Evidence map›Paper›PMID 30623268›Full record

Trial reportArchives of osteoporosis2019

Effect of treatment on back pain and back extensor strength with a spinal orthosis in older women with osteoporosis: a randomized controlled trial.

Christina Kaijser Alin, Elin Uzunel, Ann-Charlotte Grahn Kronhed, Hassan Alinaghizadeh, Helena Salminen

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of osteoporosis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03263585 (Identification and Treatment of Back Pain in Elderly Women With Osteoporosis), which is not on this map. Cited by 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 pooled it
3.9field-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.

NCT03263585 nacompletednot on this map

Identification and Treatment of Back Pain in Elderly Women With Osteoporosis

TypeinterventionalSponsorHelena SalminenRan2012 to 2014Enrolled113ConditionsOsteoporosis, Vertebral Fracture, Back Pain, Elderly WomenArmsSpinal orthosis Spinomed, Equipment training
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Exercise for improving outcomes after osteoporotic vertebral fracture.The Cochrane database of systematic reviews · 2019
    Pooled it
  5. Trial
  6. Review
  7. Article
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  11. Article
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  15. Article
  16. Review
  17. Article
  18. [Pain management in osteoporosis].Schmerz (Berlin, Germany) · 2020
    Review
  19. Review
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 at 3 institutions in 1 country.

Christina Kaijser AlinDivision of Family Medicine and Primary Care, department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Solna, Sweden. christina.kaijser.alin@ki.se.
Elin UzunelDivision of Family Medicine and Primary Care, department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Solna, Sweden.
Ann-Charlotte Grahn KronhedRehab Väst, Local Health Care Services in the West of Östergötland, Östergötland, Sweden.
Hassan AlinaghizadehDivision of Family Medicine and Primary Care, department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Solna, Sweden.
Helena SalminenDivision of Family Medicine and Primary Care, department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Solna, Sweden.
Karolinska Institutet · SEStockholm Health Care Services · SELinköping University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The treatment effect of an activating spinal orthosis on back pain and back extensor strength was compared to a training group and to a control group. Between the groups, there was no significant difference in back pain, back extensor strength, or kyphosis index after the 6 months of treatment. PURPOSE: The aim of this study was to study the effect of treatment with an activating spinal orthosis on back pain, back extensor strength, and kyphotic index. Our hypothesis was that an activating spinal orthosis may be an alternative treatment to decrease back pain and increase back extensor strength.

methodsA total of 113 women aged ≥ 60 years with back pain and osteoporosis, with or without vertebral fractures, were randomized to three groups: a spinal orthosis group, an equipment training group, and a control group. All three groups were examined at baseline and followed up after 3 and 6 months. Statistical analyses were performed with a mixed model for repeated measures according to intention to treat (ITT) and per protocol (PP).

resultsA total of 96 women completed the study. Between the groups, there was no significant difference in baseline characteristics. Comparison between groups showed no significant difference in back pain, back extensor strength, or kyphosis index at the follow-up after 6 months according to ITT and PP analyses. Analysis in each group showed that the back extensor strength had increased by 26.9% in the spinal orthosis group, by 22.1% in the exercise training group and by 9.9% in the control group.

conclusionsSix months' treatment by an activating spinal orthosis showed no significant difference in back pain, back extensor strength, or kyphosis index between the three groups. In the spinal orthosis group, present back pain decreased slightly and back extensor strength increased by 26.9% which indicates that the spinal orthosis may become an alternative training method. Clinicaltrials.com ID: NCT03263585.

Indexed as

Orthotic DevicesAgedBack MusclesBack PainFemaleHumansMiddle AgedOsteoporosisResistance TrainingTreatment OutcomeBack extensor muscle strengthBack painKyphosisOsteoporosisSpinal orthosisVertebral fracture

Identifiers

PMID30623268
PMCPMC6325994
OpenAlexW2909136960

What OpenQuestion holds

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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.