BMC Musculoskeletal Disorders最新文献

{"title":"The effectiveness of instrument-assisted soft tissue mobilization on pain and function in patients with musculoskeletal disorders: a systematic review and meta-analysis.","authors":"Sien Tang, Li Sheng, Xiating Wei, Mingjie Liang, Jinming Xia, Jueru Chen","doi":"10.1186/s12891-025-08492-4","DOIUrl":"10.1186/s12891-025-08492-4","url":null,"abstract":"<p><strong>Background: </strong>Instrument-assisted soft tissue mobilization (IASTM) is popular in the treatment of musculoskeletal disorders. However, the current literature has produced varying results. The purpose of this study was to collect the most recent studies to evaluate the effectiveness of IASTM on pain and function in patients with musculoskeletal disorders.</p><p><strong>Methods: </strong>The researchers searched the PubMed, Embase, Web of Science, and Cochrane Library databases from inception to February 25, 2025, to identify randomized controlled trials comparing treatment groups receiving IASTM combined with other treatments to those receiving other treatments among participants with musculoskeletal disorders. The outcomes were pain intensity, pain pressure threshold and function. The Cochran Q and I² indices were used to estimate heterogeneity. The data were analyzed as the standardized mean difference (SMD). The Cochrane Risk of Bias tool was used to assess the risk of bias. The Grading of Recommendations Assessment, Development, and Evaluation system was used to rate the quality of evidence. Trial sequential analysis and sensitivity analyses were also performed.</p><p><strong>Results: </strong>Eleven trials (involving 427 participants) were included in the quantitative analysis. Six trials had a high risk of bias; three, unclear; and two, low. There was moderate-certainty evidence indicating that IASTM was effective in reducing patient-reported pain (n = 11) (n = 427, SMD = 0.60, 95% CI: 0.41 to 0.80, p < 0.01), and there was low-certainty evidence indicating that IASTM was effective in improving patient-reported function (n = 8) (n = 333, SMD = 0.40, 95% CI: 0.03 to 0.77, p < 0.05). Only one data point was extracted for the pain pressure threshold, and a meta-analysis was not performed. Trial sequential analysis revealed that the cumulative z score crossed the monitoring boundary for superiority for patient-reported pain in patients with nonspecific chronic neck pain and cervicogenic headache at the 4-week IASTM.</p><p><strong>Conclusions: </strong>IASTM can reduce patient-reported pain (with moderate certainty) and improve patient-reported function (with low certainty) in patients with musculoskeletal disorders. Future clinical studies do not need to explore the short-term effects of IASTM on patient-reported pain in patients with nonspecific chronic neck pain and cervicogenic headache.</p><p><strong>Trial registration: </strong>The PROSPERO registration ID is CRD42024534643 (April 10, 2024).</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"257"},"PeriodicalIF":2.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633435","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":"A magnesium calcium phosphate-based cement as a bone adhesive: characterization and biomechanical evaluation.","authors":"Philipp Heilig, Sina Ritzmann, Maximilian Heilig, Martin Cornelius Jordan, Rainer Heribert Meffert, Uwe Gbureck, Stefanie Hoelscher-Doht","doi":"10.1186/s12891-025-08498-y","DOIUrl":"10.1186/s12891-025-08498-y","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Usually, comminuted fractures contain fragments that are too small for fixation with Kirschner (K)-wires or screws. For those bony or osteochondral fragments, a bone adhesive would be desirable to, for example, enable easy anatomic reduction, avoid discarding of the fragments, and enable temporary fixation to visualize reduction before definitive osteosynthesis is performed. Most of the currently available bone adhesives have shortcomings, such as cytotoxicity, lack of resorbability, and inadequate mechanical properties. Thus, there is room for improved bone adhesives. The present work involves synthesis, characterization, and biomechanical evaluation of three variants of a novel magnesium calcium phostphate-based cement that may be used as a bone adhesive.