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Research | DOI: https://doi.org/10.31579/2690-1919/564
Instituto da Criança e Adolescente, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, BR.
*Corresponding Author: Benito Lourenço., Instituto da Criança e Adolescente, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, BR.
Citation: Benito Lourenço, Ligia B. Queiroz, Rodrigues Lourenço DM, Clovis Artur Almeida DS, (2025), Musculoskeletal Pain, Musculoskeletal Syndromes, And Digital Media in Public School Adolescents, J Clinical Research and Reports, 21(1); DOI:10.31579/2690-1919/564
Copyright: © 2025, Benito Lourenço. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 31 July 2025 | Accepted: 22 August 2025 | Published: 04 September 2025
Keywords: adolescent; digital media; electronic device; musculoskeletal pain; musculoskeletal syndrome
Background/Aim: To assess digital media use, musculoskeletal pain and syndromes in adolescents and young adults from a public school.
Materials and Methods: A cross-sectional study included 386 healthy adolescents that completed a questionnaire including demographic data, musculoskeletal pain, physical activity, and media use. The following musculoskeletal pain syndromes and repetitive strain injuries were investigated in students who reported musculoskeletal pain in the last three months: juvenile fibromyalgia, joint hypermobility syndrome, myofascial syndrome, tendinitis, bursitis, and epicondylitis.
Results: Inter-rater agreement between pretest and retest was 0.93. Musculoskeletal pain and syndrome were identified in 245/386(63%) and 55/245(23%), respectively. The median age was significantly higher in adolescents with musculoskeletal pain compared to those without this condition (14.69[11.9-22.5] vs. 14.41[10-18.8] years, p=0.018). The frequencies of computer use after 10pm (48% vs. 30%, p<0.001), internet use on weekends (6 hours [0-20] vs. 4[0-22],p=0.043), mobile phone use on weekends(8 hours[0-20] vs. 5[0-22], p=0.002), and mobile phone use after 10pm(83% vs. 69%, p=0.001) were significantly higher in the former group. Further comparisons between adolescents with and without musculoskeletal pain syndromes showed that female gender was significantly higher in the former group (74% vs. 27%, p<0.001). The internet use on weekdays (10 hours [0-24] vs. 5[0-20], p<0.001) was also significantly higher in adolescents with musculoskeletal syndrome.
Conclusion: Musculoskeletal pain was reported in approximately two-thirds of adolescents from a public school, and musculoskeletal syndromes occurred in one-quarter. Students with musculoskeletal pain were older and reported relevant use of digital media, while adolescents with musculoskeletal syndromes were predominantly female and reported important internet use on weekdays.
Media and electronic devices are relevant for entertainment and schoolwork in younger. An increasing exposure of the adolescent and young adults’ generation to media is a worldwide phenomenon. The most recent publication of the “TIC Kids Online Brazil” survey showed that 93% of this population used internet.1 Digital media use (computers, internet, electronic devices, and mobile phones) may be associated with various health issues, particularly recurrent musculoskeletal pain, pain syndromes and repetitive strain injuries.
Musculoskeletal pain is the most frequent cause of recurrent non-inflammatory pain in adolescents, ranging from 30% to 65%. [2,3] The use of digital media is a risk factor for both musculoskeletal pain and musculoskeletal pain syndromes in healthy adolescents, and in those with chronic conditions (obese and asthma). [4,5] However, these reports included preferable analysis of subjects from private school with upper and upper/middle socio-economic classes.[4,6-8]
To our knowledge, there is no report that evaluate simultaneously digital media use, and the presence of musculoskeletal pain and musculoskeletal pain syndromes (joint hypermobility syndrome, juvenile fibromyalgia, myofascial syndrome, tendinitis, bursitis, and epicondylitis) in healthy adolescents and young adults, specifically students at public schools with low socioeconomic strata.
Therefore, the objective of the present study was to assess digital media use, pain and musculoskeletal syndromes in adolescents and young adults from a public school. We also evaluated the possible associations between the presence of musculoskeletal pain and musculoskeletal syndromes and: demographic data, physical education at school, and digital media patterns.
