Musculoskeletal Science and Practice最新文献

{"title":"Health-seeking behaviour in adults with musculoskeletal conditions: A scoping review","authors":"Susan Greenhalgh ,&nbsp;Melika Ghorbankhani ,&nbsp;Gillian Yeowell","doi":"10.1016/j.msksp.2026.103499","DOIUrl":"10.1016/j.msksp.2026.103499","url":null,"abstract":"<div><h3>Background</h3><div>Musculoskeletal conditions, such as osteoarthritis and low back pain, are among the leading causes of disability worldwide. Individuals often delay or avoid seeking healthcare due to personal, social, and systemic factors. Existing research on health-seeking behaviour is fragmented and lacks synthesis across diverse contexts and populations.</div></div><div><h3>Objective</h3><div>This scoping review systematically maps the literature on health-seeking behaviour in adults with musculoskeletal conditions, highlighting knowledge gaps and generating insights for future research, clinical practice, and policy.</div></div><div><h3>Methods</h3><div>A scoping review was conducted following the Joanna Briggs Institute methodology. Six electronic databases and relevant grey literature sources were systematically searched. Eligible studies focusing on adults with musculoskeletal conditions were screened and analysed using narrative synthesis. Findings were organised into thematic tables and illustrated through a conceptual framework.</div></div><div><h3>Results</h3><div>Twenty-three studies published between 2004 and 2025 were included, representing a diverse range of geographic and socioeconomic contexts. Five key themes were identified: Clinical and Functional Need; Socioeconomic and Environmental Context; Cultural and Social Context; Healthcare System and Provider Experiences; and Use of Alternative and Digital Care Options.</div></div><div><h3>Conclusion</h3><div>This review identifies five key themes connecting clinical, socioeconomic, cultural, and systemic factors in adults with musculoskeletal conditions. Highlighting patient agency, it informs research, policy, and practice aimed at delivering more equitable and responsive musculoskeletal care.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"82 ","pages":"Article 103499"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145980402","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 representation of individuals from ethnically minoritised groups in pain science education randomised controlled trials: a scoping review","authors":"J. Pun ,&nbsp;J. Franklin ,&nbsp;S. Browne ,&nbsp;J. Mankelow ,&nbsp;A. Mardon ,&nbsp;J. Watson ,&nbsp;H.B. Leake ,&nbsp;C.G. Ryan","doi":"10.1016/j.msksp.2025.103466","DOIUrl":"10.1016/j.msksp.2025.103466","url":null,"abstract":"<div><h3>Background</h3><div>Pain science education seeks to improve an individual's understanding of their pain, and thus improve outcomes. It has been primarily developed and tested within western cultures. The extent and nature of ethnically minoritised group involvement in pain science education trials is unknown.</div></div><div><h3>Objective</h3><div>This scoping review aimed to investigate the level of representation of people from ethnically minoritised groups in pain science education randomised controlled trials.</div></div><div><h3>Methods</h3><div>This scoping review follows Joanna Briggs Institute guidelines and is reported in line with PRISMA-SCR guidelines. The following search engines were reviewed: CINAHL, EMBASE, MEDLINE, AMED and APA PSYCArticles. Eligible studies were randomised controlled trials involving people with chronic pain who had received pain science education as a focused intervention. The two stage study selection process and data extraction were completed by independent reviewers. Data is presented to quantify ethnically minoritised representation.</div></div><div><h3>Results</h3><div>Sixty-two studies were included in the review, totaling 4685 participants. Nineteen studies reported on ethnicity, ten included no participants from minoritised groups, whilst nine included ethnically minoritised participants ranging from 3 to 29 %.</div></div><div><h3>Conclusion</h3><div>Overall, this review identified that participant ethnicity is not commonly reported in pain science education randomised controlled trials, which highlights an urgent need for better reporting. Where data on ethnicity was reported, ethnically minoritised groups were largely under-represented, raising questions about the generalisability of existing evidence, and underscoring the need for more inclusive and representative research practices in pain science education trials.