Musculoskeletal Science and Practice最新文献

{"title":"The relationship between vestibulo-ocular function and sports injuries in adolescent rugby union players","authors":"A. Shakeel Shamim ,&nbsp;Emma Warner ,&nbsp;M. Dilani Mendis ,&nbsp;Julie A. Hides ,&nbsp;Ann Rahmann ,&nbsp;Felix T. Leung","doi":"10.1016/j.msksp.2025.103361","DOIUrl":"10.1016/j.msksp.2025.103361","url":null,"abstract":"<div><h3>Objectives</h3><div>Deficits in vestibulo-ocular function have been reported in athletes following concussion and in healthy developing adolescent athletes. There is a known increase in injury risk in athletes returning to sport following concussion; however, the relationship between vestibulo-ocular dysfunction in adolescents and injury risk is unknown. The aim of this study was to determine i) the prevalence of vestibulo-ocular dysfunction and ii) the relationship between vestibulo-ocular dysfunction and playing season injuries in adolescent rugby union players.</div></div><div><h3>Design</h3><div>Cross-sectional.</div></div><div><h3>Method</h3><div>Seventy-one male adolescent rugby union players were recruited from four schools in Queensland, Australia. In the preseason, clinical assessments of oculomotor and vestibular function were conducted. ‘Time-loss’ injuries were recorded during the season. Statistical analysis was conducted using Pearson's chi-square test with significance set at p &lt; 0.05.</div></div><div><h3>Results</h3><div>In preseason assessment, 40 players (57 %) had one or more, and of these, 18 players (25.7 %) had two or more positive vestibular and oculomotor findings indicating vestibulo-ocular dysfunction. There were 39 injuries sustained by 33 players during the season. No between group differences for vestibulo-ocular function were found between players who did and did not sustain an in-season injury (p = 0.55).</div></div><div><h3>Conclusion</h3><div>Vestibulo-ocular dysfunction is common in male adolescent rugby union players and positive findings should include comparison with baseline function or symptom profile. The wider impact of vestibulo-ocular dysfunction on sporting performance in adolescents is unknown.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103361"},"PeriodicalIF":2.2,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144147085","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":"Temporomandibular disorders in instrumentalist musicians","authors":"Danillo Abrantes Clementino Da Silva,&nbsp;Lenita Marangoni-Lopes,&nbsp;Giovana Venezian,&nbsp;Vivian Fernandes Furlleti de Góes","doi":"10.1016/j.msksp.2025.103358","DOIUrl":"10.1016/j.msksp.2025.103358","url":null,"abstract":"<div><h3>Objective</h3><div>To verify the association between temporomandibular disorders (TMD) and age, time of activity and type of instrument, in instrumentalist musicians.</div></div><div><h3>Methods</h3><div>This was a cross-sectional observational study conducted with 173 musicians, aged 16–40 years, of both sexes. TMD data were collected using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) assessment instrument. Analyses of associations with the outcomes presence of local myalgia and joint disorders were performed using simple and multiple logistic regression models. Those that remained associated with outcomes with p ≤ 0.10 remained in the final model.</div></div><div><h3>Results</h3><div>The prevalence of local myalgia was 20.2 % and of joint disorders, 21.4 %. Musicians over 19 years of age had a higher prevalence of local myalgia (34.2 %) and joint disorders (32.9 %), with risks 3.26 times higher for local myalgia and 3.28 times higher for joint disorders (p &lt; 0.10 and p = 0.002). Regarding the type of instrument, wooden musicians had a higher prevalence of local myalgia (28.8 %) than string musicians (14.0 %, p &lt; 0.10). Regarding the time of practice, musicians over three years of age had a higher prevalence of local myalgia (34.4 %) and joint disorders (32.8 %), with a 2.32 times higher risk of local myalgia (p &lt; 0.10). Sex and type of instrument did not show a significant association with joint disorders.</div></div><div><h3>Conclusion</h3><div>The age of the musicians showed an association with TMD, and participants over 19 years of age were more susceptible to the presence of TMD, however local myalgias did not show significant association.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103358"},"PeriodicalIF":2.2,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144147086","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":"Is postural stability during standing and dynamic tasks altered in young adults with flatfoot: A comparison study","authors":"Muge Kirmizi ,&nbsp;Yesim Salik Sengul","doi":"10.1016/j.msksp.2025.103359","DOIUrl":"10.1016/j.msksp.2025.103359","url":null,"abstract":"<div><h3>Background</h3><div>People with flatfoot were reported to exhibit poorer standing postural stability than those with normal foot posture (NF). However, whether postural stability is altered during dynamic tasks including sit-to-stand transition, step-up/down, and walking along a line in people with flatfoot is not clarified.