Evidence map›Paper›PMID 29625603›Full record

ArticleBMC musculoskeletal disorders2018

Postural awareness and its relation to pain: validation of an innovative instrument measuring awareness of body posture in patients with chronic pain.

Holger Cramer, Wolf E Mehling, Felix J Saha, Gustav Dobos, Romy Lauche

2 registry-linked trialsAbstract readValidation Study
In one paragraph

Article in BMC musculoskeletal disorders, 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 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 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.

NCT07531680 completednot on this mapstarted 2023, after this paper: background citation

Associations of Postural Habits and Awareness With Psychological Status and Physical Health Indicators Among University Students

TypeobservationalSponsorInonu UniversityRan2023 to 2023Enrolled74ConditionsHealthy University Students
NCT07673939 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Effects of Core-Focused Exercise Training and Kinesiology Taping Combined With Complex Decongestive Physiotherapy on Posture, Pain, Function, and Quality of Life in Women With Breast Cancer-Related Lymphedema

TypeinterventionalSponsorHacettepe UniversityRan2026 to 2027Enrolled46ConditionsBreast Cancer Related LymphedemaArmsComplex Decongestive Therapy, Trunk Focused exercises, Kinesiology taping, Lower extremity exercises, Placebo taping
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Reliability of bioimpedance spectroscopy in the upper trapezius muscle.Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Examining the factors influencing postpartum musculoskeletal pain: a thorough analysis of risk factors and pain assessment indices.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 · 2024
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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.

Holger CramerDepartment of Internal and Integrative Medicine, Kliniken Essen-Mitte, Faculty of Medicine, University of Duisburg-Essen, Essen, Germany. h.cramer@kliniken-essen-mitte.de.
Wolf E MehlingDepartment of Family and Community Medicine, Osher Center for Integrative Medicine, University of California San Francisco, San Francisco, California, USA.
Felix J SahaDepartment of Internal and Integrative Medicine, Kliniken Essen-Mitte, Faculty of Medicine, University of Duisburg-Essen, Essen, Germany.
Gustav DobosDepartment of Internal and Integrative Medicine, Kliniken Essen-Mitte, Faculty of Medicine, University of Duisburg-Essen, Essen, Germany.
Romy LaucheAustralian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney, Sydney, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHabitual postural patterns are associated with musculoskeletal pain, and improving a maladaptive posture requires postural awareness in order to lead to clinical improvements. This study aimed to develop and evaluate the psychometric properties of an innovative postural awareness scale.

methodsA 12-item Postural Awareness Scale (PAS) was developed and administered to 512 chronic pain patients (50.3 ± 11.4 years, 91.6% female, 37.1% spinal/shoulder pain) to assess its factor structure and reliability. To determine convergent validity, measures of body awareness, body responsiveness, body image, and mindfulness were correlated with the PAS, as were clinical measures of pain intensity, disability, and mental health. Sensitivity to change was assessed in 202 outpatients participating in a 10-week multimodal mind-body program.

resultsFactor analysis revealed two factors (Ease/Familiarity with Postural Awareness and Need for Attention Regulation with Postural Awareness) that explained 50.8% of the variance. Cronbach's alpha for the complete scale was 0.80; Spearman-Brown coefficient of split-half reliability was 0.67; and intra-class correlation was ICC

conclusionSelf-reported postural awareness is associated with clinical symptoms in chronic pain patients; improvements in postural awareness are longitudinally associated with reduced pain in patients with spinal/shoulder pain.

Indexed as

AwarenessPostural BalancePostureAdultChronic PainFemaleHumansMaleMiddle AgedPsychometricsReproducibility of ResultsAwarenessChronic painPosture

Identifiers

PMID29625603
PMCPMC5889545

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.