Evidence map›Paper›PMID 26440577›Full record

ArticleInternational orthopaedics2015

Characteristics and exacerbating factors of chronic low back pain in Parkinson's disease.

Kei Watanabe, Toru Hirano, Keiichi Katsumi, Masayuki Ohashi, Atsushi Ishikawa, Ryoko Koike, Naoto Endo, Masatoyo Nishizawa, Takayoshi Shimohata

Abstract read
PubMed Publisher
In one paragraph

Article in International orthopaedics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 22% 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, 19 citations in OpenAlex.

  1. Article
  2. Musculoskeletal pain in Parkinson's disease: a narrative review.Neurodegenerative disease management · 2021
    Review
  3. Article
  4. Article
  5. The prevalence of chronic low back pain and lumbar deformities in patients with Parkinson's disease: implications on spinal surgery.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 · 2018
    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

9 authors at 3 institutions in 1 country.

Kei WatanabeDepartment of Orthopedic Surgery, Niigata University Medical and Dental General Hospital, 1-757 Asahimachi Dori, Chuo-ku, Niigata City, Niigata, 951-8510, Japan. Keiwatanabe_39jp@live.jp.
Toru HiranoDepartment of Orthopedic Surgery, Niigata University Medical and Dental General Hospital, 1-757 Asahimachi Dori, Chuo-ku, Niigata City, Niigata, 951-8510, Japan.
Keiichi KatsumiDepartment of Orthopedic Surgery, Niigata University Medical and Dental General Hospital, 1-757 Asahimachi Dori, Chuo-ku, Niigata City, Niigata, 951-8510, Japan.
Masayuki OhashiDepartment of Orthopedic Surgery, Niigata University Medical and Dental General Hospital, 1-757 Asahimachi Dori, Chuo-ku, Niigata City, Niigata, 951-8510, Japan.
Atsushi IshikawaDepartment of Neurology, Brain Disease Center Agano Hospital, Agano City, Niigata, Japan.
Ryoko KoikeDepartment of Neurology, Nishi-Niigata Chuo National Hospital, Niigata City, Niigata, Japan.
Naoto EndoDepartment of Orthopedic Surgery, Niigata University Medical and Dental General Hospital, 1-757 Asahimachi Dori, Chuo-ku, Niigata City, Niigata, 951-8510, Japan.
Masatoyo NishizawaDepartment of Neurology, Brain Research Institute, Niigata University, Niigata City, Niigata, Japan.
Takayoshi ShimohataDepartment of Neurology, Brain Research Institute, Niigata University, Niigata City, Niigata, Japan.
Niigata University Medical and Dental Hospital · JPNiigata University · JPNishi Niigata Chuo National Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to determine the exacerbating factors of chronic low back pain (LBP) and strategic points against LBP in patients with Parkinson's disease (PD).

methodsForty-four consecutive PD patients complaining of LBP were included. Clinical characteristics of PD and LBP, spinal musculoskeletal condition, and clinical health status were evaluated.

resultsPatient age at PD and LBP onset was contiguous, and LBP time period was mainly described as constant or upon waking up. Exacerbating factors of LBP included modified Hoehn and Yahr stage and motor complications of PD, such as the wearing-off phenomenon and dyskinesia. Bone quality demonstrated osteopenia due to elevated bone resorption, with vitamins K and D insufficiencies. Spinal alignment demonstrated an increased sagittal vertical axis (120.2 ± 65.4 mm) with decreased lumbar lordosis (-24.0 ± 20.6°) and lumbar range of motion (28.7 ± 10.2°), which were significantly related to severity of LBP and quality of life assessments.

conclusionsThis study demonstrated that exacerbating factors of LBP include stage of motor function, motor complications of PD and stooped posture with decreased lumbar lordosis and range of lumbar movement. Therefore, control of PD, including motor complications, active treatment for osteoporosis and therapeutic exercise, are important for treating chronic LBP in patients with PD.

Indexed as

AgedAged, 80 and overFemaleHumansLow Back PainLumbosacral RegionMaleMiddle AgedParkinson DiseaseProspective StudiesQuality of LifeRange of Motion, ArticularRisk FactorsExacerbation factorsLow back painParkinson’s diseaseQuality of lifeSpinal alignment

Identifiers

PMID26440577
OpenAlexW1861844559

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Registered trials

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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.