Evidence map›Paper›PMID 33794983›Full record

ArticleBMC sports science, medicine & rehabilitation2021

Effect of Transversus abdominis muscle training on pressure-pain threshold in patients with chronic low Back pain.

Changming Xu, Zhiwei Fu, Xueqiang Wang

Registry-linked trialAbstract read
In one paragraph

Article in BMC sports science, medicine & rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07738965 (Effects of Mind-Body Pilates Versus Pressure Biofeedback on Pain,Core Strength and Quality of Life in Chronic Non-Specific Low Back Pain), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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.

NCT07738965 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Effects of Mind-Body Pilates Versus Pressure Biofeedback on Pain,Core Strength and Quality of Life in Chronic Non-Specific Low Back Pain

TypeinterventionalSponsorLahore University of Biological and Applied SciencesRan2026 to 2026Enrolled66ConditionsChronic Non Specific Low Back Pain, Pain, Core Strength, Quality of LifeArmsMind-Body Pilates, Pressure Biofeedback
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

3 authors.

Changming XuDepartment of Rehabilitation, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Zhiwei FuDepartment of Bone and Joint Surgery, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Xueqiang WangDepartment of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China. qiang897@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTherapeutic training is the most commonly used treatment methods for chronic low back pain (CLBP), and the use of a pressure biofeedback unit for transversus abdominis muscle (TrA) training is one of the core muscle training methods. The study aim of this research is to explore the effects of different intensities (sham training, low-intensity and high-intensity) of TrA muscle training on people with CLBP in pressure-pain threshold (PPT).

methodsA total of 45 patients with CLBP were recruited, of whom 44 were included in the analysis. Fifteen, 14, and 15 were included in the sham training group, the low-intensity group, and the high-intensity group, respectively. A pressure biofeedback unit was used in performing a one-time TrA training intervention involving 30 times of 180 mmHg TrA contraction training at high intensity for 10 min and 15 times of 100 mmHg TrA contraction training at low intensity for 5 min. The sham training group completed comfort exercises and did not undergo training. The evaluation indicators were as follows: PPT, short-form McGill pain questionnaire, and body surface pain radiation.

resultsHigh-intensity training could activate more waist core muscles than low-intensity training. Significant changes on PPT (units: kgf) were observed in the following four muscles immediately after high-intensity training: iliopsoas [0.69 (0.13-1.25) 95% CI, p = 0.020]; quadratus lumborum [0.84 (0.23-1.45) 95% CI, p = 0.012]; erector spinae [0.66 (0.18-1.15) 95% CI, p = 0.011]; transversus abdominis [0.70 (0.26-1.14) 95% CI, p = 0.004], and in three muscles after low-intensity training: quadratus lumborum [0.61 (0.17-1.05) 95% CI, p = 0.009]; transversus abdominis [0.14 (from - 0.15 to 0.43) 95% CI, p = 0.022]; piriformis [0.55 (0.13-0.98) 95% CI, p = 0.014]. The change in body surface pain radiation immediately after exercise was [- 10.87 (from - 17.51 to - 4.22) 95% CI, p = 0.003] for high-intensity training and [- 5.21 (from - 9.40 to - 1.03) 95% CI, p = 0.019] for low-intensity training.

conclusionsTrA training could increase the PPT of the waist core muscles and reduce the radiation range of waist pain. The benefits of high-intensity training are higher than those of low-intensity training.

trial registrationChiCTR-TRC-13003701 . Registered 18 October 2013. Code of ethical approval: 2018069.

Indexed as

Chronic low Back painPressure-pain thresholdTransversus abdominis training

Identifiers

PMID33794983
PMCPMC8017650

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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.