Musculoskeletal Science and Practice最新文献

{"title":"Impact of using an AI scribe on clinical documentation and clinician-patient interactions in allied health private practice: perspectives of clinicians and patients","authors":"Kerrie Evans ,&nbsp;Amy Papinniemi ,&nbsp;Bernd Ploderer ,&nbsp;Vaughan Nicholson ,&nbsp;Tom Hindhaugh ,&nbsp;Viana Vuvan ,&nbsp;Nicholas Cowley ,&nbsp;Amina Tariq ,&nbsp;Hayley Thomson","doi":"10.1016/j.msksp.2025.103333","DOIUrl":"10.1016/j.msksp.2025.103333","url":null,"abstract":"<div><h3>Background</h3><div>The burden associated with clinical documentation can negatively impact patient care and job satisfaction amongst allied health professionals (AHPs). Digital scribes based on artificial intelligence (AI) may address these issues, but this has not been evaluated in Australian allied health private practice.</div></div><div><h3>Objective</h3><div>Describe perspectives and experiences of AHPs and patients regarding the use of an AI scribe for clinical documentation.</div></div><div><h3>Design</h3><div>Mixed-methods.</div></div><div><h3>Methods</h3><div>AHPs completed surveys at baseline, and after 6-weeks and 3-months of using an AI scribe that sought their perspectives about AI and clinical documentation. AHPs invited patients to complete one survey after the AI scribe was used during an appointment. Individual semi-structured interviews were conducted with a subset of AHPs and patients.</div></div><div><h3>Results</h3><div>119 AHPs and 157 patients completed the surveys. 15 AHPs and 14 patients were interviewed. There was a significant reduction in time spent doing notes, letters and completing notes out of hours between baseline and 6-weeks and baseline and 3-months but no difference between 6-weeks and 3-months. Burden was significantly less at 3-months compared to baseline. Productivity increased by an average of 5.8 %. From the interviews, four themes described participants' experiences: using the scribe had a positive impact on therapeutic alliance and administrative workload, trust facilitated the use of the scribe and AHPs appreciated the scribe for different aspects of documentation. Although patients were comfortable consenting to the AI scribe being used during their own appointments, some acknowledged that other patients might require additional information about data storage and security to make an informed decision.</div></div><div><h3>Conclusion</h3><div>The use of an AI scribe had a positive impact on AHPs working, and patients seeking care, in Australian allied health private practice.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103333"},"PeriodicalIF":2.2,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Inter- and intra-rater-reliability of a clinical framework for spine-related neck-arm pain” [Musculoskeletal Sci. Pract. 67 (2023) 102853]","authors":"C. Kapitza ,&nbsp;K. Luedtke ,&nbsp;M. Komenda ,&nbsp;M. Kiefhaber ,&nbsp;A.B. Schmid ,&nbsp;N. Ballenberger ,&nbsp;B. Tampin","doi":"10.1016/j.msksp.2025.103330","DOIUrl":"10.1016/j.msksp.2025.103330","url":null,"abstract":"","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103330"},"PeriodicalIF":2.2,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143917607","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":"Effects of nonspecific chronic neck pain on balance, visuomotor reaction time and upper extremity explosive strength in young females","authors":"Meryem Buke,&nbsp;Serbay Sekeroz,&nbsp;Bahar Isyar,&nbsp;Medine Ortanc","doi":"10.1016/j.msksp.2025.103331","DOIUrl":"10.1016/j.msksp.2025.103331","url":null,"abstract":"<div><h3>Background</h3><div>The cervical region is highly enriched with sensory receptors, and chronic pain in this area can disrupt afferent signals, potentially affecting motor function and balance.</div></div><div><h3>Objective</h3><div>To examine the effects of nonspecific chronic neck pain on balance, visuomotor reaction time, and upper extremity explosive strength in young females. The secondary objective was to investigate the relationship between neck pain intensity and the evaluated parameters.</div></div><div><h3>Methods</h3><div>Forty-three participants (Neck Pain Group: 21 participants; Healthy Group: 22 participants) were included. Static balance was assessed with the One-Leg Standing Test (OLST), and dynamic balance with the Lower Quarter Y Balance Test (YBT). Visuomotor reaction time was measured using the FitLight Trainer™ system, consisting of 8 RGB Laser LEDs. The Seated Medicine Ball Throw Test was employed to assess upper extremity explosive strength.