Musculoskeletal Science and Practice最新文献

{"title":"The effectiveness of education for people with shoulder pain: A systematic review.","authors":"Zixin Zhang, Giovanni E Ferreira, John Samuel Downes, Joseph Vincent Cockburn, William James Burke, Peter Malliaras, Luis Fernando Sousa Filho, Christopher G Maher, Joshua R Zadro","doi":"10.1016/j.msksp.2024.103246","DOIUrl":"10.1016/j.msksp.2024.103246","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the effectiveness of education for people with shoulder pain.</p><p><strong>Design: </strong>Systematic review LITERATURE SEARCH: We searched several databases (e.g. MEDLINE, EMBASE, CENTRAL, CINAHL) and trial registries from inception to May 25, 2023.</p><p><strong>Study selection criteria: </strong>Randomised controlled trials investigating any education for people with shoulder pain.</p><p><strong>Data synthesis: </strong>Pain and disability were primary outcomes. The Physiotherapy Evidence Database (PEDro) scale was used to assess methodological quality. Meta-analysis was not appropriate due to heterogeneity.</p><p><strong>Results: </strong>We included 14 trials (8 had high methodological quality). The one trial on rotator-cuff related shoulder pain did not assess pain or disability but found best practice education (vs. structure-focused education) increased reassurance and intentions to stay active. The one trial on adhesive capsulitis found daily reminders, encouragement, and education about exercise via text did not improve pain and disability compared to no education. For post-operative shoulder pain, two (of four) trials found education reduced some measure of pain, but none found an effect on disability or any other outcomes. For 'shoulder complaints' (i.e. mixed or unclear diagnosis), no trials found education was more effective than home exercise or no education for improving pain or disability.</p><p><strong>Conlusion: </strong>Some forms of education appear to improve reassurance, treatment intentions, perceived treatment needs, recovery expectations, and knowledge, but their effect on pain and disability is unclear. High-quality trials are needed to resolve uncertainty surrounding the benefit of education for shoulder pain, particularly rotator-cuff related shoulder pain and adhesive capsulitis.</p>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"103246"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848515","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":"Anaesthetic and corticosteroid response immediately following epidural injection in patients with MRI confirmed lumbar disc herniation.","authors":"Mark Laslett, Jo Kennedy, Dayle Shackel, Amos Johnson, Ronald Boet, Barry McDonald","doi":"10.1016/j.msksp.2024.103249","DOIUrl":"10.1016/j.msksp.2024.103249","url":null,"abstract":"<p><strong>Objectives: </strong>To describe a rapid, community-based assessment, referral and management system for acute symptomatic LDH. To identify and describe specific local anaesthetic and corticosteroid patterns of pain intensity change during the first week post-epidural injection.</p><p><strong>Setting: </strong>Private practice, specialist physiotherapy clinic, community-based radiology facility.</p><p><strong>Design: </strong>Cohort study.</p><p><strong>Method: </strong>Consecutive patients with clinical and MRI diagnosis of acute LDH causing radicular pain and/or radiculopathy were referred for lumbar epidural injection. Pre- and post-procedure measures of back, buttock and lower limb pain intensity were acquired at 1,2,4,6 h, and at 1 week. Analysis of changes in back, buttock and lower limb pain intensity to identify different patterns that may influence clinical management.</p><p><strong>Results: </strong>A detailed clinical assessment, MRI and epidural steroid injection was completed for 51 patients. Pain intensity change patterns were highly heterogeneous. Three broadly different pain intensity response patterns: \"Steroid Responsive\" (41%), \"Mechanical\" (37%) and Unconfirmed Diagnosis (22%), were identified. Psychosocial factors did not influence tendency of patients to follow one clinical pathway versus another.</p><p><strong>Conclusions: </strong>Radicular pain associated with LDH responds to epidural injection in patterns that may be described as \"steroid responsive\" or \"mechanical\". LDH is not confirmed as the cause of pain in the remainder. Immediate post procedure anaesthetic and one week corticosteroid responses can guide management pathway and identify a subgroup requiring further diagnostic workup.