needs? Preliminary development of a new checklist","authors":"Bradley Furlong ,&nbsp;Holly Etchegary ,&nbsp;Andrea Pike ,&nbsp;Mona Frey ,&nbsp;Kris Aubrey-Bassler ,&nbsp;Simon Davidson ,&nbsp;Amanda Hall","doi":"10.1016/j.msksp.2026.103500","DOIUrl":"10.1016/j.msksp.2026.103500","url":null,"abstract":"<div><h3>Introduction</h3><div>Patients lack knowledge and have unhelpful beliefs about low back pain, which are associated with worse outcomes. Education may improve knowledge and modify beliefs and is recommended as a first-line low back pain treatment. However, low back pain guidelines are vague in their education recommendations and patients report rarely receiving education in from their family doctor. Those receiving education often report unclear and inconsistent information across resources that do not address their needs. Patient education materials can be used to facilitate the provision of credible, clear and consistent information to address patients’ needs, but no tool has been developed to assess if they contain information patients want to know, or information providers want patients to know.</div></div><div><h3>Objectives</h3><div>To (i) identify a list of items describing information that patients want to know about and that educators want patients to know about related to low back pain and (ii) organize them into a checklist with a coding scheme for future pilot testing.</div></div><div><h3>Methods</h3><div>We reviewed the literature to inform working definitions of patients' information needs (what patients want to know more about) and education needs (what experts identified patients lack knowledge about). Using these definitions, we found two recent systematic reviews investigating patients' information needs, attitudes, and beliefs about low back pain. We used the constant comparative method to conduct a content analysis of the data from these reviews into codes and categories relating to patients’ needs, from which we generated items. Patient partners and clinician researchers assessed face validity. A clinician researcher pre-tested the checklist to minimize measurement error.</div></div><div><h3>Results</h3><div>We developed a checklist comprising 21 items about prognosis, diagnosis, treatment, causes, aetiology, prevention, functional anatomy, activities of daily living, and pain neuroscience education. A small group of patients and clinician researchers judged the checklist to have acceptable face validity.</div></div><div><h3>Conclusion</h3><div>We developed a novel checklist comprising 21 distinct patient information and education needs about low back pain. It is intended to assess whether patient education materials about low back pain contain information about these needs, but its development is preliminary in nature and further validation is required.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"82 ","pages":"Article 103500"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145980405","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":"Can baseline features predict a reduction in pain and disability following neck-specific exercise in people with chronic non-specific neck pain?: A systematic review","authors":"Cho Wai Geoffrey Yu ,&nbsp;Ziyan Chen ,&nbsp;Edith Elgueta-Cancino ,&nbsp;Janet Deane ,&nbsp;Valter Devecchi ,&nbsp;Deborah Falla","doi":"10.1016/j.msksp.2025.103473","DOIUrl":"10.1016/j.msksp.2025.103473","url":null,"abstract":"<div><h3>Background</h3><div>Neck-specific exercises are effective for chronic non-specific neck pain, though responses vary considerably.</div></div><div><h3>Objectives</h3><div>Identify baseline features that predict a reduction in neck disability, pain and better global change following neck-specific exercise interventions.</div></div><div><h3>Design</h3><div>Systematic review of prospective cohort studies and secondary analyses of randomised controlled trials.</div></div><div><h3>Methods</h3><div>Six databases were searched until June 2025. Studies investigating baseline demographic and clinical characteristics, as well as physical and psychological features, with the outcome of pain and disability, or global changes were included. Methodological quality was assessed with the Quality in Prognosis Studies tool, and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) tool was used to assess the certainty of evidence.