</div></div><div><h3>Results</h3><div>Participants in the neck pain group exhibited significantly lower scores on the eyes-closed OLST (p = 0.045) and the composite YBT (p = 0.028) for the dominant lower extremity. Visuomotor reaction time was significantly prolonged in the neck pain group (p = 0.032), while performance in the medicine ball throw test was significantly reduced (p = 0.030). Pain intensity was correlated with visuomotor reaction time (r = 0.454; p = 0.002) and the composite YBT score of the dominant lower extremity (r = −0.356; p = 0.019).</div></div><div><h3>Conclusion</h3><div>This study's findings indicate that chronic neck pain negatively impacts balance, visuomotor reaction time, and upper extremity explosive strength. Furthermore, a moderate correlation was observed between pain intensity and both visuomotor reaction time and dynamic balance, suggesting that greater pain intensity is associated with greater functional impairment.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103331"},"PeriodicalIF":2.2,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143833353","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":"Reasons for patient no-shows and drop-offs after initial evaluation in physical therapy outpatient care: a qualitative study","authors":"Andrew C. Thomas ,&nbsp;Sarah N. Shaver ,&nbsp;Jodi L. Young ,&nbsp;Chad E. Cook","doi":"10.1016/j.msksp.2025.103326","DOIUrl":"10.1016/j.msksp.2025.103326","url":null,"abstract":"<div><h3>Background</h3><div>No-shows and drop-offs by patients after their initial physical therapy evaluation can significantly impact clinics and therapists. To our knowledge, no previous studies have examined the patient's perspective of why they terminated their recommended plan of care after only attending their initial evaluation.</div></div><div><h3>Objective</h3><div>To gain insights regarding why patients do not follow through on a recommended physical therapy plan of care after the initial evaluation.</div></div><div><h3>Methods</h3><div>This qualitative study used semi-structured phone interviews with patients who received a physical therapy evaluation for a musculoskeletal condition within a large regional healthcare system. Participants were purposefully sampled if they attended their initial evaluation, did not attend a follow-up visit within 30 days, and had no future appointments scheduled. After data collection and transcription, coding and thematic analysis took place to establish primary and secondary themes.</div></div><div><h3>Results</h3><div>A total of 26 interviews were conducted, including 12 males and 14 females, with an average age of 51.04 (± 15.72) years. Five common themes emerged, including clinical improvement at an acceptable rate (23.1 %), access issues (26.9 %), did not see value or could do therapy on their own (23.1 %), other medical management was needed (15.4 %), and patient-provider relationship issues (11.5 %).</div></div><div><h3>Conclusion</h3><div>These findings highlight the patient's rationale for not following through on a physical therapist's recommended plan of care after an initial evaluation. They may help practice managers and clinicians to proactively address barriers, clinic access issues, and evaluation strategies to maximize the patient's follow-through on their plan of care.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103326"},"PeriodicalIF":2.2,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816634","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 effect of tele-rehabilitation under a comprehensive exercise program on the function of patients with chronic ankle instability: A randomized controlled trial","authors":"Zhimo Yang,&nbsp;Shiya Yu,&nbsp;Wei Meng,&nbsp;Xixi Ma,&nbsp;Lin Yang","doi":"10.1016/j.msksp.2025.103327","DOIUrl":"10.1016/j.msksp.2025.103327","url":null,"abstract":"<div><h3>Design</h3><div>Single-blind randomized controlled trial.</div></div><div><h3>Objective</h3><div><u>To investigate</u> whether there is a difference in the therapeutic effect of remote exercise therapy and clinic-based exercise therapy on the recovery of motor function in patients with chronic ankle instability <u>(CAI)</u> under a comprehensive exercise program.</div></div><div><h3>Methods</h3><div>Participants were randomly assigned to either the control group (CG) or the tele-rehabilitation group (TRG). The CG underwent a 4-week clinic-based exercise rehabilitation program, while the TRG received guidance on using a tele-rehabilitation application followed by a 4-week tele-rehabilitation regimen. <u>The participants in both groups underwent exercise therapy under the same exercise prescription framework.