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Musculoskeletal Diagnosis and Treatment: Connecting Gaps to Enhance Patient Care
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Musculoskeletal Diagnosis and Treatment: Connecting Gaps to Enhance Patient Care

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 31 May 2025 | Viewed by 3159

Special Issue Editor

Prof. Dr. Gali Dar

E-Mail Website
Guest Editor
Faculty of Welfare and Health Sciences, University of Haifa, Haifa 3498838, Israel
Interests: anatomy; musculoskeletal system; spine; low back pain; sport injuries; pelvic floor; physiotherapy
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Musculoskeletal disorders affect individuals throughout their lifespan, causing pain, decreased function, and reduced quality of life. These conditions impact over half of adults, with their prevalence increasing as individuals age.

Most patients with musculoskeletal disorders may benefit from conservative treatment such as physiotherapy, thus avoiding unnecessary surgeries.

Although physiotherapy is largely evidence-based, there are still gaps in the diagnosis and treatment decision-making process, despite increased research efforts. This is mainly due to the heterogeneity in disorders, symptoms, and patients, which has further led to the development of personalized treatment.

This Special Issue aims to present recent evidence on the diagnosis and treatment of musculoskeletal disorders to enhance awareness of the importance of the diagnosis process, including differential diagnosis, and the application of appropriate treatment. This will lead to more accurate assessments and better patient care.

Original articles, systematic reviews or meta-analyses are welcomed. We look forward to receiving your submissions.

Prof. Dr. Gali Dar
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • musculoskeletal
  • back pain
  • neck pain
  • knee
  • shoulder
  • diagnosis
  • physiotherapy

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Published Papers (3 papers)

