Evidence map›Paper›PMID 42176014›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026

Restorative neurostimulation of the lumbar multifidus muscles improves mobility, strength, pain and disability in patients with mechanical chronic low back pain.

Adrian Nowitzke, Patrick Beaumont, Clare Dal Bon, Paul Hodges, Paul Licina

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Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Adrian NowitzkeBrisbane Private Hospital Spine Research Group, qneurospine, Spring Hill, Australia.
Patrick BeaumontBrisbane Private Hospital Spine Research Group, SpinePlus, Spring Hill, Australia. patrick@spineplus.com.au.
Clare Dal BonBrisbane Private Hospital Spine Research Group, SpinePlus, Spring Hill, Australia.
Paul HodgesSchool of Health and Rehabilitation Sciences & Centre for Innovation in Pain and Health Research, University of Queensland, St Lucia, Australia.
Paul LicinaBrisbane Private Hospital Spine Research Group, SpinePlus, Spring Hill, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the impact of restorative neurostimulation on patient reported outcomes in patients with mechanical chronic low back pain (LBP) presenting to real-world spine surgical practices, and the impact on measures of physical function and lifestyle tracking.

methodsThis was prospective observation study of a single group of patients treated for mechanical chronic LBP with electrical stimulation of the lumbar multifidus muscles. Patients were included it they were deemed suitable for implantation of the device by two spine surgeons. Prior to implantation, measures were made of patient reported outcomes (pain, disability, quality-of-life, fear avoidance, pain self-efficacy, and physical/mental/social health), quantitative measures of physical function (trunk strength, balance, lumbar range-of-motion, 30-second sit-to-stand and timed up-and-go), and lifestyle tracking measures of physical activity and sleep. Measures were repeated at 8 weeks, 6 months, and 1 year post-implantation.

results28 males and 22 females with a mean age, body mass index, and pain duration of 56 ± 12 years, 28.2 ± 4.2 kg/m

conclusionThis study provides real-world evidence for the longitudinal benefits of restorative neurostimulation for patients with mechanical chronic LBP and is the first to demonstrate objective improvements in trunk strength and physical function.

Indexed as

Chronic low back painMultifidusPatient reported outcomesPhysical activityPhysical functionSleep

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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.