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Three novel experimental formulations of a magnesium calcium phosphate-based cement and a commercially-available cyanoacrylate bone adhesive (Glubran&lt;sup&gt;®&lt;/sup&gt; 2) were used. The formulations were a magnesium phosphate (Mg&lt;sub&gt;3&lt;/sub&gt;PO&lt;sub&gt;4&lt;/sub&gt; + MgO + phytic acid) (MPC_25), a magnesium calcium phosphate (Mg&lt;sub&gt;2.75&lt;/sub&gt;Ca&lt;sub&gt;0.25&lt;/sub&gt;PO&lt;sub&gt;4&lt;/sub&gt; + MgO + phytic acid) (MPCa_22.5), and a magnesium phosphate that had undergone modified temperature stages during sintering (Mg&lt;sub&gt;3&lt;/sub&gt;O&lt;sub&gt;8&lt;/sub&gt;P&lt;sub&gt;2&lt;/sub&gt; * x H&lt;sub&gt;2&lt;/sub&gt;O) (HT-MPC). In vitro quasi-static compression tests were conducted using cuboid specimens. Split fractures of the lateral tibial plateau were created in dissected porcine tibiae. The lateral fracture fragments were glued onto the condyles. Load was applied on the glued fracture fragments via the femoral component of a knee hemiarthroplasty. Cyclic loading tests with increasing load levels, load-to-failure tests, and torque tests were conducted using this biomechanical model.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Among the experimental cement formulations, HT-MPC had the highest compressive strength (26.8 ± 9.5 MPa), MPCa_22.5 had the highest cyclic increasing load-to-failure (162 ± 40 N) and the highest load-to-failure (295 ± 84 N), while the highest calculated shear strength was obtained with both MPC_25 and MPCa_22.5 (0.27 ± 0.12 and 0.26 ± 0.06 MPa, respectively), and the highest torque-to-failure was obtained with both MPCa_22.5 and HT-MPC (2.2 ± 0.8 and 2.1 ± 1.2 Nm, respectively). The calculated shear strength for the experimental cement formulations (0.13-0.38 MPa) is above the minimum that has been suggested to be required for a bone adhesive to be used in clinical practice (0.2 MPa). Relative to the experimental cement formulations, the compressive strength of Glubran&lt;sup&gt;®&lt;/sup&gt; 2 was significantly lower, but for each of the other four biomechanical parameters, values were significantly higher.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Each of the synthesized novel magnesium calcium phosphate-based cement formulations has adequate compressive strength, shear strength and resistance to fatigue failu","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"258"},"PeriodicalIF":2.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633689","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":"Genetically modified stem cells for osteoporosis: a systematic review and meta-analysis of preclinical studies.","authors":"Miao Huang, Xie-Sheng Wu, Ningkun Xiao, Xinlin Huang, Peng-Fei Lin","doi":"10.1186/s12891-025-08507-0","DOIUrl":"10.1186/s12891-025-08507-0","url":null,"abstract":"<p><strong>Objective: </strong>Our meta-analysis aims to assess the efficacy of genetically modified stem cell therapy in preclinical osteoporosis models.</p><p><strong>Methods: </strong>We executed a thorough literature search across PubMed, Embase, Web of Science, and the Cochrane Library databases from inception to September 15, 2023. We used a random-effect model for pooled analysis of the effect of genetically modified stem cell therapy on animals with osteoporosis. The primary outcomes included bone mineral density (BMD) and bone volume fraction. (BV/TV). All meta-analyses were performed employing the Cochrane Collaboration's Review Manager (version 5.3) in conjunction with Stata 15.0 statistical software.</p><p><strong>Results: </strong>A total of 2567 articles were reviewed, of which 16 articles met inclusion criteria. Of these, 13 studies evaluated the BMD and 11 studies evaluated BV/TV. Compared to the control group, genetically modified stem cell therapy was associated with significantly improved BMD (standardized mean difference [SMD] = 1.85, 95% Confidence Interval [CI]: 1.06-2.63, P < 0.001, I² = 69%) and BV/TV (standardized mean difference [SMD] = 2.11, 95% Confidence Interval [CI]: 1.10-3.12, P < 0.001, I² = 78%).</p><p><strong>Conclusion: </strong>Genetically modified stem cell therapy is a safe and effective method that can significantly improve the BMD and BV/TV in animal models of osteoporosis. These results provide an important basis for future translational clinical studies of genetically modified stem cells.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"259"},"PeriodicalIF":2.