Evidence map›Paper›PMID 23031570›Full record

Trial reportBMC musculoskeletal disorders2012

The effect of continuous ultrasound on chronic non-specific low back pain: a single blind placebo-controlled randomized trial.

Safoora Ebadi, Noureddin Nakhostin Ansari, Soofia Naghdi, Shohre Jalaei, Mirmostafa Sadat, Hosein Bagheri, Maurits W Vantulder, Nicholas Henschke, Ehsan Fallah

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03329482 (Effect of Pulse Ultrasound and Kneading Massage Using Lofnac -Gel in the Management of NSCLBP), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03329482 nacompletednot on this mapstarted 2016, after this paper: background citation

Effect of Pulse Ultrasound and Kneading Massage Using Lofnac -Gel in the Management of NSCLBP

TypeinterventionalSponsorObafemi Awolowo UniversityRan2016 to 2017Enrolled50ConditionsNon Specific Low Back PainArmsPULSE ULTRASOUND, KNEADING MASSAGE
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. Therapeutic ultrasound for chronic low back pain.The Cochrane database of systematic reviews · 2020
    Pooled it
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  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
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  14. Review
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  16. Review
  17. Effects of High - Intensity Laser in Treatment of Patients with Chronic Low Back Pain.Open access Macedonian journal of medical sciences · 2019
    Article
  18. Article
  19. Therapeutic efficacy of Lofnac Gel via phonophoresis in the management of chronic nonspecific low back pain: A randomised controlled trial.Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao · 2015
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 4 countries.

Safoora EbadiDepartment of physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Shahnazari St, Tehran, Iran. s_ebadi@razi.tums.ac.ir
Noureddin Nakhostin Ansari
Soofia Naghdi
Shohre Jalaei
Mirmostafa Sadat
Hosein Bagheri
Maurits W Vantulder
Nicholas Henschke
Ehsan Fallah
Tehran University of Medical Sciences · IREmam Reza Hospital · IRGeorge Institute for Global Health · GBSina Hospital · IRVrije Universiteit Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-specific chronic low back pain (NSCLBP) is one of the most common musculoskeletal disorders around the world including Iran. One of the most widely used modalities in the field of physiotherapy is therapeutic ultrasound (US). Despite its common use, there is still inconclusive evidence to support its effectiveness in patients with NSCLBP. The objective of this study was to evaluate the effect of continuous US compared with placebo US additional to exercise therapy for patients with NSCLBP.

methodsIn this single blind placebo controlled study, 50 patients with NSCLBP were randomized into two treatment groups: 1) continuous US (1 MHz &1.5 W/cm2) plus exercise 2) placebo US plus exercise. Patients received treatments for 4 weeks, 10 treatment sessions, 3 times per week, every other day. Treatment effects were assessed in terms of primary outcome measures: 1) functional disability, measured by Functional Rating Index, and 2) global pain, measured by a visual analog scale. Secondary outcome measures were lumbar flexion and extension range of motion (ROM), endurance time and rate of decline in median frequency of electromyography spectrum during a Biering Sorensen test. All outcome variables were measured before, after treatment, and after one-month follow-up. An intention to treat analysis was performed. Main effects of Time and Group as well as their interaction effect on outcome measures were investigated using repeated measure ANOVA.

resultsAnalysis showed that both groups had improved regarding function (FRI) and global pain (VAS) (P < .001). Lumbar ROM as well as holding time during the Sorensen test and median frequency slope of all measured paravertebral muscles did not change significantly in either group (P > .05). Improvement in function and lumbar ROM as well as endurance time were significantly greater in the group receiving continuous US (P < .05).

conclusionsThe study showed that adding continuous US to a semi supervised exercise program significantly improved function, lumbar ROM and endurance time. Further studies including a third group of only exercise and no US can establish the possible effects of placebo US.

trial registrationNTR2251.

Indexed as

Ultrasonic TherapyAdultAnalysis of VarianceBiomechanical PhenomenaChronic PainCombined Modality TherapyDisability EvaluationElectromyographyExercise TherapyFemaleHumansIranLow Back PainLumbar VertebraeMaleMiddle Aged

Identifiers

PMID23031570
PMCPMC3537701
OpenAlexW1981687943

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.