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"82 ","pages":"Article 103466"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145980993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between pain catastrophizing and sarcopenia in patients with knee osteoarthritis: A cross-sectional study","authors":"Qingzhao Liang ,&nbsp;Guangyuan Dong ,&nbsp;Nanyan Li ,&nbsp;Mengchao He ,&nbsp;Shiqi Gong ,&nbsp;Lei Shi","doi":"10.1016/j.msksp.2026.103506","DOIUrl":"10.1016/j.msksp.2026.103506","url":null,"abstract":"<div><h3>Background</h3><div>Sarcopenia and pain catastrophizing(PC) are prevalent physiological and psychological comorbidities in knee osteoarthritis(KOA). They may collectively burden patients' quality of life. Nevertheless, their potential association remains inadequately explored.</div></div><div><h3>Objectives</h3><div>To explore the association between PC and sarcopenia in KOA patients, adjusting for demographic, lifestyle, and disease-related covariates (e.g., sex, BMI, affected site, disease duration, physical activity and other relevant factors.) To examine whether this association varies across subgroups defined by age and sedentary behavior.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>This study recruited 390 KOA patients aged ≥45 years from orthopedic surgery departments. PC was assessed using the PC scale. Sarcopenia was defined by concurrent low muscle mass and muscle strength, measured via bioelectrical impedance analysis and electronic handgrip dynamometry. Logistic regression was used to describe the relationship between PC and sarcopenia, adjusting for covariates.</div></div><div><h3>Results</h3><div>Among the patients, 24.9 % were diagnosed with sarcopenia and 21.5 % with PC, with 10.3 % had both. Adjusted analyses showed PC was independently associated with sarcopenia (OR = 1.036; 95 % CI: 1.012, 1.061; <em>P</em> = 0.003). Subgroup analyses revealed stronger associations in patients aged 60–69 years (aOR = 1.036; 95 % CI: 1.001, 1.073; <em>P</em> = 0.045), those aged ≥70 years (aOR = 1.095; 95 % CI: 1.050, 1.143; <em>P</em> &lt; 0.001), and individuals with prolonged sedentary time (aOR = 1.051; 95 % CI: 1.016, 1.086; <em>P</em> = 0.004).</div></div><div><h3>Conclusions</h3><div>PC was significantly associated with higher odds of sarcopenia in KOA patients, and this association was stronger in older individuals and those with prolonged sedentary behavior. Comprehensive management of elderly KOA patients should address both psychological and physical comorbidities.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"82 ","pages":"Article 103506"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115281","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":"Psychosocial assessment in musculoskeletal care: A survey of UK physiotherapists","authors":"Michael Henning ,&nbsp;Shea Palmer ,&nbsp;Nicola Walsh","doi":"10.1016/j.msksp.2025.103485","DOIUrl":"10.1016/j.msksp.2025.103485","url":null,"abstract":"<div><h3>Background</h3><div>Psychosocial factors strongly influence musculoskeletal (MSK) outcomes, yet their systematic assessment remains inconsistent in physiotherapy practice. Although validated psychosocial assessment tools exist, little is known about how UK MSK physiotherapists use them.</div></div><div><h3>Objective</h3><div>To explore UK physiotherapists’ perceptions, practices, and confidence regarding psychosocial assessment, and to identify key challenges and facilitators.</div></div><div><h3>Design</h3><div>Cross-sectional online survey.</div></div><div><h3>Methods</h3><div>An anonymous online questionnaire was distributed via professional networks and social media to qualified UK-based MSK physiotherapists. Questions focused on demographics, perceptions, practices, and challenges/facilitators regarding psychosocial assessment. Quantitative data were analysed descriptively and using non-parametric statistics; free-text responses were examined narratively.</div></div><div><h3>Results</h3><div>373 physiotherapists responded, from a range of roles and experience levels. Most rated psychosocial factors as highly important and reported they often influenced treatment planning. Assessment relied mainly on clinical judgement and explicit questioning, while formal tool use was uncommon. Confidence in identifying and interpreting psychosocial factors showed moderate positive associations with screening tool use and weak or no associations with years of clinical experience. The most cited challenges to use of validated tools were time constraints, and training, whereas concise tools, electronic integration, and evidence of patient benefit were viewed as key facilitators.