Evidence map›Paper›PMID 25963754›Full record

ArticleExperimental brain research2015

Central sensitization and changes in conditioned pain modulation in people with chronic nonspecific low back pain: a case-control study.

Juliana Barbosa Corrêa, Leonardo Oliveira Pena Costa, Naiane Teixeira Bastos de Oliveira, Kathleen A Sluka, Richard Eloin Liebano

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Experimental brain research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03644810 (The Efficiency of Conditioned Pain Modulation is Associated With Levels of Pain Catastrophizing in Patients With Chronic Low Back Pain), which is not on this map. Cited by 62 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 3 pooled it
11.5field-weighted citation impact, top 1% 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.

NCT03644810 nacompletednot on this mapstarted 2017, after this paper: background citation

The Efficiency of Conditioned Pain Modulation is Associated With Levels of Pain Catastrophizing in Patients With Chronic Low Back Pain

TypeinterventionalSponsorAalborg UniversityRan2017 to 2018Enrolled44ConditionsCatastrophizing Pain, Pain, Somatic, Chronic Low Back PainArmsPPT measurement, Pain catastrophizing scale, Cold Pressor Test
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 3 syntheses or guidelines pooled it, 174 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Placebo effects in low back pain: A systematic review and meta-analysis of the literature.European journal of pain (London, England) · 2021 · on this map
    Pooled it
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  10. MRI-defined lumbar fasciitis is associated with inferior subjective outcomes after endoscopic decompression for lumbar spinal stenosis.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 · 2026
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  17. Sex-based differences in biomechanical function for chronic low back pain and how it relates to pain experience.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 · 2025
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2 more citing papers are in PubMed but not listed here.

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

5 authors at 3 institutions in 3 countries.

Juliana Barbosa CorrêaMaster's and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, Rua Cesário Galeno 448, Tatuapé, São Paulo, CEP 03071-000, Brazil.
Leonardo Oliveira Pena Costa
Naiane Teixeira Bastos de Oliveira
Kathleen A Sluka
Richard Eloin Liebano
Universidade Cidade de São Paulo · BRThe George Institute for Global Health · AUUniversity of Iowa · US

Funding

Fibromyalgia Activity Study with TENS "FAST"UM1AR063381 · NIAMS · UNIVERSITY OF IOWA · PI CROFFORD, LESLIE J, SLUKA, KATHLEEN A · 2013 to 2017
$3.4M
Central Mechanisms involved in the interactions between muscle pain and exerciseR01AR061371 · NIAMS · UNIVERSITY OF IOWA · PI SLUKA, KATHLEEN A · 2012 to 2016
$2.3M
Central contributions to pathobiology of fibromyalgiaR01AR052316 · NIAMS · UNIVERSITY OF IOWA · PI SLUKA, KATHLEEN A · 2005 to 2009
$1.5M
NIAMS NIH HHS R01 AR052316NIAMS NIH HHS R01 AR061371NIAMS NIH HHS UM1 AR063381
6 · The paper itself

Abstract

Quantitative sensory testing is widely used in human research to investigate the state of the peripheral and central nervous system contributions in pain processing. It is a valuable tool to help identify central sensitization and may be important in the treatment of low back pain. The aim of this study was to evaluate changes in local and segmental hypersensitivity and endogenous pain inhibition in people with chronic nonspecific low back pain. Thirty patients with chronic low back pain and thirty healthy subjects were studied. Pressure pain thresholds (PPTs) were measured from the lumbar region and over the tibialis anterior muscle (TA). A cold pressor test was used to assess the activation of conditioned pain modulation (CPM), and PPTs in the lumbar region were recorded 30 s after immersion of participant's foot in a bucket with cold water. People with chronic low back pain have significantly lower PPT than controls at both the lumbar region [89.5 kPa (mean difference) 95 % CI 40.9-131.1 kPa] and TA [59.45 kPa (mean difference) 95 % CI 13.49-105.42 kPa]. During CPM, people with chronic low back pain have significantly lower PPT than controls in lumbar region [118.6 kPa (mean difference) 95 % CI 77.9-159.2 kPa]. Women had significantly lower PPTs than men in both lumbar region [101.7 kPa (mean difference) 95 % CI 37.9-165.7 kPa] and over the TA [189.7 kPa (mean difference) 95 % CI 14.2-145.2 kPa]. There was no significant difference in PPTs in men between healthy controls and those with low back pain, suggesting the significant differences are mediated primarily by difference between women.

Indexed as

AdultCase-Control StudiesCentral Nervous System SensitizationChronic PainFemaleHumansHyperalgesiaLow Back PainMaleMiddle AgedPain PerceptionPain ThresholdSex Factors

Identifiers

PMID25963754
PMCPMC4679196
OpenAlexW846115215

What OpenQuestion holds

Textmetadata
LicenceTDM
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.