</div></div><div><h3>Results</h3><div>Four studies (318 participants) were included. Older age (OR = 5.52) and being male (OR = 5.52) predicted pain reduction. Catastrophising predicted higher levels of disability (OR = 2.91) post exercise. Higher cervical movement velocity (OR = 3.68) and lower accuracy (OR = 5.99) at baseline both predicted less disability and pain. Shorter pain duration (LR+:3.21; LR-:0.36) and lower baseline disability (LR+:2.29; LR-:0.52) predicted a successful global response. The certainty of evidence for these findings is very low.</div></div><div><h3>Conclusions</h3><div>Baseline characteristics such as older age, male sex, lower movement accuracy, higher movement velocity, shorter pain duration, and lower baseline disability may predict favourable outcomes following neck-specific exercises, while catastrophising may predict poorer disability outcomes. However, given the very low certainty of evidence, these results should be interpreted cautiously.</div></div><div><h3>Trial registration</h3><div>PROSPERO (Registration number CRD42023408332)</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"82 ","pages":"Article 103473"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145908772","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 The COMBINED approach: Integrating a brief behaviour change intervention supported by a physiotherapist for people with rotator cuff disorders","authors":"Julie Bury ,&nbsp;Chris Littlewood ,&nbsp;Clare Jinks ,&nbsp;Gemma Mansell ,&nbsp;Kristina Curtis ,&nbsp;Gillian Yeowell","doi":"10.1016/j.msksp.2026.103493","DOIUrl":"10.1016/j.msksp.2026.103493","url":null,"abstract":"<div><h3>Background</h3><div>Modifiable lifestyle factors (smoking, inactivity, overweight) could contribute to the onset and persistence of rotator cuff disorders, yet physiotherapy practice rarely addresses them. Brief interventions (BIs) can support behaviour change but are not routinely embedded in musculoskeletal care.</div></div><div><h3>Objectives</h3><div>To develop <em>The COMBINED approach</em>: a physiotherapist-supported intervention integrating BI's targeting modifiable health behaviours into routine consultations for people with rotator cuff disorders; and to explore how physiotherapists can be supported to deliver it.</div></div><div><h3>Materials and methods</h3><div>A theory-, evidence-, and pragmatic-based development process incorporated stakeholder co-design, behavioural theory, and evidence across three workstreams: (1) narrative review of BIs targeting smoking, inactivity, and weight management; (2) four co-design workshops with 26 stakeholders (physiotherapists, patients, experts) to select and adapt a BI and identify key intervention features; (3) theoretical modelling using COM-B, TDF, and BCTTv1 to map barriers/facilitators, select behaviour change techniques, and develop prototype components.</div></div><div><h3>Findings</h3><div>Fourteen BIs were identified; <em>Moving Medicine</em> had greatest utility. Barriers included time constraints, limited skills and confidence, and fear of offending patients, contrasting with patients’ acceptability of lifestyle conversations. Recommendations included embedding the BI into routine care, scripts, infographics, patient resources, and training. Twelve TDF domains and 20 BCTs informed prototype development comprising: (1) patient-level intervention: a BI (adapted from <em>Moving Medicine)</em> embedded in routine consultations with tailored resources; (2) clinician-level implementation toolkit.</div></div><div><h3>Conclusion</h3><div>The <em>COMBINED approach</em> is the first formally developed intervention supporting integration of BI's within routine consultations for people with rotator cuff disorders and is now ready for feasibility testing.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"82 ","pages":"Article 103493"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145908809","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 additional effects of dual-task training with core stability exercises versus general exercises on disability and pain in people with nonspecific chronic low back pain: A randomized controlled trial","authors":"Zeinab Raoufi ,&nbsp;Abbas Tabatabaei ,&nbsp;Mehdi Dadgoo ,&nbsp;Esmaeil Ebrahimi Takamjani ,&nbsp;Reza Salehi ,&nbsp;Mohammad Ali Sanjari","doi":"10.1016/j.msksp.2026.103501","DOIUrl":"10.1016/j.msksp.2026.103501","url":null,"abstract":"<div><h3>Background</h3><div>Non-specific chronic low back pain (NSCLBP) is a prevalent musculoskeletal condition associated with disability, pain, and reduced quality of life. Core stability exercises combined with dual-task training may improve clinical outcomes; however, evidence is limited. This study compared the effectiveness of core stability exercises with dual-task training (CSD) versus general exercises with dual-task training (GED) on disability, pain, quality of life, fear-avoidance beliefs, and kinesiophobia in individuals with NSCLBP.