</div></div><div><h3>Conclusions</h3><div>UK MSK physiotherapists recognise the importance of psychosocial assessment, but its application in routine practice remains inconsistent and largely informal. Confidence appears to be more closely related to exposure to psychosocial screening tools than to years of clinical experience. These findings highlight the need for approaches that support consistent psychosocial assessment within routine MSK care.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"82 ","pages":"Article 103485"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145980404","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 a corticosteroid injection versus exercise therapy for shoulder pain in general practice (SIX-Shoulder Study): A randomized controlled trial","authors":"A.H.C. Versloot ,&nbsp;D. Schiphof ,&nbsp;R.P.G. Ottenheijm ,&nbsp;D.A. van der Windt ,&nbsp;M. de Graaf ,&nbsp;J.M. van Ochten ,&nbsp;P.J.E. Bindels ,&nbsp;B.W. Koes ,&nbsp;J. Runhaar","doi":"10.1016/j.msksp.2026.103497","DOIUrl":"10.1016/j.msksp.2026.103497","url":null,"abstract":"<div><h3>Background</h3><div>Guidelines recommend a corticosteroid injection or exercise therapy for shoulder pain in primary care, but long-term comparative studies are lacking.</div></div><div><h3>Objective</h3><div>To examine the effectiveness of a corticosteroid injection versus physiotherapist-led exercise therapy over 12 months in patients with shoulder pain presenting in primary care.</div></div><div><h3>Design</h3><div>A pragmatic randomized controlled trial.</div></div><div><h3>Methods</h3><div>Patients with a new episode of shoulder pain were included and randomly allocated to a corticosteroid injection or 12 sessions of physiotherapist-led exercise therapy. Questionnaires were administered at baseline, 6 weeks, 3, 6, 9 and 12 months. The primary outcome was pain and function measured with the Shoulder Pain and Disability Index (SPADI) over 12 months.</div></div><div><h3>Results</h3><div>99 patients were included in the injection group and 101 in the exercise therapy group. Side effects were reported in 25 % of the exercise therapy group and 7 % of the injection group. At 12 months follow-up, the exercise therapy group showed a statistically significantly greater improvement of SPADI-score (mean difference = 8·5, 95 % CI = 1·2 to 15·8) compared to the injection group. This was also seen at 6 months (mean difference = 9·6, 95 % CI = 2·3 to 16·9) and 9 months (mean difference = 7·9, 95 % CI = 0·4 to 15·4). The injection group showed a statistically significantly greater improvement of SPADI-score at 6 weeks (mean difference = −7·7, 95 % CI = −14·9 to −0·6).</div></div><div><h3>Conclusion</h3><div>There is an indication that treatment with exercise therapy gives statistically significant better SPADI-scores over 12 months follow-up. However, wide confidence intervals indicate uncertainty in the effect estimates.</div></div><div><h3>Registration</h3><div>The Netherlands Trial Registry (NL-OMON52854)</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"82 ","pages":"Article 103497"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145980335","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":"Occupational risks, musculoskeletal disorders, and quality of work life: An age-based analysis","authors":"Jonatan Magno Norte da Silva ,&nbsp;Rafaela de Sá Teixeira ,&nbsp;Lucas Gomes Miranda Bispo ,&nbsp;Italo Rodeghiero Neto ,&nbsp;Alexandre Henrique Silva Lisboa ,&nbsp;Vitor William Batista Martins","doi":"10.1016/j.msksp.2026.103513","DOIUrl":"10.1016/j.msksp.2026.103513","url":null,"abstract":"<div><h3>Background</h3><div>Work-related musculoskeletal disorders (WMSDs) are a prevalent issue, associated with a complex interaction of occupational risk factors that can be linked to lower quality of work life (QWL). While these relationships are well-established, it remains unclear how age-based differences mediate them, as younger and older workers may respond differently to various workplace hazards. Understanding these age-specific pathways is crucial for developing targeted interventions.</div></div><div><h3>Objective</h3><div>This study aimed to investigate the relationships between occupational risk factors, WMSDs, and QWL across different age groups to identify key differences and inform ergonomic practice.</div></div><div><h3>Methods</h3><div>A sample of 312 workers, divided into young (under 45 years) and older (45 years and above) groups, was analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) to test hypotheses linking biomechanical, psychosocial, and organizational risk factors to WMSDs and QWL.