{"id":"https://openalex.org/W7224671801","doi":"https://doi.org/10.1155/prm/8174866","title":"Association of Upper Trapezius Muscle Status With Pain and Disability in Patients With Chronic Nonspecific Neck Pain: A Cross\u2010Sectional Study","display_name":"Association of Upper Trapezius Muscle Status With Pain and Disability in Patients With Chronic Nonspecific Neck Pain: A Cross\u2010Sectional Study","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7224671801","doi":"https://doi.org/10.1155/prm/8174866","pmid":"https://pubmed.ncbi.nlm.nih.gov/42952305","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13717298"},"language":"en","primary_location":{"id":"doi:10.1155/prm/8174866","doi":"https://doi.org/10.1155/prm/8174866","is_oa":true,"landing_page_url":"https://doi.org/10.1155/prm/8174866","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/prm/8174866","source":{"id":"https://openalex.org/S170352678","display_name":"Pain Research and Management","issn_l":"1203-6765","issn":["1203-6765","1918-1523"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319869","host_organization_name":"Hindawi Publishing Corporation","host_organization_lineage":["https://openalex.org/P4310319869","https://openalex.org/P4310320595"],"host_organization_lineage_names":["Hindawi Publishing Corporation","Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pain Research and Management","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/prm/8174866","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5139980923","display_name":"Jialin Yang","orcid":"https://orcid.org/0009-0002-1857-7492","observed_orcids":["https://orcid.org/0009-0002-1857-7492"]},"institutions":[{"id":"https://openalex.org/I4210098460","display_name":"Shanghai University of Traditional Chinese Medicine","ror":"https://ror.org/00z27jk27","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210098460"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jialin Yang","raw_affiliation_strings":["School of Acupuncture-Moxibustion and Tuina Shanghai University of Traditional Chinese Medicine  Shanghai China  shutcm.edu.cn"],"raw_orcid":"https://orcid.org/0009-0002-1857-7492","affiliations":[{"raw_affiliation_string":"School of Acupuncture-Moxibustion and Tuina Shanghai University of Traditional Chinese Medicine  Shanghai China  shutcm.edu.cn","institution_ids":["https://openalex.org/I4210098460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026924130","display_name":"Hanyu Zou","orcid":"https://orcid.org/0009-0008-9220-2270","observed_orcids":["https://orcid.org/0009-0008-9220-2270"]},"institutions":[{"id":"https://openalex.org/I4210098460","display_name":"Shanghai University of Traditional Chinese Medicine","ror":"https://ror.org/00z27jk27","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210098460"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Hanyu Zou","raw_affiliation_strings":["School of Acupuncture-Moxibustion and Tuina Shanghai University of Traditional Chinese Medicine  Shanghai China  shutcm.edu.cn"],"raw_orcid":"https://orcid.org/0009-0008-9220-2270","affiliations":[{"raw_affiliation_string":"School of Acupuncture-Moxibustion and Tuina Shanghai University of Traditional Chinese Medicine  Shanghai China  shutcm.edu.cn","institution_ids":["https://openalex.org/I4210098460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042052281","display_name":"Fangfang Xie","orcid":"https://orcid.org/0000-0003-4853-8240","observed_orcids":["https://orcid.org/0000-0003-4853-8240"]},"institutions":[{"id":"https://openalex.org/I4210098460","display_name":"Shanghai University of Traditional Chinese Medicine","ror":"https://ror.org/00z27jk27","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210098460"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Fangfang Xie","raw_affiliation_strings":["School of Acupuncture-Moxibustion and Tuina Shanghai University of Traditional Chinese Medicine  Shanghai China  shutcm.edu.cn"],"raw_orcid":"https://orcid.org/0000-0003-4853-8240","affiliations":[{"raw_affiliation_string":"School of Acupuncture-Moxibustion and Tuina Shanghai University of Traditional Chinese Medicine  Shanghai China  shutcm.edu.cn","institution_ids":["https://openalex.org/I4210098460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068550087","display_name":"Chong Guan","orcid":"https://orcid.org/0000-0002-4877-027X","observed_orcids":["https://orcid.org/0000-0002-4877-027X"]},"institutions":[{"id":"https://openalex.org/I4210098460","display_name":"Shanghai University of Traditional Chinese Medicine","ror":"https://ror.org/00z27jk27","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210098460"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Chong Guan","raw_affiliation_strings":["School of