Evidence map›Paper›PMID 30625201›Full record

SynthesisPloS one2019

Exercise-induced hypoalgesia: A meta-analysis of exercise dosing for the treatment of chronic pain.

Anna M Polaski, Amy L Phelps, Matthew C Kostek, Kimberly A Szucs, Benedict J Kolber

3 registry-linked trialsOpen access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 64 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 11 pooled it
13.7field-weighted citation impact, top 1% of its field
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.

NCT04902196 nacompletednot on this mapstarted 2021, after this paper: background citation

Acute Effects of a High Intensity Training Protocol on Pain Processing and Inflammatory Parameters in Persons With Chronic Nonspecific Low Back Pain.

TypeinterventionalSponsorHasselt UniversityRan2021 to 2022Enrolled40ConditionsLow Back Pain, InflammationArmshigh intensity cardiorespiratory exercise protocol, moderate intensity cardiorespiratory exercise protocol
NCT05226845 nacompletednot on this mapstarted 2021, after this paper: background citation

Is Patient Choice of Exercise Preference Important in Chronic Neck Pain? A Randomized Clinical Study

TypeinterventionalSponsorUniversity of JaénRan2021 to 2021Enrolled20ConditionsChronic Neck PainArmsprescribed exercise, chosen exercise
NCT06295276 nacompletednot on this mapstarted 2024, after this paper: background citation

Does a Teletherapy-guided Exercise Programme Improve Pain Intensity, Disability, and Quality of Life in Nursing Students With Back and Neck Pain Compared to a Control Group?

TypeinterventionalSponsorHochschule OsnabruckRan2024 to 2024Enrolled48ConditionsLow Back Pain, Neck PainArmsteletherapy-guided exercise programme, Waiting list/control intervention/delayed teletherapy intervention
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 11 syntheses or guidelines pooled it, 151 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Trial
  13. Trial
  14. Trial
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review

4 more citing papers are in PubMed but not listed here.

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 at 1 institution in 1 country.

Anna M PolaskiDepartment of Biological Sciences, Duquesne University, Pittsburgh, Pennsylvania, United States of America.
Amy L PhelpsChronic Pain Research Consortium, Duquesne University, Pittsburgh, Pennsylvania, United States of America.
Matthew C KostekChronic Pain Research Consortium, Duquesne University, Pittsburgh, Pennsylvania, United States of America.
Kimberly A SzucsChronic Pain Research Consortium, Duquesne University, Pittsburgh, Pennsylvania, United States of America.
Benedict J KolberDepartment of Biological Sciences, Duquesne University, Pittsburgh, Pennsylvania, United States of America.ORCID 0000-0001-8665-1805
Duquesne University · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
Impact of Amygdala Lateralization on Processing and Modulation of Bladder PainR01DK115478 · NIDDK · UNIVERSITY OF TEXAS DALLAS · PI BENEDICT J KOLBER · 2018 to 2026
$4.3M
NCATS NIH HHS UL1 TR001857NIDDK NIH HHS R01 DK115478
6 · The paper itself

Abstract

objectiveIncreasing evidence purports exercise as a first-line therapeutic for the treatment of nearly all forms of chronic pain. However, knowledge of efficacious dosing respective to treatment modality and pain condition is virtually absent in the literature. The purpose of this analysis was to calculate the extent to which exercise treatment shows dose-dependent effects similar to what is seen with pharmacological treatments.

methodsA recently published comprehensive review of exercise and physical activity for chronic pain in adults was identified in May 2017. This report reviewed different physical activity and exercise interventions and their effectiveness in reducing pain severity and found overall modest effects of exercise in the treatment of pain. We analyzed this existing data set, focusing specifically on the dose of exercise intervention in these studies. We re-analyzed data from 75 studies looking at benefits of time of exercising per week, frequency of exercise per week, duration of intervention (in weeks), and estimated intensity of exercise.

resultsAnalysis revealed a significant positive correlation with exercise duration and analgesic effect on neck pain. Multiple linear regression modeling of these data predicted that increasing the frequency of exercise sessions per week is most likely to have a positive effect on chronic pain patients. DISCUSSION: Modest effects were observed with one significant correlation between duration and pain effect for neck pain. Overall, these results provide insufficient evidence to conclude the presence of a strong dose effect of exercise in pain, but our modeling data provide tes predictions that can be used to design future studies to explicitly test the question of dose in specific patient populations.

Indexed as

AdultAnalgesiaChronic PainExerciseExercise TherapyHumansLinear ModelsMultivariate AnalysisNeck PainPain MeasurementRandomized Controlled Trials as Topic

Identifiers

PMID30625201
PMCPMC6326521
OpenAlexW2908748311

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.