Musculoskeletal Science and Practice最新文献

{"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}

{"title":"Correlating the abdominal drawing in manoeuvre between ultrasound imaging, pressure biofeedback and manual palpation measurements in participants with low back pain: An observational cross-sectional study","authors":"Caitlin Lauren Siobhan Prentice ,&nbsp;Carol Ann Flavell ,&nbsp;Nicola Massy-Westropp ,&nbsp;Steve Milanese","doi":"10.1016/j.msksp.2025.103303","DOIUrl":"10.1016/j.msksp.2025.103303","url":null,"abstract":"<div><h3>Background</h3><div>Physiotherapists have several options to measure lateral abdominal muscle (LAM) activity clinically, including ultrasound imaging (USI), pressure biofeedback units (PBU) and manual palpation scales. However, the concurrent validity of these tools is yet to be examined. Understanding how these tools correlate will help physiotherapists make informed choices about tool selection.</div></div><div><h3>Objectives</h3><div>To determine the correlation between the prone PBU test, manual palpation and USI measures (preferential activation, preferential activation modified and transversus abdominis muscle ratios and transversus abdominis slide) for examining the ADIM.</div></div><div><h3>Design</h3><div>Observational cross-sectional study.</div></div><div><h3>Method</h3><div>58 participants with LBP underwent measurement of LAM activation using the three measurement tools across two sessions (7–14 days apart). Results were analysed using correlation coefficients and tested for statistical significance.</div></div><div><h3>Results/findings</h3><div>Reliability of activation measures ranged from moderate to good. Correlations were found between manual palpation, PBU and USI, however, were non-significant after a Holm-Bonferroni correction.</div></div><div><h3>Conclusions</h3><div>The findings question the concurrent validity of these tools, suggesting one cannot be used in place of another for measuring LAM activation during the ADIM.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103303"},"PeriodicalIF":2.2,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143600583","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":"Development of a clinical decision-support tool for management of adolescent knee pain (The MAP-Knee tool)","authors":"Henrik Riel ,&nbsp;Malene Kjær Bruun ,&nbsp;Chris Djurtoft ,&nbsp;Martin Bach Jensen ,&nbsp;Søren Kaalund ,&nbsp;Guido van Leeuwen ,&nbsp;Charlotte Overgaard ,&nbsp;Ole Rahbek ,&nbsp;Michael Skovdal Rathleff","doi":"10.1016/j.msksp.2025.103293","DOIUrl":"10.1016/j.msksp.2025.103293","url":null,"abstract":"<div><h3>Background</h3><div>Adolescent knee pain was historically viewed as a self-limiting condition. Still, it may severely impact health-related quality of life and physical activity, and almost half of adolescents may continue to experience pain into adulthood. Currently, no tool is available to support the consultation and shared decision-making process when an adolescent suffering from non-traumatic knee pain presents at clinical practice. By supporting shared decision-making and tailoring management strategies, such a tool could optimize treatment delivery and improve the prognosis of this common condition.</div></div><div><h3>Objectives</h3><div>This study aimed to develop a clinical decision-support tool (The MAP-Knee Tool) to improve the management of adolescents with non-traumatic knee pain.</div></div><div><h3>Design</h3><div>Development study with end-user testing.</div></div><div><h3>Method</h3><div>This multi-step study consisted of five steps ((1-4) initial development and (5) end-user testing with adolescents with or without non-traumatic knee pain and medical doctors). It ended with the first version of the MAP-Knee Tool for the six most common non-traumatic knee pain conditions. The tool includes four components: 1) tool for diagnosing, 2) credible explanations of the diagnoses based on two systematic literature searches and an Argumentative Delphi process with international experts, 3) prognostic factors based on an individual participant data meta-analysis, and 4) option grid including an unbiased presentation of management options based on the available evidence.</div></div><div><h3>Results</h3><div>We included seven children/adolescents (8–15 years old) and seven medical doctors for the end-user testing. All four components were revised accordingly, and the text was condensed as the initial draft was too comprehensive.</div></div><div><h3>Conclusions</h3><div>We developed a clinical decision-support tool for clinicians and adolescents with non-traumatic knee pain based on a multi-step process, including end-user testing to support the consultation in clinical practice.