Acupuncture-Moxibustion and Tuina Shanghai University of Traditional Chinese Medicine  Shanghai China  shutcm.edu.cn"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Acupuncture-Moxibustion and Tuina Shanghai University of Traditional Chinese Medicine  Shanghai China  shutcm.edu.cn","institution_ids":["https://openalex.org/I4210098460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063997602","display_name":"J. Ma","orcid":"https://orcid.org/0009-0009-5274-4179","observed_orcids":["https://orcid.org/0009-0009-5274-4179"]},"institutions":[{"id":"https://openalex.org/I4210098460","display_name":"Shanghai University of Traditional Chinese Medicine","ror":"https://ror.org/00z27jk27","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210098460"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jianwen Ma","raw_affiliation_strings":["School of Acupuncture-Moxibustion and Tuina Shanghai University of Traditional Chinese Medicine  Shanghai China  shutcm.edu.cn"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Acupuncture-Moxibustion and Tuina Shanghai University of Traditional Chinese Medicine  Shanghai China  shutcm.edu.cn","institution_ids":["https://openalex.org/I4210098460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160122122","display_name":"Juntao Chen","orcid":"https://orcid.org/0009-0006-7558-070X","observed_orcids":["https://orcid.org/0009-0006-7558-070X"]},"institutions":[{"id":"https://openalex.org/I4210135988","display_name":"Shanghai Traditional Chinese Medicine Hospital","ror":"https://ror.org/03p31hk68","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210135988"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Juntao Chen","raw_affiliation_strings":["Department of Tuina Shanghai Municipal Hospital of Traditional Chinese Medicine  Shanghai China  szy.sh.cn"],"raw_orcid":"https://orcid.org/0009-0006-7558-070X","affiliations":[{"raw_affiliation_string":"Department of Tuina Shanghai Municipal Hospital of Traditional Chinese Medicine  Shanghai China  szy.sh.cn","institution_ids":["https://openalex.org/I4210135988"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5012371721","display_name":"Fei Yao","orcid":"https://orcid.org/0000-0002-7446-2019","observed_orcids":["https://orcid.org/0000-0002-7446-2019"]},"institutions":[{"id":"https://openalex.org/I4210098460","display_name":"Shanghai University of Traditional Chinese Medicine","ror":"https://ror.org/00z27jk27","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210098460"]},{"id":"https://openalex.org/I4210135988","display_name":"Shanghai Traditional Chinese Medicine Hospital","ror":"https://ror.org/03p31hk68","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210135988"]},{"id":"https://openalex.org/I4210149132","display_name":"Shuguang Hospital","ror":"https://ror.org/03n35e656","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210149132"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Fei Yao","raw_affiliation_strings":["Department of Tuina Shanghai Municipal Hospital of Traditional Chinese Medicine  Shanghai China  szy.sh.cn","Department of Tuina Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine  Shanghai China  shutcm.edu.cn","School of Acupuncture-Moxibustion and Tuina Shanghai University of Traditional Chinese Medicine  Shanghai China  shutcm.edu.cn"],"raw_orcid":"https://orcid.org/0000-0002-7446-2019","affiliations":[{"raw_affiliation_string":"Department of Tuina Shanghai Municipal Hospital of Traditional Chinese Medicine  Shanghai China  szy.sh.cn","institution_ids":["https://openalex.org/I4210135988"]},{"raw_affiliation_string":"Department of Tuina Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine  Shanghai China  shutcm.edu.cn","institution_ids":["https://openalex.org/I4210098460","https://openalex.org/I4210149132"]},{"raw_affiliation_string":"School of Acupuncture-Moxibustion and Tuina Shanghai University of Traditional Chinese Medicine  Shanghai China  shutcm.edu.cn","institution_ids":["https://openalex.org/I4210098460"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5012371721"],"corresponding_institution_ids":["https://openalex.org/I4210098460","https://openalex.org/I4210135988","https://openalex.org/I4210149132"],"apc_list":{"value":2830,"currency":"USD","value_usd":2830},"apc_paid":{"value":2830,"currency":"USD","value_usd":2830},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.88466482,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"2026","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.7139000296592712,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.7139000296592712,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12712","display_name":"Myofascial pain diagnosis and