Evidence map›Paper›PMID 40254726›Full record

Trial reportEuropean journal of pain (London, England)2025

The Effect of Information on the Time Course of Pain During an Episode of Acute Experimentally Induced Low Back Pain-A Randomised Experiment.

M Travers, B M Wand, D Hince, W Gibson, S Meldgaard Hansen, T Sigurðsson, S Sorensen, T Skuli Palsson

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

M TraversSchool of Health Sciences, The University of Notre Dame, Fremantle, Australia.ORCID https://orcid.org/0000-0003-3519-4418
B M WandSchool of Health Sciences, The University of Notre Dame, Fremantle, Australia.ORCID https://orcid.org/0000-0002-0297-0292
D HinceInstitute of Health Research, The University of Notre Dame, Australia.
W GibsonSchool of Health Sciences, The University of Notre Dame, Fremantle, Australia.
S Meldgaard HansenDepartment of Clinical Medicine, Aalborg University, Aalborg, Denmark.
T SigurðssonDepartment of Clinical Medicine, Aalborg University, Aalborg, Denmark.
S SorensenGreenland Healthcare, Nuuk, Greenland.
T Skuli PalssonDepartment of Clinical Medicine, Aalborg University, Aalborg, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe compared the time course of pain intensity ratings between two groups who were given different information during an episode of acute experimentally induced LBP.

methodsFifty weight-training naive and pain-free people participated in this randomised clinical experiment. Immediately after performing a back exercise intended to cause delayed onset muscle soreness, one group was told that their muscles had been damaged and advised they needed to protect their back over the coming days. The other group's symptoms were described in terms of tissue sensitisation, and they were advised to keep moving. The primary outcome was movement-evoked low back pain intensity measured using an 11-point numeric rating scale (NRS 0-10). Pain intensity was recorded at baseline, immediately after the intervention and then daily for 7 days. The method of generalised estimating equations (GEE) was used to estimate treatment effects for average daily pain.

resultsMovement-evoked pain intensity scores changed over time in both groups (main effect of time: χ^2(7) = 246.2, p < 0.001). However, the intervention did not affect movement-evoked pain intensity scores (main effect of group: χ^2(1) = 0.02, p < 0.895). The adjusted mean difference between the groups was only -0.05/10 (95% CI -0.72 to 0.63, p = 0.895) when averaged across all time points.

conclusionsWe simulated an episode of low back pain and found that information based on tissue sensitivity and advice to remain active did not improve pain compared to information referencing tissue damage and advice to rest and protect the back. SIGNIFICANCE STATEMENT: Contemporary clinical guidelines and models of care recommend avoiding pathoanatomical diagnostic labels and encourage clinicians to advise patients to stay active during an episode of acute low back pain (LBP). We simulated an episode of acute LBP and found that information based on tissue sensitivity and advice to remain active did not improve pain compared to information referencing tissue damage and advice to rest and protect the back. The results could be different if repeated in a clinical population.

Indexed as

Low Back PainAdultFemaleHumansMalePain MeasurementTime FactorsYoung Adultdiagnosislow back painmusculoskeletal painpain perceptionrandomised controlled experiment

Identifiers

PMID40254726
PMCPMC12010030

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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.