Evidence map›Paper›PMID 36944266›Full record

Observational studyPain medicine (Malden, Mass.)2023

Construct validity of movement-evoked pain operational definitions in older adults with chronic low back pain.

Patrick J Knox, Corey B Simon, Ryan T Pohlig, Jenifer M Pugliese, Peter C Coyle, Jaclyn M Sions, Gregory E Hicks

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Pain medicine (Malden, Mass.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 15% 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.

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

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Rethinking Measurement of Movement-Evoked Pain with Digital Technology.medRxiv : the preprint server for health sciences · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Review
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

7 authors at 2 institutions in 1 country.

Patrick J KnoxDepartment of Physical Therapy, University of Delaware, Newark, DE 19713, United States.ORCID 0000-0002-2669-4130
Corey B SimonDepartment of Orthopaedic Surgery, Physical Therapy Division, Duke University, Durham, NC 27710, United States.
Ryan T PohligDepartment of Epidemiology, University of Delaware, Newark, DE 19713, United States.
Jenifer M PuglieseDepartment of Physical Therapy, University of Delaware, Newark, DE 19713, United States.ORCID 0000-0003-0119-2158
Peter C CoyleDepartment of Physical Therapy, University of Delaware, Newark, DE 19713, United States.ORCID 0000-0003-3954-2563
Jaclyn M SionsDepartment of Physical Therapy, University of Delaware, Newark, DE 19713, United States.ORCID 0000-0002-8151-1341
Gregory E HicksDepartment of Physical Therapy, University of Delaware, Newark, DE 19713, United States.
University of Delaware · USDuke University Hospital · US

Funding

Chronic Low Back Pain in Older Adults: The Role of Co-Existing Hip ImpairmentsR01AG041202 · NIA · UNIVERSITY OF DELAWARE · PI Gregory E Hicks · 2012 to 2026
$8.4M
PT/PHD Predoctoral Training Program Diversity SupplementT32HD007490 · NICHD · UNIVERSITY OF DELAWARE · PI DARCY S. REISMAN · 1996 to 2026
$3.7M
NIA NIH HHS R01 AG041202NICHD NIH HHS T32 HD007490
6 · The paper itself

Abstract

objectiveMovement-evoked pain (MeP) may predispose the geriatric chronic low back pain (LBP) population to health decline. As there are differing operational definitions for MeP, the question remains as to whether these different definitions have similar associations with health outcomes in older adults with chronic LBP.

designCross-sectional analysis of an observational study.

settingClinical research laboratory. SUBJECTS: 226 older adults with chronic LBP.

methodsThis secondary analysis used baseline data from a prospective cohort study (n = 250). LBP intensity was collected before and after the repeated chair rise test, stair climbing test, and 6-minute walk test; MeP change scores (ie, sum of pretest pain subtracted from posttest pain) and aggregated posttest pain (ie, sum of posttest pain) variables were calculated. LBP-related disability and self-efficacy were measured by the Quebec Back Pain Disability Scale (QBPDS) and Low Back Activity Confidence Scale (LOBACS), respectively. Physical function was measured with the Health ABC Performance Battery. Robust regression with HC3 standard errors was used to evaluate adjusted associations between both MeP variables and disability, self-efficacy, and physical function.

resultsGreater aggregated posttest MeP was independently associated with worse disability (b = 0.593, t = 2.913, P = .004), self-efficacy (b = -0.870, t = -3.110, P = .002), and physical function (b = -0.017, t = -2.007, P = .039). MeP change scores were not associated with any outcome (all P > .050).

conclusionsAggregate posttest MeP was linked to poorer health outcomes in older adults with chronic LBP, but MeP change scores were not. Future studies should consider that the construct validity of MeP paradigms partially depends on the chosen operational definition.

Indexed as

Chronic PainLow Back PainAgedCross-Sectional StudiesDisability EvaluationHumansPain MeasurementProspective StudiesWalkingchronic paingeriatricslow back painmovement-evoked painpain measurement

Identifiers

PMID36944266
PMCPMC10391587
OpenAlexW4353016714

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.