A cross-sectional study was conducted during October 2018 to February 2019 in healthy adolescents of a public school, situated on the outskirts of São Paulo city, Brazil. 400 adolescents and young adults (10-22 years old) were invited to take part in the study, and n=390 (97.5%) agreed to participate. Adolescents and young adults with acute or chronic musculoskeletal pain and injuries secondary to recent infectious, onco-hematological, genetic, endocrine, and traumatic conditions (n=0), as well as those who filled out the questionnaire improperly (n=4), were systematically excluded. Adolescent or parental refusal was not observed. Therefore, the final sample of the present study was n=386 adolescents and young adults.
Informed consent was obtained from all subjects and their legal guardians. The study was approved by the Ethics and Research Committee of our University Hospital (number 24661313.9.00000.0065).
Social and economic classes were evaluated by the Brazil Economic Classification Criteria of the Brazilian Association of Research Companies (ABEP), 2018.[9]
An individual, confidential, and self-administered survey about pain and electronic media use was answered by adolescents and young adults. This standardized questionnaire was previously reported by our group.[8] All students completed a questionnaire covering the following aspects: demographic data; practice of physical activity and sports; availability, consumption pattern, and types of media used. Painful symptoms of the musculoskeletal system presented in the last three months were also evaluated. The questionnaire was applied during the period of one school class (maximum duration of 50 minutes). Pretest and retest of the questionnaire were carried-out with a 30-day interval in 25 subjects in October 2018 to assess the reliability of the subjects’ answers.
A specific musculoskeletal physical examination was also carried out, in a private environment of school class, by two trained physicians. This physical examination was performed in students who reported any complaint of pain in the musculoskeletal system in the last three consecutive months. The following musculoskeletal pain syndromes and repetitive strain injuries were systematically investigated: juvenile fibromyalgia, joint hypermobility syndrome, myofascial syndrome, tendinitis, bursitis, and epicondylitis. Juvenile fibromyalgia was diagnosed by widespread pain for at least three months and presence of at least 11/18 tender points examined bilaterally, by the American College of Rheumatology criteria.[10] Joint hypermobility was defined according to Beighton’s criteria, and joint hypermobility syndrome as the presence of joint hypermobility associated with pain in the musculoskeletal system and the presence of 5 of the 9 criteria.[11] Myofascial syndrome was diagnosed in the presence of at least one active trigger points assessed bilaterally in specific muscles or muscular groups, and soft tissues stress injuries (tendinitis, bursitis, and epicondylitis), as previously described.[4-8]
The sample size provided power of 80% to find differences greater than 11.6% in the frequency of different digital devices use in adolescents and young adults with and without musculoskeletal pain (Graphpad StatMate 1.01, GraphPad Software, Inc., CA, USA). Continuous variables were presented as median (maximum and minimum value) or mean ± standard deviation. Categorical variables were presented as frequency and percentage. Kappa index was administered to evaluate the reliability of the questionnaire between the pretest and the retest. Comparisons between medians (variation) and mean ± standard deviation were calculated using the Mann-Whitney U test or the t-test, respectively. For categorical variables, differences were calculated using Fisher’s exact test or chi-square test. P values ≤ 0.05 were considered statistically significant.
The agreement between pretest and retest (Kappa index) was 0.93, demonstrating excellent reliability in the subject’ responses.
The study sample consisted of n=386 teens, and n=186 (48.1%) were females According to the ABE’s Brazil economic classification criteria, all adolescents and young adults belonged to lower and lower/middle socio-economic classes.
Regarding use of electronic media devices, 73% of the adolescents and young adults used computers (including desktops, laptops, and tablets), 70.9% played electronic games, 95.8% used the internet and 93.5% had a mobile phone. According to electronic games, the most used platform was “PlayStation” (34.5%), mobile phone (32%) and computer (desktop, laptop or tablet, 17.5%). The most reported position for students that played electronic games was “sitting on couch/chair”, in 28% of them. The positions “sitting on bed” and “sitting on floor” were reported in 25.7% and 15.2%, respectively.
The presence of musculoskeletal pain in the last three months was reported by n=245/386 subjects (63%). The musculoskeletal pain locations were back (n=142, 58%), neck (n=89, 36%), wrists and hands (n=88, 36%), shoulders and arms (n=78, 32%) and hips and legs (n=68, 28%).
Sociodemographic data of the adolescents and young adults who reported musculoskeletal pain in the last three months were shown in Table 1. The median of current age was significantly higher in subjects with musculoskeletal pain versus those who did not report any pain [14.69 (11.9–22.5) vs. 14.41 (10–18.5) years, p=0.018]. The frequency of physical education at school was significantly lower in adolescents and young adults who reported pain (73% vs. 83%, p=0.033) (Table 1).
