Musculoskeletal Science and Practice最新文献

{"title":"Changes in outcomes following exercise and education in individuals with single-site pain versus multi-site pain; an analysis of 31,276 patients with knee or hip osteoarthritis","authors":"Joice Cunningham ,&nbsp;Sania Almousa ,&nbsp;Ewa M. Roos ,&nbsp;Søren T. Skou ,&nbsp;Dorte T. Grønne ,&nbsp;Clodagh Toomey ,&nbsp;Helen P. French","doi":"10.1016/j.msksp.2025.103386","DOIUrl":"10.1016/j.msksp.2025.103386","url":null,"abstract":"<div><h3>Objective</h3><div>Multisite pain (MSP) in osteoarthritis defined as pain in ≥2 sites is associated with poorer health than single-site pain (SSP). We compared changes in health outcomes at 3- and 12 months in those with SSP versus MSP following an 8-week education and exercise programme (GLA:D®).</div></div><div><h3>Methods</h3><div>Participants with knee/hip OA enrolled in GLA:D® (2014–2021) were categorised into four groups based on number of pain sites: 0–1 sites (SSP), 2 sites (MSP2), 3–4 sites (MSP3-4), ≥5 sites (MSP5+). Changes in pain, Quality of Life (QoL) and physical function were compared across groups at 3- and 12-months using Analysis of Covariance, Generalised Estimating Equations and responder analyses.</div></div><div><h3>Results</h3><div>Approximately 90 % of 31,276 participants had ≥2 pain sites. At 12 months, pain severity reduced by a mean of −3.79 (95 % CI -4.90 to −2.68) in all MSP groups versus SSP. QoL improved by 1–2 points in MSP2 and MSP3-4 groups compared to SSP, with no difference in change in 40m walk or 30-second chair-stand. The proportion of pain responders was higher in all MSP groups compared to SSP at 3 (43–44 % vs 36 %) and 12 months (44–47 % vs 37 %). There was a greater proportion of responders in QoL in MSP2 versus SSP at 12 months (36 % vs 32 %); and in MSP3-4 versus MSP5+ at 3 months in physical function (56 % vs 52 %).</div></div><div><h3>Conclusions</h3><div>Whilst improvements in pain and QoL, but not physical function, were greater in those with MSP compared to SSP following an 8-week education and exercise programme, between-group differences were not clinically important.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"79 ","pages":"Article 103386"},"PeriodicalIF":2.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144679764","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":"Commentary on: Machine learning for classifying chronic ankle instability based on ankle strength, range of motion, postural control, and anatomical deformities in delivery service workers with a history of lateral ankle sprains","authors":"Triwiyanto T ,&nbsp;I Putu Alit Pawana ,&nbsp;Sari Luthfiyah","doi":"10.1016/j.msksp.2025.103306","DOIUrl":"10.1016/j.msksp.2025.103306","url":null,"abstract":"","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103306"},"PeriodicalIF":2.2,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144571461","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":"An evaluation of a one-day pain science education event in a 16–18 years school setting targeting pain-related beliefs, knowledge, and behavioural intentions: A mixed-methods, non-randomised controlled trial","authors":"J. Mankelow ,&nbsp;C.G. Ryan ,&nbsp;N. Skidmore ,&nbsp;J. Potter ,&nbsp;D. Ravindran ,&nbsp;R. Chattle ,&nbsp;S. Browne ,&nbsp;S. Suri ,&nbsp;A. Graham ,&nbsp;J.W. Pate ,&nbsp;R. Newport ,&nbsp;T. Langford ,&nbsp;D. Martin","doi":"10.1016/j.msksp.2025.103385","DOIUrl":"10.1016/j.msksp.2025.103385","url":null,"abstract":"<div><h3>Background</h3><div>Public understanding of persistent pain is fraught with misconceptions. Pain education in schools may improve public understanding long-term. This study evaluated the impact of a one-day Pain Science Education (PSE) public health event delivered in a 16–18 year old school setting.</div></div><div><h3>Methods</h3><div>This was a multi-site, non-randomised controlled, mixed-methods study with three data collection time points: baseline, post intervention, and three-month follow-up. Participants were high school students ≥16 years old. Pain beliefs, knowledge, and behavioural intentions were assessed with the Pain Beliefs Questionnaire (PBQ [organic and psychological subscales]), Concepts of Pain Inventory (COPI-Adult), a case vignette, and reflexive thematic analysis of semi-structured interviews.