Evidence map›Paper›PMID 42266160›Full record

ReviewEuropean journal of physical and rehabilitation medicine2026

Ultrasound-guided musculoskeletal interventions and professional boundaries: an international expert opinion.

Ahmad J Abdulsalam, Klemen Grabljevec, Buğra Ince, Ahmed El-Oumri, Orhan Güvener, Carmelo Pirri, Ke-Vin Chang, Jakub Jacisko, Muhammad T Khalil, Nimish Mittal and 10 more

Abstract readReview
In one paragraph

Review in European journal of physical and rehabilitation medicine, 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

20 authors.

Ahmad J AbdulsalamDepartment of Physical Medicine and Rehabilitation, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait - dr.ahmad.j.abdulsalam@gmail.com.
Klemen GrabljevecUniversity Rehabilitation Institute, Ljubljana, Slovenia.
Buğra InceDepartment of Physical and Rehabilitation Medicine, İzmir Faculty of Medicine, University of Health Sciences, İzmir City Hospital, İzmir, Türkiye.
Ahmed El-OumriDepartment of Physical Medicine and Rehabilitation, Mohammed VI University Hospital, Oujda, Morocco.
Orhan GüvenerDepartment of Physical and Rehabilitation Medicine, Mersin University Medical School, Mersin, Türkiye.
Carmelo PirriDepartment of Neurosciences, Institute of Human Anatomy, University of Padua, Padua, Italy.
Ke-Vin ChangDepartment of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei, Taiwan.
Jakub JaciskoDepartment of Rehabilitation and Sports Medicine, Second Faculty of Medicine, Charles University and Motol and Homolka University Hospital, Prague, Czech Republic.
Muhammad T KhalilDepartment of Physical Medicine and Rehabilitation, CM Hospital Gilgit, Gilgit, Pakistan.
Nimish MittalDivision of Physical Medicine and Rehabilitation, Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Murat KaraDepartment of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Türkiye.
Kamal MezianDepartment of Rehabilitation Medicine, First Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic.
Vincenzo RicciPhysical and Rehabilitation Medicine Unit, Luigi Sacco University Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy.
Farooq A RathoreDepartment of Rehabilitation Medicine, Quetta Institute of Medical Sciences, Quetta, Pakistan.
Bayram KaymakDepartment of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Türkiye.
Marta ImamuraDepartamento de Medicina Legal, Bioetica, Medicina do Trabalho e Medicina Fisica e Reabilitacao, Faculdade de Medicina HCFMUSP, Universidade de Sao Paulo, Sao Paulo, Brazil.
Christopher ViscoDepartment of Rehabilitation and Regenerative Medicine, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Alaeldin ElmalikDepartment of Rehabilitation Medicine, Royal Melbourne Hospital, Victoria, Australia.
Giorgio FerrieroDepartment of Biotechnology and Life Sciences, University of Insubria, Varese, Italy.
Levent ÖzçakarDepartment of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The growth of musculoskeletal ultrasound (US) has led to an increasing trend of US-guided interventions also/sometimes being performed by allied health professionals who lack formal comprehensive medical training. This international expert opinion - developed through structured consultation among 20 Physical and Rehabilitation Medicine (PRM) physicians from 14 countries across five continents - addresses the patient safety, ethical, and medicolegal concerns arising from non-physicians performing such interventions. A narrative literature synthesis was conducted and iteratively reviewed by all contributing authors whereas formal consensus methodology was not employed. Having reviewed the international regulatory landscape, including regulations from the United States, Europe (Germany, France, Italy, Spain, Scandinavian countries, and the United Kingdom), and the Asia-Pacific region; we highlight inconsistencies that may compromise patient welfare. We call upon PRM associations to develop unified position statements establishing minimum competency standards. Policy recommendations would include establishing international complication registries, implementing enforceable supervision protocols, strengthening informed consent requirements, and ensuring transparent provider identification. Through these measures, professional organizations, regulators, and healthcare institutions can promote patient safety, transparency, and consistent standards worldwide.

Indexed as

Musculoskeletal DiseasesPhysical and Rehabilitation MedicineUltrasonography, InterventionalClinical CompetenceConsensus Statements as TopicHumansInternationalityPatient Safety

Identifiers

PMID42266160
PMCPMC13436730

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.