</u> Outcome measures, including functionality, pain, strength, balance, and self-efficacy, were assessed at baseline, 4 weeks, and 8 weeks.</div></div><div><h3>Results</h3><div>A total of 48 participants completed the trial. At the 4-week mark, all outcomes demonstrated significant improvement compared to baseline, indicating that both treatment modalities utilizing the comprehensive exercise program enhanced the functionality of patients with <u>CAI.</u> By 8 weeks, functional improvements were sustained in both groups. Notably, among all outcomes, only the <u>Modified Gait Efficacy Scale (mGES)</u> revealed a significant group effect, with the CG exhibiting higher mGES than the TRG (P &lt; 0.001 at 4 weeks and P = 0.002 at 8 weeks).</div></div><div><h3>Conclusion</h3><div><u>The results suggest that, under a comprehensive exercise program, tele-rehabilitation can achieve outcomes comparable to clinic-based exercise therapy in enhancing motor function in patients with CAI, with only a slight disadvantage in improving self-efficacy compared to clinic-based therapy.</u></div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"78 ","pages":"Article 103327"},"PeriodicalIF":2.2,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848314","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":"Stair climb muscle power is associated with gait speed, sit-to-stand performance, patient-reported outcomes and objective measures of mechanical muscle function in individuals with knee osteoarthritis – secondary analysis from an RCT","authors":"Brian Sørensen ,&nbsp;Per Aagaard ,&nbsp;Christian Couppé ,&nbsp;Charlotte Suetta ,&nbsp;Finn E. Johannsen ,&nbsp;S. Peter Magnusson","doi":"10.1016/j.msksp.2025.103332","DOIUrl":"10.1016/j.msksp.2025.103332","url":null,"abstract":"<div><h3>Background</h3><div>Mechanically measured leg extensor muscle power (LEP) predicts functional performance, patient-reported outcomes (PROMs) and mechanical muscle function in patients with knee osteoarthritis (OA). The stair climb test (SCT) have been used to assess LEP in clinical populations, but the relationship between SCT derived LEP and functional- and self-reported outcome measures in patients with knee-OA remains unknown.</div></div><div><h3>Objectives</h3><div>To investigate the relationship between LEP derived from SCT, and patient-reported outcomes (PROMs), functional performance, knee extensor muscle strength (MVIC), rate of force development (RFD) and Nottingham LEP in individuals with knee-OA.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Method</h3><div>SCT power was obtained in 96 knee-OA patients (age 56.9 ± 7.7 yr. males n = 47, females n = 49). The dependent variable was SCT power, while independent variables included 4 × 10 m fast-paced walk (4x10m-FWT), sit-to-stand (STS), STS power, KOOS, Oxford Knee Score (OKS), LEP, MVIC, and RFD.</div></div><div><h3>Results</h3><div>There were strong correlations (<em>r</em> = 0.72–0.80, <em>p</em> &lt; 0.01) between SCT power and 4x10m-FWT and STS. There were weak-to-moderate correlations (<em>r</em> = 0.22–0.42, <em>p</em> &lt; 0.05) between SCT power versus OKS and all KOOS subscales. Moderate correlations were observed between SCT power and Nottingham LEP, MVIC, and RFD (<em>r</em> = 0.53–0.64, <em>p</em> &lt; 0.01).</div></div><div><h3>Conclusions</h3><div>SCT power correlates positively with functional performance, PROMs and mechanical lower limb muscle function in male and female individuals with knee-OA.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103332"},"PeriodicalIF":2.2,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839304","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 effectiveness of conservative interventions on temporomandibular disorder-related kinesiophobia and pain catastrophizing: a systematic review","authors":"Alana Dinsdale,&nbsp;Cara Atkins,&nbsp;Laura Golds,&nbsp;Addison Gough,&nbsp;Kelcie Jessen,&nbsp;Roma Forbes","doi":"10.1016/j.msksp.2025.103328","DOIUrl":"10.1016/j.msksp.2025.103328","url":null,"abstract":"<div><h3>Background</h3><div>Temporomandibular disorders (TMD) are prevalent conditions that can significantly impact function and quality of life. Pain catastrophizing and kinesiophobia contribute to temporomandibular disorder-related disability.