</div></div><div><h3>Objectives</h3><div>To compare postural stability during static standing and dynamic tasks between young adults with flatfoot and NF.</div></div><div><h3>Design</h3><div>A case-control study.</div></div><div><h3>Method</h3><div>Twenty-five people with flexible flatfoot and twenty-five people with NF were included. Postural stability was assessed using the NeuroCom Balance Master. Sway velocity values (deg/sec) during bipedal and unipedal standing with eyes-open and eyes-closed were obtained. The weight transfer time (sec), rising index (% body weight), and sway velocity (deg/sec) parameters of the sit-to-stand test, the speed (cm/sec) and end sway (deg/sec) parameters of the tandem walk test, and the lift-up index (% body weight), movement time (sec), and impact index (% body weight) parameters of the step-up-over test were obtained.</div></div><div><h3>Results</h3><div>Standing postural stability was poorer in the flatfoot group with a moderate effect size (p &lt; 0.05, Cohen's d = 0.66). The speed during tandem walking and left and right lift-up forces were lower in the flatfoot group with large effect sizes (p &lt; 0.05, Cohen's d = 1.33, 1.01, and 0.97, respectively).</div></div><div><h3>Conclusions</h3><div>The flatfoot group exhibited poorer static and dynamic postural stability, with larger effects observed in dynamic conditions. Possible lower concentric muscle strength of the lower extremity warrants further investigation.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103359"},"PeriodicalIF":2.2,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144139047","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 question of sexual dysfunction during cauda equina screening: A qualitative study exploring the views of advanced practice physiotherapists","authors":"Suzanne Johnston ,&nbsp;Shane Collins ,&nbsp;Joanne Marley","doi":"10.1016/j.msksp.2025.103357","DOIUrl":"10.1016/j.msksp.2025.103357","url":null,"abstract":"<div><div>Cauda Equina Syndrome (CES) is a rare but serious spinal condition which can result in permanent impairment of bladder, bowel and sexual dysfunction. Screening for sexual dysfunction in suspected CES is inconsistent, with age, gender and embarrassment inferred as likely reasons for under reporting, limiting potential understanding of the prevalence and prognostic importance of sexual dysfunction pre CES diagnosis. Further training has been suggested to improve screening for sexual dysfunction in CES, but how this should be delivered has not been fully evaluated.</div><div>This qualitative phenomenological study explores the views of Advanced Practice Physiotherapists (APPs) regarding their current screening practices for sexual dysfunction in suspected CES. Ten APPs were purposively sampled from two NHS Orthopaedic interface services in Northern Ireland. Semi-structured interviews were conducted on-line via MS Teams, video recorded with consent and then coded, transcribed and analysed using a system of reflexive thematic analysis.</div><div>The following themes and subthemes were identified <strong>(1)</strong> ‘I throw it in at the end’ – the tension between knowing and doing. <strong>(1a)</strong> Understanding the impact of experience. <strong>(2)</strong> The influence of the clinician's own characteristics and beliefs. <strong>(2a)</strong> ‘I really think the question is easier for a man to answer than a woman’. <strong>(3)</strong> An effective therapeutic alliance matters. <strong>(4)</strong> Further training – an interactive approach. These themes offer insight into the complex interplay between knowledge translation, clinicians' beliefs, clinical experience, the therapeutic alliance and reflexivity. Interactive training involving key stakeholders was recommended by participants and implementation should be considered for future research.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103357"},"PeriodicalIF":2.2,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144168538","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":"Secondary healthcare utilization among users of a self-management application for musculoskeletal pain: A prospective cohort study based on 12,842 individuals in Denmark","authors":"Nina Sjørup Simonsen ,&nbsp;Rasmus Østergaard Nielsen ,&nbsp;Cecilie Rud Budtz ,&nbsp;David Høyrup Christiansen ,&nbsp;Bo Martin Bibby ,&nbsp;Sebastian Dyrup Skejø ,&nbsp;Jonathan Hill ,&nbsp;Julie Sandell Jacobsen","doi":"10.1016/j.msksp.2025.103356","DOIUrl":"10.1016/j.msksp.2025.103356","url":null,"abstract":"<div><h3>Objective</h3><div>To identify which users of a self-management app for musculoskeletal pain are more likely to utilize secondary healthcare (i.e., specialist services within the musculoskeletal domain following primary care referrals).</div></div><div><h3>Study design</h3><div>Cohort study with one-year follow-up.</div></div><div><h3>Methods</h3><div>Data on secondary healthcare utilization was collected from the Danish National Patient Register. Potential risk factors were collected from the Danish Population Statistics Register and the TrainAwayPain application (TAP app) which is designed to support musculoskeletal pain self-management. Univariate negative binomial regression models were applied to identify differences in the frequency of secondary healthcare contacts due to musculoskeletal pain in the 12 months following app download. Results were reported as incidence rate ratios (IRRs).