Evidence map›Paper›PMID 30361077›Full record

Trial reportBrazilian journal of physical therapy

Proprioceptive neuromuscular facilitation training improves pain-related and balance outcomes in working-age patients with chronic low back pain: a randomized controlled trial.

Pattanasin Areeudomwong, Vitsarut Buttagat

3 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Brazilian journal of physical therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 24 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 5 pooled it
3.6field-weighted citation impact, top 7% 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.

NCT04206137 nacompletednot on this map

Effects of Bilateral Asymmetrical Limbs Proprioceptive Neuromuscular Facilitation on Multifidus Muscle in Chronic Low Back Pain (CLBP)

TypeinterventionalSponsorUniversity of KarachiRan2020 to 2021Enrolled150ConditionsLow Back PainArmsGroup A (PNF rhythmic initiation group ), Group B (Swiss ball exercises)
NCT04216810 nacompletednot on this map

The Effectiveness of Adding Cupping Therapy in Patients With Nonspecific Chronic Lumbar Pain: a Randomized Controlled Study.

TypeinterventionalSponsorFaculdade de Ciências Médicas da Santa Casa de São PauloRan2019 to 2022Enrolled148ConditionsLow Back Pain, Mechanical, Low Back Pain, Postural, Lower Back Pain Chronic, Low Back Pain, Posterior CompartmentArmsmuscle strengthening exercises, muscle strengthening exercises and dry cupping
NCT05148013 nacompletednot on this map

PNF Versus Pilates Exercises on Pain, Body Image, Fear-Avoidance Beliefs, Core Stability, Disability and Balance Functions in Patients With CLBP: A Randomized Controlled Study

TypeinterventionalSponsorEastern Mediterranean UniversityRan2021 to 2022Enrolled60ConditionsLow Back PainArmsPilates exercise, PNF exercise
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 5 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
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  5. Exercise therapy for chronic low back pain.The Cochrane database of systematic reviews · 2021
    Pooled it
  6. Trial
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  8. Falls efficacy and directional postural sway responses during the sensory organization test in adults with nonspecific 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 · 2025
    Article
  9. Article
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  11. Sensory integration strategies on repeated postural stability and neuromuscular adaptation in individuals 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 · 2025
    Article
  12. Article
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  14. Article
  15. Review
  16. Article
  17. Interventions for the Management of Acute and Chronic Low Back Pain: Revision 2021.The Journal of orthopaedic and sports physical therapy · 2021
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Pattanasin AreeudomwongDepartment of Physical Therapy, School of Health Science, Mae Fah Luang University, Chiang Rai, Thailand. Electronic address: pattanasin.are@mfu.ac.th.
Vitsarut ButtagatDepartment of Physical Therapy, School of Health Science, Mae Fah Luang University, Chiang Rai, Thailand.
Mae Fah Luang University · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProprioceptive neuromuscular facilitation training and general trunk exercises have been applied to treat chronic low back pain patients. However, there is currently little study to support the use of one treated intervention over the other to improve clinical outcomes and balance ability.

objectiveTo examine the effects of proprioceptive neuromuscular facilitation training on pain intensity, disability and static balance ability in working-age patients with chronic low back pain.

methodsForty-four chronic low back pain participants aged 18-50 years were randomized either to a three-week proprioceptive neuromuscular facilitation training or to a control group receiving general trunk exercises. Pain intensity, disability and static balance ability were measured before and after the three-week intervention.

resultsThe proprioceptive neuromuscular facilitation training intervention showed a statistically significantly greater reduction in pain intensity and improved functional disability than the controls at three weeks (between-group difference: pain intensity 1.22 score, 95% CI: 0.58 to 1.88, p<0.001; disability 2.23 score, 95% CI: 1.22 to 3.24, p<0.001. The proprioceptive neuromuscular facilitation training intervention also had statistically better parameters of static balance ability than the control group (between-group difference: ellipse sway area during eye opened and closed conditions 129.09mm

conclusionThe three-week proprioceptive neuromuscular facilitation training provides better pain intensity, disability and static balance ability than general trunk exercises for working-age individuals with chronic low back pain but the effects do not reach the clinical meaningful level. The therapists should consider carefully when making recommendations regarding these interventions, taking into account effectiveness and costs.

Indexed as

AdultHumansLow Back PainMiddle AgedMuscle Stretching ExercisesOccupational TherapyYoung AdultBalanceDisabilityLow back painTraining

Identifiers

PMID30361077
PMCPMC6823672
OpenAlexW2896713588

What OpenQuestion holds

Textmetadata
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.