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633692","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":"Analgesic effect of ropivacaine combined with methylene blue in fascia Iliaca block for patients undergoing hip arthroplasty.","authors":"Yang Zhang, Shun Yang, Zi-Ru Lu, Feng Zhou, Mei-Yu Liu","doi":"10.1186/s12891-025-08490-6","DOIUrl":"10.1186/s12891-025-08490-6","url":null,"abstract":"<p><strong>Background: </strong>The duration of a single fascia iliaca compartment block (FICB) with ropivacaine is limited. This study investigated whether methylene blue as an adjuvant anesthetic in FICB can enhance the postoperative analgesic effect following total hip arthroplasty (THA).</p><p><strong>Methods: </strong>Patients who planned to undergo THA were recruited for this randomized clinical trial from June 2023 to February 2024. Ninety elderly patients undergoing THA were randomly divided into two groups that received ultrasound-guided FICB with either ropivacaine and methylene blue (MB + R group, n = 45) or ropivacaine only (R group, n = 45) before induction of general anesthesia. The primary outcomes were postoperative Visual Analog Scale (VAS) scores. Secondary outcomes included inflammatory factor levels, heart rate (HR), mean arterial pressure (MAP), postoperative analgesic use, postoperative activity, and adverse events.</p><p><strong>Results: </strong>The MB + R group had significantly lower VAS scores at both rest and with activity at 24 and 48 h postoperatively than the R group (P < 0.001). Additionally, the hypersensitive C-reactive protein, procalcitonin, and neutrophil-to-lymphocyte ratio values were significantly lower in the MB + R group than in the R group on the first and second days after surgery (P < 0.05). The number of patients requiring supplemental analgesia postoperatively was significantly lower in the MB + R group (P = 0.020). Additionally, the MB + R group had a significantly longer walking distance on the first time out of bed and a higher number of out-of-bed activities within 48 h postoperatively (P < 0.001).</p><p><strong>Conclusion: </strong>Compared to ropivacaine alone, the combination of ropivacaine and methylene blue in FICB provided better analgesic effects over a longer duration. Additionally, the addition of methylene blue reduced the postoperative production of inflammatory markers and promoted patients' functional recovery.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov, Registration number: NCT06284941, Retrospectively registered, Date of registration: February 04, 2024.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"256"},"PeriodicalIF":2.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633690","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":"Red blood cell distribution width is a short-term mortality predictor in middle-aged and older adults with hip fracture.","authors":"Xiao-Feng Liu, Yong-Qiang Zheng, Liang Lin, Zhen-Yu Lin, Hong-Peng Zhang, Xiao-Peng Huang, Ze-Feng Wang, Jin-Shan Zhang","doi":"10.1186/s12891-025-08499-x","DOIUrl":"10.1186/s12891-025-08499-x","url":null,"abstract":"<p><strong>Objective: </strong>To study the relationship between red blood cell distribution width (RDW) and short-term mortality of hip fracture in middle-aged and older adults.</p><p><strong>Methods: </strong>A retrospective cohort of electronic medical records at a single hospital over a 2-year period between 2020 and 2021. We received the records of 233 patients aged > 50 years who suffered from hip fracture. the clinical data including patients demographics, comorbidities at the time of admission, type of surgery, blood examination, 3-months mortality, 6-months mortality and 1-year mortality. the relationship between RDW and short-term mortality of hip fracture were analyzed. the cohort was then divided into two groups based on their RDW levels at the time of admission: low (RDW < 13.6%) and high (RDW ≥ 13.6%).</p><p><strong>Results: </strong>Results the mean age was 78.03 ± 12.09 years; 64.81% were woman. At admission, 80 patients (34.33%) had high RDW levels and 153 patients (65.67%) had low RDW levels. there were no statistically significant differences between the groups with regard to sex, type of operation, duration of surgery and hospitalization length. Patients with high RDW had more comorbidities when compared to patients with low RDW levels (p < 0.05). All-cause mortality was higher for patients with high RDW levels, at 3 months (p < 0.05), 6 months (p < 0.05), and 12 months (p < 0.05).</p><p><strong>Conclusion: </strong>RDW is significantly related with short-term mortality in hip fracture. The higher RDW, the higher risk of mortality.