</div></div><div><h3>Results</h3><div>We observed higher utilization of secondary healthcare among females (IRR 1.32 (95 %CI 1.19–1.46)), older (IRR 1.03 (95 %CI 1.02–1.03)), those with short-cycle higher education (IRR 1.91 (95 %CI 1.61–2.26)), residents of the Region of Southern Denmark (IRR 1.82 (95 %CI 1.48–2.24)), those experiencing hip pain (IRR 1.63 (95 %CI 1.33–2.00)), and those with long-term pain (IRR 2.31 (95 %CI 2.06–2.62)). By contrast, lower rates of secondary healthcare utilization were noted among app users with higher musculoskeletal health status (IRR 0.95, (95 %CI 0.95–0.96)). These comparisons are relative to app users who are male, younger, live in the North Denmark Region, have neck pain, and experience pain &lt;1 month.</div></div><div><h3>Conclusion</h3><div>Those who most likely seek secondary healthcare may be female, older, not from the Northern part of Denmark, experiencing peripheral joint pain rather than spinal pain, have longer symptom duration, and more severe symptoms.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103356"},"PeriodicalIF":2.2,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144221318","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 localization and associations with strength and range of motion deficits in rotator cuff-related shoulder pain vs asymptomatic: A cross sectional case control study","authors":"Daniel Manoso-Hernando ,&nbsp;Ignacio Elizagaray-García ,&nbsp;Javier Bailón-Cerezo ,&nbsp;Filip Struyf ,&nbsp;Alfonso Gil-Martínez","doi":"10.1016/j.msksp.2025.103354","DOIUrl":"10.1016/j.msksp.2025.103354","url":null,"abstract":"<div><h3>Background</h3><div>Methods previously proposed to assess patients with rotator cuff related shoulder pain (RCRSP), based on special orthopedic tests, have been challenged. This opens the possibility of a different physical examination where shoulder range of motion (ROM), muscle strength, pain mapping and the examination of the muscle trigger points (TrPs) seem to be an accepted method.</div></div><div><h3>Objectives</h3><div>To compare the biomechanical and functional characteristics of the shoulder complex in individuals with RCRSP and asymptomatic controls.</div></div><div><h3>Design</h3><div>A cross-sectional study.</div></div><div><h3>Methods</h3><div>Thirty six RCRSP patients and 36 asymptomatic subjects matched by sex, age and hand dominance. Assessed variables included shoulder strength and ROM, pain mapping and the presence of muscle TrPs. Independent t-tests were used to compare each of these measurements and multiple linear regression was used to examine the capacity of shoulder strength variables to predict the variability of the shoulder ROM.</div></div><div><h3>Results</h3><div>The RCRSP group had significantly reduced shoulder ROM and strength, as well as significantly more active TrPs in the anterior, posterior and infraspinatus muscles than asymptomatic controls. The RCRSP group predominantly referred their pain in the anterior and lateral deltoid area. Main predictors for diminished shoulder flexion and scaption ROM were strength deficits in shoulder external and internal rotation at 90° of shoulder abduction, respectively.</div></div><div><h3>Conclusion</h3><div>Shoulder ROM, strength and the presence of active TrPs were significantly different between RCRSP patients and asymptomatic controls. RCRSP patients predominantly referred their pain in the anterior and posterior deltoid area.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103354"},"PeriodicalIF":2.2,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144107218","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":"Are health status and treatment burden associated with non-response bias in patients with chronic spinal pain? A Prospective Cohort Study","authors":"Jacob S. Gandløse ,&nbsp;Rasmus Westermann ,&nbsp;Steffan Wittrup McPhee Christensen ,&nbsp;Jonathan Vela ,&nbsp;Lene W. Dreyer ,&nbsp;Søren T. Skou ,&nbsp;Anne Olesen ,&nbsp;Louise Jønholt ,&nbsp;Thorvaldur S. Palsson","doi":"10.1016/j.msksp.2025.103355","DOIUrl":"10.1016/j.msksp.2025.103355","url":null,"abstract":"<div><h3>Background</h3><div>The coexistence of two or more chronic conditions (often termed multimorbidity) is common in people with chronic spinal pain. As multimorbidity is associated with poorer health and quality of life, research on multimorbidity is at risk of being affected by non-response bias. However, it is unclear whether self-reported factors related to multimorbidity are associated with non-response bias.</div></div><div><h3>Objective</h3><div>To investigate whether treatment burden, health-related quality of life, health status, and the number of comorbidities, are associated with non-response bias in patients with chronic spinal pain.