Evidence map›Paper›PMID 29895230›Full record

ArticleThe Journal of orthopaedic and sports physical therapy2019

Motor Control Changes in Low Back Pain: Divergence in Presentations and Mechanisms.

Jaap H van Dieën, N Peter Reeves, Greg Kawchuk, Linda R van Dillen, Paul W Hodges

4 registry-linked trialsAbstract read
In one paragraph

Article in The Journal of orthopaedic and sports physical therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 173 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
173citing papers in PubMed, 8 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.

NCT05736393 nacompletednot on this mapstarted 2024, after this paper: background citation

Translation of Robotic Apparel for Alleviating Low Back Pain: Back Pain Consortium (BACPAC)

TypeinterventionalSponsorBoston University Charles River CampusRan2024 to 2025Enrolled44ConditionsLow Back PainArmsBack Exosuit
NCT05961774 nacompletednot on this mapstarted 2023, after this paper: background citation

The Investigation of Underlying Mechanism of Lumbar Multifidus Muscle Activation Deficits in Adults With Chronic Low Back Pain

TypeinterventionalSponsorMahidol UniversityRan2023 to 2024Enrolled30ConditionsLow Back PainArmsTranscranial magnetic stimulation, Neuromuscular electrical stimulation
NCT06516770 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

The Effects of Different Types of Stimulation on Movement Control and Motor Unit Behavior in Individuals With Lumbopelvic Movement Control Impairment

TypeinterventionalSponsorMahidol UniversityRan2024 to 2026Enrolled136ConditionsLow Back PainArmsTranscranial direct current stimulation, Neuromuscular electrical stimulation, Motor control exercise, Isometric exercise
NCT06696898 narecruitingnot on this mapstarted 2024, after this paper: background citation

Effects of Somatosensory Motor Control With and Without Myofascial Release on Pain, Lumbar Range of Motion and Functional Disability in Patients With Sciatica

TypeinterventionalSponsorRiphah International UniversityRan2024 to 2025Enrolled74ConditionsSciatica Pain, SciaticaArmsSomatosensory Motor Control Exercises, Myofascial Release Technique, Sensorymotor training
3 · Its place in the literature

Who cites it

173 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  12. Effects of combined trunk stretching and lumbar stabilization exercises for chronic non-specific low back pain: a randomized clinical trial.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2026
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  18. Symptom relief does not fully reflect functional adaptation after lumbar decompression: longitudinal changes in lifting biomechanics following surgery for degenerative lumbar 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 · 2026
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113 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

5 authors.

Jaap H van Dieën
N Peter Reeves
Greg Kawchuk
Linda R van Dillen
Paul W Hodges

Funding

Spinal Control during Functional Activities to Improve Low Back Pain OutcomesR01HD047709 · NICHD · WASHINGTON UNIVERSITY · PI VANDILLEN, LINDA R · 2006 to 2017
$3.7M
NICHD NIH HHS R01 HD047709
6 · The paper itself

Abstract

synopsisCompared to healthy individuals, patients with low back pain demonstrate differences in all aspects of trunk motor control that are most often studied as differences in muscle activity and kinematics. However, differences in these aspects of motor control are largely inconsistent. We propose that this may reflect the existence of 2 phenotypes or possibly the ends of a spectrum, with "tight control" over trunk movement at one end and "loose control" at the other. Both may have beneficial effects, with tight control protecting against large tissue strains from uncontrolled movement and loose control protecting against high muscle forces and resulting spinal compression. Both may also have long-term negative consequences. For example, whereas tight control may cause high compressive loading on the spine and sustained muscle activity, loose control may cause excessive tensile strains of tissues. Moreover, both phenotypes could be the result of either an adaptation process aimed at protecting the low back or direct interference of low back pain and related changes with trunk motor control. The existence of such phenotypes would suggest different motor control exercise interventions. Although some promising data supporting these phenotypes have been reported, it remains to be shown whether these phenotypes are valid, how treatment can be targeted to these phenotypes, and whether this targeting yields superior clinical outcomes.

Indexed as

Motor ActivityHumansLow Back PainMuscle, SkeletalTorsoback painexercisepostural controlspinesubgrouping

Identifiers

PMID29895230
PMCPMC7393576

What OpenQuestion holds

Textmetadata
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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.