Table 2 comprised the characteristics of use of computers (desktops, laptops, tablets), electronic games, internet, and mobile phones in adolescents and young adults with musculoskeletal pain versus adolescents without pain. The frequencies of computer use after 10 pm (48% vs. 30%, p<0 p=0.001) p=0.043], p=0.016], p=0.002]>
Musculoskeletal pain syndrome was identified in n=55/245 (23%) of the adolescents and young adults: joint hypermobility syndrome in n=19/245 (8%), tendinitis n=18/245 (7%), myofascial syndrome n=17/245 (7%), and fibromyalgia n=7/245 (2.8%).
Table 3 included sociodemographic data on subjects with musculoskeletal syndrome versus subjects without musculoskeletal syndrome. Females were significantly higher in students with musculoskeletal syndrome versus those without musculoskeletal syndrome (74% vs. 27%, p<0>
Table 4 included the characteristics of use of computers (desktops, laptops, tablets), electronic games, internet, and mobile phones in adolescents and young adults with musculoskeletal syndrome versus subjects without syndrome. The median of internet use on weekdays was significantly higher in students with musculoskeletal syndrome compared to those without musculoskeletal syndrome [10 (0–24) vs. 5 (0–20) hours/day, p<0>
| Variables | With musculoskeletal pain (n=245) | Without musculoskeletal pain (n=141) | P |
| Demographic data | |||
| Current age, years | 14.69 (11.9-22.5) | 14.41 (10-18.5) | 0.018 |
| Sex | |||
| Female | 127 (52) | 59 (42) | 0.072 |
| Lower socioeconomic class | 128 (52) | 72 (51) | 0.833 |
| Education, years | 9 (7-12) | 9 (7-12) | 0.043 |
| Physical education at school | 179 (73) | 117 (83) | 0.033 |
Table 1: Sociodemographic data in adolescents with musculoskeletal pain versus adolescents without musculoskeletal pain.
Results are presented in n (%) and median (minimum-maximum value).
| Variables | With musculoskeletal pain (n=245) | Without musculoskeletal pain (n=141) | P |
| Computer | |||
| Number of days/use | 7 (1-7) | 5 (1-7) | 0.078 |
| Use on weekends, hours/day | 2 (0-18) | 2 (0-16) | 0.576 |
| Use on weekdays, hours/day | 3 (0-12) | 3 (0-12) | 0.626 |
| Computer use after 10 pm | 118 (48) | 42 (30) | <0> |
| Electronic games | |||
| Use | 172 (70) | 102 (72) | 0.727 |
| Use on weekends, hours/day | 2 (0-16) | 2 (0-18) | 0.853 |
| Use EG on weekdays, hours/day | 3 (0-16) | 2 (0-20) | 0.611 |
| Use after 10 pm | 101(41) | 57(40) | 0.704 |
| Internet | |||
| Use | 237 (97) | 133 (94) | 0.606 |
| Use on weekends, hours/day | 6 (0-20) | 4 (0-22) | 0.043 |
| Use on weekdays, hours/day | 6 (0-24) | 5 (0-20) | 0.016 |
| Use after 10 pm | 192 (78) | 99 (70) | 0.144 |
| Mobile phone | |||
| Use | 230 (94) | 131(93) | 0,862 |
| Mobile phone use on weekends, hours/day | 8 (0-20) | 5 (0-22) | 0.002 |
| Mobile phone use on weekdays, hours/day | 10 (0-24) | 5 (0-20) | <0> |
| Mobile phone use after 10 pm | 203 (83) | 97 (69) | 0.001 |
Table 2: Characteristics of use of computers (desktops, laptops, tablets), electronic games (EG), internet and mobile phones in adolescents with musculoskeletal pain versus adolescents without musculoskeletal pain.
Results are presented in n (%) and median (variation), h=hours. EG=electronic games
| Variables | With musculoskeletal syndrome (n=55) | Without musculoskeletal syndrome (n=331) | P |
| Demographic data | |||
| Current age, years | 14.59 (12.4-18.1) | 14.78 (11.9-22.5) | 0.399 |
| Gender | |||
| Female | 41 (74) | 90 (27) | <0> |
| Lower socioeconomic class | 25 (45) | 104 (31) | 0.360 |
| Education, in years | 8 (7-12) | 9 (7-12) | 0.111 |
| Physical education at school | 42 (76) | 140 (42) | 0.607 |
Table 3: Sociodemographic data in adolescents with musculoskeletal syndrome versus adolescents without this syndrome.
