Evidence map›Paper›PMID 29230905›Full record

ReviewNeuromodulation : journal of the International Neuromodulation Society2018

Muscle Control and Non-specific Chronic Low Back Pain.

Marc Russo, Kristiaan Deckers, Sam Eldabe, Kyle Kiesel, Chris Gilligan, John Vieceli, Peter Crosby

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Neuromodulation : journal of the International Neuromodulation Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 94 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT05915715 nacompletednot on this mapstarted 2023, after this paper: background citation

Comparative Effects of McGill Stabilization Exercises and Proprioceptive Neuromuscular Facilitation Technique on Pain, Range of Motion and Functional Disability in Chronic Non-specific Low Back Pain

TypeinterventionalSponsorRiphah International UniversityRan2023 to 2023Enrolled36ConditionsChronic Non-specific Low Back PainArmsMcGill stabilization exercise, Proprioceptive neuromuscular facilitation technique
NCT06461494 nacompletednot on this mapstarted 2024, after this paper: background citation

Comparative Effect of Egoscue Versus Pilates Exercises on Pain, Range of Motion, Flexibility and Muscles Endurance in Patients With Mechanical Low Back Pain

TypeinterventionalSponsorRiphah International UniversityRan2024 to 2024Enrolled34ConditionsLow Back PainArmsbaseline treatment
3 · Its place in the literature

Who cites it

94 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Ultrasound Imaging as a Visual Biofeedback Tool in Rehabilitation: An Updated Systematic Review.International journal of environmental research and public health · 2021
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  11. Ultrasound estimated connective tissue proportion is lower after 6 months of restorative neurostimulation therapy: an exploratory analysis.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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  14. Spinal mobility and paraspinal muscle degeneration: a cross-sectional analysis from the Berlin Back 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
  15. Restorative neurostimulation of the lumbar multifidus muscles improves mobility, strength, pain and disability in patients with mechanical chronic low back pain.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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34 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

7 authors.

Marc RussoHunter Pain Clinic, Broadmeadow, NSW, Australia.
Kristiaan DeckersGZA Hospitals, Wilrijk, Belgium.
Sam EldabeThe James Cook University Hospital, Middlesbrough, UK.
Kyle KieselUniversity of Evansville, Evansville, IN, USA.
Chris GilliganBrigham and Women's Hospital, Boston, MA, USA.
John VieceliPhysioscope Pain Medicine of SA, South Australia, Australia.
Peter CrosbyMainstay Medical International plc, Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesChronic low back pain (CLBP) is the most prevalent of the painful musculoskeletal conditions. CLBP is a heterogeneous condition with many causes and diagnoses, but there are few established therapies with strong evidence of effectiveness (or cost effectiveness). CLBP for which it is not possible to identify any specific cause is often referred to as non-specific chronic LBP (NSCLBP). One type of NSCLBP is continuing and recurrent primarily nociceptive CLBP due to vertebral joint overload subsequent to functional instability of the lumbar spine. This condition may occur due to disruption of the motor control system to the key stabilizing muscles in the lumbar spine, particularly the lumbar multifidus muscle (MF).

methodsThis review presents the evidence for MF involvement in CLBP, mechanisms of action of disruption of control of the MF, and options for restoring control of the MF as a treatment for NSCLBP.

resultsImaging assessment of motor control dysfunction of the MF in individual patients is fraught with difficulty. MRI or ultrasound imaging techniques, while reliable, have limited diagnostic or predictive utility. For some patients, restoration of motor control to the MF with specific exercises can be effective, but population results are not persuasive since most patients are unable to voluntarily contract the MF and may be inhibited from doing so due to arthrogenic muscle inhibition.

conclusionsTargeting MF control with restorative neurostimulation promises a new treatment option.

Indexed as

Chronic PainElectromyographyExercise TherapyHumansLow Back PainLumbar VertebraeMuscle, SkeletalPain MeasurementArthrogenic muscle inhibitionchronic low back painlumbar multifidusmotor control exercisesrestorative neurostimulation

Identifiers

PMID29230905
PMCPMC5814909

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.