Evidence map›Paper›PMID 19478056›Full record

ArticleNeurorehabilitation and neural repair2009

Repeated maximal volitional effort contractions in human spinal cord injury: initial torque increases and reduced fatigue.

T George Hornby, Michael D Lewek, Christopher K Thompson, Robert Heitz

Open access · greenAbstract read
In one paragraph

Article in Neurorehabilitation and neural repair, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.1field-weighted citation impact, top 15% 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.

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

19 citing papers in PubMed, 36 citations in OpenAlex.

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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

4 authors at 3 institutions in 1 country.

T George HornbyDepartment of Physical Medicine and Rehabilitation, Northwestern University Medical School, Chicago, Illinois 60612, USA. tgh@uic.edu
Michael D Lewek
Christopher K Thompson
Robert Heitz
Shirley Ryan AbilityLab · USUniversity of Illinois Chicago · USUniversity of North Carolina at Chapel Hill · US

Funding

Physical and Pharmacological Effects on Movement in SCIR21HD046876 · NICHD · REHABILITATION INSTITUTE OF CHICAGO D/B/A SHIRLEY RYAN ABILITYLAB · PI HORNBY, THOMAS GEORGE · 2005 to 2006
$394k
Mechanisms of Weakness in Incomplete Spinal Cord InjuryF32NS042516 · NINDS · REHABILITATION INSTITUTE OF CHICAGO · PI HORNBY, T. GEORGE · 2001 to 2001
$35k
NICHD NIH HHS R21 HD046876NICHD NIH HHS R21-HD046876NINDS NIH HHS F32 NS042516NINDS NIH HHS L30 NS047246
6 · The paper itself

Abstract

backgroundSubstantial data indicate greater muscle fatigue in individuals with spinal cord injury (SCI) compared with healthy control subjects when tested by using electrical stimulation protocols. Few studies have investigated the extent of volitional fatigue in motor incomplete SCI.

methodsRepeated, maximal volitional effort (MVE) isometric contractions of the knee extensors (KE) were performed in 14 subjects with a motor incomplete SCI and in 10 intact subjects. Subjects performed 20 repeated, intermittent MVEs (5 seconds contraction/5 seconds rest) with KE torques and thigh electromyographic (EMG) activity recorded.

resultsPeak KE torques declined to 64% of baseline MVEs with repeated efforts in control subjects. Conversely, subjects with SCI increased peak torques during the first 5 contractions by 15%, with little evidence of fatigue after 20 repeated efforts. Increases in peak KE torques and the rate of torque increase during the first 5 contractions were attributed primarily to increases in quadriceps EMG activity, but not to decreased knee flexor co-activation. The observed initial increases in peak torque were dependent on the subject's volitional activation and were consistent on the same or different days, indicating little contribution of learning or accommodation to the testing conditions. Sustained MVEs did not elicit substantial increases in peak KE torques as compared to repeated intermittent efforts.

conclusionsThese data revealed a marked divergence from expected results of increased fatigability in subjects with SCI, and may be a result of complex interactions between mechanisms underlying spastic motor activity and changes in intrinsic motoneuron properties.

Indexed as

AdultElectromyographyFemaleHumansKneeMaleMiddle AgedMotor ActivityMuscle ContractionMuscle FatigueMuscle, SkeletalPractice, PsychologicalSpinal Cord InjuriesTime Factors

Identifiers

PMID19478056
PMCPMC5603074
OpenAlexW1970721865

What OpenQuestion holds

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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 OpenQuestion graph.