Evidence map›Paper›PMID 42538744›Full record

Observational studyPain research & management2026

Dysregulated Pain-Autonomic Responses in Patients With Nonspecific Chronic Low Back Pain.

Beatriz Chozas Barrientos, Iara De Schoenmacker, Paulina Simonne Scheuren, Laura Sirucek, David Costa Marques, Robin Lütolf, Lindsay Gorrell, Anke Langenfeld, Mirjam Baechler, Brigitte Wirth and 3 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Pain research & management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04433299 (Back Pain - Linking Phenotype to Pain Mechanism and Outcome.), which is not on this 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.

NCT04433299 completednot on this map

Back Pain - Linking Phenotype to Pain Mechanism and Outcome.

TypeobservationalSponsorBalgrist University HospitalRan2019 to 2025Enrolled150ConditionsLow Back PainArmsno intervention, observational
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
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

13 authors.

Beatriz Chozas BarrientosIntegrative Spinal Research, Department of Chiropractic Medicine, Balgrist University Hospital, University of Zurich, Zurich, Switzerland, balgrist.ch.ORCID https://orcid.org/0000-0002-1737-5752
Iara De SchoenmackerSpinal Cord Injury Center, Balgrist University Hospital, University of Zurich, Zurich, Switzerland, balgrist.ch.ORCID https://orcid.org/0000-0003-1889-6565
Paulina Simonne ScheurenSpinal Cord Injury Center, Balgrist University Hospital, University of Zurich, Zurich, Switzerland, balgrist.ch.ORCID https://orcid.org/0000-0001-7568-0133
Laura SirucekIntegrative Spinal Research, Department of Chiropractic Medicine, Balgrist University Hospital, University of Zurich, Zurich, Switzerland, balgrist.ch.ORCID https://orcid.org/0000-0001-5599-3546
David Costa MarquesSpinal Cord Injury Center, Balgrist University Hospital, University of Zurich, Zurich, Switzerland, balgrist.ch.ORCID https://orcid.org/0000-0003-0800-6610
Robin LütolfSpinal Cord Injury Center, Balgrist University Hospital, University of Zurich, Zurich, Switzerland, balgrist.ch.ORCID https://orcid.org/0000-0002-4635-693X
Lindsay GorrellIntegrative Spinal Research, Department of Chiropractic Medicine, Balgrist University Hospital, University of Zurich, Zurich, Switzerland, balgrist.ch.ORCID https://orcid.org/0000-0002-1937-741X
Anke LangenfeldIntegrative Spinal Research, Department of Chiropractic Medicine, Balgrist University Hospital, University of Zurich, Zurich, Switzerland, balgrist.ch.ORCID https://orcid.org/0000-0001-7570-4289
Mirjam BaechlerIntegrative Spinal Research, Department of Chiropractic Medicine, Balgrist University Hospital, University of Zurich, Zurich, Switzerland, balgrist.ch.ORCID https://orcid.org/0000-0003-2024-7097
Brigitte WirthIntegrative Spinal Research, Department of Chiropractic Medicine, Balgrist University Hospital, University of Zurich, Zurich, Switzerland, balgrist.ch.ORCID https://orcid.org/0000-0001-6935-1800
Jan RosnerSpinal Cord Injury Center, Balgrist University Hospital, University of Zurich, Zurich, Switzerland, balgrist.ch.ORCID https://orcid.org/0000-0002-1973-1773
Michèle HubliNeuroscience Center Zurich (ZNZ), Zurich, Switzerland.ORCID https://orcid.org/0000-0001-6054-3283
Petra SchweinhardtIntegrative Spinal Research, Department of Chiropractic Medicine, Balgrist University Hospital, University of Zurich, Zurich, Switzerland, balgrist.ch.ORCID https://orcid.org/0000-0003-4837-6595

Funding

Consortium of Swiss Academic LibrariesLundbeckfonden R359-2020 2620Theodor und Ida Herzog-Egli StiftungUniversitat Zurich
6 · The paper itself

Abstract

backgroundNeurophysiological assessments might advance the understanding of nonspecific chronic low back pain (nsCLBP) by quantifying altered pain processing and associated autonomic responses. Contact heat-evoked potentials (CHEPs) and sympathetic skin responses (SSRs) were compared between nsCLBP patients and healthy controls (HCs), and their relationships with experimental and clinical pain ratings were explored.

methodsA total of 56 nsCLBP patients and 40 age- and sex-matched HCs were included in this study. All participants underwent simultaneous recordings of CHEPs and SSRs in response to two blocks of 15 heat stimuli applied at the back (i.e., the patients' clinical pain area) and the hand (nonpainful control area). Participants rated the perceived pain intensity of each contact heat stimulus using a numerical rating scale (0-10). The change of pain ratings, CHEP, and SSR amplitudes between blocks was calculated as habituation index.

resultsSSR latencies were prolonged in patients compared to HCs (F = 9.5, p = 0.003) and were shorter after back stimulation compared to hand stimulation (F = 9.6, p < 0.001). No other group differences were observed. Clinical pain intensities in patients correlated (1) with contact heat pain ratings in both areas (back: rho = 0.27, p = 0.041, control area: rho = 0.272, p = 0.042) and (2) inversely with CHEP P2 latencies after hand stimulation (current pain: rho = -0.324, p = 0.019; average 4 weeks: rho = -0.320, p = 0.022).

conclusionProlonged SSR latencies in nsCLBP might indicate a dysregulated pain-autonomic response.

trial registrationClinicaltrials.gov_identifier: NCT04433299.

Indexed as

Autonomic Nervous SystemChronic PainEvoked Potentials, SomatosensoryLow Back PainAdultFemaleGalvanic Skin ResponseHot TemperatureHumansMaleMiddle AgedPain MeasurementPain ThresholdReaction Time

Identifiers

PMID42538744
PMCPMC13428177

What OpenQuestion holds

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Registered trials

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.