Evidence map›Paper›PMID 25452017›Full record

Trial reportThe spine journal : official journal of the North American Spine Society2015

Effects of low back pain stabilization or movement system impairment treatments on voluntary postural adjustments: a randomized controlled trial.

Karen V Lomond, Jesse V Jacobs, Juvena R Hitt, Michael J DeSarno, Janice Y Bunn, Sharon M Henry

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The spine journal : official journal of the North American Spine Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01362049 (Mechanisms of Specific Trunk Exercises in Low Back Pain), which is not on this map. Cited by 17 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 5 pooled it
2.0field-weighted citation impact, top 15% 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.

NCT01362049 nacompletednot on this map

Mechanisms of Specific Trunk Exercises in Low Back Pain

TypeinterventionalSponsorUniversity of VermontRan2010 to 2013Enrolled102ConditionsLow Back PainArmsPhysical Therapy rehabilitation: Stabilization exercises., Physical Therapy rehabilitation. Movement System Impairment (MSI) classification based exercise
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 5 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Exercise therapy for chronic low back pain.The Cochrane database of systematic reviews · 2021
    Pooled it
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  4. Motor control exercise for acute non-specific low back pain.The Cochrane database of systematic reviews · 2016
    Pooled it
  5. Motor control exercise for chronic non-specific low-back pain.The Cochrane database of systematic reviews · 2016
    Pooled it
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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

6 authors at 3 institutions in 1 country.

Karen V LomondDivision of Health and Exercise Sciences, School of Health Sciences, 1179 Health Professions Building, Central Michigan University, Mount Pleasant, MI 48859, USA. Electronic address: lomon2k@cmich.edu.
Jesse V JacobsDepartment of Rehabilitation and Movement Science, College of Nursing and Health Science, 106 Carrigan Drive, University of Vermont, Burlington, VT 05405-0068, USA.
Juvena R HittDepartment of Rehabilitation and Movement Science, College of Nursing and Health Science, 106 Carrigan Drive, University of Vermont, Burlington, VT 05405-0068, USA.
Michael J DeSarnoDepartment of Medical Biostatistics, 16 Colchester Ave, University of Vermont, Burlington, VT 05405-0068, USA.
Janice Y BunnDepartment of Medical Biostatistics, 16 Colchester Ave, University of Vermont, Burlington, VT 05405-0068, USA.
Sharon M HenryDepartment of Rehabilitation and Movement Science, College of Nursing and Health Science, 106 Carrigan Drive, University of Vermont, Burlington, VT 05405-0068, USA.
University of Vermont · USUniversity of Vermont Medical Center · USCentral Michigan University · US

Funding

Mechanisms of specific trunk Exercises in low back painR01HD040909 · NICHD · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI HENRY, SHARON M · 2003 to 2010
$3.1M
NICHD NIH HHS 2R01HD040909NICHD NIH HHS R01 HD040909
6 · The paper itself

Abstract

backgroundPeople with low back pain (LBP) exhibit impaired anticipatory postural adjustments (APAs).

objectiveTo evaluate whether current motor retraining treatments address LBP-associated changes in movement coordination during tasks that do and do not require APAs.

designProspectively registered randomized controlled trial with a blinded assessor.

settingOutcome evaluations occurred in a university laboratory; treatments were carried out in outpatient physical therapy clinics. PATIENTS: Fifteen subjects without LBP and 33 subjects with chronic, recurrent, and nonspecific LBP.

interventionTwelve subjects with LBP received stabilization treatment, 21 received movement system impairment-based treatment, for more than 6 weekly 1-hour sessions plus home exercises. MEASUREMENTS: Pre- and post-treatment, surface electromyography (EMG) was recorded bilaterally from trunk and leg muscles during unsupported and supported leg-lifting tasks, which did and did not require an APA, respectively. Vertical reaction forces under the contralateral leg were recorded to characterize the APA. Oswestry disability scores and numeric pain ratings were also recorded.

resultsPersons with LBP demonstrated an impaired APA compared with persons without LBP, characterized by increased premovement contralateral force application and increased postmovement trunk EMG amplitude, regardless of the task. After treatments, both groups similarly improved in disability and function; however, APA characteristics did not change (ie, force application or EMG amplitude) in either task. LIMITATIONS: Treating clinicians were not blinded to treatment allocation, only short-term outcomes were assessed, and main effects of treatment do not rule out nonspecific effects of time or repeated exposure.

conclusionsMovement impairments in persons with LBP are not limited to tasks requiring an APA. Stabilization and movement system impairment-based treatments for LBP do not ameliorate and may exacerbate APA impairments (ie, excessive force application and increased post-movement trunk muscle activation).

Indexed as

PostureAdultExercise TherapyFemaleHumansLow Back PainMaleMiddle AgedMovementAberrant movement patternsAnticipatory postural adjustment (APA)Force application.Low back pain (LBP)Movement systems impairment (MSI) approachStabilization approach

Identifiers

PMID25452017
PMCPMC4375040
OpenAlexW2089682907

What OpenQuestion holds

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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.