Results are presented in n (%) and median (minimum–maximum value).
| Variables | With musculoskeletal syndrome (n=55) | Without musculoskeletal syndrome (n=331) | P |
| Computer | |||
| Number of days/uses | 7 (1-7) | 7 (0-7) | 0.718 |
| Use on weekends, hours/day | 1 (0-12) | 2 (0-18) | 0.478 |
| Use on weekdays, hours/day | 3 (0-12) | 3 (0-12) | 0.874 |
| Computer use after 10 pm | 26 (47) | 93 (28) | 0.239 |
| Electronic games | |||
| Use, days | 4 (1-7) | 5 (1-7) | 0.362 |
| Use on weekends, hours/day | 2 (0-18) | 2 (0-16) | 0.374 |
| Use on weekdays, hours/day | 2 (0-16) | 3 (0-16) | 0.257 |
| Use after 10 pm | 18 (32) | 85 (25) | 0.695 |
| Internet | |||
| Use, days | 7 (1-7) | 7(1-7) | 0.213 |
| Use on weekends, hours/day | 8 (0-18) | 5 (0-20) | 0.167 |
| Use on weekdays, hours/day | 10 (0-24) | 5 (0-20) | <0> |
| Use after 10 pm | 45 (81) | 151 (45) | 0.551 |
| Mobile phone | |||
| Use on weekends, hours/day | 8 (10-16) | 8 (0-20) | 0.552 |
| Use on weekdays, hours/day | 10 (0-24) | 9 (0-20) | 0.388 |
| Use after 10 pm | 49 (89) | 157 (47) | 0.460 |
Table 4: Characteristics of usage of computers (desktops, laptops, tablets), electronic games, internet and mobile phones in adolescents with musculoskeletal syndrome versus adolescents without this syndrome.
Results are presented in n (%) and median (variation), h=hours. EG=electronic games
The present study demonstrated that musculoskeletal pain was reported in approximately two-thirds of adolescents from a public school, and musculoskeletal syndromes occurred in one-quarter. Students with musculoskeletal pain were older and reported relevant use of digital media, while adolescents with musculoskeletal syndromes were predominantly female and reported important internet use on weekdays.
Our study identified a high frequency of musculoskeletal pain in students that using digital media. Indeed, a recent systematic review that assessed the prevalence and risk factors for musculoskeletal complaints associated with the use of portable devices, including adolescent population, identified musculoskeletal symptoms from ranging 1.0% to 67.8 %.[12] In another study, Silva et al.[13] studied the prevalence of musculoskeletal pain in adolescents public schools from a northeastern Brazilian state and its association with the use of video games and computers, and identified musculoskeletal pain in 65.1% of adolescents. A similar frequency of musculoskeletal pain (61%) was also observed by Queiroz et al. [8], who evaluated teens from a private school in the city of São Paulo. Another recent systematic review on musculoskeletal complaints related to mobile phone use, including analyses of adolescent population, showed musculoskeletal pain from 8.2% to 89.9% in users of this technology.[14]
In addition, musculoskeletal pain, usually underdiagnosed, is a well-known cause of pain and functional disability, and may interfere with adolescents’ performance and productivity in everyday activities. In fact, pain in the upper limbs, shoulders, and neck has already been associated with lower education levels, absenteeism, and compromised recreational activities. [15,16] In the present study, the most frequent sites of musculoskeletal pain reported by students were back (58%), neck (36%), wrists and hands (36%).
It is important to emphasize that our study evaluated the use of different media devices and that most of the recently published studies on the association of musculoskeletal pain and the use of electronic devices are restricted to the evaluation of smartphones and mobile phones in general.[12,14,17,18] In these studies, the neck region is most commonly reported as the site of pain, with prevalence ranging from 17.3% to 67.8%.[12,14]
Neck pain may be related to anterior posture of the head while using electronic devices. Furthermore, the increase neck flexion angle while using an electronic device seems to be a risk factor for this musculoskeletal pain, and flexing the head frontward to varying degrees dramatically increases weight loads on the cervical spine.[12,17,18] The increased prevalence of back pain in the teens was also evidenced by Bento et al.[19], identifying 46.7% of back pain among adolescents associated with the pattern of electronic devices use, particularly laptops, tablets, and mobile phones.
