Musculoskeletal Science and Practice最新文献

{"title":"Do clinical practice guidelines for low back pain include predatory journal or retracted publications? A meta-research study","authors":"Jodi L. Young ,&nbsp;Mark Shepherd ,&nbsp;Tanya Dickson ,&nbsp;Jessica Todd","doi":"10.1016/j.msksp.2025.103316","DOIUrl":"10.1016/j.msksp.2025.103316","url":null,"abstract":"<div><h3>Background</h3><div>Following clinical practice guidelines is widely recommended for treating many musculoskeletal diagnoses, including low back pain, but it is unknown if clinical practice guidelines for low back pain do.</div></div><div><h3>Objective</h3><div>Assess whether clinical practice guidelines for low back pain reference publications from predatory journals or include retracted publications.</div></div><div><h3>Design</h3><div>Meta-research.</div></div><div><h3>Methods</h3><div>Clinical practice guidelines focusing on the management of adults with low back pain published between January 2010–June 2024 were included. All referenced publications in each guideline were evaluated for predatory categorization using a systematic process that included assessing publisher/journal websites, the Directory of Open Access Journals, Beall's List and major literature databases. The Retraction Watch Database was used to assess retraction status.</div></div><div><h3>Results</h3><div>Nineteen clinical practice guidelines with 1617 unique publications met inclusion criteria. The majority of publications (1598/1617; 98.8 %) were categorized as ‘non-predatory.’ Fourteen publications (0.9 %) were categorized as ‘predatory,’ two (0.1 %) ‘presumed predatory,’ and three (0.2 %) were retracted. Four guidelines cited ‘predatory’ and/or ‘presumed predatory’ publications, and four guidelines cited the retracted publications.</div></div><div><h3>Conclusion</h3><div>Only 1.2 % of the cited publications included in clinical practice guidelines for the management of low back pain were deemed predatory or retracted, implying that guideline recommendations are unlikely to be influenced by their inclusion. There are currently no standard criteria for how to manage the inclusion of these publications in guidelines or systematic reviews. Future research should investigate the development of a valid and reliable checklist that allows authors to assess for and manage the presence of predatory or retracted publications.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103316"},"PeriodicalIF":2.2,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725403","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":"What factors influence the community's use of physiotherapy services as first-line management for temporomandibular disorders? A qualitative study using the COM-B framework","authors":"Alana Dinsdale ,&nbsp;Joni Levine ,&nbsp;Shaun O'Leary ,&nbsp;Jaqueline Delaney ,&nbsp;Jeanne Read ,&nbsp;Susana Vuvan ,&nbsp;George Dimitroulis ,&nbsp;Rory Scanlan ,&nbsp;Roma Forbes","doi":"10.1016/j.msksp.2025.103315","DOIUrl":"10.1016/j.msksp.2025.103315","url":null,"abstract":"<div><h3>Background</h3><div>Physiotherapists play a unique role within the multidisciplinary management team for temporomandibular disorders (TMDs). However, historically they have been under-recognised and under-utilised in the care of individuals with TMD. To improve TMD management pathways and facilitate uptake of subsequent physiotherapy services, it is important to understand factors which underpin care-seeking behaviours of individuals with TMD in the community.</div></div><div><h3>Objectives</h3><div>To understand 1) what individuals with TMD perceive the role of physiotherapy to be in TMD management, 2) how these perceptions influence individuals' behaviour in seeking and receiving TMD care, 3) what other factors influence individuals’ behaviour in seeking and receiving TMD care from a physiotherapist.</div></div><div><h3>Design</h3><div>Qualitative, grounded in a relativist ontological and constructionist epistemological approach.</div></div><div><h3>Method</h3><div>Fourteen individuals with TMD (mean age = 37 years) were purposively recruited and interviewed using a semi-structured framework. Data were analysed deductively using the COM-B framework via a reflexive thematic analysis approach.</div></div><div><h3>Results</h3><div>Data were encapsulated into three themes: 1) motivation, 2) capability and 3) opportunity. Discord between participants’ perceptions about TMD and the role of physiotherapists was frequently observed, alongside challenges accessing physiotherapy services due to physical opportunity (e.g. time, financial, geographical, technological) and social opportunity (e.g. connections with and of healthcare practitioners) factors.