</div></div><div><h3>Results</h3><div>Significant differences were observed between age groups. Tight deadlines were associated with occupational stress (OS) only in older workers, whereas WMSDs were significantly associated with lower QWL only among younger workers. Physical job demands and OS were associated with WMSDs in both groups, and OS was related to their QWL. The findings indicate that worker age significantly influences how occupational risks are associated with WMSDs and QWL, and that these associations are not uniform.</div></div><div><h3>Conclusion</h3><div>This study validated a model that examined the relationships among occupational risk factors, WMSDs, and QWL across age groups. The model demonstrated robust psychometric properties, enabling the identification of significant differences between young and older workers.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"82 ","pages":"Article 103513"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146138182","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":"Pressure pain sensitivity is more strongly associated with musculoskeletal pain among women and those with chronic diseases: results from a large population-based birth cohort study","authors":"Eveliina Heikkala ,&nbsp;Jaro Karppinen","doi":"10.1016/j.msksp.2026.103503","DOIUrl":"10.1016/j.msksp.2026.103503","url":null,"abstract":"<div><h3>Objective</h3><div>Individuals affected by chronic pain often have greater pain sensitivity compared to pain-free subjects, but there is a lack of population-based evidence in this regard. The factors playing a role in this relationship are rarely examined. The aims were to evaluate 1) whether pressure pain sensitivity is associated with a) the presence of musculoskeletal (MSK) pain and b) worse pain and 2) whether sex and the presence of chronic diseases moderate these associations.</div></div><div><h3>Methods</h3><div>This population-based Northern Finland Birth Cohort 1966 study obtained data on pain frequency (daily, nondaily, and absent), number of pain sites (range 1–8), bothersomeness of pain (Numerical Rating Scale [NRS]-11), and intensity (NRS-11) from 5178 participants (43 % males) aged 46 born in 1966. Measured pressure pain threshold (PPT) and pressure pain tolerance (PPTol) were dichotomized as the lowest quartile vs. the other quartiles (the reference). Logistic and linear regressions with adjustments were utilized.</div></div><div><h3>Results</h3><div>Lower PPT and PPTol were associated with daily MSK pain only among females (adjusted odds ratio 1.26, 95 % confidence interval 1.00–1.58 for PPT; 1.29, 1.02–1.61 for PPTol). A positive relationship with bothersomeness of pain among individuals with daily or nondaily MSK pain was observed only among females. After stratification by chronic diseases, the associations between PPT/PPTol and daily MSK pain remained significant only among females with chronic diseases.</div></div><div><h3>Conclusions</h3><div>The associations between pressure pain sensitivity and MSK pain varied according to sex and presence of chronic diseases. However, clinical relevance of our findings can be questioned.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"82 ","pages":"Article 103503"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079061","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":"Corrigendum to “Osteoarthritis Hip and Knee Service (OAHKS) in a community health setting compared to the hospital setting: A feasibility study for a new care pathway” [Musculoskel.l Sci.d Pract., 49 (2020) 102167]","authors":"Alison J. Gibbs ,&nbsp;Nicholas F. Taylor ,&nbsp;Raphael Hau ,&nbsp;Christian Barton ,&nbsp;Chris Fong ,&nbsp;Leanne Roddy ,&nbsp;Kylie J. Durant ,&nbsp;Leanne D. deVos ,&nbsp;Jason A. Wallis","doi":"10.1016/j.msksp.2025.103467","DOIUrl":"10.1016/j.msksp.2025.103467","url":null,"abstract":"","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"81 ","pages":"Article 103467"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145744374","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 surgical history matter? A register-based study of 94 000 individuals from the Swedish osteoarthritis register on clinical profiles and outcomes of first-line treatment for knee osteoarthritis","authors":"Thérése Jönsson ,&nbsp;Kristin Gustafsson ,&nbsp;Anna Cronström ,&nbsp;Eva Ageberg","doi":"10.1016/j.msksp.2025.103457","DOIUrl":"10.1016/j.msksp.2025.103457","url":null,"abstract":"<div><h3>Background</h3><div>There is limited knowledge on whether prior knee surgery impacts the clinical profile and treatment outcomes for individuals with knee osteoarthritis (OA).