Evidence map›Paper›PMID 41203716›Full record

Trial reportScientific reports2025

Pain neuroscience education with physical activity improves physical and psychological outcomes in older women with chronic low back pain.

Teppei Abiko, Shin Murata, Hiroaki Iwase, Koji Nonaka, Kunihiko Anami, Yuki Kikuchi, Katsuyuki Madoba, Kayoko Shiraiwa

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Progress in pain mechanisms and management.Signal transduction and targeted therapy · 2026
    Review
  3. Article
  4. 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.

Teppei AbikoDepartment of Physical Therapy, Faculty of Health Sciences, Kyoto Tachibana University, Kyoto, Japan. abiko@tachibana-u.ac.jp.
Shin MurataDepartment of Physical Therapy, Faculty of Health Sciences, Kyoto Tachibana University, Kyoto, Japan.
Hiroaki IwaseDepartment of Physical Therapy, Faculty of Rehabilitation Science, Kobe International University, Kobe, Japan.
Koji NonakaDepartment of Rehabilitation, Faculty of Health Sciences, Naragakuen University, Sango, Japan.
Kunihiko AnamiDepartment of Rehabilitation, Faculty of Health Sciences, Naragakuen University, Sango, Japan.
Yuki KikuchiDepartment of Physical Therapy, Faculty of Health Sciences, Kyoto Tachibana University, Kyoto, Japan.
Katsuyuki MadobaDepartment of General Affairs, Nishi Kyoto Hospital, Kyoto, Japan.
Kayoko ShiraiwaDepartment of Physical Therapy, Faculty of Health Sciences, Kyoto Tachibana University, Kyoto, Japan.

Funding

Japan Society for the Promotion of Science 25K14153
6 · The paper itself

Abstract

Chronic low back pain (CLBP) significantly impairs quality of life and increases mortality among older adults, making its effective management essential for healthy aging. This quasi-randomized trial compared Pain Neuroscience Education emphasizing physical activity (PNE-PA) with traditional biomechanical treatments (BM) in older women with CLBP over 12 weeks. Community-dwelling women aged 65-90 years with CLBP were assigned to either group based on recruitment timing, using a double-blinded design. PNE-PA aimed to reduce pain-related fear by educating patients about pain neuroscience and encouraging physical activity. Outcomes included physical function, pain intensity, self-reported disability and psychological factors. Analyses used intention-to-treat and bootstrap resampling methods. Between-group differences were assessed using mean differences, 95% confidence intervals (CI), and Cohen's d. The PNE-PA group (n = 24) showed significantly greater improvements than the BM group (n = 18) in Chair Stand Test (95% CI: 1.53 to 7.76, d = 0.88), step count (95% CI: 475.97 to 2550.42, d = 0.87), pain catastrophizing (95% CI: -10.64 to -1.95, d = -0.87), and fear-avoidance beliefs (95% CI: -7.40 to -0.14, d = -0.65). These findings suggest that Pain Neuroscience Education emphasizing physical activity was associated with better physical and psychological outcomes among older women with chronic low back pain.

Indexed as

Chronic PainExerciseLow Back PainNeurosciencesPain ManagementPatient Education as TopicAgedAged, 80 and overDouble-Blind MethodFearFemaleHumansPain MeasurementQuality of LifeTreatment Outcome

Identifiers

PMID41203716
PMCPMC12594775

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.