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103293"},"PeriodicalIF":2.2,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529599","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":"Investigation of axioscapular muscle thickness in individuals with neck pain with and without scapular dysfunction","authors":"Rungratcha Aramsaengthien ,&nbsp;Sompong Sriburee ,&nbsp;Munlika Sremakaew ,&nbsp;Sureeporn Uthaikhup","doi":"10.1016/j.msksp.2025.103292","DOIUrl":"10.1016/j.msksp.2025.103292","url":null,"abstract":"<div><h3>Background</h3><div>Scapular downward rotation (SDR) is associated with altered axioscapular muscles, including upper trapezius (UT), lower trapezius (LT), serratus anterior (SA), and levator scapulae (LS). SDR is commonly seen in patients with chronic non-specific neck pain (NP). However, the extent of muscle thickness changes in this population remains unclear.</div></div><div><h3>Objectives</h3><div>To investigate thickness of the axioscapular muscles between individuals with NP with SDR compared to those with NP and controls without scapular dysfunction (SD)</div></div><div><h3>Design</h3><div>A cross-sectional study.</div></div><div><h3>Method</h3><div>Sixty-six female participants were included, with 22 in each of the following groups: NP with SDR, NP without SD, and control without SD. Muscle thickness was taken using ultrasound imaging on the side of neck pain or dominant side, both at rest and during 120° arm flexion with a 1-kg weight. Ratios of the axioscapular muscle thickness were calculated for each condition.</div></div><div><h3>Results</h3><div>The NP with SDR group showed significantly reduced LT thickness, both at rest and during arm elevation compared to the NP without SD and control without SD groups (<em>p</em> &lt; 0.05). The NP without SD group demonstrated greater UT thickness at rest compared to the NP with SDR and control without SD groups (<em>p</em> ≤ 0.01). There were no differences in SA and LS thickness or in muscle ratios between the groups (<em>p</em> &gt; 0.05).</div></div><div><h3>Conclusions</h3><div>Individuals with NP and SDR exhibited decreased LT thickness and those NP without SD showed greater UT thickness. This may suggest that scapular dysfunction (i.e., SDR) contributes to alterations in axioscapular muscle thickness in patients with NP.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103292"},"PeriodicalIF":2.2,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511779","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 Fremantle Back Awareness Questionnaire: Cross-cultural adaptation, validity and reliability of the Polish version","authors":"Aleksandra Budzisz ,&nbsp;Andres Jung ,&nbsp;Kerstin Luedtke ,&nbsp;Gabriela F. Carvalho ,&nbsp;Tibor M. Szikszay ,&nbsp;Przemysław Bąbel ,&nbsp;Benedict M. Wand ,&nbsp;Wacław M. Adamczyk","doi":"10.1016/j.msksp.2025.103291","DOIUrl":"10.1016/j.msksp.2025.103291","url":null,"abstract":"<div><h3>Background</h3><div>Body image disturbance is observed in individuals with chronic low back pain (CLBP) and is a potential treatment target. The Fremantle Back Awareness Questionnaire (FreBAQ) is designed to identify disrupted body image specific to the low back. This study aimed to develop and assess the measurement properties of a Polish language version of this questionnaire (FreBAQ-PL).</div></div><div><h3>Methods</h3><div>Following the translation process, cognitive interviews were carried out as a qualitative assessment of content validity. Subsequently a quantitative assessment of content validity was undertaken among in a study sample with CLBP and experts. Measurement properties were assessed in 114 participants with CLBP and 53 pain-free participants. The CLBP sample repeated the FreBAQ-PL assessment within 14-days. The measurement properties assessed in this study were content validity, internal consistency, frequency of responses, known-groups validity, convergent validity and test–retest reliability.</div></div><div><h3>Results</h3><div>Content validity was supported, affirming relevance and comprehensiveness. Known-groups validity was confirmed by significant differences in FreBAQ-PL scores between participants with CLBP and pain-free participants (p &lt; 0.05). Convergent validity was established through moderate associations between FreBAQ-PL scores and pain variables (intensity and duration) (ρ′s = 0.24–0.27, p's &lt; 0.01), disability (ρ = 0.34, p &lt; 0.01), kinesiophobia (ρ = 0.37, p &lt; 0.01), depression (ρ = 0.30, p &lt; 0.01) and anxiety (ρ = 0.24, p &lt; 0.01). The scale was internally consistent (Cronbach's alpha 0.81). Test–retest reliability was good (ICC 0.90).</div></div><div><h3>Conclusions</h3><div>The FreBAQ-PL is a reliable, internally consistent, and valid measure that can be used in clinical and research settings to assess the presence of body image disturbance in Polish-speaking individuals with CLBP.