Evidence map›Paper›PMID 26014807›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2016

The effect of decompressive surgery on lumbar paraspinal and biceps brachii muscle function and movement perception in lumbar spinal stenosis: a 2-year follow-up.

Tommi Kääriäinen, Simo Taimela, Timo Aalto, Heikki Kröger, Arto Herno, Veli Turunen, Sakari Savolainen, Markku Kankaanpää, Olavi Airaksinen, Ville Leinonen

Abstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in 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. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Preoperative multifidus activation during movement and low back pain worsening after lumbar spinal stenosis surgery: a prospective observational study.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
    Article
  3. Review
  4. Article
  5. Does pre-operative magnetic resonance imaging of the lumbar multifidus muscle predict clinical outcomes following lumbar spinal decompression for symptomatic 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 · 2017
    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

10 authors at 2 institutions in 1 country.

Tommi KääriäinenDepartment of Orthopaedics, Traumatology and Handsurgery, Kuopio University Hospital, PL 100, 70029, Kuopio, Finland. tommi.kaariainen@kuh.fi.
Simo TaimelaEvalua International, Helsinki, Finland.
Timo AaltoLääkärikeskus Ikioma, Medical Center Ikioma, St Michel, Finland.
Heikki KrögerDepartment of Orthopaedics, Traumatology and Handsurgery, Kuopio University Hospital, PL 100, 70029, Kuopio, Finland.
Arto HernoDepartment of Physical and Rehabilitation Medicine, Kuopio University Hospital, Kuopio, Finland.
Veli TurunenDepartment of Orthopaedics, Traumatology and Handsurgery, Kuopio University Hospital, PL 100, 70029, Kuopio, Finland.
Sakari SavolainenDepartment of Neurosurgery, Kuopio University Hospital, Kuopio, Finland.
Markku KankaanpääDepartment of Physical and Rehabilitation Medicine, Tampere University Hospital, Tampere, Finland.
Olavi AiraksinenDepartment of Physical and Rehabilitation Medicine, Kuopio University Hospital, Kuopio, Finland.
Ville LeinonenDepartment of Neurosurgery, Kuopio University Hospital, Kuopio, Finland.
Kuopio University Hospital · FITampere University · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChronic low back pain and lumbar spinal stenosis (LSS) seem to deteriorate lumbar muscle function and proprioception but the effect of surgery on them remains unclear. This study evaluates the effect of decompressive surgery on lumbar movement perception and paraspinal and biceps brachii (BB) muscle responses during sudden upper limb loading in LSS.

methodsLow back and radicular pain intensity (VAS) and Oswestry Disability Index (ODI) were measured together with lumbar proprioception and paraspinal and BB muscle responses prior to and 3 and 24 months after surgery in 30 LSS patients. Lumbar proprioception was assessed by a previously validated motorized trunk rotation unit and muscle responses for sudden upper limb loading by surface EMG.

resultsLumbar perception threshold improved after surgery during 3-month follow-up (from 4.6° to 3.1°, P = 0.015) but tend to deteriorate again during 24 months (4.0°, P = 0.227). Preparatory paraspinal and BB muscle responses prior to sudden load as well as paraspinal muscle activation latencies after the load remained unchanged.

conclusionImpaired lumbar proprioception seems to improve shortly after decompressive surgery but tends to deteriorate again with longer follow-up despite the sustaining favorable clinical outcome. The surgery did not affect either the feed-forward or the feed-back muscle function, which indicates that the abnormal muscle activity in LSS is at least partly irreversible.

Indexed as

AdultDecompression, SurgicalElectromyographyFemaleFollow-Up StudiesHumansLow Back PainLumbar VertebraeLumbosacral RegionMaleMiddle AgedMotion PerceptionMuscle, SkeletalPain MeasurementParaspinal MusclesProprioceptionDecompressive surgeryFeed-forward controlLumbar proprioceptionLumbar spinal stenosisParaspinal reflexes

Identifiers

PMID26014807
OpenAlexW352584757

What OpenQuestion holds

Textmetadata
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.