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Research

24 pages, 1780 KiB  
Article
Effects of Global Postural Re-Education Versus Specific Therapeutic Exercises on Pain, Head Posture, and Pain-Related Psychosocial Factors in Women with Chronic Nonspecific Neck Pain: A Randomized Clinical Trial
by Tânia Fernandes, Carolina Vila-Chã, Luis Polo-Ferrero, Javier Martín-Vallejo, Ana Silvia Puente-González and Roberto Méndez-Sánchez
J. Clin. Med. 2025, 14(5), 1581; https://doi.org/10.3390/jcm14051581 - 26 Feb 2025
Viewed by 1392
Abstract
Background: The aim of this trial is to compare the effects of two types of exercises, Global Postural Re-education versus specific therapeutic exercises on pain perception, pain threshold to pressure, psychosocial factors associated with pain, and craniocervical posture in women with chronic [...] Read more.
Background: The aim of this trial is to compare the effects of two types of exercises, Global Postural Re-education versus specific therapeutic exercises on pain perception, pain threshold to pressure, psychosocial factors associated with pain, and craniocervical posture in women with chronic nonspecific neck pain. Methods: This study is a randomized, parallel-group, single-blind clinical trial. Fifty-two women with chronic nonspecific neck pain (two excluded) were recruited and randomly assigned to (n = 25) Global Postural Re-education and (n = 25) specific therapeutic exercises. Interventions were carried out for 4 weeks, two sessions per week, and were combined with a daily home exercise program. Numerical Pain Rating Scale, mechanosensitivity to pressure, kinesiophobia, pain catastrophizing, and craniocervical angle were assessed in two pre-intervention assessments, one week apart, and at 2 and 4 weeks after the start of the intervention. Results: Global Postural Re-education was as effective as specific therapeutic exercises, showing improvements in all variables assessed with significant intra-group differences over time and high effect sizes (ŋp2 > 0.157 for all variables). Conclusions: Global Postural Re-education is as effective as a specific therapeutic exercise program in reducing subjective pain perception, local and remote mechanosensitivity, and short-term pain-related psychosocial factors in women with chronic nonspecific neck pain. Full article
(This article belongs to the Special Issue Musculoskeletal Diagnosis and Treatment: Connecting Gaps to Enhance Patient Care)
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10 pages, 1199 KiB  
Article
Factors Associated with Driving Ability and Changes After Immobilization of the Right Lower Limb: A Driving Simulator Study
by Young Cheol Kim, Moo Sik Lee, Byung Hak Oh, Youn Moo Heo, Tae Gyun Kim, Se Jong Yoo and Hyun Jin Yoo
J. Clin. Med. 2025, 14(4), 1396; https://doi.org/10.3390/jcm14041396 - 19 Feb 2025
Viewed by 482
Abstract
Introduction: Patients with orthopedic injuries often require cast immobilization therapy using casts. Driving with a cast on the right lower limb restricts many things. This study aimed to investigate the factors associated with driving capacity after orthopedic fixation of the right lower limb [...] Read more.
Introduction: Patients with orthopedic injuries often require cast immobilization therapy using casts. Driving with a cast on the right lower limb restricts many things. This study aimed to investigate the factors associated with driving capacity after orthopedic fixation of the right lower limb in healthy adult volunteers. This study’s hypothesis was that the orthopedic splint immobilization would have delayed reaction when in a driving simulation. Materials and Methods: We carried out an experimental study between 17 April 2023 and 19 May 2023. We set up the study in two phases: a driving simulation experiment without immobilization with a cast on the right lower limb and a driving simulation experiment with immobilization with a cast on the right lower limb. The data collected through the questionnaire were then analyzed in R version 4.2.2. Results: A total of 47 individuals participated in the study with a mean height of 167.68, of which 68.09% were females. Overall, 78.7% of the study participants could not drive after immobilization with a cast on the right lower limb. There was a significant difference between participants who could drive and those who could not drive by height (p = 0.04), age (p = 0.038), and body type (p = 0.046). Conclusions: Our study demonstrates that an individual’s height, age, and body type are associated with an individual’s driving ability after orthopedic immobilization of the right lower limb. Our findings suggest that regulations regarding the ability to drive after orthopedic immobilization of the right lower limb must be reconsidered. Full article
(This article belongs to the Special Issue Musculoskeletal Diagnosis and Treatment: Connecting Gaps to Enhance Patient Care)
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10 pages, 1946 KiB  
Article
Prediction Model for Sciatic Nerve Procedures: A Cross-Sectional Study
by Isabel Minguez-Esteban, Ángel González-de-la-Flor, Jorge Hugo Villafañe, Juan Antonio Valera-Calero, Gustavo Plaza-Manzano, Pedro Belón-Pérez and Carlos Romero-Morales
J. Clin. Med. 2024, 13(24), 7851; https://doi.org/10.3390/jcm13247851 - 23 Dec 2024
Viewed by 921
Abstract
Objectives: We aimed to create a predictive model to estimate sciatic nerve depth using anthropometric and demographic data to enhance safety and precession in needle-based interventions. Setting: The study was conducted at Universidad Europea de Madrid, Spain. Methods: A Cross-sectional observational study was [...] Read more.
Objectives: We aimed to create a predictive model to estimate sciatic nerve depth using anthropometric and demographic data to enhance safety and precession in needle-based interventions. Setting: The study was conducted at Universidad Europea de Madrid, Spain. Methods: A Cross-sectional observational study was carried out between January and April 2024. The study included fifty volunteers aged 18–45 years, without any muscle tone affections, lower limb asymmetries, or history of lower limb surgeries. Demographic and anthropometric data were collected, including sex, age, height, weight, BMI, and leg length measure and thigh circumference at specific points. The sciatic nerve depth was measured using ultrasound imaging under the gluteal fold and in the posterior middle third of the thigh. Results: Correlation analysis revealed significant associations between thigh circumference at the proximal and middle third and sciatic nerve depth. A multiple linear regression model identified that the proximal thigh circumference was a significant predictor of sciatic nerve depth, explaining 44.5% of the variance. The variance increased to 49.7% when gender was added. The depth of the sciatic nerve in the middle third explained 38.2% of the variance. And the inclusion of gender in the model explained 40.8% of the variance for the middle third. Conclusions: This study identify significant predictors such as the thigh girth at the proximal and mid-third levels, gender, and the BMI. These findings suggest that clinicians can use these anthropometric measurements to estimate sciatic nerve depth more accurately, reducing the risk of accidental nerve injury and improve the precision and safety of needling procedures during invasive procedures. Full article
(This article belongs to the Special Issue Musculoskeletal Diagnosis and Treatment: Connecting Gaps to Enhance Patient Care)
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