“…Incorporating a longitudinal study design could also provide valuable insights into the long-term efficacy and sustainability of treatment gains, addressing whether improvements obtained through the modified protocol are maintained over time compared to the standard treatment. Finally, patient-reported outcomes, such as pain levels, functional status, and quality of life, alongside clinical measurements, would offer a holistic view of the treatment impact, ensuring that the rehabilitative strategies align with patient-centric goals and lead to meaningful improvements in their daily lives [ [29] , [30] , [31] , [32] , [33] ].…”