Evidence mapPaperPMID 39969656Full record

SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025

Impact of education in patients undergoing physiotherapy for lower back pain: a level I systematic review and meta-analysis.

Filippo Migliorini, Nicola Maffulli, Luise Schäfer, Nicola Manocchio, Michela Bossa, Calogero Foti, Marcel Betsch, Joshua Kubach

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Management of sacroiliac joint pain: current concepts.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Active and passive physical therapy in patients with chronic low-back pain: a level I Bayesian network meta-analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. 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.

Filippo MiglioriniDepartment of Life Sciences, Health, and Health Professions, Link Campus University, Via del Casale Di San Pio V, 00165, Rome, Italy.
Nicola MaffulliFaculty of Medicine and Psychology, University "La Sapienza" of Rome, Rome, Italy.
Luise SchäferDepartment of Orthopaedic and Trauma Surgery, Eifelklinik St. Brigida, Kammerbruschstr. 8, 52152, Simmerath, Germany.
Nicola ManocchioClinical Sciences and Translational Medicine Department, Tor Vergata University, 00133, Rome, Italy. nicola.manocchio@uniroma2.it.
Michela BossaClinical Sciences and Translational Medicine Department, Tor Vergata University, 00133, Rome, Italy.
Calogero FotiClinical Sciences and Translational Medicine Department, Tor Vergata University, 00133, Rome, Italy.
Marcel BetschDepartment of Trauma and Orthopedic Surgery, Friedrich-Alexander University Erlangen-Nurnberg, University Hospital Erlangen, Erlangen, Germany.
Joshua KubachDepartment of Trauma and Orthopedic Surgery, Friedrich-Alexander University Erlangen-Nurnberg, University Hospital Erlangen, Erlangen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLower back pain (LBP) is one of the most common musculoskeletal disorders in modern society, with a lifetime incidence of up to 90%. According to most national and international guidelines, educational interventions play a central role in the multimodal treatment of LBP. This systematic review and meta-analysis investigated the impact of educational interventions on pain and disability in patients with LBP undergoing physiotherapy compared to patients without educational interventions undergoing physiotherapy.

methodsIn October 2024, a comprehensive computer-aided search was performed to assess the online databases PubMed, Web of Science, Google Scholar, and Embase. The search followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria with an established PICOTD algorithm. Two authors independently performed the data extraction and risk of bias evaluation. The primary outcome measures extracted were a pain score (VAS or NRS) and the Roland Morris Disability Questionnaire (RMQ).

resultsData from 8152 patients were retrieved. The mean length of follow-up was 6.2 ± 3.9 months, the mean length of symptom duration was 66.7 ± 51.6 months, and the mean age of the patients was 46.7 ± 9.2 years. Compared to physiotherapy alone, additional education did not reduce pain (P = 0.4) or disability according to the RMQ (P = 0.9).

conclusionThe addition of education did not impact pain and disability in patients undergoing physiotherapy for chronic non-specific LPB. LEVEL OF EVIDENCE: Level I, systematic review and meta-analysis of RCTs.

Indexed as

Low Back PainPatient Education as TopicPhysical Therapy ModalitiesHumansPain MeasurementEducationLower back painPhysiotherapySpine

Identifiers

PMID39969656
PMCPMC11839871

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.