</p>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"103249"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911187","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":"Editorial: Thank you to Professor Emerita Ann Moore and Professor Emerita Gwendolen Jull.","authors":"","doi":"10.1016/j.msksp.2025.103257","DOIUrl":"10.1016/j.msksp.2025.103257","url":null,"abstract":"","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"103257"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959444","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":"Cross-cultural adaptation, reliability, validity and responsiveness of the hand assessment tool (HAT-Sp) in Spain.","authors":"María Visitación Martínez-Fernández, Carmen María Sarabia-Cobo, Nuria Sánchez-Labraca","doi":"10.1016/j.msksp.2024.103250","DOIUrl":"10.1016/j.msksp.2024.103250","url":null,"abstract":"<p><strong>Purpose: </strong>The HAT is a questionnaire designed to measure activity limitations in patients with hand and wrist injuries, without assistance. This study aimed to translate, culturally adapt, and validate the psychometric properties of the HAT-validity, reliability, and responsiveness-for different hand conditions in Spain.</p><p><strong>Methods: </strong>Cultural adaptation followed recommendations from the American Academy of Orthopaedic Surgeons (AAOS). Validation adhered to the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) guidelines and involved 262 hand patients. Reliability was assessed with Cronbach's alpha and intraclass correlation coefficient (ICC) (2,1), for test-retest reliability, the standard error of measurement (SEM) and the smallest detectable change (SDC) were used to assess measurement error. Confirmatory factor analysis (CFA) and construct validity using Pearson's correlation coefficient evaluated validity. Responsiveness was measured using effect size (ES) and standardised response mean (SRM).</p><p><strong>Results: </strong>The adaptation process showed no significant changes, with strong expert agreement (Kendall's W = 0.81, p < 0.001) and patient difficulty below 15%. Reliability was confirmed with an excellent Cronbach's alpha of 0.91, ICC values of 0.99, and low measurement error (SEM of 0.72 and SDC of 1.41). CFA showed a good model fit (RMSEA of 0.04, SRMR of 0.05). HAT showed a high correlation with DASH (r = 0.78, p < 0.001) and a weak correlation with EQ-5D (r = -0.07, p > 0.05). Responsiveness, assessed in 222 patients, yielded a moderate ES of -0.62 and an SRM of -0.72.</p><p><strong>Conclusions: </strong>The HAT-Sp is a well-adapted and widely accepted tool among both Spanish patients and experts. The study demonstrated its strong reliability, validity, and responsiveness in activity limitation without assistance in patients with various hand and wrist injuries following physiotherapy.</p>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"103250"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911190","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":"Student and physiotherapists' perceived abilities to prescribe effective physical activity and exercise interventions: A cross-sectional survey.","authors":"Thomas Wing, Matthew Wright, Paul Chesterton","doi":"10.1016/j.msksp.2024.103245","DOIUrl":"10.1016/j.msksp.2024.103245","url":null,"abstract":"<p><strong>Background: </strong>Physical activity, aerobic and resistance training have established benefits to health and wellbeing, with physiotherapists playing a vital role in their promotion.</p><p><strong>Objectives: </strong>To capture UK student and graduate physiotherapists (1) knowledge of accepted guidelines and, (2) perceptions of physical activity and exercise prescription in practice.</p><p><strong>Design: </strong>National cross-sectional online survey.</p><p><strong>Methodology: </strong>A survey was conducted online among UK student and graduate physiotherapists from July to December 2021. Quantitative questions included dichotomous (yes/no), multiple-choice, and Likert scale (1-5) formats, alongside open-ended qualitative questions.