Evidence map›Paper›PMID 38111118›Full record

Trial reportCurrent aging science2024

Perturbation-based Balance Training in Adults Aged Above 55 Years with Chronic Low Back Pain: A Comparison of Effects of Water

Ramprasad Muthukrishan, Fatima Mohammed Badr Ul Islam, Sukumar Shanmugam, Watson Arulsingh, Kumaraguruparan Gopal, Praveen Kumar Kandakurti, Sannasi Rajasekar, Gulshan Shahzadi Malik, Geovinson S G

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Current aging science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
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  3. Trial
  4. Review
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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.

Ramprasad MuthukrishanDepartment of Physiotherapy, Gulf Medical University, Ajman, United Arab Emirates.ORCID 0000-0003-0839-5943
Fatima Mohammed Badr Ul IslamDepartment of Physiotherapy, Gulf Medical University, Ajman, United Arab Emirates.
Sukumar ShanmugamDepartment of Physiotherapy, Gulf Medical University, Ajman, United Arab Emirates.ORCID 0000-0001-6075-366X
Watson ArulsinghDepartment of Physiotherapy, Gulf Medical University, Ajman, United Arab Emirates.ORCID 0000-0003-4387-0818
Kumaraguruparan GopalDepartment of Physiotherapy, Gulf Medical University, Ajman, United Arab Emirates.ORCID 0000-0002-3552-5494
Praveen Kumar KandakurtiDepartment of Physiotherapy, Gulf Medical University, Ajman, United Arab Emirates.ORCID 0000-0003-2669-4488
Sannasi RajasekarSrinivas College of Physiotherapy and Research Centre, Karnataka, 575001, India.ORCID 0000-0003-0958-6143
Gulshan Shahzadi MalikThumbay Physical Therapy and Rehabilitation Hospital, Ajman, United Arab Emirates.ORCID 0000-0002-2958-4324
Geovinson S GThumbay Physical Therapy and Rehabilitation Hospital, Ajman, United Arab Emirates.ORCID 0000-0003-3748-2405

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background'Rapid balance reaction' or 'perturbation' training is an emerging paradigm in elderly back pain rehabilitation due to its connection to postural stability.

objectiveThis study aimed to inform the feasibility and practicality of perturbation-based balance training (PBT) using a stratification approach and to determine the effectiveness of land versus water-based PBT in elderly individuals with chronic low back pain (CLBP).

methodsElderly CLBP participants (n=24) received exercise interventions as per treatmentbased classification (TBC) and were randomly allotted into water-based perturbation exercises (WBPE, Mean age=63.0±2.6years, n=12) and land-based perturbation exercise group (LBPE, 62.3±2.6 years, n=12). Pain intensity, disability, scores of fear-avoidance beliefs, fall efficacy, and rate of perceived exertion (RPE) were assessed before and at the end of 6 weeks.

resultsWBPE group reported a significant reduction in pain score (median difference(MD)):2, p<0.03), fear avoidance behaviour for work (MD:9, p<0.01) and fear avoidance behaviour for physical activity (MD:10, p< 0.05), improved straight leg raise right (SLR) (MD:37.5°, p<0.05), and improved modified fall efficacy scores (MFES, MD:25, p<0.05) compared to the LBPE group at post-intervention. Within-group analysis in both groups revealed significant improvement in clinical outcomes except for fear-avoidance beliefs related to physical activity in the LBPE group. Subgroup analysis revealed that the high BMI elderly CLBP group of LBPE had significant improvements similar to the WBPE group except for scores of FABQ physical activity scores and SLR.

conclusionPossible key factors for future research are discussed in the realms of perturbation exercise in the elderly with CLBP.

Indexed as

Chronic PainExercise TherapyFearLow Back PainPostural BalanceAccidental FallsAgedAge FactorsDisability EvaluationFeasibility StudiesFemaleHumansMaleMiddle AgedPain MeasurementRecovery of FunctionWaterAquatic exercise therapychronic painhydrotherapylow back painperturbation-based exercisesTBC.

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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.