</div></div><div><h3>Conclusion</h3><div>Various intrinsic and extrinsic factors influence individuals’ utilisation of physiotherapy services for TMD, including their knowledge about the condition and physiotherapy services available, their social connections, physical opportunity and their motivation to seek help. Promotion of physiotherapy services for TMD should consider these factors to optimise patient care.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103315"},"PeriodicalIF":2.2,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143681920","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":"Reporting and incorporation of social risks in low back pain and exercise studies: A scoping review","authors":"Andrew Bernstetter ,&nbsp;Nicole H. Brown ,&nbsp;Brandon Fredhoff ,&nbsp;Daniel I. Rhon ,&nbsp;Chad Cook","doi":"10.1016/j.msksp.2025.103310","DOIUrl":"10.1016/j.msksp.2025.103310","url":null,"abstract":"<div><h3>Background</h3><div>Exercise is a common intervention for low back pain, but its effect sizes are small to modest. Social risk factors significantly influence health outcomes, yet their consideration in randomized controlled trials on exercise for low back pain is often neglected. Determining their relationship to outcomes may provide better insight into exercise effectiveness.</div></div><div><h3>Objectives</h3><div>To assess the reporting of social risk factors (SRFs) in randomized controlled trials (RCTs) of exercise interventions for low back pain (LBP) in adults and explore associations between SRFs and outcomes.</div></div><div><h3>Design</h3><div>Scoping Review.</div></div><div><h3>Methods</h3><div>The databases MEDLINE, CINAHL and Cochrane were searched for studies published between January 2014 to March 2025. RCTs were included if exercise was the primary intervention for LBP treatment and had a minimum follow-up of 12 weeks. A planned analysis of SRF and outcome associations was not conducted due to insufficient data.</div></div><div><h3>Results</h3><div>A total of 10,292 studies were identified and 157 studies included. Fewer than half (47.1 %) reported any SRFs at baseline. Socioeconomic position (42.7 %) was most frequently reported, followed by social relationships (17.8 %), race/ethnicity/cultural context (8.3 %), residential/community context (1.3 %), and gender (0.6 %). Four studies incorporated SRFs in their outcome analyses; one examined associations with outcomes and found no significant association.</div></div><div><h3>Conclusion</h3><div>SRFs are underreported in RCTs of exercise interventions for LBP and are rarely analyzed in relation to primary outcomes, limiting our understanding of their impact. Future trials should prioritize collecting and reporting SRFs at baseline and incorporating them in outcome analyses to assess their influence on outcomes.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103310"},"PeriodicalIF":2.2,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143681981","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 association between education, practice, post-professional training and physical therapists’ attitudes and beliefs regarding low back pain management: A cross sectional survey study","authors":"Sarah Case-Morris ,&nbsp;Tzu-Chieh Liao ,&nbsp;Olivia Simon ,&nbsp;Daniel Whibley ,&nbsp;Jennifer Blackwood ,&nbsp;Danielle McCoy ,&nbsp;Lindsey Fox","doi":"10.1016/j.msksp.2025.103312","DOIUrl":"10.1016/j.msksp.2025.103312","url":null,"abstract":"<div><h3>Introduction</h3><div>Several recent initiatives have aimed to align physical therapists’ (PTs) understanding and management of low back pain (LBP) with the biopsychosocial model of health and illness.</div></div><div><h3>Purpose</h3><div>The purpose of this study was to determine whether entry-level education, practice setting, experience, or post-professional training is associated with attitudes and beliefs of United States (US) PTs about LBP management, despite these initiatives.</div></div><div><h3>Methods</h3><div>A cross-sectional online survey was distributed to a sample of US PTs that included the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT) and the Health Care Providers Pain and Impairment Relationship Scale (HC-PAIRS). Linear regression was used to quantify the association between education, experience, post-professional training, and practice setting with PTs attitudes and beliefs.</div></div><div><h3>Results</h3><div>Of 412 respondents, those with a Bachelor's/Master's scored significantly higher on the PABS-Bio (β = 2.5, 95 % CI = 0.76–4.3, p = 0.005) and HC-PAIRS (β = 2.7, 95 % CI = 0.7–4.6, p = 0.006) and lower on the PABS-Psy (β = 1.7, 95 % CI = −2.7–0.7, p &lt; 0.001) compared to those with a DPT/tDPT. Those who did not undertake post-professional training scored higher on the PABS-Bio (β = 3.7, 95 % CI = 1.4–6.1, p = 0.002) and HC-PAIRS (β = 3.9, 95 % CI = 1.2–6.6, p = 0.005). Therapists licensed 20+ years and working in settings besides outpatient had stronger biomedical beliefs.