</p><p><strong>Results: </strong>Of 305 respondents (18% students, 47% > 10 years' experience), 295 (97%) either \"agreed\" (n = 64, 21%) or \"strongly agreed\" (n = 231, 76%) that physical activity was a part of their role. Less than half felt the physiotherapy profession was able to provide effective physical activity (n = 149, 49%, 95% confidence intervals 43 to 54) and aerobic training (130, 43%, 37 to 48). Most knew the weekly minimum adult dosage of physical activity (257, 84%, 80 to 88) and resistance training (267, 88%, 83 to 91) but were generally unable to correctly identify aerobic and resistance training guidelines. Of those who used evidenced based guidelines regularly with patients 72% were not adopting correct guidelines for aerobic (n = 58, 72%, 61 to 80) and 46% for resistance training (n = 45, 46%, 36 to 56). Limited patient appointment duration, inadequate access to facilities and a lack of continuous professional development opportunities were perceived barriers to implementation.</p><p><strong>Conclusion: </strong>Respondents agreed physical activity and exercise are vital treatment modalities, however many lack the knowledge to deliver these interventions in line with contemporary guidelines.</p>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"103245"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873538","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":"Clinical predictors of surgical selection for individuals with neck pain.","authors":"Nicole Baker, Alexa Edwards, Sean Harris, J Craig Garrison, Zachery Schindler, Wescott Lu, Geoffrey Zubay, Jacob D Jelmini","doi":"10.1016/j.msksp.2024.103238","DOIUrl":"10.1016/j.msksp.2024.103238","url":null,"abstract":"<p><strong>Background: </strong>Neck pain is one of the leading causes of disability in the United States. However, the nature of cervical spine surgery is multi-factorial and often based upon clinical opinions, leaving clinical indications still to be clearly defined.</p><p><strong>Objective: </strong>To predict which clinical variables most influenced trends toward surgical or conservative management for individuals with neck pain.</p><p><strong>Design: </strong>Retrospective analysis on prospectively collected data.</p><p><strong>Methods: </strong>Two-hundred seventy individuals participated in the study. A retrospective chart review was performed to identify qualifying participants. Variables captured during data collection included the following: patient demographic information, physical examination (e.g., neurologic examination), physical performance measures, patient-reported outcome measures (Numeric Pain Rating Scale and Neck Disability Index), and chronicity of symptoms. Group allocation was determined by referring physician's medical diagnosis. A forward step-wise multiple logistic regression analysis was used to develop a final predictor model with p < 0.05 considered significant.</p><p><strong>Results: </strong>The model showed older age (beta = 0.022; Exp(beta) = 1.022; p = 0.037), longer chronicity of symptoms (beta = 0.000; Exp(beta) = 1.000; p = 0.012), and greater neck disability (beta = 0.027; Exp(beta) = 1.028; p < 0.001) were significant predictors of the operative group. Most notably, patients with a positive neurologic examination were almost four times more likely to be referred to surgery (beta = 1.368; Exp(beta) = 3.927; p < 0.001).</p><p><strong>Conclusion: </strong>In general neck pain patients, older age, longer chronicity of symptoms, greater disability, and a positive neuro exam are clinical predictors of surgical selection, with positive neuro exam increasing the likelihood of surgery four-fold.</p>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"103238"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796523","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 for people with chronic low back pain and degenerative disc disease considering lumbar fusion: A mixed-methods study.","authors":"Yesung Cho, Marnee J McKay, Joshua R Zadro, Tammy Hoffmann, Chris G Maher, Ian Harris, Ralph Stanford, Manuela L Ferreira, Rachelle Buchbinder, Christopher S Han, Giovanni E Ferreira","doi":"10.1016/j.msksp.2025.103261","DOIUrl":"https://doi.org/10.1016/j.msksp.2025.103261","url":null,"abstract":"<p><strong>Objectives: </strong>To develop and user-test a patient decision aid providing evidence-based information for people with chronic low back pain (LBP) and degenerative disc disease considering lumbar fusion.</p><p><strong>Design: </strong>Convergent parallel mixed methods study.