{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T21:05:58Z","timestamp":1792789558212,"version":"4.5.0"},"reference-count":33,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Deanship of Postgraduate Studies and Scientific Research at Majmaah University","award":["R-2026-417"],"award-info":[{"award-number":["R-2026-417"]}],"id":[{"id":"https:\/\/ror.org\/01mcrnj60","id-type":"ROR","asserted-by":"crossref"}]},{"award":["R-2026-417"],"award-info":[{"award-number":["R-2026-417"]}],"id":[{"id":"https:\/\/ror.org\/01mcrnj60","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Background\/Objectives: Physiotherapy practice involves patient handling, sustained or awkward postures, and repetitive manual techniques. This study estimated Neck Disability Index (NDI)-defined neck disability among physiotherapists in Saudi Arabia, examined its demographic and workplace associations, and compared quality of life across NDI levels. Methods: An online cross-sectional convenience survey (April\u2013May 2024) included physiotherapists with \u22651 year of clinical experience. Disability and quality of life were assessed using the NDI and WHOQOL-BREF. Analyses used five-variable multinomial regression with robust standard errors, an expanded 11-factor mean bias-reduced sensitivity model, and Holm-adjusted comparisons. Results: Of 367 participants, 197 (53.7%; 95% CI, 48.6\u201358.7%) had NDI-defined disability: 156 (42.5%) mild and 41 (11.2%) moderate-or-worse. In the main model, mild disability was associated with female versus male sex (adjusted relative risk ratio [RRR], 2.49; 95% CI, 1.54\u20134.03) and body mass index (BMI) \u226525 versus &lt;25 kg\/m2 (RRR, 2.04; 95% CI, 1.26\u20133.29); moderate-or-worse disability was associated with pooled non-private versus private rehabilitation settings (RRR, 4.47; 95% CI, 2.06\u20139.73) and BMI \u2265 25 kg\/m2 (RRR, 2.25; 95% CI, 1.05\u20134.84). The expanded model showed similar sex and workplace associations; only these factors were significant in Holm-adjusted joint tests, and the moderate-or-worse BMI estimate was less precise (RRR, 2.13; 95% CI, 0.96\u20134.69). All four WHOQOL-BREF domains showed lower medians at higher NDI levels (all omnibus Holm-adjusted p &lt; 0.001), with the largest difference in physical health (\u03b52 = 0.199). Conclusions: Neck-related disability was common and co-occurred with poorer physical, psychological, social, and environmental quality of life. Sex and workplace showed the most consistent adjusted associations. These sample-specific findings warrant representative longitudinal research with direct measurement of occupational exposures and do not establish causality.<\/jats:p>","DOI":"10.3390\/jcm15197390","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T09:20:46Z","timestamp":1790155246000},"page":"7390","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Neck Disability, Associated Factors, and Quality of Life Among Physiotherapists in Saudi Arabia"],"prefix":"10.3390","volume":"15","author":[{"given":"Ali S.","family":"Alqarni","sequence":"first","affiliation":[{"name":"Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Al Majmaah 11952, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"writing-original-draft","vocabulary":"credit"},{"role":"data-curation","vocabulary":"credit"},{"role":"resources","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2297-3255","authenticated-orcid":false,"given":"Wael","family":"Alghamdi","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Al-Baha University, Al-Baha 65779, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4233-9673","authenticated-orcid":false,"given":"Msaad","family":"Alzhrani","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Al Majmaah 11952, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"},{"role":"funding-acquisition","vocabulary":"credit"},{"role":"supervision","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"417","DOI":"10.3233\/BMR-150649","article-title":"Work-related musculoskeletal disorders among physical therapists: A systematic review","volume":"29","author":"Vieira","year":"2016","journal-title":"J. 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