Evidence map›Paper›PMID 40566498›Full record

ArticleLife (Basel, Switzerland)2025

Effects of Self-Assisted Manual Therapy Combined with a High-Intensity Walking Program on Musculoskeletal Pain, Functionality, and Posture in Older Adults: A Multicentre Randomized Controlled Trial.

Gemma Victoria Espí-López, Laura Fuentes-Aparicio, Rocío Cogollos-de-la-Peña, Lucas Monzani, Elena Marques-Sule, Dagmar Pavlu, Anna Arnal-Gómez

Abstract read
In one paragraph

Article in Life (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Gemma Victoria Espí-LópezDepartment of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Gascó Oliag St., 5., 46010 Valencia, Spain.ORCID 0000-0003-0042-8034
Laura Fuentes-AparicioDepartment of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Gascó Oliag St., 5., 46010 Valencia, Spain.
Rocío Cogollos-de-la-PeñaDepartment of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Gascó Oliag St., 5., 46010 Valencia, Spain.
Lucas MonzaniIvey Business School, Western University, 1255 Western Rd., London, ON N6G 0N1, Canada.ORCID 0000-0002-3375-068X
Elena Marques-SuleDepartment of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Gascó Oliag St., 5., 46010 Valencia, Spain.ORCID 0000-0001-8554-5402
Dagmar PavluFaculty of Physical Education and Sport, Charles University, 162 52 Prague, Czech Republic.
Anna Arnal-GómezDepartment of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Gascó Oliag St., 5., 46010 Valencia, Spain.ORCID 0000-0003-1025-2239

Funding

Conselleria de Educación, Cultura, Universidades y Empleo, Generalitat Valenciana (CIGE/2023/56).
6 · The paper itself

Abstract

backgroundAging is associated with musculoskeletal pain and postural adaptations which may affect functionality. This study aims to analyse the effect of a combined protocol of self-assisted manual therapy and high-intensity walking on musculoskeletal back pain, functionality, and shoulder posture in older adults, and to establish the short- and medium-term effects of this program.

methodsA multicentre, double-blind, randomized trial was conducted on older adults. The sample was divided into two groups: the self-assisted manual therapy plus walking at high-intensity group (MTWG) and the Control Group (CG), with the latter undergoing supervised high-intensity walking only. Pain (Pressure Pain Threshold and Visual Analogue Scale), functional capacity (5-times sit-to-stand test), and change in thorax position (acromion position) were assessed at T0 (baseline), T1 (after 4-week intervention) and T2 (follow-up, 4 weeks after the end of the intervention).

resultsA total of 95 older adults (41 in the MTWG and 54 in CG) completed the study and were analyzed. After isolating the effect of correlations among our primary outcomes, our analysis revealed statistically significant between-subject (

conclusionsA combined protocol of self-assisted manual therapy and high-intensity walking, compared to high-intensity walking alone, improved musculoskeletal pain, functionality, and posture in older adults in the short term (over one month), with pain reduction maintained in the medium term (at the one-month follow-up).

Indexed as

agingfunctional capacitypainphysical activityphysical therapy

Identifiers

PMID40566498
PMCPMC12194483

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.