Evidence map›Paper›PMID 35739614›Full record

ArticleThe Journal of manual & manipulative therapy2023

Virtual McKenzie extension exercises for low back and leg pain: a prospective pilot exploratory case series.

Adriaan Louw, Kevin Farrell, Anthony Nielsen, Max O'Malley, Terry Cox, Emilio J Puentedura

Registry-linked trialOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of manual & manipulative therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07285824 (Virtual McKenzie Exercises and Centralization of Pain), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 45% 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.

NCT07285824 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Virtual McKenzie Exercises and Centralization of Pain: A Pilot Study

TypeinterventionalSponsorEvidence In MotionRan2025 to 2026Enrolled40ConditionsChronic Pain, Low Back PainArmsMotor Imagery-Based Lumbar Extension
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 1 country.

Adriaan LouwDepartment of Physical Therapy, Evidence in Motion, Story City, IA, USA.
Kevin FarrellDepartment of Physical Therapy Education, Residency Program, St. Ambrose University, Health Sciences Center, Davenport, IA, USA.
Anthony NielsenDepartment of Physical Therapy, Rock Valley Physical Therapy, Bettendorf, IA, USA.
Max O'MalleyDepartment of Physical Therapy, AMN Healthcare, Lincolnwood, IL, USA.
Terry CoxDepartment of Physical Therapy, Southwest Baptist University, Bolivar, MO, USA.
Emilio J PuenteduraDoctor of Physical Therapy Program, Baylor University, Robbins College of Health and Human Sciences, Waco, TX, USA.
American Physical Therapy Association · USAMN Healthcare (United States) · USBaylor University · USEvidence In MotionSaint Ambrose University · USSouthwest Baptist University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCurrent evidence supports the inclusion of directional preference exercises for a subgroup of patients with low back (LBP) and leg pain. Recent pain neuroscience strategies have suggested that cortical restructuring associated with movement activating the body map representation in the brain might account for the observed improvement with the directional preference approach.

objectivesTo explore whether or not a motor imagery directional preference approach would result in any changes in patients with LBP and leg pain.

methodsA consecutive convenience sample of patients with LBP and leg pain were recruited at two outpatient physical therapy clinics. Measurements of LBP, leg pain, fear-avoidance beliefs (FABQ), pain catastrophizing (PCS), active lumbar flexion, and straight leg raise (SLR) were compared before and immediately after a virtual (motor imagery) directional preference exercise.

resultsStatistically significant differences for LBP, FABQ, PCS, active lumbar flexion, and SLR were observed, but only SLR changes met or exceeded the minimally clinically important difference (MCID).

conclusionsA brief virtual motor imagery extension treatment yielded some immediate positive shifts in patients presenting to physical therapy with LBP and leg pain. Our results indicate that randomized comparison trials are needed to determine the effect of this intervention on the short- and longer-term outcomes in patients with LBP and leg pain.

Indexed as

Low Back PainExercise TherapyHumansLegProspective StudiesSurveys and Questionnairescase seriesdirectional preferenceGraded motor imagerylow back pain

Identifiers

PMID35739614
PMCPMC9848382
OpenAlexW4283380489

What OpenQuestion holds

Textmetadata
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.