</div></div><div><h3>Methods</h3><div>47 participants with NSCLBP (40.27 ± 7.69 years) were randomized into CSD (n = 24) or GED (n = 23) groups. Both groups completed 16 supervised sessions. The primary outcome was disability (Oswestry Disability Index, ODI) assessed at baseline, post-intervention (5 weeks), and 18-week follow-up. Secondary outcomes included pain intensity (Visual Analog Scale, VAS) assessed at same time points, quality of life (Short Form-12 Health Survey: Mental Component Summary [MCS-12], Physical Component Summary [PCS-12]), fear-avoidance beliefs (Fear-Avoidance Beliefs Questionnaire for physical activity [FABQ-P] and work [FABQ-W]), and kinesiophobia (Tampa Scale for Kinesiophobia [TSK]) assessed at baseline and post-intervention.</div></div><div><h3>Results</h3><div>The CSD group showed greater improvement in ODI post-intervention (d = 0.78, p = 0.012) and at follow-up (d = 0.97, p = 0.002). Both groups improved over time in all outcomes, with CSD superior for VAS (post-intervention and follow-up), MCS-12, PCS-12, FABQ-P, FABQ-W, and TSK post-intervention (p &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Core stability exercises combined with cognitive dual-task training appear to be more effective than general exercises combined with the same dual-task training in improving both physical and psychological outcomes in individuals with NSCLBP.</div></div><div><h3>Clinical trial registration number</h3><div>NCT05832918.</div></div><div><h3>Trial registration</h3><div>This trial was registered at <span><span>https://www.clinicaltrials.gov/</span><svg><path></path></svg></span>(Identifier: NCT05832918) on March 31, 2023.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"82 ","pages":"Article 103501"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115227","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":"Does physical activity provide additional benefit in individuals with rotator cuff related shoulder pain?","authors":"Ümmü Öztürk ,&nbsp;Derya Çelik","doi":"10.1016/j.msksp.2026.103498","DOIUrl":"10.1016/j.msksp.2026.103498","url":null,"abstract":"<div><h3>Background</h3><div>Rotator cuff-related shoulder pain (RCRSP) causes pain, functional loss and reduced quality of life. Although physical activity has been shown to reduce pain and improve overall well-being, its additional effect has not yet been investigated specifically in individuals with RCRSP.</div></div><div><h3>Objectives</h3><div>To investigate the effect of adding physical activity to supervised exercise on pain, function, quality of life, and satisfaction in individuals with RCRSP.</div></div><div><h3>Design</h3><div>Randomized controlled trial.</div></div><div><h3>Methods</h3><div>42 participants were randomly assigned into two groups. The Physical Activity Group (n = 21) received moderate-intensity walking exercise in addition to supervised exercise and the Control Group (n = 21) received only supervised exercise for 6 weeks. The outcome measures were Numeric Pain Rating Scale(NPRS), The American Shoulder and Elbow Surgeons Standardized Shoulder Assessment(ASES), The shortened Disabilities of the Arm, Shoulder and Hand Questionnaire(Quick DASH), Rotator Cuff Quality of Life (RCQOL), Western-Ontario Rotator Cuff Index(WORC) and Global Rating of Change scales(GROC) scores.</div></div><div><h3>Results</h3><div>Between-group differences in outcomes at follow-up were analyzed using one-way ANCOVA. There was a significant difference between the two groups in post-intervention scores on the NPRS-activity (Mean difference [MD]: −0.9 [95 % Confidence interval: −1.5,−0.3]; p = 0.003), NPRS-night (MD:−0.8 [−1.5,−0.1]; p = 0.02), ASES (MD:8.1 [2.5,13.7]; p = 0.01), Quick DASH (MD:−7.6 [−13.2,−1.9]; p = 0.01), and RC-QOL (MD:6.5 [0.2,12.9]; p = 0.04), favoring the Physical Activity Group. In contrast, no significant between-group differences were found in WORC-Emotions (MD:−5 [−13.2,3.2]; p = 0.23) or GROC(χ² = 0.79; p &gt; 0.05).