</div></div><div><h3>Aims</h3><div>Evaluate the effectiveness of conservative interventions on kinesiophobia and pain catastrophizing in adults with temporomandibular disorders.</div></div><div><h3>Methods</h3><div>PubMed, Embase, CINAHL and Cochrane Central were searched for peer-reviewed interventional studies evaluating the effect of non-pharmacological conservative interventions on kinesiophobia and pain catastrophizing in adults diagnosed with a temporomandibular disorder. Risk of bias was assessed using the Cochrane Risk of Bias (version 2) tool and data were synthesised narratively according to outcomes and interventions. Overall certainty of evidence was evaluated using a modified GRADE approach.</div></div><div><h3>Results</h3><div>Twelve studies were included, comprising 815 participants (mean age = 42.2 years, 85 % female, most with myofascial/pain-related temporomandibular disorders). Interventions included cognitive behavioural therapy, pain neuroscience education ± exercise, manual therapy, occlusal splinting and hypnosis. There was low to very low confidence that cognitive behavioural therapy, pain neuroscience education plus exercise, and manual therapy may reduce pain catastrophizing in individuals with temporomandibular disorders, and low to very low confidence that pain neuroscience education and manual therapy may improve kinesiophobia. There was very low confidence that hypnosis and occlusal splinting are ineffective at reducing pain catastrophizing levels compared to other conservative interventions.</div></div><div><h3>Conclusions</h3><div>Cognitive behavioural therapy, pain neuroscience education and manual therapy may be effective in reducing kinesiophobia and pain catastrophizing in adults with temporomandibular disorders. Further research is needed to improve the quality of this evidence.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103328"},"PeriodicalIF":2.2,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143829883","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":"“Go and get it checked”: Exploring the decision to attend the emergency department for low back pain","authors":"Holly Whitcomb ,&nbsp;Lisa C. Roberts ,&nbsp;Clare Ryan","doi":"10.1016/j.msksp.2025.103325","DOIUrl":"10.1016/j.msksp.2025.103325","url":null,"abstract":"<div><h3>Purpose and background</h3><div>Low back pain affects individuals and society, straining Emergency Departments (EDs) and prolonging wait times. While personal factors influence ED visits, third-party advice's role is underexplored. Limited guidance for healthcare professionals emphasises the need for effective back pain management to ease system strain and improve patient outcomes. This study examines motivations for ED visits due to low back pain.</div></div><div><h3>Methods and results</h3><div>This research utilised secondary analysis of qualitative data from a previous multisite study, adopting a subtle realist approach. From August to December 2021, 47 patients (26 M:21 F, aged 23–79) with back pain were sampled from four English EDs (2 Northern, 2 Southern) to capture diversity in sociodemographic and LBP characteristics. Eight patients had previously visited the ED for this back pain episode. During the pandemic, semi-structured interviews were conducted online, audio-recorded, transcribed, and analysed thematically.</div><div>Three key themes influenced decisions to attend ED: Healthcare professionals, trusted others, and individuals. Healthcare professionals often dictated choices, making participants feel powerless. Trusted others offered varying support, acting as allies. Individuals wrestled with anxiety about pain severity and uncertainty regarding LBP.</div></div><div><h3>Conclusion</h3><div>This study emphasises the need for healthcare professionals to offer clear guidance on when individuals and their caregivers should visit the ED for back pain. Findings show that pain-related worries significantly drive ED visits, misaligning with practice guidelines. Healthcare providers must consider these issues when creating strategies to manage low back pain patients and optimise ED resources.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103325"},"PeriodicalIF":2.2,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143865049","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 construct validity of screening questions for kinesiophobia, pain catastrophizing, depression, and stress in patients with (sub-)acute non-traumatic neck pain","authors":"Tineke Pieterson ,&nbsp;Sophie Konings ,&nbsp;Rebecca Stellato ,&nbsp;Arjan Boshuijzen ,&nbsp;Martine J. Verwoerd","doi":"10.1016/j.msksp.2025.103324","DOIUrl":"10.1016/j.msksp.2025.103324","url":null,"abstract":"<div><h3>Background</h3><div>Neck pain is common and may transition from acute to chronic, often influenced by psychological factors like kinesiophobia, pain catastrophizing, depression, and stress. Early screening for these factors in patients with (sub-)acute neck pain is crucial to prevent chronicity.