Evidence map›Paper›PMID 41524193›Full record

SynthesisPM & R : the journal of injury, function, and rehabilitation2026

Muscle fat infiltration and its relation with pain intensity, disability, and cervical curvature in individuals with nonspecific neck pain: A systematic review study.

Hardianty Andi Munawarah Abduh, Hironobu Kuruma, Takuya Otsuka, Aufa Miftah Firdausy

Abstract readSystematic Review
In one paragraph

Synthesis in PM & R : the journal of injury, function, and rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Hardianty Andi Munawarah AbduhDepartment of Physical Therapy, Faculty of Human Health Science, Tokyo Metropolitan University, Hachioji, Japan.ORCID https://orcid.org/0009-0005-1463-8632
Hironobu KurumaDepartment of Physical Therapy, Faculty of Human Health Science, Tokyo Metropolitan University, Hachioji, Japan.
Takuya OtsukaDepartment of Physical Therapy, Faculty of Human Health Science, Tokyo Metropolitan University, Hachioji, Japan.
Aufa Miftah FirdausyPhysioactive Indonesia, South Jakarta, Indonesia.

Funding

Tokyo Metropolitan GovernmentTokyo Metropolitan University
6 · The paper itself

Abstract

objectiveTo review and analyze the association between muscle fat infiltration (MFI) and pain intensity, disability, and cervical alignment in individuals with nonspecific neck pain. TYPE: Systematic review study. LITERATURE SURVEY: Nonspecific neck pain is associated with muscular changes, including fatty infiltration, which may contribute to chronic symptoms and functional limitations. Prior studies have examined morphological muscle changes across various neck pain populations; however, specific evidence regarding the relationship between MFI and clinical outcomes in nonspecific neck pain remains limited and inconsistent. METHODOLOGY: A systematic search of the Web of Science, PubMed, MEDLINE, and CINAHL databases was performed. This analysis included analytical cross-sectional studies published from 2003 to May 2025 that used structural medical imaging to examine fatty infiltration of neck muscles in participants aged 18-65 years with nonspecific neck pain lasting >3 months. Only articles written in English that were accessible to the authors were considered. Studies were excluded if they did not meet any of the aforementioned criteria. SYNTHESIS: Across included studies (n=4), higher MFI in cervical extensor muscles was consistently associated with greater pain intensity and disability. Evidence for a relationship between MFI and cervical alignment was inconsistent, with some studies reporting a negative association between MFI and cervical lordosis, while others found no correlation. Variability in imaging methods and clinical measures contributed to heterogeneity between studies.

conclusionThe study results suggest a correlation between fatty infiltration and nonspecific neck pain features, such as pain level and neck disability, whereas cervical lordosis does not appear to be correlated. These findings highlight the importance of rehabilitation programs to reduce MFI and enhance muscle functions, which may alleviate symptoms.

Indexed as

Adipose TissueCervical VertebraeNeck MusclesNeck PainDisability EvaluationHumansPain Measurement

Identifiers

PMID41524193
PMCPMC13358439

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.