</div></div><div><h3>Conclusions</h3><div>Adding physical activity to supervised exercise may significantly improve pain, function, quality of life, and satisfaction in individuals with RCRSP.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"82 ","pages":"Article 103498"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145980403","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":"Additional effects of aerobic training to neck exercises for women with chronic temporomandibular disorders: a randomized controlled clinical trial","authors":"Luiz Felipe Tavares ,&nbsp;Leticia Bojikian Calixtre ,&nbsp;Suelen Debora Fontana Vieira ,&nbsp;Mayra Quintanilha Souza ,&nbsp;Ana Beatriz Oliveira ,&nbsp;Susan Armijo-Olivo","doi":"10.1016/j.msksp.2026.103512","DOIUrl":"10.1016/j.msksp.2026.103512","url":null,"abstract":"<div><h3>Background</h3><div>Neck-specific exercises are commonly used in the management of temporomandibular disorders (TMD); however, the additional role of aerobic training remains unclear. Given the involvement of central pain mechanisms in TMD and the effects of aerobic exercise on pain modulation, its potential adjunctive value warrants further investigation.</div></div><div><h3>Objective</h3><div>To evaluate the additional effects of aerobic training to neck exercises on pain intensity, neck disability, and related outcomes in women with chronic TMD.</div></div><div><h3>Design</h3><div>Randomized controlled trial.</div></div><div><h3>Methods</h3><div>Fifty-eight women with chronic TMD were randomized into: (1) neck exercises (CG; n = 30); or (2) neck exercises plus aerobic training (EG; n = 28). Primary outcomes were orofacial pain intensity (VAS) and neck disability (NDI). Secondary outcomes were pressure pain thresholds (PPTs), jaw function (MFIQ), self-efficacy (CPSS), and oral health-related quality of life (OHIP-14). Repeated-measures ANOVA and multilevel mixed modelling (MLM) were used for analysis.</div></div><div><h3>Results</h3><div>Both groups improved over time in pain intensity, neck disability, and secondary outcomes, with no statistically significant differences between groups. Within-group effect sizes for pain intensity were large in the EG (g = 1.43) and in the CG (g = 1.08) after treatment. The MLM models indicated that NDI, CPSS and OHIP-14 explained part of the variation in pain intensity, and central sensitization, OHIP-14, and CPSS explained part of the variation for neck disability.</div></div><div><h3>Conclusion</h3><div>Moderate-intensity aerobic exercise did not yield statistically significant additional benefits compared with performing neck exercises alone. However, it remains important to explore other types of aerobic exercise for managing TMD.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"82 ","pages":"Article 103512"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146138202","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":"Patterns in anticipatory postural adjustment onset timing across multiple trunk muscles: Psychological correlates and participant clustering along the low back pain continuum","authors":"Jaap Wijnen ,&nbsp;Sophie Van Oosterwijck ,&nbsp;Evy Dhondt ,&nbsp;Michiel Brandt ,&nbsp;Lieven Danneels ,&nbsp;Thomas Matheve ,&nbsp;Jessica Van Oosterwijck","doi":"10.1016/j.msksp.2026.103496","DOIUrl":"10.1016/j.msksp.2026.103496","url":null,"abstract":"<div><h3>Background</h3><div>Feedforward activation of trunk muscles is crucial for spinal control and can be quantified by assessing anticipatory postural adjustments (APA). Few studies have examined time-dependent changes in APA onset times across the low back pain (LBP) continuum and their association with psychological factors.</div></div><div><h3>Objectives</h3><div>1) Investigate variations in APA onset times along the LBP continuum; 2) identify participant clusters based on APA onset timing patterns across trunk muscles; 3) compare these clusters on psychological factors.