</div></div><div><h3>Results</h3><div>Thirty intervention (mean age 16.6 years, 37 % female, 63 % male) and 24 control group participants (16.9 years, 63 % female, 37 % male) were recruited. Attending the pain education event was associated with reductions in Organic Beliefs [mean difference −4.4 (95 % CI, −6.0, −1.9)] and increases in Psychological Beliefs [4.6 (2.7, 6.4)] compared to the control group. This represents a shift away from biomedical beliefs in the intervention group compared to the control group. This shift was partially sustained at 3 months. A similar pattern was seen for the COPI-Adult and case vignette assessments. Semi-structured interviews (n = 13) identified an increased awareness of chronic pain and varying degrees of reconceptualisation of pain towards a biopsychosocial understanding.</div></div><div><h3>Conclusions</h3><div>Attendance at a one-day PSE-based public health event was associated with improved knowledge, beliefs, and behavioural intentions regarding persistent pain. This exploratory study supports the need for a robust mixed-methods RCT of pain education for school children with long-term follow-up.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"79 ","pages":"Article 103385"},"PeriodicalIF":2.2,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562860","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":"Prevalence of cervical, vestibulo-ocular and or physiological impairments in symptomatic individuals 4 weeks to 6 months post-concussion","authors":"Treleaven J,&nbsp;Carberry K,&nbsp;Cook H,&nbsp;Fulcher D,&nbsp;Syme C,&nbsp;Galea O","doi":"10.1016/j.msksp.2025.103381","DOIUrl":"10.1016/j.msksp.2025.103381","url":null,"abstract":"<div><h3>Background</h3><div>Deficits in individual measures relating to cervical, vestibulo-ocular or physiological subsystems have been observed in symptomatic individuals post-concussion. Few studies consider the presence of several impairments within and across each of these three subsystems.</div></div><div><h3>Objective</h3><div>To evaluate the prevalence of cervical, vestibulo-ocular and or physiological impairment in symptomatic individuals four weeks to six months post-concussion.</div></div><div><h3>Setting</h3><div>Tertiary hospital and university.</div></div><div><h3>Design</h3><div>Exploratory observational cohort study.</div></div><div><h3>Methods</h3><div>Participants were deemed to have: Cervical impairment if positive on at least 3/7 cervical tests, vestibulo-ocular impairment if positive on at least 2/11 tests and physiological impairment if they failed the Buffalo Concussion Treadmill Test.</div></div><div><h3>Results</h3><div>Impairment across all three subsystems was detected in 29 % of participants, two subsystems in 47 %, one in 23 % and none in 3 %. Eighty-five percent had cervical impairment.</div></div><div><h3>Conclusion</h3><div>There was a high prevalence of multiple subsystem impairments and the majority had a cervical impairment across a number of cervical tests. Hence, in clinical practice, it is essential to perform a detailed physical examination across all subsystems and consider clinical implications of cervical impairments in the majority of individuals four weeks to six months post-concussion.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"79 ","pages":"Article 103381"},"PeriodicalIF":2.2,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144572136","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 EMU manipulation study: A randomized trial investigating the efficacy of matched or unmatched cervical/thoracic manipulations on neck pain","authors":"Brian T. Swanson ,&nbsp;Mary Cimen ,&nbsp;Cara D. DiMercurio ,&nbsp;Andrew G. Dunne ,&nbsp;Michael Scott Dunne ,&nbsp;Chase Hubbard ,&nbsp;Brendan Christopher Kirck ,&nbsp;Rowan M. Nadeau ,&nbsp;Paul Artzer","doi":"10.1016/j.msksp.2025.103382","DOIUrl":"10.1016/j.msksp.2025.103382","url":null,"abstract":"<div><h3>Introduction</h3><div>Neck pain is common, and cervical and thoracic thrust joint manipulation are recommended treatments. The Cervical Thoracic Differentiation Test (CTDT) is proposed to differentiate pain of cervical or thoracic origin, but its value in guiding choice of manipulation remains unclear. This study aimed to evaluate the utility of the CTDT in selecting treatment for non-specific mechanical neck pain.</div></div><div><h3>Methods</h3><div>A quadruple-blinded, two-arm randomized trial enrolled adults aged 18–65 with neck pain ≥3/10. Forty participants completed the Neck Disability Index (NDI), cervical ROM (ROM), VAS for pain (rest and movement), and CTDT. They were equally allocated to a single session of either matched or unmatched manipulation based on CTDT results. Pain and ROM were assessed immediately post-manipulation and 38 participants were assessed at a one-week follow-up.