Evidence map›Paper›PMID 41878101›Full record

ArticleFrontiers in public health2026

Whole-body biomechanical and lifestyle predictors of pediatric musculoskeletal pain: a multi-center cross-sectional study.

Saleh M Kardm, Abdulmohsen Saeed Kardm, Ziad Ahmed Alanazi, Tariq Abdullah Aldugman, Ravi Shankar Reddy, Ajay Prashad Gautam, Turki Ahmed Alqahtani

Abstract readMulticenter Study
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Saleh M KardmDepartment of Surgery, College of Medicine, Najran University, Najran, Saudi Arabia.
Abdulmohsen Saeed KardmAseer Central Hospital, Abha, Saudi Arabia.
Ziad Ahmed AlanaziOrthopedic Division, Department of Surgery, College of Medicine, Jouf University, Sakaka, Saudi Arabia.
Tariq Abdullah AldugmanDepartment of Surgery, College of Medicine, Najran University, Najran, Saudi Arabia.
Ravi Shankar ReddyProgram of Physical Therapy, Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia.
Ajay Prashad GautamProgram of Physical Therapy, Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia.
Turki Ahmed AlqahtaniDepartment of Orthopedic Surgery, College of Medicine, King Khalid University, Abha, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Musculoskeletal (MSK) pain is increasingly recognized as a cause of functional impairment in school-age children, yet its lifestyle and biomechanical correlates remain under-investigated in clinical populations. Objectives: To determine the 1-month prevalence and anatomical distribution of activity-limiting MSK pain among children aged 8-15 years and to identify lifestyle and biomechanical factors independently associated with its presence and impact. Methods: A cross-sectional study was conducted across multiple pediatric physiotherapy and orthopedic outpatient clinics in Saudi Arabia, involving 550 of 683 consecutively screened children (mean age: 11.45 ± 2.01 years; 50.55% male). Ethical approval was obtained from the Research Ethics Committee of King Khalid University (REC#234-2023). Data were collected on screen time, physical activity, backpack load, Beighton score (joint hypermobility), Foot Posture Index-6 (FPI-6), BMI, lower-limb strength, and Y-Balance test. Pain prevalence, intensity (NRS), anatomical distribution, and functional impact were assessed. Bivariate and multivariable analyses were conducted using SPSS v24. A Results: The 1-month prevalence of activity-limiting MSK pain was 28.36%, with the back (39.74%), shoulders (30.77%), and knees (28.21%) being the most affected regions. Pain was more common in older children (12-15 years: 33.81%) and females (33.09%). Mean pain intensity was 5.93 ± 1.82. Children with pain had significantly higher screen time, backpack loads, Beighton scores, FPI-6, BMI, and lower-limb strength deficits ( Conclusion: Activity-limiting MSK pain affects nearly one-third of school-aged children and is strongly associated with modifiable lifestyle and biomechanical risk factors. Targeted screening and early interventions are warranted in pediatric settings.

Indexed as

Life StyleMusculoskeletal PainAdolescentBiomechanical PhenomenaChildCross-Sectional StudiesFemaleHumansMalePrevalenceRisk FactorsSaudi Arabiabiomechanicschildrenhypermobilityjoint hypermobilitymusculoskeletal painphysical activitySaudi Arabiaschoolbag

Identifiers

PMID41878101
PMCPMC13006610

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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.