Evidence map›Paper›PMID 40786621›Full record

ArticleFrontiers in pain research (Lausanne, Switzerland)2025

Anti-nociceptive properties of cardiopulmonary baroreceptors in patients with chronic back pain.

Yuto Iwakuma, Jennifer Liu, Davina A Clonch, Megan E Gangwish, Christopher M Lam, Seth W Holwerda

Abstract read
In one paragraph

Article in Frontiers in pain research (Lausanne, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Yuto IwakumaDepartment of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, United States.
Jennifer LiuCollege of Osteopathic Medicine, Kansas City University, Kansas City, MO, United States.
Davina A ClonchDepartment of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, United States.
Megan E GangwishDepartment of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, United States.
Christopher M LamDepartment of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, United States.
Seth W HolwerdaDepartment of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, United States.

Funding

RADx-UP: Improving the Response of Local Urban and Rural Communities to Disparities in Covid-19 TestingUL1TR002366 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Mario Castro, JAMES STEVEN LEEDER · 2017 to 2026
$44.3M
Sympathetic-Vascular Dysfunction in Obesity-Related HypertensionR01HL159370 · NHLBI · UNIVERSITY OF KANSAS MEDICAL CENTER · PI HOLWERDA, SETH WILLIAM · 2021 to 2025
$1.9M
NCATS NIH HHS UL1 TR002366NHLBI NIH HHS R01 HL159370
6 · The paper itself

Abstract

Introduction: Reduced pain perception following a persistent noxious stimulus during a study session (short-term habituation) is believed to be partially mediated by descending inhibitory mechanisms, although these mechanisms have not been fully elucidated. We examined the hypothesis that cardiopulmonary baroreceptor would significantly increase short-term habituation in chronic back pain (CBP) patients. Methods: A short-term habituation protocol was utilized that involved 1-sec pulses (×10) at 105% heat pain threshold on the anterior forearm at 0.5 Hz. Cardiopulmonary baroreceptor unloading was performed via lower body negative pressure (LBNP) that reduces central venous pressure to elicit a reflex increase in sympathetic nerve activity. Results: Short-term habituation was observed in young, healthy participants ( Conclusions: Together, these findings demonstrate an association between cardiopulmonary baroreceptor unloading and a reduction in pain perception during repetitive noxious stimuli in CBP patients, particularly among CBP patients with greater pain severity.

Indexed as

baroreflexcardiopulmonarychronic paindescending inhibitionsympathetic nerve activity (SNA)

Identifiers

PMID40786621
PMCPMC12331587

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.