</div></div><div><h3>Results</h3><div>Forty participants (mean age 24.8 ± 9.9 years, 51.2 % female) were included. Significant differences in the primary outcome of pain with movement were found across all time points (F_{2, 72} = 60.455, p &lt; 0.001). Significant pain reductions were observed from pre-manipulation to immediately post-manipulation and continued at one-week. There were no differences between matched/unmatched manipulations at either time point (p &gt; 0.05). There were no significant differences in pain at rest, NDI scores, or ROM changes between groups.</div></div><div><h3>Conclusions</h3><div>Both matched and unmatched manipulations significantly reduced pain with movement, with no differences based on CTDT results. In the context of a rigorously blinded trial, cervical and thoracic manipulations appear to be equally efficacious for managing neck pain regardless of CTDT outcomes, although clinical outcomes may differ.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"79 ","pages":"Article 103382"},"PeriodicalIF":2.2,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144563025","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":"Comparisons and analysis of cut-off points of patient-reported and performance-based functions in early stages of knee osteoarthritis: A cross-sectional study","authors":"Sevinc Akdeniz ,&nbsp;Derya Ozer Kaya ,&nbsp;Kemal Kayaokay ,&nbsp;Sevtap Gunay Ucurum","doi":"10.1016/j.msksp.2025.103384","DOIUrl":"10.1016/j.msksp.2025.103384","url":null,"abstract":"<div><h3>Objective</h3><div>The primary aim was to compare patient-reported and performance-based functions of early stages of knee osteoarthritis (OA) according to radiographic grades. The secondary purpose was to determine the ability of physical function assessments to discriminate the stages.</div></div><div><h3>Methods</h3><div>Ninety-five symptomatic knee OA patients (median age = 51 [45–58] years; 65.3 % women) were classified as pre-radiographic (grade 0, n = 19), early (grade 1, n = 38), and mild (grade 2, n = 38) according to the Kellgren-Lawrence. The Knee Injury and Osteoarthritis Outcome Score (KOOS), Visual Analog Scale (VAS), 6-Minute Walk Test (6-MWT), Stair Climb Test (SCT), and Single-Limb Mini Squat Test (SLMS) were used for evaluations. Statistical analyses were performed with One-Way ANOVA, Kruskal Wallis, and ROC analyses.</div></div><div><h3>Results</h3><div>Pre-radiographic, early, and mild knee OA showed no differences in VAS and KOOS-pain, daily living activities, and quality of life (p &gt; 0.05). The mild group had lower KOOS-sports and recreational activity scores than the pre-radiographic group, had the shortest 6-MWT distance, longest SCT time, and lowest SLMS repetitions. The early group had fewer SLMS repetitions than the pre-radiographic group. The SLMS Test, SCT and 6-MWT values with the best balance of sensitivity and specificity for discriminating early knee OA were 15 repetitions, 11.75 s and 483 m, respectively (area under the curve: 0.816, 0.753 and 0.798 respectively).</div></div><div><h3>Conclusion</h3><div>No differences were observed for patient-reported functions except KOOS-sport and recreational activities; however, performance-based physical functions differed between radiographic stages. The cut-off results of the performance-based functions may be useful for clinical screening and follow-ups in early knee OA.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"79 ","pages":"Article 103384"},"PeriodicalIF":2.2,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144579845","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":"Prognostic factors for poor recovery in active-duty military personnel with musculoskeletal disorders: A systematic review with meta-analysis","authors":"Simon Olivotto ,&nbsp;Kerrie Evans ,&nbsp;Kerry Peek ,&nbsp;Tania Gardner ,&nbsp;Megan Donovan ,&nbsp;Debra Shirley ,&nbsp;Trudy Rebbeck","doi":"10.1016/j.msksp.2025.103383","DOIUrl":"10.1016/j.msksp.2025.103383","url":null,"abstract":"<div><h3>Background</h3><div>Military personnel are twice as likely as civilians to experience chronic musculoskeletal pain. Identifying prognostic factors for poor recovery from musculoskeletal disorders may support the development of tailored care pathways to improve outcomes.</div></div><div><h3>Objectives</h3><div>Identify prognostic factors for poor recovery in active military personnel with musculoskeletal disorders.</div></div><div><h3>Design</h3><div>Systematic review of prognostic studies including prospective, retrospective, and secondary analyses of randomised controlled trials.