</div></div><div><h3>Method</h3><div>This cross-sectional study assessed APA onset times of trunk muscles using surface electromyography in 30 pain-free, 20 recurrent LBP (in remission), and 28 chronic LBP participants. Fear of movement, pain vigilance/awareness, and pain-related worry were evaluated using self-reported measures. Mixed linear models compared APA onset times between groups, while K-means clustering identified participant subgroups with similar APA onset timing patterns. Between-cluster differences in psychological factors were analyzed using one-way ANOVAs and Kruskal-Wallis tests.</div></div><div><h3>Results</h3><div>No significant group-by-muscle interaction was found (<em>p</em> = 0.362), nor between-group differences in APA onset timing (<em>p</em> = 0.832). Cluster analysis identified three subgroups, independent of LBP-status, characterized by a pattern of early, similar, or delayed APA onsets across trunk muscles. Pain vigilance/awareness scores differed between clusters (<em>p =</em> 0.029), with highest scores in the delayed APA cluster, while differences in other psychological factors were nonsignificant despite moderate/large effect sizes.</div></div><div><h3>Conclusions</h3><div>APA onset times did not progressively differ along the LBP-continuum. A pattern of delayed APA onset timing across trunk muscles was associated with higher levels of pain vigilance/awareness.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"82 ","pages":"Article 103496"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047520","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":"Identifying reliable, valid and feasible outcome measures for adults aged 50 years or older with hip or knee osteoarthritis participating in supervised exercise programs: a scoping review","authors":"Nikole Watson ,&nbsp;Rosmary Martinez Rueda ,&nbsp;Hayley Legg ,&nbsp;Catherine Boden ,&nbsp;Brenna Bath","doi":"10.1016/j.msksp.2026.103511","DOIUrl":"10.1016/j.msksp.2026.103511","url":null,"abstract":"<div><h3>Objective</h3><div>To identify reliable, valid, and feasible outcome measures that could be used to assess outcomes of participating in supervised exercise programs for adults aged 50 years or older with hip or knee osteoarthritis (OA).</div></div><div><h3>Methods</h3><div>A scoping review was conducted in accordance with Joanna Briggs Institute and PRISMA-ScR guidelines. Six databases were searched on July 18, 2024. Eligible studies were systematic, literature, or integrative reviews evaluating at least one psychometric property (reliability, validity, or feasibility) of outcome measures for adults aged ≥50 years with hip or knee OA, including those awaiting or having undergone total joint arthroplasty.</div></div><div><h3>Results</h3><div>Sixteen reviews were included, identifying 102 outcome measures (35 self-report, 67 performance-based). Nine reviews used the COSMIN methodology, while others applied alternative or narrative frameworks. Commonly supported measures included the WOMAC, KOOS, HOOS, LEFS, 6-Minute Walk Test, 40-m fast-paced walk, and Timed Up and Go, which showed strong reliability (ICC ≥0.80) and construct validity. Feasibility was discussed narratively in 13 reviews; none used formal criteria. Only three mentioned exercise, and none evaluated measures in supervised programs.</div></div><div><h3>Conclusion</h3><div>Multiple outcome measures demonstrated acceptable reliability and validity for adults with hip or knee OA, but feasibility data were limited, and no tools were validated in the context of supervised exercise. Consequently, no measure fulfilled all three psychometric criteria for this setting. Future research should include structured feasibility assessments and evaluate measures within exercise-based interventions.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"82 ","pages":"Article 103511"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144677","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":"Psychometric properties of the Spanish adherence to exercise for musculoskeletal pain tool (ATEMPT) in people with musculoskeletal chronic pain","authors":"Ángel González-de-la-Flor ,&nbsp;Cecilia Estrada-Barranco ,&nbsp;Pedro Martínez-Lozano ,&nbsp;Javier López-Ruiz ,&nbsp;Adrián Jiménez-Aceña ,&nbsp;María García-Arrabé","doi":"10.1016/j.msksp.2026.103514","DOIUrl":"10.1016/j.msksp.2026.103514","url":null,"abstract":"<div><h3>Objective</h3><div>To translate, culturally adapt, and validate the Spanish version of the Adherence to Exercise for Musculoskeletal Pain Tool (ATEMPT) for use in Spanish-speaking individuals with musculoskeletal pain.