</p><p><strong>Setting: </strong>A prototype patient decision aid was developed, guided by the International Patient Decision Aid Standards (IPDAS) criteria, a multidisciplinary steering committee, and insights from previous studies. Participants were recruited via social media and the authors' collaborative networks to refine and evaluate the decision aid.</p><p><strong>Participants: </strong>Individuals who underwent lumbar fusion for chronic LBP and health professionals who manage these patients were purposively sampled.</p><p><strong>Primary and secondary outcomes: </strong>Semi-structured interviews and questionnaires were used to gather feedback and assess the decision aid's acceptability, usability, and preparedness for decision-making. Framework analysis was used for interview data and descriptive analysis for questionnaires.</p><p><strong>Results: </strong>Sixteen clinicians (5 physiotherapists, 2 rheumatologists, 2 surgeons, 7 general practitioners) and seven patients participated, most rating the prototype's acceptability as 'excellent' or 'good'. Usability (mean [SD], health professionals: 78 [16], patients: 72 [8]) and preparedness for decision-making (health professionals: 73 [14], patients: 72 [10]) also scored highly. However, some viewed the prototype as biased against lumbar fusion, and suggestions to include more personalised information were made.</p><p><strong>Conclusions: </strong>This study showed that our prototype patient decision aid is acceptable, useful, and prepares patients to make informed decisions about spinal fusion for chronic LBP and degenerative disc disease. Future studies will assess the clinical impact of our decision aid and its optimal distribution timing.</p>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"103261"},"PeriodicalIF":2.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016326","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":"Intra- and inter-rater reliability, standard error of measurement, and minimal detectable change of the cranio-cervical flexion test in individuals with non-specific chronic neck pain.","authors":"Camila N Broisler, Giovanna L N A Gaban, Maria R S Vivaldini, Giovanna S Nunes, Luiz F A Selistre","doi":"10.1016/j.msksp.2025.103258","DOIUrl":"https://doi.org/10.1016/j.msksp.2025.103258","url":null,"abstract":"<p><strong>Background: </strong>The cranio-cervical flexion test (CCFT) is used in clinical practice to measure the activation of deep cervical flexor muscles. However, the reliability of the test has not been conducted on an adequate sample size, specifically in individuals with non-specific chronic neck pain (CNP).</p><p><strong>Objective: </strong>The aim of the present study is to investigate the intra- and inter-rater reliability, standard error of measurement (SEM), and minimal detectable change (MDC) of the CCFT in individuals with non-specific CNP.</p><p><strong>Methods: </strong>A cross-sectional study of reliability conducted at the UFSCar. Fifty-one individuals (17 men and 31 women) with non-specific CNP and aged over 18 years participated in this study. The CCFT was assessed with the Stabilizer pressure biofeedback device. Two raters conducted the test over two days, with a 5-7-days interval and a 10-min rest between raters. The activation score was determined by the level at which the participant kept activation for 10 s in a single stage (22, 24, 26, 28 and 30 mmHg). Appropriate statistical analysis was performed to calculate the intraclass correlation coefficient (ICC), SEM and MDC.</p><p><strong>Results: </strong>Both intra-rater (ICC = 0.65; 95% CI = 0.46-0.78) and inter-rater reliability (ICC = 0.72; 95% CI = 0.55-0.83) were considered moderate. The SEM was 1.73 and 1.66 for intra-rater and inter-rater reliability, and the MDC was 4.81 to 4.60, respectively.</p><p><strong>Conclusion: </strong>The results of the present study indicate that CCFT is a reliable test to evaluate the activation score in individuals with chronic neck pain.</p>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"103258"},"PeriodicalIF":2.2,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025817","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":"Guidelines to minimize risk when dry needling the rectus capitus posterior major muscle.","authors":"Gary A Kearns, Micah Lierly, Kerry K Gilbert, Jan Dommerholt","doi":"10.1016/j.msksp.2025.103260","DOIUrl":"https://doi.org/10.1016/j.msksp.2025.103260","url":null,"abstract":"<p><strong>Background: </strong>Headache disorders are prevalent often leading to disability. The rectus capitus posterior major muscle (RCPMaj) may contribute to headache symptoms via nociceptive convergence and myodural bridging.