treatment","score":0.27320000529289246,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10196","display_name":"Pain Mechanisms and Treatments","score":0.003000000026077032,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/chronic-non-specific-neck-pain","display_name":"chronic non-specific neck pain","score":0.9959999918937683},{"id":"https://openalex.org/keywords/upper-trapezius","display_name":"upper trapezius","score":0.949999988079071},{"id":"https://openalex.org/keywords/pressure-pain-threshold","display_name":"pressure pain threshold","score":0.9829999804496765},{"id":"https://openalex.org/keywords/pain-intensity","display_name":"pain intensity","score":0.6079999804496765},{"id":"https://openalex.org/keywords/neck-disability","display_name":"neck disability","score":0.9909999966621399},{"id":"https://openalex.org/keywords/neck-disability-index","display_name":"Neck Disability Index","score":0.9110000133514404},{"id":"https://openalex.org/keywords/muscle-stiffness","display_name":"muscle stiffness","score":0.4050000011920929},{"id":"https://openalex.org/keywords/sex-differences","display_name":"sex differences","score":0.4189999997615814},{"id":"https://openalex.org/keywords/age-differences","display_name":"age differences","score":0.5299999713897705},{"id":"https://openalex.org/keywords/body-mass-index","display_name":"body mass index","score":0.4970000088214874},{"id":"https://openalex.org/keywords/physical-activity-level","display_name":"physical activity level","score":0.4729999899864197},{"id":"https://openalex.org/keywords/cervical-range-of-motion","display_name":"cervical range of motion","score":0.3970000147819519},{"id":"https://openalex.org/keywords/neck-strength","display_name":"neck muscle strength","score":0.4429999887943268},{"id":"https://openalex.org/keywords/neck-muscle-endurance","display_name":"neck muscle endurance","score":0.6119999885559082}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9355999827384949},{"id":"https://openalex.org/C77350462","wikidata":"https://www.wikidata.org/wiki/Q1125472","display_name":"Confounding","level":2,"score":0.6858999729156494},{"id":"https://openalex.org/C14184104","wikidata":"https://www.wikidata.org/wiki/Q1362526","display_name":"Visual analogue scale","level":2,"score":0.6707000136375427},{"id":"https://openalex.org/C2781038967","wikidata":"https://www.wikidata.org/wiki/Q3567802","display_name":"Neck pain","level":3,"score":0.6026999950408936},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.4921000003814697},{"id":"https://openalex.org/C93038891","wikidata":"https://www.wikidata.org/wiki/Q1061524","display_name":"Intensity (physics)","level":2,"score":0.43880000710487366},{"id":"https://openalex.org/C2776116199","wikidata":"https://www.wikidata.org/wiki/Q204113","display_name":"Trapezius muscle","level":3,"score":0.4020000100135803},{"id":"https://openalex.org/C159744936","wikidata":"https://www.wikidata.org/wiki/Q1126730","display_name":"Spearman's rank correlation coefficient","level":2,"score":0.3991999924182892},{"id":"https://openalex.org/C48921125","wikidata":"https://www.wikidata.org/wiki/Q10861030","display_name":"Linear regression","level":2,"score":0.382099986076355},{"id":"https://openalex.org/C117220453","wikidata":"https://www.wikidata.org/wiki/Q5172842","display_name":"Correlation","level":2,"score":0.36410000920295715},{"id":"https://openalex.org/C2781118164","wikidata":"https://www.wikidata.org/wiki/Q1088113","display_name":"Chronic pain","level":2,"score":0.33640000224113464},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3280999958515167},{"id":"https://openalex.org/C187960798","wikidata":"https://www.wikidata.org/wiki/Q7631152","display_name":"Subgroup analysis","level":3,"score":0.3231000006198883},{"id":"https://openalex.org/C30036603","wikidata":"https://www.wikidata.org/wiki/Q17125150","display_name":"Severity of illness","level":2,"score":0.31200000643730164},{"id":"https://openalex.org/C2983394010","wikidata":"https://www.wikidata.org/wiki/Q19885330","display_name":"Continuous variable","level":2,"score":0.3102000057697296},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.3100999891757965},{"id":"https://openalex.org/C198451711","wikidata":"https://www.wikidata.org/wiki/Q327657","display_name":"Rheumatology","level":2,"score":0.3091999888420105},{"id":"https://openalex.org/C2780907711","wikidata":"https://www.wikidata.org/wiki/Q852163","display_name":"Low back pain","level":3,"score":0.27799999713897705},{"id":"https://openalex.org/C527108885","wikidata":"https://www.wikidata.org/wiki/Q835153","display_name":"Physical examination","level":2,"score":0.26510000228881836},{"id":"https://openalex.org/C64946054","wikidata":"https://www.wikidata.org/wiki/Q4874476","display_name":"Bayesian multivariate linear