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103291"},"PeriodicalIF":2.2,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548002","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 occurrence of cervicogenic headache: A mapping review","authors":"Sarah Mingels ,&nbsp;Marita Granitzer ,&nbsp;Gwendolen Jull ,&nbsp;Wim Dankaerts","doi":"10.1016/j.msksp.2025.103290","DOIUrl":"10.1016/j.msksp.2025.103290","url":null,"abstract":"<div><h3>Background</h3><div>Occurrence of cervicogenic headache (CeH), mostly expressed by estimates of the prevalence, ranges between 0.4% and 42%. However, transparency on such estimates is lacking, which hinders generalizing results.</div></div><div><h3>Objective</h3><div>Mapping the occurrence (expressed by incidence/prevalence) of CeH.</div></div><div><h3>Design</h3><div>Mapping review.</div></div><div><h3>Method</h3><div>A systematic literature search of PubMed, EMBASE, Web of Science, Scopus databases (last search update January 28th^, 2025). The search query comprised terminology relating to “CeH”, “prevalence”, “incidence”.</div></div><div><h3>Results</h3><div>Thirty-four publications were included (prevalence n = 32, incidence n = 2). The prevalence of CeH varied depending on the geographical location (Norway: 0.17% - USA: 69%), population (age: 0.17%–56.7%, chronic headache: 0.17% - computer users: 64.5%), setting (inpatient: 13.8%–69%, outpatient: 0.38%–10%), diagnostic criteria (International Headache Society: 0.38%–40%, Cervicogenic Headache International Study Group: 0.17%–64.5%), and diagnostic process (questionnaires: 5.3%–64.5%, clinical examination: 0.17%–56.7%, diagnostic block: 0.17%–16.1%).</div></div><div><h3>Conclusion</h3><div>Most publications were retrieved from Europe, Asia, and the United States. One multicentre study provided results for the African continent. No conclusion could be drawn on the incidence of CeH. The populations studied (e.g., general, age-stratified, specific), settings (e.g., hospital, private practice, clinics, emergency services), diagnostic criteria (e.g., International Headache Society or Cervicogenic Headache International Study Group) and processes (e.g., questionnaires, clinical examination) were heterogeneous. Four publications required a diagnostic block in the diagnostic process. A standardized methodology, especially regarding the diagnostic criteria and process, is needed to compare studies, guarantee quality, and provide estimates to inform policy makers.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103290"},"PeriodicalIF":2.2,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529598","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":"German translation, transcultural adaptation and test-retest reliability of the headache screening questionnaire","authors":"Ramon Gubser ,&nbsp;Caroline M. Speksnijder ,&nbsp;Hedwig A. van der Meer ,&nbsp;Markus J. Ernst","doi":"10.1016/j.msksp.2025.103288","DOIUrl":"10.1016/j.msksp.2025.103288","url":null,"abstract":"<div><h3>Introduction</h3><div>Tension-type headache (TTH) and migraines are frequent headache types. For appropriate treatment, physiotherapists need to be able to recognize these two headache types. The Dutch Headache Screening Questionnaire (HSQ-DV) is the only screening questionnaire designed specifically for migraines and TTH, based on the latest International Classification of Headache Disorders and supporting evidence. The aim of this study is to translate the HSQ-DV into German and evaluate its test-retest reliability.</div></div><div><h3>Methods</h3><div>A cross-sectional and prospective cohort study was conducted to answer the research questions. The HSQ-DV was translated according to the COMSIN checklist for patient-reported outcome measurement instruments. Test-retest reliability was assessed with a retest after two weeks. Weighted kappa values, intraclass-correlation coefficients (ICCs) and standard error of the measurements (SEMs) were calculated separately for migraines and THH, based on point scale ranging from 0 to 8.</div></div><div><h3>Results</h3><div>The HSQ-DV was translated and culturally adapted into German. An introductory clarification was added to guide participants with multiple headaches, which headache type to consider. Sixty-one subjects were included in the reliability study. For migraine, the weighted kappa was 0.70 (95% Confidence Interval (CI) 0.52 <u>to 0.87</u>), the ICC was 0.84 (95% CI: 0.71 to 0.91), and the SEM was 0.39 points. For TTH, the weighted kappa was 0.73 (95% CI: 0.57 to 0.90), the ICC was 0.85 (95% CI: 0.74 to 0.92), and the SEM was 0.29 points.</div></div><div><h3>Conclusion</h3><div>The HSQ-GV is a reliable screening questionnaire for migraines and TTH in physiotherapy settings, demonstrating substantial to nearly perfect reliability.