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"261"},"PeriodicalIF":2.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633342","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":"Risk factors of excessive sliding in elderly patients with intertrochanteric fractures treated with PFNA-II: a retrospective observational study.","authors":"Shian Zhang, Rui Wang, Jingqiao Li, Chengsi Li, Tianyu Wang, Yanjiang Yang, Haichuan Guo, Dongwei Wu, Yanbin Zhu","doi":"10.1186/s12891-025-08479-1","DOIUrl":"10.1186/s12891-025-08479-1","url":null,"abstract":"<p><strong>Purpose: </strong>Excessive sliding of cephalic components of cephalomedullary nails has been established to be significantly associated with the development of mechanical failures and unfavorable results in the surgical treatment of intertrochanteric fractures. This study aims to elucidate the risk factors that contribute to excessive sliding in elderly patients treated with PFNA-II devices for the fixation of intertrochanteric fracture.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of patients aged 65 and older who presented with intertrochanteric fractures and underwent surgical treatment using PFNA-II devices at a university teaching hospital between January 2020 and December 2021. All patients were subjected to a minimum of one year of follow-up. We collected data on patient demographics, as well as preoperative, perioperative, and postoperative radiographic information, identifying mechanical failures during routine follow-ups. Patients were categorized into an excessive sliding group and a normal sliding group based on the sliding distance, with the optimal cut-off determined by receiver operating characteristic (ROC) curve analysis. Binary logistic regression was employed to identify independent risk factors associated with excessive sliding.</p><p><strong>Result: </strong>Among the 507 eligible patients, the mean postoperative sliding distance was 4.45 mm (SD, 5.39 mm; range, 0-31.67 mm). The cut-off for excessive sliding was determined as 6.75 mm, with 61 patients (12.0%) classified as hving excessive sliding, of whom 18 (29.5%) experienced mechanical failures. Binary logistic analysis indicated that poor reduction quality (OR = 11.493, 95% CI: 3.386-39.014, P < 0.001), and Subtype P in LAT reduction (OR = 15.621, 95% CI: 5.984-40.779, P < 0.001) were independently associated with excessive sliding distance. Their associations were robust across subgroup analyses.</p><p><strong>Conclusions: </strong>Poor reduction quality and the Subtype P in LAT reduction were identified as independent risk factors for excessive sliding. It is essential for surgeons to be mindful of these two risk factors during preoperative assessment and intraoperative procedures.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"255"},"PeriodicalIF":2.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633421","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":"Association between femorotibial rotational mismatch and early clinical outcomes after bi-cruciate retaining total knee arthroplasty.","authors":"Shine Tone, Yohei Naito, Hiroki Wakabayashi, Akihiro Sudo, Masahiro Hasegawa","doi":"10.1186/s12891-025-08478-2","DOIUrl":"10.1186/s12891-025-08478-2","url":null,"abstract":"<p><strong>Background: </strong>Bi-cruciate retaining (BCR) total knee arthroplasty (TKA) is considered to provide improved clinical function and kinematics compared with conventional TKA, but it is unclear which factors affect clinical outcomes after BCR TKA. This study aimed to investigate whether rotational alignment of the femoral and tibial components and rotational mismatch between the femoral and tibial components affected early clinical outcomes after BCR TKA, according to the 2011 version of the Knee Society Score (2011KSS).</p><p><strong>Methods: </strong>This retrospective cohort study included 39 knees that underwent BCR TKA. Rotational alignment of the femoral and tibial components and rotational mismatch between the components were measured by computed tomography based three-dimensional evaluation software. 2011KSS was obtained at 3, 6, and 12 months postoperatively. The relationship of each of rotational alignment and rotational mismatch with 2011KSS was analyzed.