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Biological age & clocks
Research brief

Unified Musculoskeletal Indices Tested in a 16-Week Phytotherapy Trial

In a 16-week randomized trial of 180 adults with chronic musculoskeletal disorders, a standardized oral and topical multi-target phytotherapeutic intervention improved all reported outcomes versus standard management, including model-derived musculoskeletal biological age. [1]

Automatic summary · not editorially reviewed

The key findings

  1. The authors developed the UMDI and UMAI as multidomain quantitative tools to assess musculoskeletal dysfunction and estimate model-derived musculoskeletal biological age. [1]

  2. In a 16-week randomized trial, 180 adults with chronic musculoskeletal disorders received either a standardized oral and topical multi-target phytotherapeutic intervention or standard management. [1]

  3. Model-derived musculoskeletal biological age fell from 68.55 to 64.10 years, reducing the biological age acceleration gap by 67.9%. [1]

The source at a glance

Study type / format
16-week randomized controlled trial (abstract)
Population / context
180 adults with chronic musculoskeletal disorders
Summary based on
Study abstract
Publication status
Preprint · peer-review status not confirmed
Original publication
August 11, 2026

New indices for chronic musculoskeletal disorders

The authors developed the Unified Musculoskeletal Dysfunction Index (UMDI) and the Unified Musculoskeletal Aging Index (UMAI) as multidomain quantitative tools. UMDI assesses musculoskeletal dysfunction; UMAI estimates model-derived musculoskeletal biological age. Physical domains (symptom and functional disability, gait, structural asymmetry, mobility restriction, anthropometric risk) and biological domains (inflammation, muscle–cartilage degeneration, bone turnover, cardiometabolic status, neurovascular function) were combined into two composite indices, CMDI and CBMI, and weighted into the UMDI.

Supporting source [1]

Phytotherapy versus standard management over 16 weeks

In this 16-week randomized controlled trial, 180 adults with chronic musculoskeletal disorders were randomized 1:1 to a standardized oral and topical multi-target phytotherapeutic intervention or to standard management. The primary outcome was change in UMDI. Compared with standard management, the intervention significantly improved all primary and secondary outcomes, except suprapatellar, infrapatellar and thigh girth measurements, which did not differ significantly between groups. CMDI and CBMI effect sizes were 0.73 and 0.92.

Supporting source [1]

Index and biological-age changes in the trial

UMDI decreased from 2.64 to 0.846, UMAI from 0.264 to 0.0846, and model-derived musculoskeletal biological age from 68.55 to 64.10 years, reducing the biological age acceleration gap by 67.9%. The authors conclude that the UMDI and UMAI provide integrated quantitative measures of treatment response and estimated musculoskeletal biological age. These are model-derived estimates from a single 16-week trial; the abstract does not report longer-term outcomes or independent validation of the indices.

Supporting source [1]

How to interpret this

Abstract only; the full text was not reviewed. Results come from a single 16-week trial, and the biological age is model-derived rather than a directly measured quantity. Longer-term outcomes and independent validation of the indices are not reported in the abstract.

Based on the study abstract; the full paper, tables and supplementary data were not reviewed.

Source & supporting passages

Read the quoted passagesIn the language of the original source
  1. Finding 1 ↑

    multidomain quantitative tools to assess musculoskeletal dysfunction
  2. Finding 2 ↑

    180 adults with chronic MSDs were randomized
  3. Finding 3 ↑

    reducing the biological age acceleration gap by

AI-assisted summary with linked source passages. No independent editorial or clinical review.

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