Evidence map›Paper›PMID 23813584›Full record

Trial reportMuscle & nerve2013

Symmetry of paraspinal muscle denervation in clinical lumbar spinal stenosis: support for a hypothesis of posterior primary ramus stretching?

Andrew J Haig, Zachary London, Danielle E Sandella

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Muscle & nerve, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.8field-weighted citation impact, top 26% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Role of paraspinal mapping before transforaminal epidural injections for lumbar radiculopathy.Turkish journal of physical medicine and rehabilitation · 2021
    Article
  5. Observational
  6. Role of muscle damage on loading at the level adjacent to a lumbar spine fusion: a biomechanical analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2016
    Article
  7. Article
  8. Article
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

3 authors at 1 institution in 1 country.

Andrew J HaigDepartment of Physical Medicine and Rehabilitation, University of Michigan, 325 East Eisenhower, Ann Arbor, Michigan 48108, USA. andyhaig@umich.edu
Zachary London
Danielle E Sandella
University of Michigan–Ann Arbor · US

Funding

PARASPINAL MUSCLE DENERVATION AND SYMPTOMS IN LUMBAR SSR01NS041855 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HAIG, ANDREW J · 2001 to 2005
$1.1M
Paraspinal Denervation in Low Back PainR01HD059259 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HAIG, ANDREW J · 2008 to 2010
$921k
NICHD NIH HHS R01 HD059259NICHD NIH HHS R01HD059259NINDS NIH HHS R01 NS041855
6 · The paper itself

Abstract

introductionDenervation of the paraspinal muscles in spinal disorders is frequently attributed to radiculopathy. Therefore, patients with lumbar spinal stenosis causing asymmetrical symptoms should have asymmetrical paraspinal denervation.

methodsSeventy-three patients with clinical lumbar spinal stenosis, aged 55-85 years, completed a pain drawing and underwent masked electrodiagnostic testing, including bilateral paraspinal mapping and testing of 6 muscles on the most symptomatic (or randomly chosen) limb.

resultsWith the exception of 10 subjects with unilateral thigh pain (P = 0.043), there was no relationship between side of pain and paraspinal mapping score for any subgroups (symmetrical pain, pain into 1 calf only). Among those with positive limb EMG (tested on 1 side), no relationship between side of pain and paraspinal EMG score was found.

conclusionEvidence suggests that paraspinal denervation in spinal stenosis may not be due to radiculopathy, but rather due to stretch or damage to the posterior primary ramus.

Indexed as

Muscle DenervationAgedAged, 80 and overElectromyographyHumansLumbar VertebraeMiddle AgedMuscle, SkeletalPainSpinal NervesSpinal Stenosisback painelectrodiagnosismultifidusparaspinal mappingsegmental instabilityspinal stenosis

Identifiers

PMID23813584
PMCPMC4147036
OpenAlexW1928563671

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.