Evidence map›Paper›PMID 33490842›Full record

ReviewPain reports

Psychologically informed physical therapy for musculoskeletal pain: current approaches, implications, and future directions from recent randomized trials.

Rogelio A Coronado, Carrie E Brintz, Lindsey C McKernan, Hiral Master, Nicole Motzny, Flavio M Silva, Parul M Goyal, Stephen T Wegener, Kristin R Archer

Registry-linked trialOpen access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Pain reports. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05701618 (Psychologically Informed Education Intervention for Adolescents With Atraumatic Lower-Extremity Injuries), which is not on this map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
8.8field-weighted citation impact, top 1% 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.

NCT05701618 nacompletednot on this map

Psychologically Informed Education Intervention for Adolescents With Atraumatic Lower-Extremity Injuries

TypeinterventionalSponsorNationwide Children's HospitalRan2023 to 2025Enrolled86ConditionsLeg InjuryArmsPsychologically Informed Education Video Series, Anatomy and biomedical education videos
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 108 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Rogelio A CoronadoDepartment of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Carrie E BrintzDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Lindsey C McKernanDepartment of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN, USA.
Hiral MasterDepartment of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Nicole MotznyDepartment of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Flavio M SilvaDepartment of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Parul M GoyalDepartment of Internal Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Stephen T WegenerDepartment of Physical Medicine and Rehabilitation, The Johns Hopkins School of Medicine, Baltimore, MD, USA.
Kristin R ArcherDepartment of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Vanderbilt University Medical Center · USJohns Hopkins University · US

Funding

Institutional Career Development CoreKL2TR002245 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Julie A. Bastarache · 2017 to 2026
$9.3M
NCATS NIH HHS KL2 TR002245
6 · The paper itself

Abstract

Psychologically informed physical therapy (PIPT) blends psychological strategies within a physical therapist's treatment approach for the prevention and management of chronic musculoskeletal pain. Several randomized trials have been conducted examining the efficacy of PIPT compared to standard physical therapy on important patient-reported outcomes of disability, physical function, and pain. In this review, we examine recent trials published since 2012 to describe current PIPT methods, discuss implications from findings, and offer future directions. Twenty-two studies, representing 18 trials, were identified. The studied PIPT interventions included (1) graded activity or graded exposure (n = 6), (2) cognitive-behavioral-based physical therapy (n = 9), (3) acceptance and commitment-based physical therapy (n = 1), and (4) internet-based psychological programs with physical therapy (n = 2). Consistent with prior reviews, graded activity is not superior to other forms of physical activity or exercise. In a few recent studies, cognitive-behavioral-based physical therapy had short-term efficacy when compared to a program of standardized exercise. There is a need to further examine approaches integrating alternative strategies including acceptance-based therapies (ie, acceptance and commitment therapy or mindfulness) or internet-based cognitive-behavioral programs within physical therapy. Although PIPT remains a promising care model, more convincing evidence is needed to support widespread adoption, especially in light of training demands and implementation challenges.

Indexed as

Cognitive-behavioral therapyMusculoskeletal painPhysiotherapyPsychological adaptationRehabilitation

Identifiers

PMID33490842
PMCPMC7808677
OpenAlexW3088594188

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.