</div></div><div><h3>Objectives</h3><div>The study aimed to (i) compare individual and clinical characteristics, and (ii) evaluate whether outcomes of first-line treatment differ between individuals with prior knee surgery and those without.</div></div><div><h3>Methods</h3><div>This study used data from the Swedish Osteoarthritis Register to compare individuals with and without prior knee surgery. Independent t-tests and chi-square tests analyzed characteristics, while linear and logistic regressions assessed group differences at the 3-month follow-up.</div></div><div><h3>Results</h3><div>Of the 94 116 individuals included, 15 637 (17 %) had prior knee surgery. At baseline, those with prior knee surgery were more likely to be male (48 % vs. 29 %), younger (mean age 63 vs. 67 years), and meet physical activity recommendations (69 % vs. 66 %). At the 3-month follow-up, individuals with prior knee surgery had higher odds of expressing willingness to undergo surgery (OR 1.50 [95 % CI, 1.40 to 1.60]), experiencing walking difficulties (OR 1.24 [95 % CI, 1.19 to 1.30]), and to reaching the recommended level of physical activity (OR 1.21 [95 % CI, 1.14 to 1.27]).</div></div><div><h3>Conclusion</h3><div>The findings suggest that individuals with knee OA and a history of prior knee surgery may represent a specific clinical phenotype, characterized by a younger age, male sex, and higher levels of physical activity when entering first-line treatment. Despite positive treatment responses in both groups, individuals with a history of surgery more often reported ongoing clinical features at the 3-month follow-up.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"81 ","pages":"Article 103457"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624581","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":"Physiotherapist factors associated with the intention to deliver psychologically informed physiotherapy in persistent low back pain: An online cross-sectional vignette study","authors":"Claire Earl ,&nbsp;Debbie J. Bean ,&nbsp;Gwyn N. Lewis","doi":"10.1016/j.msksp.2025.103462","DOIUrl":"10.1016/j.msksp.2025.103462","url":null,"abstract":"<div><h3>Background</h3><div>Prior qualitative research has revealed several barriers to physiotherapists delivering psychologically informed physiotherapy (PIP). It is not known which factors are most relevant to PIP delivery.</div></div><div><h3>Objectives</h3><div>To determine the proportion of physiotherapists in Aotearoa/New Zealand who intend to deliver PIP to persons with non-specific low back pain (LBP), and to determine factors associated with the intention to deliver PIP.</div></div><div><h3>Design</h3><div>This study used a cross-sectional online vignette case survey design.</div></div><div><h3>Setting</h3><div>Aotearoa/New Zealand registered physiotherapists who regularly treat LBP were invited to participate.</div></div><div><h3>Methods</h3><div>Participants (n = 224) outlined their intended assessment and treatment plan for two vignettes with persistent LBP. They then completed the Knowledge and Attitudes of Pain Questionnaire (KNAP), components of the Determinants of Implementation Behaviour Questionnaire (DIBQ) and demographic questions.</div><div>The proportion of physiotherapists intending to deliver PIP was determined by scoring participants’ vignette plans as psychologically informed or non-psychologically informed. Binary regression was used to determine which questionnaire and demographic variables were associated with the intention to deliver PIP.</div></div><div><h3>Results</h3><div>One third of participants intended to deliver PIP in the management of LBP. Binary regression analysis showed that pain knowledge and attitudes were consistently associated with the intention to deliver PIP across vignettes (OR = 1.05, 95 % CI = 1.01–1.08; p = .015) (OR = 1.05, 95 % CI = 1.02–1.09, p = .005). Beliefs about the consequences of PIP was associated with the intention to deliver PIP in one vignette (OR = 2.15, 95 % CI = 1.12–4.11, p = .021).</div></div><div><h3>Conclusion</h3><div>Findings suggest that physiotherapists’ knowledge and attitudes towards pain and their belief that PIP is effective are associated with PIP delivery. Improving pain knowledge and beliefs around PIP may improve the quality of LBP management.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"81 ","pages":"Article 103462"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145688663","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}