{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T23:26:53Z","timestamp":1787095613687,"version":"build-2736575974"},"reference-count":34,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T00:00:00Z","timestamp":1774396800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Mothers raising children with disabilities may experience low back pain (LBP) due to depressive symptoms, physical workload (PW), and muscle weakness. Handgrip strength (HGS), a marker of total body muscular strength, is a controversial topic; however, its relationship with LBP in this population remains unclear and unexamined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to investigate LBP in mothers of children with physical and intellectual disabilities and its correlations with depression, physical workload, history of coronavirus disease 2019 (COVID-19), handgrip strength, and socio-economic factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This descriptive study included mothers of 179 children with disabilities attending special education schools in Turkey between 2021 and 2022. Participants completed the Physical Workload Questionnaire (PWQ) and the Beck Depression Inventory (BDI) and were asked about LBP during the previous year and their history of COVID-19. The HGS of their dominant hand was measured using a hand dynamometer. Multivariate logistic regression analysis was performed to identify factors associated with LBP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      LBP was reported by 89.94% of the 179 enrolled mothers. The regression analysis indicated HGS &lt; 28.50 lbs (odds ratio [OR]\u2009=\u200910.53; 95% confidence interval [CI], 2.09\u201353.03;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.004) and PWQ score &gt; 14.77 (OR = 4.88; 95% CI =1.43\u201316.59;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.011) as independent risk factors for LBP.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Assessment of HGS and PW may help identify the risk of LBP in mothers of children with physical or intellectual disabilities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538127261433275","type":"journal-article","created":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T07:57:28Z","timestamp":1774425448000},"page":"1649-1657","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Handgrip strength and physical workload as key risk factors for low back pain in mothers of children with physical and intellectual disabilities: A post-COVID-19 study"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0810-5213","authenticated-orcid":false,"given":"S\u00fcmeyye","family":"Demir","sequence":"first","affiliation":[{"name":"Institute of Health Sciences, Sivas Cumhuriyet University, Sivas, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4903-6349","authenticated-orcid":false,"given":"Selvin","family":"Balki","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Sivas Cumhuriyet University, Sivas, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,25]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.21037\/jhmhp-20-17"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2012.42.4.A1"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/19371918.2021.1943100"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1352\/0895-8017(2006)111[155:MOCSOD]2.0.CO;2"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.3233\/BMR-169709"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.157.11.1128"},{"key":"e_1_3_3_8_2","first-page":"74","article-title":"Relationship between physical, mental fitness and associated factors: a cross-sectional study on parents of children suffering from cerebral palsy","volume":"27","author":"Shaik AR","year":"2023","unstructured":"Shaik AR. 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