Evidence map›Paper›PMID 39923121›Full record

Trial reportEuropean journal of pain (London, England)2025

Ten Minutes of Core Stabilisation Exercise Result in Local Exercise-Induced Hypoalgesia in Patients With Chronic Unspecific Low Back Pain.

Fabian Tomschi, Andre Zschunke, Thomas Hilberg

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of pain (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. 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

3 authors.

Fabian TomschiDepartment of Sports Medicine, University of Wuppertal, Wuppertal, Germany.ORCID https://orcid.org/0000-0003-1738-4891
Andre ZschunkeDepartment of Sports Medicine, University of Wuppertal, Wuppertal, Germany.
Thomas HilbergDepartment of Sports Medicine, University of Wuppertal, Wuppertal, Germany.ORCID https://orcid.org/0000-0002-0935-2526

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCore stabilisation training is known to be effective in managing pain in patients suffering from chronic low back pain (CLBP). Yet, acute effects of core stabilisation exercise on exercise-induced hypoalgesia (EIH) are largely unknown. This study aimed to examine the EIH effects of an easy-to-perform core stabilisation exercise in CLBP patients and to explore associations between EIH and potential influencing factors (i.e., physical activity, catastrophizing, kinesiophobia, subjective pain state and exercise exertion).

methodsThirty patients with unspecific CLBP finished this randomised controlled crossover trial. Patients performed a 10-min isometric core stabilisation exercise and a 10-min control session. Before and after, pain sensitivity was measured via pressure pain thresholds [Newton/cm

resultsA 'Time' × 'Intervention' interaction (p < 0.001) was observed for PPT

conclusionA 10-min isometric core stabilisation exercise results in local lumbar EIH, while no systemic effects are observed. A higher degree of catastrophizing is associated with lower hypoalgesic responses. SIGNIFICANCE: This study shows for the first time that a brief and easy-to-perform 10-min core stabilisation exercise produces significant local pain relief (EIH) in patients with unspecific CLBP. The effect is localised to the lumbar region, with no observed impact on remote sites. Higher pain catastrophizing seems to be linked to reduced hypoalgesic response. These findings support the use of short core stabilisation exercises as an effective, immediate, non-pharmacological pain management strategy for these patients.

Indexed as

Chronic PainExerciseExercise TherapyLow Back PainPain ThresholdAdultCatastrophizationCross-Over StudiesFemaleHumansMaleMiddle AgedPain Measurement

Identifiers

PMID39923121
PMCPMC11807238

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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.