Evidence map›Paper›PMID 30482602›Full record

Trial reportBrazilian journal of physical therapy

Stabilization exercises combined with neuromuscular electrical stimulation for patients with chronic low back pain: a randomized controlled trial.

Muhammad Alrwaily, Michael Schneider, Gwendolyn Sowa, Michael Timko, Susan L Whitney, Anthony Delitto

2 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 2 registered trials, which are not on this map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 16% 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.

NCT05156242 nacompletednot on this map

Corticospinal and Motor Behavior Responses After 6-week Transcranial Direct Current Stimulation and Neuromuscular Electrical Stimulation Combined With Motor Control Exercises in Patients With Chronic Low Back Pain

TypeinterventionalSponsorMahidol UniversityRan2021 to 2024Enrolled96ConditionsLow Back PainArmsActive-tDCS priming MCE, Sham-tDCS priming MCE, NMES priming MCE, Conventional physical therapy
NCT07760142 narecruitingnot on this map

Effects of Multichannel Neuromuscular Electrical Stimulation Combined With Core Exercise in Individuals With Chronic Non-Specific Low Back Pain: A Three-Arm Randomized Controlled Trial

TypeinterventionalSponsorUskudar UniversityRan2026 to 2026Enrolled45ConditionsChronic Low-back PainArmsCore exercise program, StimaWELL 120MTRS - lumbar strengthening program, StimaWELL 120MTRS - muscle relaxation program
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

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  14. Bioelectricity in dental medicine: a narrative review.Biomedical engineering online · 2024
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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

6 authors at 2 institutions in 2 countries.

Muhammad AlrwailyDivision of Physical Therapy, School of Medicine, West Virginia University, Morgantown, WV, United States; Department of Physical Therapy, King Fahad Specialist Hospital, Dammam, Saudi Arabia. Electronic address: muhammad.alrwaily@hsc.wvu.edu.
Michael SchneiderDepartment of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, United States.
Gwendolyn SowaDepartment of Physical Medicine and Rehabilitation, School of Medicine, University of Pittsburgh, Pittsburgh, PA, United States.
Michael TimkoDivision of Physical Therapy, School of Medicine, West Virginia University, Morgantown, WV, United States; Department of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, United States.
Susan L WhitneyDepartment of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, United States; Department of Physical Therapy, School of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
Anthony DelittoDepartment of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, United States.
University of Pittsburgh · USWest Virginia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOne proposed mechanism of chronic low back pain might be paraspinal muscle impairment. Commonly, this impairment is treated with stabilization exercises. However, the effect size of stabilization exercises has been previously reported to be small.

designRandomized controlled trial.

objectiveTo investigate the clinical benefit of using neuromuscular electrical stimulation as a supplement to stabilization exercises in patients with chronic low back pain.

methodsThirty participants with chronic low back pain were randomized into a stabilization exercise only group (n=15) or a stabilization exercise plus neuromuscular electrical stimulation group (n=15). The stabilization exercises included abdominal, side support, and quadruped exercises. The neuromuscular electrical stimulation was applied to the lumbar paraspinal muscles for 20min each session. Both groups received their respective interventions twice a week for 6 weeks. Participant eligibility for inclusion was age between 18 and 60 years, body mass index ≤34, chronic low back pain ≥3 months, Numeric Pain Rating Scale ≥3, Modified Oswestry Disability Questionnaire score ≥20 and ability to understand English. Outcome measurements were self-reported neuromuscular electrical stimulation tolerability scale, Modified Oswestry Disability Questionnaire, Numeric Pain Rating Scale, Fear-Avoidance Beliefs Questionnaire and paraspinal muscle strength.

resultsThe neuromuscular electrical stimulation was reported to be tolerable. There were no significant between-group differences on any of the outcome measures (p>0.05).

conclusionsThe application of neuromuscular electrical stimulation on the paraspinal muscles was reported to be tolerable. Supplementing stabilization exercises with neuromuscular electrical stimulation did not offer any additional clinical benefit for the chronic low back pain patients.

Indexed as

Child, PreschoolElectric StimulationExercise TherapyHumansInfantLow Back PainLumbosacral RegionMuscle StrengthChronic low back painElectrical stimulationMotor control exercisesMuscle activationParaspinal musclesStabilization exercises

Identifiers

PMID30482602
PMCPMC6849075
OpenAlexW2896825722

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.