Evidence map›Paper›PMID 31096958›Full record

Trial reportBMC musculoskeletal disorders2019

Green exercise and mg-ca-SO

Daniela Huber, Carina Grafetstätter, Johanna Proßegger, Christina Pichler, Ewald Wöll, Martin Fischer, Martin Dürl, Karin Geiersperger, Melanie Höcketstaller, Stefan Frischhut and 2 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 5 pooled it
5.7field-weighted citation impact, top 4% 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.

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

20 citing papers in PubMed, 5 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Advances in physiotherapy for chronic low-back pain: a level I systematic review.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026
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  8. Testing nature-based biopsychosocial resilience theory: a research programme protocol.Archives of public health = Archives belges de sante publique · 2026
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  12. Active and passive physical therapy in patients with chronic low-back pain: a level I Bayesian network meta-analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025
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  13. Challenges of blinding in clinical balneology trials: a scoping review.BMC complementary medicine and therapies · 2025
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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

12 authors at 2 institutions in 1 country.

Daniela HuberInstitute of Ecomedicine, Paracelsus Medical University, 5020, Salzburg, Austria.
Carina GrafetstätterInstitute of Ecomedicine, Paracelsus Medical University, 5020, Salzburg, Austria.
Johanna ProßeggerInstitute of Ecomedicine, Paracelsus Medical University, 5020, Salzburg, Austria.
Christina PichlerInstitute of Ecomedicine, Paracelsus Medical University, 5020, Salzburg, Austria.
Ewald WöllDepartments of Internal Medicine and Orthopedics, General Public Hospital St. Vinzenz, 6511, Zams, Austria.
Martin FischerDepartments of Internal Medicine and Orthopedics, General Public Hospital St. Vinzenz, 6511, Zams, Austria.
Martin DürlDepartment of Physiotherapy, Salzburg University of Applied Science, 5412, Puch/Urstein, Austria.
Karin GeierspergerDepartment of Physiotherapy, Salzburg University of Applied Science, 5412, Puch/Urstein, Austria.
Melanie HöcketstallerDepartment of Physiotherapy, Salzburg University of Applied Science, 5412, Puch/Urstein, Austria.
Stefan FrischhutOrdination Dr. Stefan Frischhut MSc., Maximilianstr. 2, 6020, Innsbruck, Austria.
Markus RitterInstitute of Physiology and Pathophysiology, Paracelsus Medical University, 5020, Salzburg, Austria.
Arnulf HartlInstitute of Ecomedicine, Paracelsus Medical University, 5020, Salzburg, Austria. arnulf.hartl@pmu.ac.at.ORCID http://orcid.org/0000-0001-9626-6425
Paracelsus Medical University · ATFachhochschule Salzburg · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-specific chronic low back pain (nscLBP) has a high socio-economic relevance due to its high incidence, prevalence and associated costs. Therefore, it is essential to evaluate effective therapeutic strategies. This study examines the effects of moderate mountain exercise and spa therapy on orthopedic and psychophysiological parameters. Based on a three-armed randomized controlled trial, guided mountain hiking tours and balneotherapy in thermal water were compared to a control group.

methodsEighty patients with diagnosed nscLBP were separated into three groups: The two intervention groups GE (green exercise) and GEBT (green exercise and balneotherapy) undertook daily mountain hiking tours, whereas the GEBT group got an additional treatment with baths in Mg-Ca-SO

resultsCompared to GE and CO group, the GEBT treatment showed significant improvements of pain, some orthopedic parameters, health-related quality of life and mental well-being in patients with nscLBP.

conclusionsThe results of this study confirmed a benefit of mountain hiking combined with Mg-Ca-SO

trial registrationISRCTN, ISRCTN99926592 . Registered 06. July 2018 - Retrospectively registered.

Indexed as

ExerciseAdultAgedAge FactorsBalneologyCombined Modality TherapyFemaleHot TemperatureHumansLow Back PainMaleMiddle AgedMineral WatersPain MeasurementQuality of LifeSex FactorsMineral WatersAlpine environmentBalneotherapyChronic non-specific low back painGreen exerciseMagnesium-calcium-sulfate thermal waterModerate altitudeMountain exerciseMountain hikingNature therapySpa therapy

Identifiers

PMID31096958
PMCPMC6524239
OpenAlexW2947353181

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.