regression","level":3,"score":0.2515000104904175}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004185","descriptor_name":"Disability Evaluation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010147","descriptor_name":"Pain Measurement","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017288","descriptor_name":"Pain Threshold","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D019547","descriptor_name":"Neck Pain","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D059350","descriptor_name":"Chronic Pain","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D064171","descriptor_name":"Superficial Back Muscles","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1155/prm/8174866","doi":"https://doi.org/10.1155/prm/8174866","is_oa":true,"landing_page_url":"https://doi.org/10.1155/prm/8174866","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/prm/8174866","source":{"id":"https://openalex.org/S170352678","display_name":"Pain Research and Management","issn_l":"1203-6765","issn":["1203-6765","1918-1523"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319869","host_organization_name":"Hindawi Publishing Corporation","host_organization_lineage":["https://openalex.org/P4310319869","https://openalex.org/P4310320595"],"host_organization_lineage_names":["Hindawi Publishing Corporation","Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pain Research and Management","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13717298","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13717298/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13717298/pdf/PRM-2026-8174866.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pain Res Manag","raw_type":"Text"},{"id":"pmid:42952305","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42952305","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pain research & management","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1155/prm/8174866","doi":"https://doi.org/10.1155/prm/8174866","is_oa":true,"landing_page_url":"https://doi.org/10.1155/prm/8174866","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/prm/8174866","source":{"id":"https://openalex.org/S170352678","display_name":"Pain Research and Management","issn_l":"1203-6765","issn":["1203-6765","1918-1523"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319869","host_organization_name":"Hindawi Publishing Corporation","host_organization_lineage":["https://openalex.org/P4310319869","https://openalex.org/P4310320595"],"host_organization_lineage_names":["Hindawi Publishing Corporation","Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pain Research and Management","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320321001","display_name":"National Natural Science Foundation of China","ror":"https://ror.org/01h0zpd94"},{"id":"https://openalex.org/F4320326704","display_name":"Shanghai University of Traditional Chinese Medicine","ror":"https://ror.org/00z27jk27"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224671801.pdf","grobid_xml":"https://content.openalex.org/works/W7224671801.grobid-xml"},"referenced_works_count":41,"referenced_works":["https://openalex.org/W1973274348","https://openalex.org/W2003892673","https://openalex.org/W2016807223","https://openalex.org/W2035732975","https://openalex.org/W2037260407","https://openalex.org/W2068615082","https://openalex.org/W2089764140","https://openalex.org/W2116230226","https://openalex.org/W2120286310","https://openalex.org/W2139976854","https://openalex.org/W2152534079","https://openalex.org/W2166759700","https://openalex.org/W2170369624","https://openalex.org/W2399231356","https://openalex.org/W2474996955","https://openalex.org/W2731622512","https://openalex.org/W2745732476","https://openalex.org/W2894120557","https://openalex.org/W2894323548","https://openalex.org/W2901822645","https://openalex.org/W2909345532","https://openalex.org/W2933537036","https://openalex.org/W3138669485","https://openalex.org/W3143141992","https://openalex.org/W3197125240","https://openalex.org/W4212805895","https://openalex.org/W4224325242","https://openalex.org/W4294163809","https://openalex.org/W4315816135","https://openalex.org/W4386287855","https://openalex.org/W4387125304","https://openalex.org/W4387190832","https://openalex.org/W4391948582","https://openalex.org/W4407652452","https://openalex.org/W4409895068","https://openalex.org/W4411157724","https://openalex.org/W4414662701","https://openalex.org/W4414880020","https://openalex.org/W4415567179","https://openalex.org/W4416239516","https://openalex.org/W7128817717"],"related_works":["https://openalex.org/W7221551713","https://openalex.org/W2079698304","https://openalex.org/W7153792302","https://openalex.org/W2742991230","https://openalex.org/W2731622512","