Evidence map›Paper›PMID 29895232›Full record

ArticleThe Journal of orthopaedic and sports physical therapy2019

Analysis of Motor Control in Patients With Low Back Pain: A Key to Personalized Care?

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

Abstract 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. Cited by 56 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 4 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.

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

56 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Biokinetic insights into the hip-spine relationship: no correlation between hip strength or flexibility and altered pelvic motion in patients with 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
    Article
  8. Acute Modulation of Lumbar Motor Unit Behavior During Experimentally Induced Low Back Pain: A Motor Unit Decomposition Analysis.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
    Article
  9. Article
  10. Article
  11. Identifying gait subgroups in low back pain patients with artificial intelligence: implications for individualized interventions.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 · 2025
    Article
  12. Article
  13. Exercise Prescription for Patients With Persistent Low Back Pain Who Present With Impaired Lateral Abdominal Muscle Activation: A Delphi Survey.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Implications for fall efficacy strategies on center of pressure and center of gravity sway distances in adults with 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 · 2024
    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.

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

synopsisMotor control exercise has been shown to be effective in the management of low back pain (LBP). However, the effect sizes for motor control exercise are modest, possibly because studies have used a one-size-fits-all approach, while the literature suggests that patients may differ in presence or type of motor control issues. In this commentary, we address the question of whether consideration of such variation in motor control issues might contribute to more personalized motor control exercise for patients with LBP. Such an approach is plausible, because motor control changes may play a role in persistence of pain through effects on tissue loading that may cause nociceptive afference, particularly in the case of peripheral sensitization. Subgrouping systems used in clinical practice, which comprise motor control aspects, allow reliable classification that is, in part, aligned with findings in studies on motor control in patients with LBP. Motor control issues may have heuristic value for treatment allocation, as the different presentations observed suggest different targets for motor control exercise, but this remains to be proven. Finally, clinical assessment of patients with LBP should take into account more aspects than motor control alone, including pain mechanisms, musculoskeletal health, and psychosocial factors, and may need to be embedded in a stratification approach based on prognosis to avoid undue diagnostic procedures.

Indexed as

Motor ActivityPrecision MedicineExercise TherapyHumansLow Back Painback paindiagnosticsexercisepostural controlsubgrouping

Identifiers

PMID29895232
PMCPMC7393666

What OpenQuestion holds

Textmetadata
LicenceTDM
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.