</div></div><div><h3>Methods</h3><div>A cross-sectional psychometric validation study was conducted in accordance with COSMIN and international guidelines for cross-cultural adaptation. The translation process followed a forward–backward method and included expert review and pilot testing. Psychometric analyses included internal consistency (Cronbach's alpha), test–retest reliability (intraclass correlation coefficient, ICC), measurement error (standard error of measurement [SEM] and minimal detectable change [MDC]), and structural validity (exploratory and confirmatory factor analyses).</div></div><div><h3>Results</h3><div>A total of 201 patients receiving physiotherapy for musculoskeletal pain completed the Spanish ATEMPT questionnaire. For test–retest reliability, 190 participants completed the questionnaire again after 14 days. The Spanish ATEMPT demonstrated excellent internal consistency (Cronbach's α = 0.898) and good test–retest reliability (ICC = 0.770). Structural validity supported a unidimensional model, confirmed by confirmatory factor analysis with excellent fit indices (CFI = 0.996, TLI = 0.994, RMSEA = 0.070, SRMR = 0.036). Measurement error was low (SEM = 1.76; MDC95 = 4.86). No floor or ceiling effects were identified.</div></div><div><h3>Conclusions</h3><div>The Spanish version of the ATEMPT is a valid, reliable, and culturally adapted instrument for assessing adherence to therapeutic exercise in individuals with musculoskeletal pain. Its implementation may enhance clinical decision-making, treatment planning, and monitoring of rehabilitation outcomes in Spanish-speaking populations.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"82 ","pages":"Article 103514"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167956","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":"Effectiveness of adding manual therapy to exercise for pain and disability in chronic non-specific low back pain: A systematic review and meta-analysis","authors":"Emmanuele C.S. dos Santos ,&nbsp;Aline T. dos Santos ,&nbsp;Natalia A. da Silva ,&nbsp;Saul R. Carneiro ,&nbsp;Érika P. Rampazo ,&nbsp;Maurício O. Magalhães","doi":"10.1016/j.msksp.2026.103508","DOIUrl":"10.1016/j.msksp.2026.103508","url":null,"abstract":"<div><h3>Introduction</h3><div>Manual therapy and therapeutic exercise are both recommended for chronic non-specific low back pain, the additional benefit of combining them is uncertain.</div></div><div><h3>Objective</h3><div>To systematically review the effects of adding manual therapy to therapeutic exercise compared to exercise alone on pain intensity and functional disability in adults with chronic non-specific low back pain.</div></div><div><h3>Methods</h3><div>A systematic review and meta-analysis of randomized controlled trials included adults aged 18–65 years with chronic non-specific low back pain (≥12 weeks). Interventions combined joint-based manual therapy (spinal mobilization and/or manipulation) with therapeutic exercise involving stretching, strengthening, motor control, and endurance training. Main outcomes were pain intensity and functional disability at short-, medium-, and long-term follow-up. PubMed, PEDro, Cochrane Library, CINAHL, and Web of Science were searched up to February 2025. Evidence certainty was rated using GRADE.</div></div><div><h3>Results</h3><div>Five trials (n = 260) were included. Low-quality evidence indicated no significant short-term pain reduction with manual therapy plus exercise versus exercise alone (SMD = −0.87, 95 % CI: −1.87 to 0.12, I² = 90 %). Moderate-to low-certainty evidence showed greater improvement in disability with combined therapy at short- (SMD = −0.73, 95 % CI: −1.05 to −0.42, I² = 0 %) and long-term follow-up (SMD = −1.13, 95 % CI: −2.06 to −0.19, I² = 80 %).</div></div><div><h3>Conclusion</h3><div>Manual therapy combined with therapeutic exercise does not appear to provide substantial additional short-term improvements in pain intensity when compared to exercise alone. However, significant benefits were identified for functional disability in both short- and long-term outcomes</div></div><div><h3>Prospero registration</h3><div>CRD42023413778.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"82 ","pages":"Article 103508"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127551","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}