Evidence map›Paper›PMID 33828171›Full record

ArticleScientific reports2021

Distinguishing chronic low back pain in young adults with mild to moderate pain and disability using trunk compliance.

Alexander Stamenkovic, Brian C Clark, Peter E Pidcoe, Susanne M van der Veen, Christopher R France, David W Russ, Patricia A Kinser, James S Thomas

Erratum issued Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT01854892 (The RELIEF Study - Researching the Effectiveness of Lumbar Interventions for Enhancing Function), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 19% 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.

NCT01854892 nacompletednot on this map

The RELIEF Study - Researching the Effectiveness of Lumbar Interventions for Enhancing Function

TypeinterventionalSponsorOhio UniversityRan2013 to 2017Enrolled162ConditionsLow Back PainArmsManipulation, Mobilization, Laser Therapy
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Alexander StamenkovicDepartment of Physical Therapy, College of Health Professions, Virginia Commonwealth University, 900 East Leigh St, 4th Floor, Richmond, VA, 23298, USA. astamenkovic@vcu.edu.
Brian C ClarkOhio Musculoskeletal and Neurological Institute (OMNI), Ohio University, Athens, USA.
Peter E PidcoeDepartment of Physical Therapy, College of Health Professions, Virginia Commonwealth University, 900 East Leigh St, 4th Floor, Richmond, VA, 23298, USA.
Susanne M van der VeenDepartment of Physical Therapy, College of Health Professions, Virginia Commonwealth University, 900 East Leigh St, 4th Floor, Richmond, VA, 23298, USA.
Christopher R FranceOhio Musculoskeletal and Neurological Institute (OMNI), Ohio University, Athens, USA.
David W RussSchool of Physical Therapy & Rehabilitation Sciences, University of South Florida, Tampa, USA.
Patricia A KinserSchool of Nursing, Virginia Commonwealth University, Richmond, USA.
James S ThomasDepartment of Physical Therapy, College of Health Professions, Virginia Commonwealth University, 900 East Leigh St, 4th Floor, Richmond, VA, 23298, USA.
Virginia Commonwealth University · USOhio University · USUniversity of South Florida · US

Funding

THE RELIEF STUDY: Neuromuscular mechanisms underlying spinal manipulation treatmentsR01AT006978 · NCCIH · OHIO UNIVERSITY ATHENS · PI CLARK, BRIAN C, THOMAS, JAMES S · 2012 to 2016
$2.1M
NCCIH NIH HHS R01 AT006978
6 · The paper itself

Abstract

Chronic low back pain (cLBP) rates among younger individuals are rising. Although pain and disability are often less severe, underlying changes in trunk behavior may be responsible for recurrence. We examine the biomarker capacity of a simple Trunk Compliance Index (TCI) to distinguish individuals with and without cLBP. A random subset (n = 49) of the RELIEF RCT were matched to healthy controls for sex, age, height and weight. We measured TCI (as displacement/ weight-normalized perturbation force) using anthropometrically-matched, suddenly-applied pulling perturbations to the trunk segment, randomized across three planes of motion (antero-posterior, medio-lateral, and rotational). Mean differences between cLBP, sex and perturbation direction were assessed with repeated-measures analysis of variance. Discriminatory accuracy of TCI was assessed using Receiver Operator Characteristic (ROC) analysis. Baseline characteristics between groups were equivalent (x̅ [range]): sex (57% female / group), age (23.0 [18-45], 22.8 [18-45]), height, cm (173.0 [156.5-205], 171.3 [121.2-197], weight, kg (71.8 [44.5-116.6], 71.7 [46.8-117.5]) with cLBP associated with significantly lower TCI for 5 of 6 directions (range mean difference, - 5.35: - 1.49, range 95% CI [- 6.46: - 2.18 to - 4.35: - 0.30]. Classification via ROC showed that composite TCI had high discriminatory potential (area under curve [95% CI], 0.90 [0.84-0.96]), driven by TCI from antero-posterior perturbations (area under curve [95% CI], 0.99 [0.97-1.00]). Consistent reductions in TCI suggests global changes in trunk mechanics that may go undetected in classic clinical examination. Evaluation of TCI in younger adults with mild pain and disability may serve as a biomarker for chronicity, leading to improved preventative measures in cLBP.Trial Registration and Funding RELIEF is registered with clinicaltrials.gov (NCT01854892) and funded by the NIH National Center for Complementary & Integrative Health (R01AT006978).

Indexed as

AdultAnthropometryBiomarkersChronic PainDisability EvaluationFemaleHumansLow Back PainMalePain MeasurementPersons with DisabilitiesTorsoYoung AdultBiomarkers

Identifiers

PMID33828171
PMCPMC8026630
OpenAlexW3150325731

What OpenQuestion holds

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LicenceCC BY
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.