</div></div><div><h3>Methods</h3><div>This prospective observational cohort study included patients with chronic spinal pain referred to the Department of Rheumatology, Aalborg University Hospital from June 2023 to April 2024. Data from medical records and electronic questionnaires were collected at baseline and 3- and 6-month follow-ups. Patients were categorized by response pattern: immediate, after one reminder, or after two reminders. Age and sex differences between respondents and non-respondents were analyzed. Statistical analyses included one-way ANCOVA analyses and mixed regressions with repeated measures. Additionally, differences between respondents and non-respondents to the questionnaires were examined using chi-square test and independent samples t-tests.</div></div><div><h3>Results</h3><div>Three hundred sixty patients participated in the study. 68.6 % met the criteria for multimorbidity and nearly half of the participants (45.9 %) reported a medium to high treatment burden. There were no significant differences in response patterns at baseline, 3 months, or 6 months. However, non-respondents were significantly younger than respondents.</div></div><div><h3>Conclusions</h3><div>In patients with chronic spinal pain, self-reported treatment burden, health-related quality of life, health status, and the number of comorbidities did not significantly influence survey participation. However, younger age was associated with non-participation, indicating that age, rather than health status, plays a central role in survey participation.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103355"},"PeriodicalIF":2.2,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144107217","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":"Beyond single sessions: Reflections on pain education and exercise-induced hypoalgesia heterogeneity in knee osteoarthritis","authors":"Yadi Li ,&nbsp;Yumei Zhong ,&nbsp;Xinmin Deng","doi":"10.1016/j.msksp.2025.103329","DOIUrl":"10.1016/j.msksp.2025.103329","url":null,"abstract":"","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103329"},"PeriodicalIF":2.2,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018802","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":"Author response to Letter to the Editor by Dr Aliper Mengi concerning Manuscript number: YMATH D-24–00535 “Anaesthetic and corticosteroid response immediately following epidural injection in patients with MRI confirmed lumbar disc herniation”","authors":"Mark Laslett (Registered Specialist Physiotherapist (Musculoskeletal))","doi":"10.1016/j.msksp.2025.103338","DOIUrl":"10.1016/j.msksp.2025.103338","url":null,"abstract":"","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103338"},"PeriodicalIF":2.2,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086933","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":"How do physiotherapists use Cauda Equina Syndrome safety netting techniques and what influences their practice?","authors":"John Rice ,&nbsp;Liba Sheeran","doi":"10.1016/j.msksp.2025.103353","DOIUrl":"10.1016/j.msksp.2025.103353","url":null,"abstract":"<div><h3>Background</h3><div>Cauda Equina Syndrome (CES) is a rare but serious neurological condition requiring urgent intervention to prevent permanent harm. Although safety netting practices are recommended to mitigate risks, they are inconsistently applied, with limited guidance or evidence to inform their use. Existing research has largely overlooked the specific challenges of CES safety netting, particularly in advanced physiotherapy roles like First Contact Practitioners (FCPs) and Extended Scope Practitioners (ESPs), who play a pivotal role in managing suspected cases.</div></div><div><h3>Objective</h3><div>This study aimed to address the research gap by exploring the experiences, beliefs, and practices of MSK physiotherapists regarding CES safety netting, focusing on its impacts on patients and healthcare systems.</div></div><div><h3>Methods</h3><div>A qualitative study was conducted using semi-structured interviews with eight MSK physiotherapists across various roles. Reflexive thematic analysis was employed to identify and interpret key themes.</div></div><div><h3>Results</h3><div>Five themes emerged: (1) perceived anxiety and responsibility, emphasising fear of missed diagnoses; (2) challenges with communication and referral pathways, particularly with Trauma and Orthopaedics (T&amp;O) and Accident and Emergency (A&amp;E) departments; (3) variation in safety netting practices, influenced by individual and contextual factors; (4) the impact of ambiguous CES presentations on decision-making; and (5) systemic barriers, including poorly integrated referral pathways and limited diagnostic resources.</div></div><div><h3>Conclusions</h3><div>This study uniquely highlights the challenges of CES safety netting in advanced physiotherapy roles. Clearer guidance, interdisciplinary collaboration, and improved training are needed to support clinicians and enhance patient outcomes. Further research should investigate systemic impacts and patient perspectives.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103353"},"PeriodicalIF":2.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144068635","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}