Evidence map›Paper›PMID 28490899›Full record

ArticleJournal of pain research2017

The influence of clinical equipoise and patient preferences on outcomes of conservative manual interventions for spinal pain: an experimental study.

Mark D Bishop, Joel E Bialosky, Charles W Penza, Jason M Beneciuk, Meryl J Alappattu

Open access · goldAbstract read
In one paragraph

Article in Journal of pain research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.9field-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.

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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Treatment preference changes after exposure to treatment in adults with chronic low back pain.PM & R : the journal of injury, function, and rehabilitation · 2023
    Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Comparison of Intervention Programs to Improve Trunk Stability for Active Females.International journal of sports physical therapy · 2023
    Article
  10. Article
  11. Lack of evidence for stating 'spinal source' of pain in EXPOSS study.The Journal of manual & manipulative therapy · 2020
    Article
  12. Five good reasons to be disappointed with randomized trials.The Journal of manual & manipulative therapy · 2019
    Article
  13. Article
  14. 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

5 authors at 2 institutions in 1 country.

Mark D BishopDepartment of Physical Therapy, University of Florida.
Joel E BialoskyDepartment of Physical Therapy, University of Florida.
Charles W PenzaDepartment of Physical Therapy, University of Florida.
Jason M BeneciukDepartment of Physical Therapy, University of Florida.
Meryl J AlappattuDepartment of Physical Therapy, University of Florida.
University of Florida · USCenters for Behavioral Health · US

Funding

Rehabilitation Research Career Development ProgramK12HD055929 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BROWN, DAVID A · 2007 to 2021
$11.7M
Central Mechanisms of Body Based Intervention for Musculoskeletal Low Back PainR01AT006334 · NCCIH · UNIVERSITY OF FLORIDA · PI BISHOP, MARK D. · 2011 to 2015
$1.6M
NCCIH NIH HHS R01 AT006334NICHD NIH HHS K12 HD055929
6 · The paper itself

Abstract

backgroundExpected pain relief from treatment is associated with positive clinical outcomes in patients with musculoskeletal pain. Less studied is the influence on outcomes related to the preference of patients and providers for a specific treatment.

objectivesWe sought to determine how provider and patient preferences for a manual therapy intervention influenced outcomes in individuals with acutely induced low back pain (LBP). PARTICIPANTS AND

methodsPain-free participants were randomly assigned to one of two manual therapies (joint biased [JB] or constant touch [CT]) 48 hours after completing an exercise protocol to induce LBP. Expectations for pain relief and preferences for treatment were collected at baseline, prior to randomization. Pain relief was assessed using a 100 mm visual analog scale. All study procedures were conducted in a private testing laboratory at the University of Florida campus.

resultsSixty participants were included in this study. After controlling for preintervention pain intensity, the multivariate model included only preintervention pain (

conclusionOur primary findings were that participant and provider preferences for treatment positively influence pain outcomes in individuals with acutely induced LBP, and joint-biased interventions resulted in a greater chance of meeting participants' expected outcomes. This is contrary to our hypothesis that the interaction of receiving an intervention for which a participant had a preference would result in the best outcome.

Indexed as

acute painequipoiseexpectationsmanual therapy

Identifiers

PMID28490899
PMCPMC5414630
OpenAlexW2610040440

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.