Different factors, including sociodemographic, behavioral and personal factors such as gender, age, socioeconomic status, physical exercise, type and pattern of electronic device usage, activities performed with such devices, such as texting or internet browsing, and other factors such as posture and ergonomics are considered as associated factors for musculoskeletal pain related to electronic devices.[20-25] We reinforced previous study identified that students with musculoskeletal pain were older and reported relevant use of digital media, particularly in those using computers and mobile phones after 10 pm and among them that used the internet and mobile phones for longer periods, on weekdays and weekends, while adolescents with musculoskeletal syndromes were predominantly female and reported important internet use on weekdays.
This research has methodological strengths. The assessment of self-reporting in the standardized questionnaire was important, and this instrument included photos of different body areas to indicate the location of musculoskeletal pain. The use of a questionnaire with excellent test–retest reliability was also relevant for this, minimizing memory bias. Another strength of the study was a specific physical examination of the musculoskeletal system by the trained researcher, identifying joint hypermobility syndrome (8%), tendonitis (7%), myofascial syndrome (7%), and fibromyalgia (2.8%). In this study, the exclusion of recent causes of musculoskeletal pain — particularly infectious, rheumatological, oncological and traumatic ones — was also relevant, since these conditions can induce recurrent and chronic pain, even in patients with mild changes on physical examination.
However, this study has limitations. Other issues related to musculoskeletal pain and musculoskeletal pain syndromes, such as emotional disturbances, sleep abnormalities, use of heavy school bags (more than 10% of the adolescent’s weight), ergonomic assessment, and other risk behaviors have not been studied. Additionally, self-reporting of electronic device usage is likely to include a moderate amount of time, restricted to the three months prior to the assessment. New and continuous studies are needed to evaluate ergonomics, such as body posture and the configuration of the place of predominant use of multiple electronic devices among this population group.
Acknowledgments: Our gratitude to Ulysses Doria-Filho for the statistical analysis support.
Authorship criteria: All named authors approved the final draft of the manuscript, approved the submission to the Journal, and be willing to take responsibility for it in its entirety.
Authors’ contribution: All the authors contributed substantially to the conception and design of the study and in the analysis and interpretation of data. All authors revised the work critically and approved the final version.
Ethics Committee name and study protocol number: CEP/CONEP number 24661313.9.00000.0065
Funding: This study was supported by grants from Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq 304984/2020-5 to CAS), Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP 2015/03756-4 to CAS) and by Núcleo de Apoio à Pesquisa “Saúde da Criança e do Adolescente” da USP (NAP-CriAd) to CAS.
Financial Disclosure: The authors have no financial arrangements with a company whose product figures prominently in the submitted manuscript or with a company making a competing product.
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Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.
Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.
Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.
Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation. “The peer review process was efficient and constructive, and the editorial office provided excellent communication and support throughout. The journal ensures scientific rigor and high editorial standards, while also offering a smooth and timely publication process. We sincerely appreciate the work of the editorial team in facilitating the dissemination of innovative approaches such as the Bonori Method.” Best regards, Dr. Matteo Bonori.
I recommend without hesitation submitting relevant papers on medical decision making to the International Journal of Clinical Case Reports and Reviews. I am very grateful to the editorial staff. Maria Emerson was a pleasure to communicate with. The time from submission to publication was an extremely short 3 weeks. The editorial staff submitted the paper to three reviewers. Two of the reviewers commented positively on the value of publishing the paper. The editorial staff quickly recognized the third reviewer’s comments as an unjust attempt to reject the paper. I revised the paper as recommended by the first two reviewers.
Dear Maria Emerson, Editorial Coordinator, Journal of Clinical Research and Reports. Thank you for publishing our case report: "Clinical Case of Effective Fetal Stem Cells Treatment in a Patient with Autism Spectrum Disorder" within the "Journal of Clinical Research and Reports" being submitted by the team of EmCell doctors from Kyiv, Ukraine. We much appreciate a professional and transparent peer-review process from Auctores. All research Doctors are so grateful to your Editorial Office and Auctores Publishing support! I amiably wish our article publication maintained a top quality of your International Scientific Journal. My best wishes for a prosperity of the Journal of Clinical Research and Reports. Hope our scientific relationship and cooperation will remain long lasting. Thank you very much indeed. Kind regards, Dr. Andriy Sinelnyk Cell Therapy Center EmCell