</p><p><strong>Results: </strong>Rotational alignment of the femoral and tibial components was not correlated with symptoms, patient satisfaction, patient expectations, or functional activities at 3, 6, or 12 months postoperatively. Rotational mismatch was negatively correlated with symptoms, patient satisfaction and functional activities at 3 months; negatively correlated with symptoms and functional activities at 6 months; and negatively correlated with symptoms, patient satisfaction, patient expectations and functional activities at 12 months postoperatively.</p><p><strong>Conclusions: </strong>Rotational mismatch between the femoral and tibial components was negatively correlated with 2011KSS, whereas no relationship of rotational alignment of the femoral and tibial components with 2011KSS was observed. Excessive external rotation of the tibial component relative to the femoral component resulted in worse early clinical outcomes.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"251"},"PeriodicalIF":2.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623644","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":"Effects of early exercise and immobilization after arthroscopic rotator cuff repair surgery: a systematic review and meta-analysis of randomized controlled trials.","authors":"Boran Hao, Hongqiu Li, A Liang","doi":"10.1186/s12891-025-08500-7","DOIUrl":"10.1186/s12891-025-08500-7","url":null,"abstract":"<p><strong>Objective: </strong>Early exercise is a physical adjuvant therapy that begins on day 1 postoperatively. It prevents postoperative stiffness, fatty infiltration, muscle atrophy and loss of range of motion. Usually, use of a brace fixation that immobilizes the shoulder in 30° of abduction during the postoperative rehabilitation period reduces tension on the repaired tendon, which improves tendon-bone healing. To investigate the effect of early exercise and brace fixation on postoperative recovery after arthroscopic rotator cuff repair by systematic review, thereby providing evidence-based evidence for clinical practice.</p><p><strong>Methods: </strong>Chinese and English databases (PubMed, Web of Science, Cochrane Library, CNKI, Wanfang database, and VIP database) were searched by keywords until November 15, 2024. Randomized controlled studies comparing early exercise versus brace fixation after arthroscopic rotator cuff repair surgery were included, along with an evaluation of such studies using the Cochrane Collaboration risk assessment tool. Afterward, the effect of the intervention on the visual analogue scale (VAS) for pain, function, shoulder range of motion (forward flexion, abduction, internal rotation, external rotation), and postoperative complications (stiffness, re-tear) was evaluated based on a fixed or random effects model.</p><p><strong>Results: </strong>Eleven high-quality randomized controlled studies were included. Compared with brace fixation, early exercise improved the range of motion of the subjects' shoulders. Compared with brace fixation, shoulder flexion (WMD of 6 weeks = 10.57, 95% CI: 1.30, 19.84, WMD of 3 months = 12.39, 95% CI: 7.51, 17.27, WMD of 6 months = 2.88, 95% CI: 1.02, 4.73, WMD of 1 year = 2.59, 95% CI: 0.40, 4.77) and shoulder abduction (WMD of 6 weeks = 13.17, 95% CI: 9.80, 16.55, respectively). The improvement degree of WMD = 2.28 in 6 months and internal rotation (WMD = 5.08, 95% CI: 3.16, 7.01, in 6 weeks and WMD = 8.23, 95% CI: 4.23, 12.23, in 3 months) was statistically different. Early exercise also reduced the risk of postoperative stiffness (RR = 0.34; 95%CI:0.19, 0.60). However, compared with brace fixation, there was no statistical difference in pain score (WMD = 0.05, 95% CI:0.09, 0.18) and shoulder joint recovery score (SMD = 0.05, 95% CI: 0.12, 0.03).</p><p><strong>Conclusion: </strong>Early exercise can improve the range of motion of early shoulder joint and reduce the risk of postoperative stiffness, but the effect of pain and function improvement is not obvious, which can play a positive role in postoperative rehabilitation of patients, but it needs more comprehensive research and improvement to guide clinical practice.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"254"},"PeriodicalIF":2.