</div></div><div><h3>Conclusion</h3><div>Highest degree, post-professional training, years licensed, and practice setting were all significantly associated with attitudes and beliefs of practicing PTs in the US regarding LBP management. This study highlights the need for further investigation into education for improving PTs’ attitudes and beliefs around LBP amidst diverse practice settings and experience.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103312"},"PeriodicalIF":2.2,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636623","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":"Beliefs and experiences of individuals with patellar tendinopathy following a rehabilitation program: A nested qualitative study","authors":"Diego Ruffino ,&nbsp;Igor Sancho ,&nbsp;Matías Alfonso ,&nbsp;Peter Malliaras","doi":"10.1016/j.msksp.2025.103311","DOIUrl":"10.1016/j.msksp.2025.103311","url":null,"abstract":"<div><h3>Objective</h3><div>to explore the perspectives, beliefs, and experiences of individuals with patellar tendinopathy (PT) following a rehabilitation program.</div></div><div><h3>Methods</h3><div>A qualitative study nested within a randomized trial was conducted to investigate the efficacy of two exercise programs in rehabilitation of PT. Eight individuals participated, with interviews video-recorded, transcribed verbatim, and analyzed using an inductive thematic analysis, following Braun and Clarke’s approach.</div></div><div><h3>Results</h3><div>Five themes were identified from the individuals’ responses: (1) motivations to seek treatment, (2) contrasting expectations about rehabilitation outcomes, (3) symptom responses to exercise therapy, (4) experiences with a gym-based exercise program, and (5) factors influencing treatment adherence.</div></div><div><h3>Conclusions</h3><div>The findings suggest that individuals with PT are primarily motivated by the hope of improving symptoms and function, as well as the condition's substantial impact on their ability to play sports and stay physically active. Participants identified key enablers of adherence and motivation during rehabilitation, including education and guidance from physiotherapists, the simplicity of the exercise program, supervision during sessions, and perceived short-term treatment effectiveness of treatment.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103311"},"PeriodicalIF":2.2,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637506","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":"Confidence and knowledge of Brazilian physiotherapists and physiotherapy students in managing patellofemoral pain","authors":"Natanael P. Batista ,&nbsp;David M. Bazett-Jones ,&nbsp;Marina C. Waiteman","doi":"10.1016/j.msksp.2025.103305","DOIUrl":"10.1016/j.msksp.2025.103305","url":null,"abstract":"<div><h3>Background</h3><div>Previous research has explored clinicians' knowledge and confidence in managing patellofemoral pain (PFP), highlighting gaps in alignment with current evidence. However, there is limited research on Brazilian clinicians and physiotherapy students in this context.</div></div><div><h3>Objectives</h3><div>To evaluate the knowledge and confidence of Brazilian physiotherapists and physiotherapy students in managing PFP and identify barriers to accessing scientific resources.</div></div><div><h3>Design</h3><div>Cross-sectional online survey study.</div></div><div><h3>Method</h3><div>We electronically recruited Brazilian physiotherapists and physiotherapy students. The Qualtrics survey included Likert-based and open-ended questions on demographics, confidence in PFP management, and knowledge related to PFP diagnosis, risk factors, prognosis, and treatment. Responses were compared to current evidence, and between-group differences were analyzed.</div></div><div><h3>Results/findings</h3><div>A total of 46 physiotherapists and 51 students participated. Most physiotherapists were confident in managing PFP, but students were not. While most physiotherapists (93.4%) and students (86.3%) correctly defined PFP, only physiotherapists aligned with evidence-based diagnostic criteria. Both groups identified quadriceps weakness as a PFP risk factor but incorrectly cited hip weakness and dynamic knee valgus. Both groups correctly endorsed hip and knee exercises, physical activity modification, and load management as treatment strategies; however, 63.1% of physiotherapists incorrectly recommend knee brace for pain relief. Participants reported barriers to accessing scientific resources, including language, access difficulties, and searching knowledge gaps.</div></div><div><h3>Conclusions</h3><div>Brazilian physiotherapists reported high confidence and accurate knowledge in managing PFP, but still held inaccurate beliefs about its risk factors and prognosis. Physiotherapy students demonstrated a need for further education. Important barriers limit their ability to stay informed on current evidence.