Evidence mapPaperPMID 42305140Full record

ReviewJournal of orthopaedic translation2026

Circadian rhythm: The hidden "puppet master" behind musculoskeletal disorders.

Sheng Zhong, Yuan Cheng, Fadong Li, Dingpeng Li, Xudong Chang, Bo Zhang, Peng Qi, Ning Li, Xingwen Xie

Abstract readReview
In one paragraph

Review in Journal of orthopaedic translation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Sheng ZhongGansu University of Chinese Medicine, Lanzhou, Gansu, 730000, China.
Yuan ChengGansu University of Chinese Medicine, Lanzhou, Gansu, 730000, China.
Fadong LiGansu University of Chinese Medicine, Lanzhou, Gansu, 730000, China.
Dingpeng LiGansu University of Chinese Medicine, Lanzhou, Gansu, 730000, China.
Xudong ChangGansu University of Chinese Medicine, Lanzhou, Gansu, 730000, China.
Bo ZhangGansu University of Chinese Medicine, Lanzhou, Gansu, 730000, China.
Peng QiGansu University of Chinese Medicine, Lanzhou, Gansu, 730000, China.
Ning LiGansu University of Chinese Medicine, Lanzhou, Gansu, 730000, China.
Xingwen XieGansu University of Chinese Medicine, Lanzhou, Gansu, 730000, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Circadian rhythm (CR), regulated by the central biological clock in the hypothalamus and synchronized with local clocks in peripheral tissues, orchestrates the physiology of localized tissues in response to the periodic rhythmic variations of the environment. Environmental cues and behavioral factors, such as light exposure, feeding, and exercise, can synchronize or desynchronize these rhythms, and abnormalities can lead to disruption of the human CR. Certain modern behaviors, such as traveling across time zones, shift work, and irregular eating patterns, disrupt the body's natural CR, thereby potentially contributing to the development of musculoskeletal disorders through multiple pathways. In this review, we summarize the role of CR in the physiology of the musculoskeletal system-encompassing bone, cartilage, tendons, and muscles-alongside the mechanisms by which CR disruption contributes to various musculoskeletal disorders. Additionally, we discuss interventions for treating musculoskeletal disorders based on CR, including resetting biological clocks or optimizing medication administration times.

Indexed as

Circadian rhythmFuture perspectivesMolecular mechanismMusculoskeletal disordersPathophysiologyTreatment

Identifiers

PMID42305140
PMCPMC13265710

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.