</div></div><div><h3>Methods</h3><div>MEDLINE, EMBASE, AMED, PsychInfo, Cinahl, Scopus, and SPORTDiscus databases were searched from inception to March 2025. Studies were included if they evaluated prognostic factors for association with recovery outcomes (pain, disability, work status, or perceived recovery) in active military personnel with any musculoskeletal disorder. Two reviewers independently screened eligible studies and assessed methodological quality using the Quality in Prognostic Studies (QUIPS) tool. Descriptive analysis of multivariate data was undertaken with meta-analyses performed where possible.</div></div><div><h3>Results</h3><div>Twenty-eight studies were included in this review. The factor most strongly associated with poor short-term outcome (disability) was initial pain severity [OR 3.88 (95 %CI 1.50–10.07)] followed by male sex (outcome restricted duty) [OR 2.63 (95 %CI 1.57–4.40)]. The factor most strongly associated with poor long-term outcome (restricted duty) was the presence of comorbid psychiatric diagnosis [RR 6.02 (95 % 4.25–8.51)].</div></div><div><h3>Conclusions</h3><div>Assessing initial pain severity and psychological stressors may help clinicians identify military personnel with musculoskeletal disorders at risk of poor outcome. Understanding the interaction between occupational psychological stressors and pain symptoms may identify modifiable factors that can be targeted to improve recovery.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"79 ","pages":"Article 103383"},"PeriodicalIF":2.2,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562859","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":"Managing non-traumatic Adolescent knee Pain: feasibility of using the MAP-Knee Tool in secondary care","authors":"Malene K. Bruun ,&nbsp;Chris Djurtoft ,&nbsp;Ole Rahbek ,&nbsp;Michael S. Rathleff ,&nbsp;Henrik Riel","doi":"10.1016/j.msksp.2025.103373","DOIUrl":"10.1016/j.msksp.2025.103373","url":null,"abstract":"<div><h3>Background</h3><div>A clinical decision-support tool (MAP-Knee Tool) was recently developed to support the consultation process between clinicians and adolescents with non-traumatic knee pain and enhance shared decision-making while reducing diagnostic uncertainty.</div></div><div><h3>Objectives</h3><div>We aimed to assess the feasibility of using the MAP-Knee Tool in an orthopaedic department for adolescents consulting with non-traumatic knee pain.</div></div><div><h3>Design</h3><div>Feasibility study.</div></div><div><h3>Method</h3><div>We combined interviews, a questionnaire, and observations of two orthopaedic surgeons. Feasibility was evaluated based on Acceptability (dichotomised to 'acceptable' (categories 6–7) or 'unacceptable' (categories 1–5) from a 7-point rank scale ranging from 'very acceptable' to 'very unacceptable'), Appropriateness (time consumption), Fidelity (whether the tool was used as intended and the referral pattern), and Sustainability (whether surgeons would continue to use the tool). Consultations with adolescents aged 10–19 years with non-traumatic knee pain were eligible for inclusion.</div></div><div><h3>Results</h3><div>We included 16 consultations. The duration of each consultation ranged between 8 and 20 min, which fit within the time frame of the surgeons' usual consultations. Both surgeons rated the tool as “very acceptable”. They referred nine adolescents for treatment, four for diagnostic imaging, and three did not receive further treatment or referrals, and the surgeons expressed that the tool did not affect their referral. The surgeons stated that the tool was applicable to practice within their context and that they would especially recommend it to younger doctors.</div></div><div><h3>Conclusions</h3><div>The MAP-Knee Tool is feasible to use in secondary care based on the experiences of orthopaedic surgeons using the tool during consultations with adolescents.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"79 ","pages":"Article 103373"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614877","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":"Reliability, construct validity, responsiveness and minimum clinically important difference of the numeric pain rating scale and shoulder pain and disability index in patients with subacromial pain syndrome","authors":"Ian Young ,&nbsp;James Dunning ,&nbsp;James Escaloni ,&nbsp;Filippo Maselli ,&nbsp;Joshua Prall ,&nbsp;Firas Mourad ,&nbsp;César Fernández-de-las-Peñas","doi":"10.1016/j.msksp.2025.103372","DOIUrl":"10.1016/j.msksp.2025.103372","url":null,"abstract":"<div><h3>Background</h3><div>The numeric pain rating scale (NPRS) and shoulder pain and disability index (SPADI) are commonly used patient-reported outcome measures (PROMs) in patients with rotator cuff tendinopathy. To date, there are gaps in the evidence supporting the clinimetric properties of these PROMs for patients treated with subacromial pain syndrome (SAPS).