★ 2026 — New Full Framework ● In Preparation Systematic Review Methodology Target: Sports Medicine Journal
BOST

Biomechanical Outcomes Systematic Tool

A standardised reporting and evidence-synthesis methodology for musculoskeletal biomechanics intervention research.

MMSx BOST — Biomechanical Outcomes Systematic Tool

MMSx BOST is a dual-function framework: a standardised reporting and evidence-synthesis methodology for musculoskeletal biomechanics intervention research, and the protocol for an associated systematic review and meta-analysis currently in preparation.

The reporting schema standardises outcome measurement across MMSx-affiliated research sites — analogous to CONSORT for randomised trials — to support reproducible, comparable reporting of biomechanics interventions. The accompanying systematic review follows a pre-specified protocol; pooled findings will be reported only on completion and peer review.

Status & scope: MMSx BOST is at the methodology and protocol stage. The associated systematic review is in preparation and has not yet been completed or peer-reviewed. No effect estimates, pooled risk ratios, or certainty ratings are claimed ahead of publication. This page will be updated as the review reaches completion.

Five Components of the BOST Method

01
Systematic Evidence Synthesis
A pre-specified protocol for identifying, screening, and synthesising eligible musculoskeletal biomechanics intervention studies under transparent inclusion criteria.
02
Dose-Response Meta-Regression
A planned analytical approach for examining how intervention parameters relate to outcomes across studies, conducted only once data extraction is complete.
03
Biomechanical Moderator Analysis
Pre-specified moderator categories (e.g. loading mode, range of motion, adherence) to be examined as potential sources of heterogeneity.
04
Standardised MSK Reporting Schema
A reporting template for musculoskeletal biomechanics intervention studies — analogous to CONSORT — ensuring reproducible, comparable outcome measurement across MMSx-affiliated sites.
05
GRADE Evidence Certainty Rating
Use of the GRADE approach to rate the certainty of any synthesised evidence — applied transparently and reported only with the completed review.
Reporting Standards Adopted

The BOST protocol is designed to align with established systematic-review and reporting conventions, so that its methods and any future findings are transparent and independently checkable.

PRISMA-aligned reporting Pre-specified protocol GRADE certainty rating Open-access archiving (Zenodo / OSF)

How BOST Connects to the MMSx Framework Set

BOST is the evidence-synthesis and reporting layer of the MMSx ecosystem. Where BPIT assesses movement, MMSx BALAM grades alignment on a continuous spectrum, and the M.O.V.E. Protocol structures intervention, BOST provides the standardised methodology for measuring and reporting outcomes across those frameworks in a comparable way.

In particular, BOST's reporting schema is intended to capture the graded outputs of MMSx BALAM — its Grade I (optimal load distribution) through Grade V (clinically significant compensatory loading) classification — so that alignment-related outcomes can be reported consistently across studies and sites.

Linked Framework — MMSx BALAM

A spectral classification system for biomechanical alignment across static and dynamic states, grading load distribution from Grade I (optimal) to Grade V (pathomechanical). BALAM integrates directly with BPIT assessment output and feeds standardised alignment outcomes into the BOST reporting schema.

Developer & Registration

Developer
Dr. Neeraj Mehta, PhD
MMSx Authority Institute
Protocol ID
MMSx-BOST-2026
Status
Protocol in preparation
Target Journal
Sports Medicine / BJSM

Collaborate on MMSx BOST

MMSx Authority welcomes qualified systematic-review methodologists and sports-medicine researchers interested in contributing to or co-authoring the MMSx BOST review in preparation. Engagement is voluntary, non-commercial, and contribution-based.