</p><p><strong>Objectives: </strong>To establish guidelines for needle length and needle angle to mitigate risks during dry needling RCPMaj.</p><p><strong>Design: </strong>Cadaveric investigation.</p><p><strong>Methods: </strong>Twenty-five cadavers (mean age: 80.1 ± 13.2 years) were placed in prone. Depth measurements from the skin to the C2 spinous process were taken following midline incision. Dissection continued exposing the RCPMaj for three measures including: 1) posterior angle from the frontal plane, 2) lateral angle from midline, and 3) distance from the external occipital protuberance to the lateral most RCPMaj.</p><p><strong>Results: </strong>Mean values for tissue thickness overlying C2 spinous process (37 ± 7.3 mm), RCPMaj posterior angle from the frontal plane (65.2° ±10°), RCPMaj lateral angle from midline (34.7° ±12.9°), and distance from the external occipital protuberance to the lateral most RCPMaj (30.6 mm ± 9.3 mm) were used to calculate a needle inclination of ≤45° and a needle length <40 mm to reach the occipital portion of RCPMaj with an a priori insertion point of midway between the C2 spinous process and the C1 transverse process.</p><p><strong>Conclusion: </strong>Inserting a dry needle <40 mm in length midway between the C2 spinous process and the C1 transverse process with a cranial angle of ≤45° relative to the frontal plane would increase the likelihood of reaching the RCPMaj and mitigate penetrating deeper structures.</p>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"103260"},"PeriodicalIF":2.2,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016727","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 intensity and lower limb dynamic balance were related to the laterality judgment test of patients with patellofemoral pain.","authors":"Luiza Ferreira Moreira, Vanessa Knust Coelho, Lucas Ferreira Mendonça, Felipe J J Reis, Gustavo Felicio Telles, Leandro Alberto Calazans Nogueira","doi":"10.1016/j.msksp.2025.103259","DOIUrl":"https://doi.org/10.1016/j.msksp.2025.103259","url":null,"abstract":"<p><strong>Introduction: </strong>Laterality judgement evaluates the capacity to differentiate between the left and right sides of bodily parts. Cortical body representations are impaired in various musculoskeletal conditions, yet this remains unexplored in individuals with patellofemoral pain (PFP).</p><p><strong>Objective: </strong>This study compared laterality judgement performance between individuals with PFP and asymptomatic controls. Additionally, we investigated the relationship between laterality judgement and self-reported disability, physical performance, and dynamic stability within the PFP group.</p><p><strong>Methods: </strong>A secondary analysis encompassed 48 patients and 48 controls. Participants were examined for laterality judgement, pain intensity, knee disability, physical performance and lower limb dynamic balance. Statistical analyses included Student's t-test for group differences and linear regression to examine relationships between laterality judgement and other measurements.</p><p><strong>Results: </strong>The sample comprised 60 males (62.5%) with a mean age of 31.3 years. The PFP group reported a mean pain duration of 37.6 months and moderate pain intensity (4/10). Laterality judgement accuracy and time were identical between the PFP group (78.3% and 2.1 s, respectively) and controls (80.8% and 2.2 s, respectively) (accuracy p = 0.50 and time p = 0.66). Lower limb dynamic and pain intensity were related to laterality judgement accuracy (β = 0.4, p < 0.01) and time (β = 0.4, p = 0.03), respectively.</p><p><strong>Conclusion: </strong>PFP and control groups demonstrated similar laterality judgement performance. In the PFP group, lower laterality judgement accuracy was related to dynamic balance and lower laterality judgement time was related to pain intensity. The physical performance and self-reported knee disability were not related to the knee laterality judgment of these patients.</p>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"103259"},"PeriodicalIF":2.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017011","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}