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103305"},"PeriodicalIF":2.2,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628414","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":"The relationship between leisure time activities and chronic musculoskeletal pain in schoolteachers","authors":"Dilek Baday-Keskin,&nbsp;Esra Dilek Keskin","doi":"10.1016/j.msksp.2025.103309","DOIUrl":"10.1016/j.msksp.2025.103309","url":null,"abstract":"<div><h3>Background</h3><div>Leisure activities (LAs) have a positive effect on well-being, healthy aging, cognitive functions, physical function, and mental health.</div></div><div><h3>Purpose</h3><div>To determine the prevalence of chronic musculoskeletal pain (CMSP) in schoolteachers and evaluate the relationship between different types of LAs and CMSP.</div></div><div><h3>Methods</h3><div>A total of 433 in-service schoolteachers (303 female, 130 male) participated in this cross-sectional study between January 2023 and March 2023 using an online survey. Common LAs in Turkey, including reading books/magazines/newspapers or writing stories/letters, leisure physical activities (PAs), computer-based LAs, television viewing, LAs on smartphones, music listening, going to the cinema/theatre/opera/ballet/concert, gardening, cooking meal/pastry, meeting with friends, and painting/marbling/ceramic/knitting, and their durations were recorded.</div></div><div><h3>Results</h3><div>The median age of the participants was 38.0 (IQR, 35.0–45.0) years. The prevalence of CMSP was 44.8%. Multiple logistic regression analysis including age, sex, body mass index, comorbidities, weekly standing duration at work, and LAs showed that there was an inverse relationship between CMSP and PAs (OR = 0.564, 95% CI: 0.357–0.890) and listening to music (OR = 0.555, 95% CI: 0.317–0.973). Moreover, LAs on smartphones (OR = 4.318, 95% CI: 2.004–9.308), gardening (OR = 1.827, 95% CI: 1.097–3.043), and having a thyroid disorder (OR = 2.212, 95% CI: 1.045–4.684) were predictive variables for CMSP.</div></div><div><h3>Conclusions</h3><div>Considering that PAs and music listening are inversely associated with CMSP, it may be beneficial to make them a part of the lifestyle of both healthy individuals and individuals with CMSP. Physicians should also be aware that LAs on smartphones carry a greater risk for CMSP.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103309"},"PeriodicalIF":2.2,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143643379","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":"Cultural adaptation and psychometric validation of the exercise adherence Rating scale Mexican Spanish version (EARS-Mx)","authors":"B.D. Pérez-Huerta ,&nbsp;B. Díaz-Pulido ,&nbsp;F. Godínez-Jaimes ,&nbsp;R. Gómez-Rodríguez ,&nbsp;E.L. Godfrey ,&nbsp;B. Sánchez-Sánchez","doi":"10.1016/j.msksp.2025.103308","DOIUrl":"10.1016/j.msksp.2025.103308","url":null,"abstract":"<div><h3>Objective</h3><div>The aim has been to translate and cross-culturally adapt the Exercise Adherence Rating Scale (EARS) for Mexican Spanish speaking population with non-specific chronic low back pain and assess its psychometric properties.</div></div><div><h3>Methods</h3><div>The study had two phases: translation and cultural adaptation, followed by psychometric validation. Reliability was assessed with internal consistency (Cronbach's alpha) and test-retest reliability (intraclass correlation coefficient); validity with construct validity (Spearman's correlation) and factor analysis; sensitivity to change with effect size and standardized response mean difference; feasibility by completion time in seconds; and ceiling/floor effects were calculated.</div></div><div><h3>Results</h3><div>A total of 161 subjects were included. Cronbach's alpha (0.93; 95% CI 0.92–0.95) indicated good internal consistency, and intraclass correlation (0.95; 95% CI: 0.89–0.97) showed excellent test-retest reliability. Weak correlations between the EARS vs. the Visual Analogue Pain Rating Scale and the Roland Morris Disability Questionnaire were found (r = −0.29 and r = 0.00 respectively). All effect size values indicated that the scale presented a significant sensitivity to change. The average time to complete the EARS-Mx was 219 s. No ceiling or floor effect was detected.</div></div><div><h3>Conclusion</h3><div>The EARS-Mx showed semantic, conceptual, idiomatic, content and operational equivalence with respect to the original scale, and appropriate metric properties of reliability, validity, sensitivity to change and feasibility.