{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:38:47Z","timestamp":1778546327141,"version":"3.51.4"},"reference-count":13,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2025,2,27]],"date-time":"2025-02-27T00:00:00Z","timestamp":1740614400000},"content-version":"unspecified","delay-in-days":57,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Kharazmi University, Tehran"},{"name":"Sport Sciences Research Institute of Iran"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Sport Exerc Med"],"accepted":{"date-parts":[[2025,1,30]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>This paper presents a protocol for a randomised control trial to compare the effect and durability of the effect of corrective exercise, and manual therapy focused on the back versus hip versus back and hip on disability, function, pressure pain threshold, pressure pain mapping, health and psychological status of the elderly with chronic back and hip pain. A total of 75 elderly participants will be assigned randomly into three groups, including back-focused exercises (n=25), hip-focused exercises (n=25) and back-focused and hip-focused exercises (n=25). Primary outcomes (disability and function) and secondary outcomes (pressure pain threshold, pressure pain mapping, health status and psychological factors) will be evaluated before, immediately after and 6\u2009months after the 8\u2009week exercise intervention. The data will be analysed using a general linear model repeated measures analysis of variance including both within and between factors (three groups*three times) with Bonferroni adjustments used as a post-hoc test at a significant level of 0.05. This trial will demonstrate whether back versus hip versus back-focused and hip-focused manual therapy can better improve the disability, function, pressure pain threshold, pressure pain mapping, health and psychological status of the elderly with chronic back and hip pain. If successful, this study\u2019s findings and information will potentially have implications for addressing back and hip pain in the elderly population by an alternative multidisciplinary approach. Trial registration number: IRCT20220911055941N1.<\/jats:p>","DOI":"10.1136\/bmjsem-2025-002454","type":"journal-article","created":{"date-parts":[[2025,2,27]],"date-time":"2025-02-27T23:21:25Z","timestamp":1740698485000},"page":"e002454","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["To compare the effect and durability of the effect of corrective exercise and manual therapy focused on the back versus hip on disability, function, pressure pain, pain map, health and psychological status of the elderly with chronic back and hip pain: protocol for a randomised controlled trial"],"prefix":"10.1136","volume":"11","author":[{"given":"Mobina","family":"Khabiri","sequence":"first","affiliation":[{"name":"Department of Biomechanics and Sport Injuries, Kharazmi University, Tehran, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5612-8340","authenticated-orcid":false,"given":"Amir","family":"Letafatkar","sequence":"additional","affiliation":[{"name":"Department of Biomechanics and Sport Injuries, Kharazmi University, Tehran, Iran"},{"name":"Department of Biomechanics and Sport Injuries, Kharazmi University, Tehran, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6019-8205","authenticated-orcid":false,"given":"Mahdi","family":"Hosseinzadeh","sequence":"additional","affiliation":[{"name":"Department of Sport Injuries and Corrective Exercises, Sports Sciences Research Institute, Tehran, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,2,27]]},"reference":[{"key":"2026042204301419000_11.1.e002454.1","doi-asserted-by":"publisher","DOI":"10.1016\/S2665-9913(23)00267-9"},{"key":"2026042204301419000_11.1.e002454.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2014.03.005"},{"key":"2026042204301419000_11.1.e002454.3","doi-asserted-by":"crossref","unstructured":"Pugliese JM , Coyle PC , Knox PJ , et al . The Manual Therapy and Strengthening for the Hip (MASH) Trial: Protocol for a Multisite Randomized Trial of a Subgroup of Older Adults With Chronic Back and Hip Pain. 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