Evidence map›Paper›PMID 31092123›Full record

ArticleThe Journal of orthopaedic and sports physical therapy2019

Can Biomechanics Research Lead to More Effective Treatment of Low Back Pain? A Point-Counterpoint Debate.

Jacek Cholewicki, Alan Breen, John M Popovich, N Peter Reeves, Shirley A Sahrmann, Linda R van Dillen, Andry Vleeming, 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 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Isokinetic Trunk Strength in Acute Low Back Pain Patients Compared to Healthy Subjects: A Systematic Review.International journal of environmental research and public health · 2021
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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

8 authors.

Jacek Cholewicki
Alan Breen
John M Popovich
N Peter Reeves
Shirley A Sahrmann
Linda R van Dillen
Andry Vleeming
Paul W Hodges

Funding

Systems Science Center for Musculoskeletal CAM TherapiesU19AT006057 · NCCIH · MICHIGAN STATE UNIVERSITY · PI CHOLEWICKI, JACEK, REEVES, NORMAN PETER · 2010 to 2016
$4.6M
Spinal Control during Functional Activities to Improve Low Back Pain OutcomesR01HD047709 · NICHD · WASHINGTON UNIVERSITY · PI VANDILLEN, LINDA R · 2006 to 2017
$3.7M
NCCIH NIH HHS U19 AT006057NICHD NIH HHS R01 HD047709
6 · The paper itself

Abstract

synopsisAlthough biomechanics plays a role in the development and perhaps the persistent or recurrent nature of low back pain (LBP), whether biomechanics alone can provide the basis for intervention is debated. Biomechanics, which refers to the mechanics of the body, including its neuromuscular control, has been studied extensively in LBP. But, can gains be made in understanding LBP by research focused on this component of biology in the multifactorial biopsychosocial problem of LBP? This commentary considers whether biomechanics research has the potential to advance treatment of LBP, and how likely it is that this research will lead to better treatment strategies. A point-counterpoint format is taken to present both sides of the argument. First, the challenges faced by an approach that considers biomechanics in isolation are presented. Next, we describe 3 models that place substantial emphasis on biomechanical factors. Finally, reactions to each point are presented as a foundation for further research and clinical practice to progress understanding of the place for biomechanics in guiding treatment of LBP.

Indexed as

Biomedical ResearchBiomechanical PhenomenaChronic PainFemaleHumansLow Back PainMiddle Agedbiomechanicslow back painlumbar spine

Identifiers

PMID31092123
PMCPMC7394249

What OpenQuestion holds

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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.