Evidence map›Paper›PMID 39589920›Full record

Trial reportPain medicine (Malden, Mass.)2025

Pressure pain sensitivity is independent of structural pathology in patients with subacromial pain syndrome: a cross-sectional analysis.

Chris Pierson, Richard Wilson, Karen Brewer-Mixon, Yi-Ting Tzen, Jon Williamson, Kristine Hansen, Terri Hisel, Nitin Jain

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pain medicine (Malden, Mass.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03752619 (Peripheral Nerve Stimulation), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT03752619 nacompletednot on this map

Peripheral Nerve Stimulation(PNS) for Subacromial Impingement Syndrome(SIS)

TypeinterventionalSponsorMetroHealth Medical CenterRan2019 to 2024Enrolled116ConditionsShoulder Pain, Shoulder Impingement Syndrome, Shoulder Tendinitis, Shoulder BursitisArmsContracting Producing Peripheral Nerve Stimulation, Non Contracting Producing Peripheral Nerve Stimulation, Physical Therapy
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

8 authors.

Chris PiersonDepartment of Applied Clinical Research, UT Southwestern Medical Center, Dallas, TX 75235, United States.ORCID 0000-0002-1671-5276
Richard WilsonDepartment of Physical Medicine and Rehabilitation, MetroHealth Rehabilitation Institute, Cleveland, OH 44109, United States.
Karen Brewer-MixonDepartment of Applied Clinical Research, UT Southwestern Medical Center, Dallas, TX 75235, United States.
Yi-Ting TzenDepartment of Applied Clinical Research, UT Southwestern Medical Center, Dallas, TX 75235, United States.
Jon WilliamsonDepartment of Applied Clinical Research, UT Southwestern Medical Center, Dallas, TX 75235, United States.
Kristine HansenDepartment of Physical Medicine and Rehabilitation, MetroHealth Rehabilitation Institute, Cleveland, OH 44109, United States.
Terri HiselDepartment of Physical Medicine and Rehabilitation, MetroHealth Rehabilitation Institute, Cleveland, OH 44109, United States.
Nitin JainDepartment of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI 48108, United States.

Funding

UT Southwestern Center for Translational MedicineUL1TR003163 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2021 to 2025
$39.3M
Clinical and Translational Science Collaborative of Northern Ohio, Catalyzing Linkages to Equity in Health (CLE Health)UM1TR004528 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI GRACE A MCCOMSEY · 2023 to 2026
$32.1M
Peripheral Nerve Stimulation for Subacromial Impingement SyndromeR01HD093661 · NICHD · CASE WESTERN RESERVE UNIVERSITY · PI WILSON, RICHARD DWILLIS · 2018 to 2022
$3.3M
Case Western Reserve University 5R01HD093661-03CTSA UL1TR003163National Center for Advancing Translational ScienceNCATS NIH HHS UL1 TR003163NCATS NIH HHS UM1 TR004528NICHD NIH HHS R01 HD093661
6 · The paper itself

Abstract

objectiveTo compare localized (primary) and widespread (secondary) hyperalgesia through the measurement of the pressure pain threshold (PPT) of patients with normal imaging findings, rotator cuff tear, or other pathologies.

designThis was a cross-sectional design with data collected at a single time point.

settingThis study was performed at 2 large, urban, academic medical centers. SUBJECTS: The included participants had had chronic subacromial pain syndrome for 3 months or longer. Each participant was categorized into 1 of 3 imaging groups: normal imaging, rotator cuff tear, or other structural pathology.

methodsPrimary hyperalgesia was assessed with PPT at the midsection of the painful shoulder's lateral deltoid. Secondary hyperalgesia was assessed with PPT at the contralateral tibialis anterior muscle (TA). Analysis of variance (ANOVA) and analysis of covariance (ANCOVA) were performed for each objective. ANCOVA covariates included age, sex, education level, and pain duration.

resultsThe 103 participants included 55 males and had a median age of 55 years, a median pain duration of 14.0 months, and a median composite Shoulder Pain and Disability Index (SPADI) score of 43.1%. The ANCOVA for primary hyperalgesia showed no significant difference in square-root-adjusted deltoid PPT among imaging groups (F = 1.04, P = .3589). The ANCOVA for secondary hyperalgesia showed no significant difference in log-adjusted TA PPT among imaging groups (F = 0.24, P = .7900).

conclusionsNo significant difference was observed in the analysis of ipsilateral deltoid or contralateral TA PPT among patients with differing structural shoulder pathologies. These findings suggest that the 3 types of structural shoulder abnormalities we examined are not significantly associated with differences in one measure of hyperalgesia.

trial registrationClinicalTrials.gov ID NCT03752619.

Indexed as

HyperalgesiaPain ThresholdShoulder Impingement SyndromeShoulder PainAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedPain MeasurementPressurepressure pain thresholdquantitative sensory testingsubacromial pain syndrome

Identifiers

PMID39589920
PMCPMC13396789

What OpenQuestion holds

Textmetadata
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.