Evidence map›Paper›PMID 32425750›Full record

ArticleFrontiers in neuroscience2020

Spinal Mobilization Prevents NGF-Induced Trunk Mechanical Hyperalgesia and Attenuates Expression of CGRP.

William R Reed, Joshua W Little, Carla R Lima, Robert E Sorge, Ceren Yarar-Fisher, Mualla Eraslan, Christopher P Hurt, Timothy J Ness, Jianguo G Gu, Daniel F Martins and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neuroscience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

16 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. 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

11 authors at 3 institutions in 2 countries.

William R ReedDepartment of Physical Therapy, University of Alabama at Birmingham, Birmingham, AL, United States.
Joshua W LittleDepartment of Surgery, Center for Anatomical Science and Education, Saint Louis University School of Medicine, St. Louis, MO, United States.
Carla R LimaRehabilitation Sciences Program, University of Alabama at Birmingham, Birmingham, AL, United States.
Robert E SorgeDepartment of Psychology, University of Alabama at Birmingham, Birmingham, AL, United States.
Ceren Yarar-FisherDepartment of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Birmingham, AL, United States.
Mualla EraslanDepartment of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Birmingham, AL, United States.
Christopher P HurtDepartment of Physical Therapy, University of Alabama at Birmingham, Birmingham, AL, United States.
Timothy J NessDepartment of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, Birmingham, AL, United States.
Jianguo G GuDepartment of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, Birmingham, AL, United States.
Daniel F MartinsPostgraduate Program in Health Sciences, Experimental Neuroscience Laboratory (LaNEx), University of Southern Santa Catarina, Palhoça, Brazil.
Peng LiSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, United States.
University of Alabama at Birmingham · USSaint Louis University · USUniversidade do Sul de Santa Catarina · BR

Funding

UAB Neuroscience Core CenterP30NS047466 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI STANDAERT, DAVID G. · 2005 to 2019
$8.5M
Mechanisms of Nociception in the Trigeminal SystemR01DE018661 · NIDCR · UNIVERSITY OF FLORIDA · PI JIANGUO GU · 2008 to 2026
$6.9M
NIDCR NIH HHS R01 DE018661NINDS NIH HHS P30 NS047466
6 · The paper itself

Abstract

introductionLow back pain (LBP) is a complex and growing global health problem in need of more effective pain management strategies. Spinal mobilization (SM) is a non-pharmacological approach recommended by most clinical guidelines for LBP, but greater utilization and treatment optimization are hampered by a lack of mechanistic knowledge underlying its hypoalgesic clinical effects.

methodsGroups of female Sprague-Dawley rats received unilateral trunk (L5 vertebral level) injections (50 μl) of either vehicle (phosphate-buffer solution, PBS; VEH) or nerve growth factor (NGF; 0.8 μM) on Days 0 and 5 with or without daily L5 SM (VEH, NGF, VEH + SM, VEH + SM). Daily passive SM (10 min) was delivered by a feedback motor (1.2 Hz, 0.9N) from Days 1 to 12. Changes in pain assays were determined for mechanical and thermal reflexive behavior, exploratory behavior (open field events) and spontaneous pain behavior (rat grimace scale). On Day 12, lumbar (L1-L6) dorsal root ganglia (DRG) were harvested bilaterally and calcitonin gene-related peptide (CGRP) positive immunoreactive neurons were quantified from 3 animals (1 DRG tissue section per segmental level) per experimental group.

resultsNGF induced bilateral trunk (left

conclusionSM prevents the development of local (trunk) NGF-induced mechanical hyperalgesia and distant (hindpaw) allodynia, in part, through attenuation of CGRP expression in lumbar DRG sensory neurons. NGF decreases rat exploratory behavior and increases spontaneous pain for which passive SM acts to mitigate these pain-related behavioral changes. These initial study findings suggest that beginning daily SM soon after injury onset might act to minimize or prevent the development of LBP by reducing production of pain-related neuropeptides.

Indexed as

calcitonin gene-related peptideCGRPlow back painmanual therapymechanical hyperalgesianerve growth factorNGFspinal mobilization

Identifiers

PMID32425750
PMCPMC7204433
OpenAlexW3021577329

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.