</div></div><div><h3>Objectives</h3><div>To examine the construct validity and internal consistency of screening questions for kinesiophobia, pain catastrophizing, depression, and stress in Dutch patients with (sub-)acute, non-traumatic neck pain.</div></div><div><h3>Design</h3><div>Cross sectional study.</div></div><div><h3>Method</h3><div>Hypotheses were formulated for convergent and divergent validity. <em>Screening questions were compared with established questionnaires: the Tampa Scale for Kinesiophobia (TSK-11) for kinesiophobia, the Pain Catastrophizing Scale (PCS-6) for pain catastrophizing, and the Depression, Anxiety, and Stress Scale (DASS-21) for depression and stress.</em> When strong convergent validity (r ≥ 0.7) was observed, internal consistency was assessed.</div></div><div><h3>Results</h3><div>Moderate correlations were observed for kinesiophobia (r = 0.526, TSK-11), depression (r = 0.660 DASS-21 depression), and stress (r = 0.506. DASS-21 distress). Pain catastrophizing showed a strong correlation with the PCS-6 (r = 0.771). Divergent validity was supported by correlations ≤0.5 with unrelated constructs for kinesiophobia, pain catastrophizing, and stress, but not for depression. Internal consistency for pain catastrophizing was 0.692. Scatterplots showed wide dispersion for kinesiophobia and stress. For pain catastrophizing, the scatterplot revealed that low screening scores were associated with high reference standard scores.</div></div><div><h3>Conclusions</h3><div>Investigating the complex constructs of kinesiophobia, pain catastrophizing, depression and stress with one or two questions cannot currently be recommended. Further research is needed to confirm the ability to screen for psychological constructs.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103324"},"PeriodicalIF":2.2,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143799402","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":"Correlation of absolute and relative limb differences in Y-balance test and asymmetry indices of CMJ, SJ and IMTP","authors":"Longji Li ,&nbsp;Tianfei Fan ,&nbsp;Kaifang Liao ,&nbsp;Lifeng Zhang","doi":"10.1016/j.msksp.2025.103320","DOIUrl":"10.1016/j.msksp.2025.103320","url":null,"abstract":"<div><h3>Objective</h3><div>Determine the relationship between Y-Balance Test (YBT) and force platform-based assessments, including squat jump (SJ), countermovement jump (CMJ), and isometric mid-thigh pull (IMTP), to evaluate lower limb stability and asymmetry.</div></div><div><h3>Method</h3><div>Sixty-one recruited active professional firefighters were assessed for YBT absolute limb differences (anterior, posteromedial, and posterolateral directions) using the YBT classic formula or a force platform built-in formula, and for asymmetry indices of CMJ, SJ and IMTP derived from the force platform.</div></div><div><h3>Results</h3><div>The absolute limb differences in YBT anterior (YBT-A) showed a moderate correlation (r &gt; 0.4) with asymmetry indices of SJ concentric peak force (SJ-CPF), IMTP peak force component (IMTP-PFC), and IMTP peak force (IMTP-PF). Subsequently, limb relative differences for YBT-A were calculated using the built-in formula of the force platform, which also showed a moderate correlation (r &gt; 0.4) with asymmetry indices of SJ-CPF, IMTP-PFC, and IMTP-PF. However, when considering either absolute or relative differences, YBT posteromedial asymmetry (YBT-PMA) or YBT posterolateral asymmetry (YBT-PLA) showed weak or negative correlations with asymmetry indices derived from the force platform.</div></div><div><h3>Conclusion</h3><div>This study demonstrated that YBT anterior asymmetry (YBT-AA) calculated by using either the YBT classic formula or the built-in formula of the force platform, showed a moderate correlation with asymmetry indices derived from the force platform. This study provides clinicians and researchers with different test methods for assessing lower limb stability.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103320"},"PeriodicalIF":2.2,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786042","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}