Evidence map›Paper›PMID 41878628›Full record

ArticleInternational journal of general medicine2026

Clinical Screening and Factors Influencing Growing Pain in Children with Recurrent Lower Limb Pain: A Controlled Study on Symptom Assessment and Motor Load.

Xiao Qin Guo, Ting Song Cang

Abstract read
In one paragraph

Article in International journal of general medicine, 2026. 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

2 authors.

Xiao Qin GuoDepartment of Preventive Health Care, Suzhou Hospital of Integrated Traditional Chinese and Western Medicine, Suzhou, Jiangsu, 215101, People's Republic of China.
Ting Song CangDepartment of Orthopedics, Suzhou Hospital of Integrated Traditional Chinese and Western Medicine, Suzhou, Jiangsu, 215101, People's Republic of China.ORCID 0009-0008-4950-8290

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Recurrent lower limb pain (RLLP) is common in children, with growth pain (GP) lacking objective diagnostic criteria and often confused with organic pain. This study aims to compare clinical characteristics and post-exercise pain responses among children with GP, disease controls (DC), and healthy controls (HC). Methods: This prospective controlled study (January 2023-March 2025) enrolled 201 children aged 3-12 years (67 in the GP group, 62 in the DC group, and 72 in the HC group). Baseline data and standardized symptom assessments were collected, followed by a unified standardized jump rope exercise load test. Immediate and 24-hour post-exercise visual analog scale (VAS) pain dynamics were compared. Results: The proportion of GP group participants with bone age advancement ≥3 months (44.78%) was significantly higher than in the DC group (16.13%) and HC group (25.00%, P < 0.001). Symptomatically, the GP group predominantly experienced evening/nighttime soreness (89.55%) and short-duration pain (median 31 minutes), whereas the DC group more commonly reported morning stabbing pain (40.32%) and long-duration pain (median 79 minutes) (P < 0.001). Exercise stress testing revealed that pain intensified post-exercise in both GP and DC groups. However, the DC group exhibited a "sharp increase-rapid decline" pattern, whereas the GP group showed a slower recovery. Conclusion: Standardized exercise stress testing reveals distinct pain recovery patterns, serving as a valuable supplement to symptom screening. Nevertheless, its efficacy in directly differentiating GP from organic diseases remains limited. Future research should integrate additional indicators to optimize diagnostic strategies.

Indexed as

clinical screeningexercise load assessmentgrowing painsinfluencing factorsrecurrent lower limb pain

Identifiers

PMID41878628
PMCPMC13007668

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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.