Evidence map›Paper›PMID 37107999›Full record

ArticleHealthcare (Basel, Switzerland)2023

Physiotherapy Screening for Referral of a Patient with Patent Foramen Ovale Presenting with Neck Pain as Primary Complaint: A Case Report.

Giovanni Lopez, Fabio Cataldi, Giuseppe Bellin, James Dunning, César Fernández-de-Las-Peñas, Erasmo Galeno, Roberto Meroni, Filippo Maselli, Firas Mourad

Abstract readCase Reports
In one paragraph

Article in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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

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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

9 authors.

Giovanni LopezDepartment of Human Neurosciences, Sapienza University of Rome, 00185 Rome, Italy.
Fabio CataldiDepartment of Human Neurosciences, Sapienza University of Rome, 00185 Rome, Italy.
Giuseppe BellinCentro Diagnostico Veneto, Department of Physical Therapy, 36030 Vicenza, Italy.
James DunningAmerican Academy of Manipulative Therapy Fellowship in Orthopaedic Manual Physical Therapy, Montgomery, AL 36104, USA.ORCID 0000-0002-1194-0108
César Fernández-de-Las-PeñasDepartment of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, 28922 Alcorcón, Spain.ORCID 0000-0003-3772-9690
Erasmo GalenoDepartment of Human Neurosciences, Sapienza University of Rome, 00185 Rome, Italy.
Roberto MeroniDepartment of Physiotherapy, LUNEX International University of Health, Exercise and Sports, 4671 Differdange, Luxembourg.ORCID 0000-0002-5717-1148
Filippo MaselliDepartment of Human Neurosciences, Sapienza University of Rome, 00185 Rome, Italy.ORCID 0000-0001-9683-9975
Firas MouradDepartment of Physiotherapy, LUNEX International University of Health, Exercise and Sports, 4671 Differdange, Luxembourg.ORCID 0000-0002-8981-2085

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neck pain is a common musculoskeletal disorder encountered by physiotherapists. However, it may be the early manifestation of more alarming conditions, such as cardiovascular diseases mimicking musculoskeletal pain. Patent foramen ovale (PFO) is a congenital heart defect consisting of a small opening between the right and the left atrium. A 56-year-old male presented with neck pain and head heaviness as primary complaints. The cardiovascular profile and the behavioral symptoms led the physiotherapist to find an exaggerated blood pressure response during exercise; in addition to subtle neurological signs, this prompted the physiotherapist to make an urgent referral. At the emergency department a PFO was diagnosed. To the best of the authors' knowledge, this is the first case to describe a rare clinical presentation of a PFO presenting neck pain as primary complaint. This case report emphasizes the importance for physiotherapists to be able to triage patients for conditions outside their scope suggestive of further medical investigation.

Indexed as

cardiovascular diseasesdifferential diagnosisheart disease risk factorshypertensionmasked hypertensionwhite coat hypertension

Identifiers

PMID37107999
PMCPMC10138410

What OpenQuestion holds

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Registered trials

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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.