Evidence map›Paper›PMID 40206234›Full record

Trial reportJournal of pain research2025

Impact of Propranolol and Psychologically Informed Intervention on Pain Sensitivity: Secondary Analysis from the Biopsychosocial Influence on Shoulder Pain Preclinical Randomized Trial.

Mark D Bishop, Corey B Simon, Yanan Huo, Margaret R Wallace, Paul A Borsa, Roger B Fillingim, Roland Staud, Samuel S Wu, Steven Z George

Abstract readCase ReportsClinical Trial
In one paragraph

Trial report in Journal of pain research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. 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

9 authors.

Mark D BishopDepartment of Physical Therapy, University of Florida, Gainesville, FL, USA.ORCID 0000-0002-2832-6913
Corey B SimonDepartment of Orthopaedic Surgery, Physical Therapy Division, Duke University, Durham, NC, USA.ORCID 0000-0002-6121-9511
Yanan HuoGilead Sciences, Inc., Foster City, CA, USA.
Margaret R WallaceDepartment of Molecular Genetics and Microbiology, UF Genetics Institute, University of Florida, Gainesville, FL, USA.ORCID 0000-0002-5202-8895
Paul A BorsaDepartment of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL, USA.
Roger B FillingimPain Research and Intervention Center of Excellence, University of Florida, Gainesville, FL, USA.
Roland StaudDepartment of Medicine, University of Florida, Gainesville, FL, USA.ORCID 0000-0002-1317-2368
Samuel S WuDepartment of Biostatistics, University of Florida, Gainesville, FL, USA.
Steven Z GeorgeDepartment of Orthopaedic Surgery, Physical Therapy Division, Duke University, Durham, NC, USA.ORCID 0000-0003-4988-9421

Funding

Biopsychosocial Influence on Shoulder PainR01AR055899 · NIAMS · UNIVERSITY OF FLORIDA · PI GEORGE, STEVEN Z · 2008 to 2020
$5.5M
Biopsychosocial Influence on Shoulder PainR01AR081796 · NIAMS · DUKE UNIVERSITY · PI STEVEN Z GEORGE · 2023 to 2026
$2.4M
NIAMS NIH HHS R01 AR055899NIAMS NIH HHS R01 AR081796
6 · The paper itself

Abstract

Purpose: Measures of pain sensitivity have potential relevance for patient care. We previously identified a subgroup of people at risk for ongoing pain characterized by genetic AND psychological factors. Here, we report planned secondary analyses examining the effect of personalized interventions on pain sensitivity outcomes. Patients and Methods: Two hundred and sixty-one healthy individuals with the COMT SNP rs6269 AA genotype and Pain Catastrophizing Scale scores of 5 or higher received exercise-induced muscle injury, followed by a randomly assigned treatment: (1) general education and placebo; (2) personalized psychological intervention and placebo; (3) general education and propranolol; or (4) personalized psychological intervention and propranolol. Pain sensitivity outcomes (pressure pain thresholds (PPT), suprathreshold heat rating, temporal summation, and conditioned pain modulation efficiency) were compared using a mixed effect model to examine difference among groups, adjusted for age, sex and race. Results: No main effects for group assignment were noted (p > 0.05 for all), when considered as 4 groups or 2 collapsed groups (ie propranolol vs placebo or personalized psychologic vs general education). Interaction terms were then entered into our models in an exploratory fashion. For PPT outcomes interactions were noted for, sex and time, and race and time (p<0.015). For temporal summation outcomes, interactions were noted for sex and group and race and group (p < 0.015). Conclusion: Results indicated no statistically reliable changes in pain sensitivity when considering matched vs unmatched treatment groups. Caution is needed in this interpretation given that the trial was not powered to specifically identify these differences. Exploratory analysis of interactions among ethnic/racial and gender identities by treatment, however, showed the potential for differential effects for specific pain sensitivity measures. Significant interactions across modalities suggest analysis of higher order interactions/intersectionality could be of great interest for testing efficacy of personalized interventions in future trials.

Indexed as

exercisegeneticsmuscleshoulder

Identifiers

PMID40206234
PMCPMC11980936

What OpenQuestion holds

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Registered trials

None linked

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.