{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T11:38:02Z","timestamp":1792841882356,"version":"4.5.0"},"reference-count":14,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:00:00Z","timestamp":1778716800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000069","name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","doi-asserted-by":"publisher","award":["R34AR083625"],"award-info":[{"award-number":["R34AR083625"]}],"id":[{"id":"10.13039\/100000069","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To map existing research on adjunctive psychological approaches in exercise-based randomized controlled trials (RCTs) involving children with chronic musculoskeletal diseases (CMD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>We conducted a scoping review, following Joanna Briggs Institute methodology and a prospectively registered protocol. Medline, Embase, PsycInfo, CINAHL, Cochrane CENTRAL and Scopus databases were searched in February 2024 and September 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>RCTs involving children with CMD, exploring therapeutic exercises with psychological approaches, were included. Four independent reviewers screened the studies; data were extracted by one reviewer and verified by another using standardized previously piloted forms. Covidence was used for all review steps. PRISMA extension for Scoping Reviews recommendations was followed for synthesis and reporting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 6793 screened studies, 21 were assessed for full-text eligibility, and five RCTs (223 children, 80% female, mean age 14.2 years) were included from two countries (USA [n\u2009=\u20094], Sweden). Conditions included chronic musculoskeletal pain (n\u2009=\u20092), complex regional pain syndrome, patellofemoral pain syndrome, and juvenile fibromyalgia. Outcomes focused on pain, psychological, and clinical findings. Psychological approaches (motivational interviewing, behavior modification, pain psychoeducation) were delivered by psychologists and physiotherapists. Exercise interventions included neuromuscular exercises (n\u2009=\u20093), usual physiotherapy (n\u2009=\u20091), and tailored physiotherapy (n\u2009=\u20091).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Managing children with CMD is complex requiring multidisciplinary care, with psychological approaches potentially enhancing exercise-based rehabilitation. Although this integration appears promising, progress is limited by the lack of standardized protocols, scarce long-term evidence, and barriers such as accessibility, caregiver engagement, and therapist training.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538127261445501","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T07:42:26Z","timestamp":1778744546000},"page":"1779-1788","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Adjunctive psychological approaches in randomized controlled trials of exercise interventions for pediatric chronic musculoskeletal diseases \u2013 A scoping review"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8231-5131","authenticated-orcid":false,"given":"Sanja","family":"Schreiber","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, University of Alberta, Edmonton, Canada"},{"name":"Curvy Spine Inc, Edmonton, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6404-7623","authenticated-orcid":false,"given":"Libak","family":"Abou","sequence":"additional","affiliation":[{"name":"Physical Medicine &amp; Rehabilitation, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1793-3977","authenticated-orcid":false,"given":"Dominique","family":"Kinnett-Hopkins","sequence":"additional","affiliation":[{"name":"School of Kinesiology, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0758-5411","authenticated-orcid":false,"given":"Liz","family":"Dennett","sequence":"additional","affiliation":[{"name":"Geoffrey and Robyn Sperber Health Sciences Library, Edmonton, \rCanada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3664-3898","authenticated-orcid":false,"given":"Anna","family":"Kratz","sequence":"additional","affiliation":[{"name":"Physical Medicine &amp; Rehabilitation, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5234-3978","authenticated-orcid":false,"given":"Emily C","family":"Somers","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, School of Medicine, University of Michigan, Ann Arbor, MI, USA"},{"name":"Department of Obstetrics and Gynecology, School of Medicine, University of Michigan, Ann Arbor, MI, USA"},{"name":"Department of Environmental Health, School of Public Health, University of Michigan, Ann Arbor, MI, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,14]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000003267"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000000160"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rdc.2007.07.010"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001131"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7229a3"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsx103"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000001839"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcbs.2024.100841"},{"key":"e_1_3_3_10_2","doi-asserted-by":"crossref","unstructured":"Day MA and Thorn BE. Psychological interventions: a focus on cognitive-behavioral therapy. In ME Lynch KD Craig PW Peng (eds) Clinical pain management. 2022. https:\/\/doi.org\/10.1002\/9781119701170.ch26","DOI":"10.1002\/9781119701170.ch26"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000003010"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.780"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1067\/mpd.2002.124380"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269215518787002"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2018.04.003"}],"container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10538127261445501","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10538127261445501","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10538127261445501","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T11:14:51Z","timestamp":1792840491000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10538127261445501"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,14]]},"references-count":14,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1177\/10538127261445501"],"URL":"https:\/\/doi.org\/10.1177\/10538127261445501","relation":{},"ISSN":["1053-8127","1878-6324"],"issn-type":[{"value":"1053-8127","type":"print"},{"value":"1878-6324","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,14]]}}}