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103288"},"PeriodicalIF":2.2,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143471465","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":"Patient perspectives of process variables in musculoskeletal care pathways","authors":"Daniel Harvey ,&nbsp;Steve White ,&nbsp;Duncan Reid ,&nbsp;Chad Cook","doi":"10.1016/j.msksp.2025.103287","DOIUrl":"10.1016/j.msksp.2025.103287","url":null,"abstract":"<div><h3>Background</h3><div>The prevalence of disability caused by musculoskeletal conditions continues to increase. Little research has considered the effect of process variables of a musculoskeletal care pathway on patient outcomes. A process variable is as any modifiable factor in a pathway that can be quantified and measured and that if varied may achieve a different operational or patient outcome. The perspective of patients on what process variables are important in musculoskeletal care pathways remains unknown.</div></div><div><h3>Objective</h3><div>The aim of this study was to investigate which process variables are important to patients and what their experiences of these processes were during the rehabilitation of their musculoskeletal conditions. <em>Method</em>: A qualitative study using a reflexive thematic analytical approach was undertaken. Four focus groups with 12 participants were conducted. Thematic analysis was utilized on the focus group data.</div></div><div><h3>Results</h3><div>Four key themes were generated: 1) Process matters; (2) Quantifying progress facilitated patient engagement; (3) Benefits of equitable access of care; and (4) Recovery made easier with navigation.</div></div><div><h3>Conclusion</h3><div>Patients with musculoskeletal conditions recognise the importance of process variables, especially timeliness, order of care, coordination of care delivery, quantifying progress, equity of access and navigation. These findings offer insights to care pathway designers as well as future research opportunities examining the effects of process variables on the outcomes of patients with musculoskeletal conditions.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"Article 103287"},"PeriodicalIF":2.2,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445296","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":"Does motion sensor biofeedback augment change in movement? A longitudinal study of lifting spinal kinematics in people with chronic low back pain undergoing Cognitive Functional Therapy with and without biofeedback","authors":"Ivan Pui Hung Au ,&nbsp;Anne Smith ,&nbsp;Peter O'Sullivan ,&nbsp;Leo Ng ,&nbsp;Nic Saraceni ,&nbsp;Amity Campbell","doi":"10.1016/j.msksp.2025.103286","DOIUrl":"10.1016/j.msksp.2025.103286","url":null,"abstract":"<div><h3>Background</h3><div>Lifting is a functional movement commonly assessed and targeted in the treatment of people with low back pain (LBP).</div></div><div><h3>Objective</h3><div>To investigate changes in spinal range of motion (ROM) and velocity during lifting in people with lifting-related LBP over the course of Cognitive Functional Therapy (CFT), and to compare these changes between CFT-only and CFT-with-biofeedback.</div></div><div><h3>Design</h3><div>Longitudinal observational study.</div></div><div><h3>Method</h3><div>One hundred and forty-one people with lifting-related LBP received CFT and performed a lifting task prior to each treatment session. Measures included ROM and velocity from trunk and pelvis sensors independently and the intersensor angle. Multilevel models estimated the average amount of change and inter-individual variability. Time-group interaction was used to test the differences in the mean change between CFT-only and CFT-with-biofeedback.</div></div><div><h3>Results</h3><div>During the 13-week intervention period, the average trunk and pelvis ROM increased significantly between week 1 and week 8 (10.6°, 95% CI: 5.9, 15.4; 10.4°, 95% CI: 6.9, 14.0), while the average intersensor ROM did not change over 13 weeks (−0.79°, 95% CI: −3.74, 2.16). The average trunk, pelvis and intersensor velocity increased significantly up to weeks 9 or 10 (17.8°/sec, 95% CI: 14.0, 21.6; 10.8°/sec, 95% CI: 8.3, 13.4; 6.0°/sec, 95% CI: 3.7, 8.3). There was no evidence for differences in change in ROM or velocity measures between CFT-only and CFT-with-biofeedback (<em>P</em> = 0.14–0.64).</div></div><div><h3>Conclusions</h3><div>People with lifting-related LBP demonstrated increases in trunk and pelvis ROM and all velocity measures but not intersensor ROM during lifting over the course of CFT. Biofeedback did not augment changes in lifting kinematics.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"Article 103286"},"PeriodicalIF":2.2,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421540","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}