Evidence map›Paper›PMID 36071946›Full record

ArticlePain research & management2022

Improvement in Disability Mediates the Effect of Self-Efficacy on Pain Relief in Chronic Low Back Pain Patients with Exercise Therapy.

Yuta Shinohara, Kenta Wakaizumi, Aiko Ishikawa, Mari Ito, Reiko Hoshino, Chisato Tanaka, Saki Takaoka, Michiyuki Kawakami, Osahiko Tsuji, Daisuke Fujisawa and 4 more

Abstract read
In one paragraph

Article in Pain research & management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

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

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

  1. Pooled it
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  3. Article
  4. Observational
  5. Article
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

14 authors.

Yuta ShinoharaDepartment of Anesthesiology, Keio University School of Medicine, Tokyo 160-8582, Japan.
Kenta WakaizumiDepartment of Anesthesiology, Keio University School of Medicine, Tokyo 160-8582, Japan.
Aiko IshikawaInterdisciplinary Pain Center, Keio University Hospital, Tokyo 160-8582, Japan.
Mari ItoInterdisciplinary Pain Center, Keio University Hospital, Tokyo 160-8582, Japan.
Reiko HoshinoDepartment of Anesthesiology, Keio University School of Medicine, Tokyo 160-8582, Japan.
Chisato TanakaInterdisciplinary Pain Center, Keio University Hospital, Tokyo 160-8582, Japan.
Saki TakaokaDepartment of Anesthesiology, Keio University School of Medicine, Tokyo 160-8582, Japan.
Michiyuki KawakamiInterdisciplinary Pain Center, Keio University Hospital, Tokyo 160-8582, Japan.
Osahiko TsujiInterdisciplinary Pain Center, Keio University Hospital, Tokyo 160-8582, Japan.
Daisuke FujisawaDepartment of Neuropsychiatry, Keio University School of Medicine, Tokyo 160-8582, Japan.
Toshiyuki FujiwaraDepartment of Rehabilitation Medicine, Juntendo University Graduate School of Medicine, Tokyo 113-8421, Japan.
Tetsuya TsujiDepartment of Rehabilitation Medicine, Keio University School of Medicine, Tokyo 160-8582, Japan.ORCID 0000-0002-4728-9409
Hiroshi MorisakiDepartment of Anesthesiology, Keio University School of Medicine, Tokyo 160-8582, Japan.
Shizuko KosugiDepartment of Anesthesiology, Keio University School of Medicine, Tokyo 160-8582, Japan.ORCID 0000-0003-1246-8594

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The biopsychosocial mechanism by which exercise leads to improvement in chronic low back pain (CLBP) remains unstudied. This prospective cohort study was performed to examine the effectiveness of exercise on pain, disability, and psychological status for CLBP. We also tested path analytic models in which changes in these variables were included. Methods: CLBP patients who visited the Interdisciplinary Pain Center of Keio University Hospital from July 2018 to April 2020 were included. The propensity score matching was performed between patients who underwent exercise (the exercise group) and those who did not (the control group). At the first visit and at the 3-month follow-up, pain (Numerical Rating Scale (NRS)), disability (Pain Disability Assessment Scale (PDAS)), and psychological status (Pain Self-Efficacy Questionnaire (PSEQ), and Pain Catastrophizing Scale (PCS)) were assessed. Changes in pain and disability at the follow-up were compared between the groups. The relationships between changes in pain, disability, and psychological variables were examined using Pearson's correlation and mediation analysis. Results: A significantly larger decrease in the PDAS was observed in the exercise group ( Conclusion: Exercise improved disability, and the improved disability by exercise mediated the effect of increased self-efficacy on pain relief in CLBP patients.

Indexed as

Low Back PainPersons with DisabilitiesExercise TherapyHumansProspective StudiesSelf Efficacy

Identifiers

PMID36071946
PMCPMC9444439

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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.