Evidence map›Paper›PMID 40865430›Full record

ArticleBrazilian journal of physical therapy

Shoulder pain phenotyping: A guide for clinicians to determine predominant nociceptive, neuropathic, or nociplastic shoulder pain.

Liesbet De Baets, Kevin Kuppens, Céline Labie, Melina Nevoeiro Haik, Eleni Kapreli, Paraskevi Bilika, Filip Struyf, Dorien Borms, César Fernández-de-Las-Peñas, Eva Kosek and 7 more

Abstract read
In one paragraph

Article in Brazilian journal of physical therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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

17 authors.

Liesbet De BaetsPain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Belgium; Department of Physical Therapy, Federal University of São Carlos (UFSCar), Brasil; Department of Physical Medicine and Physiotherapy, University Hospital Leuven, Belgium. Electronic address: Liesbet.debaets@kuleuven.be.
Kevin KuppensPain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Belgium; Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium.
Céline LabiePain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Belgium; Musculoskeletal Rehabilitation Research Group, Department of Rehabilitation Sciences, Faculty of Movement and Rehabilitation Sciences, KU Leuven, Belgium.
Melina Nevoeiro HaikDepartment of Physical Therapy, Federal University of São Carlos (UFSCar), Brasil.
Eleni KapreliClinical Exercise Physiology & Rehabilitation Research Laboratory, Physiotherapy Department, Faculty of Health Sciences, University of Thessaly, Lamia, Greece.
Paraskevi BilikaClinical Exercise Physiology & Rehabilitation Research Laboratory, Physiotherapy Department, Faculty of Health Sciences, University of Thessaly, Lamia, Greece.
Filip StruyfDepartment of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium.
Dorien BormsDepartment of Human Structure and Repair, Faculty of Medicine and Health Sciences, Ghent University, Belgium; Department of Rehabilitation Sciences (Physiotherapy), Faculty of Medicine and Health Sciences, Ghent University, Belgium.
César Fernández-de-Las-PeñasDepartment of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos (URJC), Alcorcón, Madrid. Spain.
Eva KosekDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Enrique LluchPain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Belgium; Department of Physical Therapy, University of Valencia, 46010 Valencia, Spain; Physiotherapy in Motion, Multi-Speciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, Valencia, Spain.
Marco TestaDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Italy.
Jeremy LewisTherapy Department, Central London Community Healthcare National Health Service Trust, Finchley Memorial Hospital, London N12 0JE, United Kingdom; Professor of Musculoskeletal Research, Clinical Therapies, University of Limerick, Ireland; Professor of Musculoskeletal Research, School of Health Sciences, University of Nottingham, UK.
Zosia GoossensPain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Belgium; Brain, Body and Cognition (BBCO), Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel (VUB), Brussels, Belgium.
Marc SchilzDepartment of Physical and Rehabilitation Medicine, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Brussels, Belgium; STIMULUS Consortium, Vrije Universiteit Brussel, Brussels, Belgium.
Inge BonneuxOrthopaedic Center Máxima, Máxima Medical Center, Ds. Theodor Fliednerstraat 1, 5631 BM, Eindhoven, the Netherlands.
Jo NijsPain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Belgium; Department of Health and Rehabilitation, Unit of Physiotherapy, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden; Chronic pain rehabilitation, Department of Physical Medicine and Physiotherapy, University Hospital Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPersistent shoulder pain is common, and it is associated with substantial morbidity and healthcare costs. Approximately 21 to 50 % of people with shoulder pain treated in primary healthcare recover within six months. It is not known why at least half do not recover. One possibility is the manner underlying mechanisms related to persistent shoulder pain are managed. Being able to determine the predominant pain phenotype in people with persistent shoulder pain (i.e., nociceptive, neuropathic, or nociplastic pain) together with their underlying mechanism and tailoring management accordingly may improve outcomes for people seeking care for persistent shoulder pain. The International Association for the Study of Pain (IASP) recently developed clinical criteria and a grading system for the identification of nociplastic pain.

objectiveIn this paper, we aim to provide suggestions to clinicians to assist in the evaluation of pain phenotypes, underlying mechanisms, and their causal relationships. DISCUSSION: Based on the IASP clinical criteria and grading system for nociplastic pain, we outline pain phenotype evaluation and provide a clinical reasoning framework. To facilitate this, three case studies involving people living with persistent shoulder pain are presented.

Indexed as

NeuralgiaShoulder PainHumansPain MeasurementPhenotypeCentral sensitizationNeuropathicNociceptiveNociplastic painPrecision medicine

Identifiers

PMID40865430
PMCPMC12624772

What OpenQuestion holds

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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.