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623645","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 effect of friction massage on pain intensity, PPT, and ROM in individuals with myofascial trigger points: a systematic review.","authors":"Mehrdad Sadeghnia, Mehrnaz Kajbafvala, Azadeh Shadmehr","doi":"10.1186/s12891-025-08372-x","DOIUrl":"10.1186/s12891-025-08372-x","url":null,"abstract":"<p><strong>Introduction: </strong>Friction massage (FM) is a conservative treatment for managing myofascial trigger points (MTrPs). Although many studies have demonstrated the effects of FM, this manual technique significantly loads the therapist's hands. Therefore, there is a need to evaluate FM compared to other physical therapy methods to help clinicians choose the best one.</p><p><strong>Objective: </strong>This systematic review aimed to investigate the effect of FM on pain intensity, pressure pain threshold (PPT), and joint range of motion (ROM) in individuals with MTrPs.</p><p><strong>Methods: </strong>PubMed/Medline, Scopus, Web of Science, Science Direct, and Google Scholar were searched from inception to 15 April 2024. All randomized control and clinical trials that assessed the effect of FM on pain intensity, PPT, and joint ROM in individuals with MTrPs were included.</p><p><strong>Results: </strong>Twelve studies were included. The within-group results showed that FM could significantly improve pain intensity, PPT, and joint ROM, but compared to the control group, there was no significant superiority for improving pain intensity and PPT, and the results were inconclusive for the effect of FM on joint ROM improvement because of controversial findings.</p><p><strong>Conclusion: </strong>In the short term, there is level C evidence indicating that FM may effectively reduce VAS and the PPT of MTrPs in upper trapezius. Nonetheless, high-quality and long-term research is needed to address improvements in ROM and NPRS. Due to nature of level C evidence, future well-designed RCTs should overcome the existing limitations using adequate sample sizes, long intervention periods, and long-term follow-up.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"250"},"PeriodicalIF":2.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623648","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":"Positive impact of patient participation in arthroscopic anterior cruciate ligament reconstruction surgery on clinical and functional outcomes, rehabilitation and patient satisfaction.","authors":"Burak Çakar, Erdal Uzun, Wubulıkasımu Xıaokaıtı, Sebati Başer Canbaz, Ahmet Güney","doi":"10.1186/s12891-025-08480-8","DOIUrl":"10.1186/s12891-025-08480-8","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the effect of patient participation on clinical and functional outcomes, satisfaction, and compliance with postoperative rehabilitation in patients undergoing surgery for anterior cruciate ligament (ACL) injury.</p><p><strong>Methods: </strong>Sixty-one patients who underwent isolated ACL reconstruction (ACLR) were included. Thirty patients in the participation group were shown the arthroscopy screen and allowed to communicate with the surgeon during surgery. For clinical and functional evaluation, knee joint range of motion (ROM), International Knee Documentation Committee Subjective Knee Form (IKDC), Knee Injury and Osteoarthritis Outcome Score (KOOS), Lysholm Knee Scoring Scale (LKSS), Short Form-36 (SF-36) score, and Tegner Activity Scale (TAS), were used. The Pain Quality Assessment Scale was used to assess pain. Additionally, the patient's satisfaction and exercise compliance were evaluated using a 5-point Likert scale and percentage of exercise participation, respectively.</p><p><strong>Results: </strong>At 3rd week, the ROM, SF-36, LKSS values, and pain scores were better in the participation group compared to the control group(p <.05). At 6th month, the IKDC, KOOS, SF-36 values and pain scores were also better in the participation group compared to the control group (p <.05). However, the ROM, LKSS, and TAS values were similar between groups at the 6th month(p >.05). Postop satisfaction at 3rd week and 6th month and exercise compliance postoperatively were significantly better in the participation group compared to the control group(p <.05).</p><p><strong>Conclusion: </strong>Patient participation during ACLR surgery by communicating with the surgeon positively affects clinical and functional outcomes. It also contributes to patient satisfaction and compliance with the rehabilitation program postoperatively.</p><p><strong>Clinical trial number: </strong>Not Applicable.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"252"},"PeriodicalIF":2.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623646","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}