</div></div><div><h3>Methods</h3><div>A clinimetric analysis (n = 145) was performed to examine the reliability, construct validity, responsiveness, interpretability, minimal detectable change (MDC₉₅) and minimum clinically important difference (MCID) of the NPRS and SPADI for \"improved\" (global rating of change from +3 to +7) and \"much-improved\" (global rating of change from +5 to +7) patients at 3-months follow-up.</div></div><div><h3>Results</h3><div>The NPRS (ICC: 0.86; 95 %CI, 0.33–0.96) and SPADI (ICC: 0.79; 95 %CI 0.12–0.94) exhibited good reliability and excellent responsiveness (NPRS: area under the curve (AUC) = 0.96, 95 %CI 0.92–0.99; SPADI: AUC = 0.90, 95 %CI 0.84–0.95) in this patient population. Both outcomes demonstrated strong construct validity (Pearson's r; p &lt; 0.001). The MDC₉₅ was a 1.7- and 20.5-point change for the NPRS and SPADI, respectively. For the NPRS, the MCID was a 1.5-point change in the \"improved\" group and a 2.5-point change in the \"much improved\" group. For the SPADI, the MCID was an 18-point or 50 % change for the \"improved\" group, and a 25-point or 70 % change in the \"much improved\" group.</div></div><div><h3>Conclusions</h3><div>The NPRS and SPADI demonstrated sound clinimetric properties in patients with SAPS. The MCID exceeded measurement error in the \"much improved\" group. Diagnosis, type of intervention, level of improvement, and measurement error should be considered when applying the MCID.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"79 ","pages":"Article 103372"},"PeriodicalIF":2.2,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144534170","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":"Pre-operative pain catastrophising and resilience correlate with function and pain outcomes following total knee arthroplasty: A systematic review","authors":"Isabelle Kris ,&nbsp;Adrian Kan ,&nbsp;William Talbot ,&nbsp;Wayne Hing ,&nbsp;Larissa Sattler","doi":"10.1016/j.msksp.2025.103371","DOIUrl":"10.1016/j.msksp.2025.103371","url":null,"abstract":"<div><h3>Background</h3><div>Total knee arthroplasty (TKA) is a common surgical intervention for end-stage knee osteoarthritis, yet up to 20 % of patients report dissatisfaction with surgery. Pre-operative psychological factors may be associated with post-operative outcomes, yet their relationship remains unclear.</div></div><div><h3>Objectives</h3><div>To examine the correlation between pre-operative pain catastrophising and resilience with post-operative outcomes in primary total knee arthroplasty patients.</div></div><div><h3>Design</h3><div>Systematic literature review.</div></div><div><h3>Method</h3><div>Five databases were searched until July 2024. Studies investigating correlations between pre-operative pain catastrophising or resilience and post-operative outcomes were included. Study selection was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Methodological quality was assessed using the Joanna Briggs Institute Critical Appraisal Checklist. Results of individual studies were extracted and described through narrative and tabular synthesis. Study comparisons between pre-operative psychological measures and post-operative outcomes were grouped and reported on.</div></div><div><h3>Results</h3><div>Fourteen studies (2,506 patients) were included. Pain catastrophising showed consistent correlations with post-operative pain intensity and self-reported function in most studies. Lower pre-operative resilience was associated with reduced post-operative self-reported function and physical performance in some studies. However, neither pain catastrophising nor resilience demonstrated correlations with physical performance, analgesic requirements, psychometric outcomes, or length of hospital stay.</div></div><div><h3>Conclusions</h3><div>This review found that pre-operative pain catastrophising consistently correlates with post-operative pain and functional outcomes, while the association with resilience was less conclusive. These findings suggest potential value in pre-operative psychological screening, particularly for pain catastrophising, to identify patients who may benefit from targeted interventions.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103371"},"PeriodicalIF":2.2,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144518863","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}