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103308"},"PeriodicalIF":2.2,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629181","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":"Musculoskeletal triage physiotherapists’ perspectives on their role, the patient journey and implementation of interface triage clinics in primary care in Ireland","authors":"Fiona Callan ,&nbsp;Louise Keating ,&nbsp;Benjamin Saunders ,&nbsp;Helen P. French","doi":"10.1016/j.msksp.2025.103304","DOIUrl":"10.1016/j.msksp.2025.103304","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore musculoskeletal triage clinical specialist physiotherapists’ (CSPs) perspectives on the patient journey and their perspectives on the acceptability of implementing MSK triage interface clinics in primary care in Ireland.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study design using a thematic approach was conducted. Semi-structured focus groups were conducted with 11 CSPs in 8 hospitals with urban and rural catchment areas across Ireland. Data analysis involved a two-stage framework; thematic analysis, followed by exploration of the findings on interface clinic implementation through the lens of Normalisation Process Theory (NPT).</div></div><div><h3>Results</h3><div>Four themes were identified: (1) Development of MSK pathways; (2) Clinical governance; (3) Implementation of interface clinics and (4) Physiotherapy role and identity. Interface clinics achieved some degree of ‘coherence’ (i.e. made sense) and ‘cognitive participation’ (i.e. fostered engagement) for CSPs with the expectation of patients receiving expert MSK care earlier in their journey. However, this was less beneficial to CSPs if interface clinics were not implemented as part of a wider integrated care pathway, and if clinics were established near the main hospital instead of primary care locations in the wider catchment area. CSPs conveyed strong recommendations on ‘collective action’ such as development and resourcing of integrated care pathways and primary care physiotherapy, investing in information technology infrastructure (electronic health records) and obtaining the ability to order investigations (e.g. MRI/x-ray).</div></div><div><h3>Conclusions</h3><div>These findings contribute new knowledge about MSK triage CSPs’ perspectives on the patient journey through MSK services in Ireland, which can inform future implementation phases of MSK triage interface clinics.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103304"},"PeriodicalIF":2.2,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637507","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":"The relationship between radiological OA severity or body weight and outcomes following a structured education and exercise therapy program (GLA:D®) for people with knee osteoarthritis","authors":"Jacqui M. Couldrick ,&nbsp;Andrew P. Woodward ,&nbsp;Joseph T. Lynch ,&nbsp;Nicholas A.T. Brown ,&nbsp;Christian J. Barton ,&nbsp;Jennie M. Scarvell","doi":"10.1016/j.msksp.2025.103307","DOIUrl":"10.1016/j.msksp.2025.103307","url":null,"abstract":"<div><h3>Background</h3><div>Clinicians may presume people with higher bodyweight or greater OA severity do not respond to exercise therapy for knee osteoarthritis (OA), but few studies have examined this.</div></div><div><h3>Objective</h3><div>To examine the relationship between radiographical OA severity or bodyweight and pain and functional outcomes following a structured education and exercise therapy program (Good Life with OsteoArthritis from Denmark: GLA:D®).</div></div><div><h3>Methods</h3><div>33 participants with knee OA were assessed at baseline and week 8 following GLA:D®. Outcomes were pain (Visual analogue scale (VAS) 0–100), Knee Injury and Osteoarthritis Outcome Score-12 (KOOS-12 total), 40 m-fast-paced walk and 30-s chair stand. Multilevel models were used to define the severity of OA in medial, lateral and patellofemoral compartments using the Kellgren-Lawrence (KL) system and to examine the relationship between compartment severity, bodyweight and outcomes.</div></div><div><h3>Results</h3><div>No meaningful relationships between bodyweight and response to GLA:D® were found for any outcome measures. Greater medial OA compartment severity was related to less improvement in pain, KOOS-12 and chair stand repetitions. However, all levels of lateral compartment severity had similar improvements, and greater patellofemoral compartment severity was related to more improvement for KOOS-12 and pain.</div></div><div><h3>Conclusion</h3><div>Bodyweight may have little influence on a person's response to a structured education and exercise therapy program. While people with greater medial compartment severity were less likely to improve following the program, OA severity in the PF and lateral compartments was not a barrier to improvement.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103307"},"PeriodicalIF":2.2,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637505","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}