Welcome to this audio edition of Spinal Columns, the official newsletter of CANSpine. In this issue, we examine recent research on neck mobility and pain, international e-mentoring in musculoskeletal physical therapy education, and the diagnostic accuracy of physical exams for back pain in elite gymnasts.

First, we look at how neck mobility relates to patient-reported symptoms. Researchers Alison Rushton and David Walton conducted a systematic review and meta-analysis to examine the relationship between clinical active cervical range of motion and self-reported pain or disability in people with neuromusculoskeletal neck pain. By statistically combining data from existing observational studies, the authors sought to clarify how movement limitations align with the subjective experience of neck conditions. Understanding these associations helps clinicians better interpret active movement tests during patient assessments.

Next, we turn to the role of digital education in advanced clinical training. Alison Rushton investigated the experiences and cross-cultural applicability of telehealth e-mentoring within postgraduate musculoskeletal physical therapy programs in Canada and the United Kingdom. The study collected thematic data through interviews and focus groups with mentors and mentees across Canada and compared the findings with data from the United Kingdom. This research provides practical insight into how virtual mentoring models can effectively support advanced clinical education across international contexts.

Finally, we explore clinical evaluation methods for athletic back pain. In another study by Alison Rushton, researchers evaluated the diagnostic accuracy of patient history and physical examinations for identifying lumbar spine pathology in elite gymnasts. Clinical assessments performed by a musculoskeletal physiotherapist were compared against magnetic resonance imaging scans reviewed by two specialist radiologists. These findings help clinicians understand the capabilities and limitations of standard physical examinations when assessing spinal conditions in high-level athletes.

That concludes this overview of our latest issue. We encourage you to read the full newsletter on the CANSpine website and subscribe to receive future editions directly. Thank you for listening.