Evidence map›Paper›PMID 37762861›Full record

ArticleJournal of clinical medicine2023

The Effects of Combined Motor Control and Isolated Extensor Strengthening versus General Exercise on Paraspinal Muscle Morphology, Composition, and Function in Patients with Chronic Low Back Pain: A Randomized Controlled Trial.

Maryse Fortin, Meaghan Rye, Alexa Roussac, Chanelle Montpetit, Jessica Burdick, Neda Naghdi, Brent Rosenstein, Cleo Bertrand, Luciana G Macedo, James M Elliott and 4 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 5% 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.

NCT06778694 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Comparative Effects of Motor Control and Isolated Strengthening Lumbar Exercises on Functional Outcomes in Patients with Chronic Low Back Pain

TypeinterventionalSponsorUniversity of FaisalabadRan2025 to 2025Enrolled35ConditionsChronic Low-back PainArmsMotor control exercises, Isolated strengthening lumbar exercises
NCT07719452 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

The Effect of Adding Lumbar Extension Strengthening to a Program of Manual Therapy & Motor Control Exercise in Individuals With Chronic Low Back Pain: A Randomized Control Trial

TypeinterventionalSponsorBrooke Army Medical CenterRan2026 to 2028Enrolled60ConditionsChronic Low Back Pain (CLBP)ArmsStandard Physical Therapy, Lumbar Extensor Strengthening plus Standard Physical Therapy
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
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  9. Morphological characteristics of the thoracolumbar fascia: relationship to chronic low back pain and back extension strength.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
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  13. Targeted multifidus muscle activation reduces fibrosis of multifidus muscle following intervertebral disc injury.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
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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

14 authors at 4 institutions in 2 countries.

Maryse FortinDepartment of Health, Kinesiology and Applied Physiology, Concordia University, Montreal, QC H4B 1R6, Canada.
Meaghan RyeDepartment of Health, Kinesiology and Applied Physiology, Concordia University, Montreal, QC H4B 1R6, Canada.
Alexa RoussacDepartment of Health, Kinesiology and Applied Physiology, Concordia University, Montreal, QC H4B 1R6, Canada.
Chanelle MontpetitDepartment of Health, Kinesiology and Applied Physiology, Concordia University, Montreal, QC H4B 1R6, Canada.ORCID 0000-0001-8389-5003
Jessica BurdickDepartment of Health, Kinesiology and Applied Physiology, Concordia University, Montreal, QC H4B 1R6, Canada.
Neda NaghdiDepartment of Health, Kinesiology and Applied Physiology, Concordia University, Montreal, QC H4B 1R6, Canada.
Brent RosensteinDepartment of Health, Kinesiology and Applied Physiology, Concordia University, Montreal, QC H4B 1R6, Canada.ORCID 0000-0002-6126-7310
Cleo BertrandDepartment of Health, Kinesiology and Applied Physiology, Concordia University, Montreal, QC H4B 1R6, Canada.
Luciana G MacedoSchool of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, ON L8S 1C7, Canada.
James M ElliottFaculty of Medicine and Health, School of Health Sciences, The Kolling Institute, University of Sydney, Sydney, NSW 2050, Australia.
Geoffrey DoverDepartment of Health, Kinesiology and Applied Physiology, Concordia University, Montreal, QC H4B 1R6, Canada.
Richard DeMontDepartment of Health, Kinesiology and Applied Physiology, Concordia University, Montreal, QC H4B 1R6, Canada.
Michael H WeberDepartment of Orthopedic Surgery, McGill University Health Centre, Montreal, QC H3J 1A4, Canada.
Véronique PepinDepartment of Health, Kinesiology and Applied Physiology, Concordia University, Montreal, QC H4B 1R6, Canada.
Concordia University · CAMcGill University Health Centre · CAMcMaster University · CAThe University of Sydney · AU

Funding

Fonds de Recherche du Québec - Santé 283321; 295685; 309200PERFORM Centre, Concordia University Multidisciplinary Research Grant
6 · The paper itself

Abstract

Low back pain (LBP), a globally widespread and persistent musculoskeletal disorder, benefits from exercise therapy. However, it remains unclear which type leads to greater changes in paraspinal muscle health. This study aimed to (1) compare the effects of a combined motor control and isolated lumbar extension exercise (MC+ILEX) versus a general exercise (GE) intervention on paraspinal muscle morphology, composition, and function, and (2) examine whether alterations in paraspinal muscle health were correlated with improvements in pain, function, and quality of life. Fifty participants with chronic LBP were randomly assigned to each group and underwent a 12-week supervised intervention program. Magnetic resonance imaging and ultrasound assessments were acquired at baseline, 6 and 12 weeks to examine the impact of each intervention on erector spinae (ES) and multifidus (MF) muscle size (cross-sectional area, CSA), composition, and function at L4-L5 and L5-S1. Self-reported questionnaires were also acquired to assess participant-oriented outcomes. Our findings indicated that the MC+ILEX group demonstrated greater improvements in MF and ES CSA, along with MF thickness at both levels (all

Indexed as

compositionfatty infiltrationfunctionimaginglow back painmagnetic resonance imagingmotor controlparaspinal musclesultrasound

Identifiers

PMID37762861
PMCPMC10532355
OpenAlexW4386644919

What OpenQuestion holds

Textmetadata
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.