https://openalex.org/W4283748796","https://openalex.org/W2537175628","https://openalex.org/W1996298306","https://openalex.org/W4412107533","https://openalex.org/W2901822645"],"abstract_inverted_index":{"BACKGROUND:":[0],"Chronic":[1],"nonspecific":[2],"neck":[3,52,131,135],"pain":[4,20,27,45,49,362,372],"(CNSNP)":[5],"is":[6,377],"a":[7,123,378],"leading":[8],"cause":[9],"of":[10,38,84,91,163,276,348,364,403],"disability":[11,53,132,136],"worldwide.":[12],"Alterations":[13],"in":[14,54,400],"upper":[15,39,102,366,390],"trapezius":[16,40,103,367,391],"tissue":[17,41,104,357,375],"hardness":[18,42,105,178,233,284,358,376],"and":[19,29,43,51,70,98,106,130,142,168,190,212,287,339,359,374],"sensitivity":[21,363],"may":[22,395],"be":[23],"closely":[24,369],"associated":[25,236,256,289,370,381],"with":[26,48,56,66,122,133,182,204,237,257,290,354,371,382],"intensity":[28,50,119],"disability.":[30],"This":[31,59],"study":[32,62],"aimed":[33],"to":[34,88,148,159,421],"investigate":[35],"the":[36,80,111,134,150,161,271,277,280,326,331,335,365,401],"associations":[37,151,165],"pressure":[44],"threshold":[46],"(PPT)":[47],"patients":[55,65,353],"CNSNP.":[57],"METHODS:":[58],"single-center":[60],"cross-sectional":[61],"enrolled":[63],"426":[64],"CNSNP":[67],"(244":[68],"women":[69],"182":[71],"men;":[72],"mean":[73,177,199,232,252,283],"age,":[74],"44.22":[75],"\u00b1":[76],"8.84":[77],"years)":[78],"at":[79],"Health":[81],"Examination":[82],"Center":[83],"Shuguang":[85],"Hospital":[86],"Affiliated":[87],"Shanghai":[89],"University":[90],"Traditional":[92],"Chinese":[93],"Medicine":[94],"between":[95],"August":[96,99],"2024":[97],"2025.":[100],"Bilateral":[101],"PPT":[107,200,253],"were":[108,146],"measured":[109],"using":[110],"OE220":[112],"outcome":[113,319],"evaluation":[114],"system":[115],"(ITO,":[116],"Japan).":[117],"Pain":[118],"was":[120,179,201,254,285,337,343],"assessed":[121],"composite":[124],"visual":[125],"analog":[126],"scale":[127],"(VAS)":[128],"score,":[129],"index":[137],"(NDI).":[138],"Spearman":[139,172],"correlation":[140,173],"analysis":[141,174,223],"linear":[143,221],"regression":[144,222],"models":[145],"used":[147],"evaluate":[149],"among":[152],"variables,":[153],"followed":[154],"by":[155],"prespecified":[156,305],"subgroup":[157,306],"analyses":[158],"explore":[160],"heterogeneity":[162],"these":[164,424],"across":[166],"demographic":[167],"clinical":[169,408],"subgroups.":[170],"RESULTS:":[171],"showed":[175,224,311],"that":[176,388],"positively":[180,235,288],"correlated":[181,203],"VAS":[183,205,238,258],"(r":[184,192,206,214],"=":[185,193,207,215,240,243,260,263,269,293,296],"0.328,":[186],"p":[187,195,209,217,248,268,301,321,328],"<":[188,196,210,218,249,302],"0.001)":[189,211],"NDI":[191,213],"0.173,":[194],"0.001),":[197,250],"whereas":[198],"negatively":[202,255],"-0.307,":[208],"-0.121,":[216],"0.05).":[219],"Multiple":[220],"that,":[225],"after":[226],"full":[227],"adjustment":[228],"for":[229,317,322,330],"confounding":[230],"factors,":[231],"remained":[234],"(B":[239,259,292],"0.071,":[241],"\u03b2":[242,262,295],"0.268,":[244],"95%":[245,265,298],"CI:":[246,266,299],"0.051\u223c0.091,":[247],"while":[251],"-0.187,":[261],"-0.113,":[264],"-0.316\u223c-0.058,":[267],"0.005);":[270],"adjusted":[272],"model":[273],"explained":[274],"40.8%":[275],"variance.":[278],"Regarding":[279],"NDI,":[281,336],"only":[282],"significantly":[286],"it":[291],"0.180,":[294],"0.160,":[297],"0.075\u223c0.286,":[300],"0.001).":[303],"In":[304,352],"analyses,":[307],"formal":[308],"interaction":[309,323,333],"tests":[310],"no":[312],"statistically":[313],"significant":[314],"effect":[315,349],"modification":[316],"either":[318],"(all":[320],">":[324],"0.05);":[325],"smallest":[327],"value,":[329],"hardness-by-work-type":[332],"on":[334],"0.122,":[338],"this":[340],"exploratory":[341],"observation":[342],"not":[344,414],"regarded":[345],"as":[346],"evidence":[347],"modification.":[350],"CONCLUSION:":[351],"CNSNP,":[355,404],"increased":[356],"elevated":[360],"local":[361],"are":[368,419],"intensity,":[373],"relevant":[379],"factor":[380],"cervical":[383],"dysfunction.":[384],"These":[385],"findings":[386],"suggest":[387],"objective":[389],"muscle":[392],"status":[393],"indicators":[394,425],"provide":[396],"complementary":[397],"descriptive":[398],"information":[399],"assessment":[402,412],"although":[405],"their":[406],"incremental":[407],"value":[409],"beyond":[410],"conventional":[411],"has":[413],"been":[415],"established;":[416],"longitudinal":[417],"studies":[418],"needed":[420],"determine":[422],"whether":[423],"can":[426],"guide":[427],"treatment":[428],"or":[429],"predict":[430],"outcomes.":[431]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-30T00:00:00"}
