Regarding “Musculoskeletal Ultrasound Assessment of the Clinical Efficacy of the Combination of Acupressure and ‘Three Methods of Neck Movement (TCM)’ Therapy in the Treatment of Cervical Spondylosis” [Response to Letter]
Notice bibliographique
Résumé
I. Age Range ConsiderationWe acknowledge the concern about the age range restriction (40-60 years) and its potential impact on the generalizability of our study results.While we noted the trend of younger onset of cervical spondylosis in our abstract, the decision to focus on the 40-60 age group was based on several considerations.First, there is a recognized difference in the classification of cervical spondylosis between domestic and international standards.Second, the typical age of onset for cervical spondylosis in China is between 30-60 years, whereas in international contexts, only spinal cord and nerve root cervical spondylosis have a clear proposal that the age of onset is over 40 years.Lastly, subjects over 60 years often have more underlying diseases, complicating the enrollment process.In alignment with the journal editors' recommendations, we chose to focus on the 40-60 age group. II. Follow-Up PeriodWe appreciate the observation regarding the 6-month follow-up period and agree that longterm efficacy assessment is crucial for chronic conditions like cervical spondylosis.Our study includes a 6-month followup to provide preliminary insights into treatment durability.We concur that extended observation periods are necessary for a comprehensive evaluation and plan to conduct further longitudinal studies.We also ensured that each participant was placed in a stable temperature chamber at 23-25C during treatment to minimize the impact of temperature changes on the results. III. Single-Center Design and Ultrasound Operator ExpertiseWe recognize the limitations of a single-center study design and the variability in treatment protocols and expertise levels across different medical institutions.We are committed to pursuing multicenter collaborations in future research to enhance the generalizability of our findings.Regarding the use of musculoskeletal ultrasound, we ensured that all operators underwent professional skills training and passed assessments to use the equipment accurately.Each participant was examined by two trained and certified operators, and a third operator was involved in case of inconsistent results to ensure reliability. IV. Evaluation of Psychosocial DimensionsWe agree that a more extensive evaluation of psychosocial dimensions is necessary.While the McGill Pain Questionnaire and the Neck Disability Index (NDI) are primary outcome measures, they do not fully capture the broader psychosocial context.We plan to incorporate validated psychological assessment tools, such as the Hospital Anxiety and Depression Scale (HADS), the Pain Catastrophizing Scale (PCS), and the
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,016 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,001 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».