Evidence map›Paper›PMID 22507023›Full record

ArticleThe journal of spinal cord medicine2012

A biomechanical analysis of exercise in standing, supine, and seated positions: Implications for individuals with spinal cord injury.

Colleen L McHenry, Richard K Shields

3 registry-linked trialsAbstract read
In one paragraph

Article in The journal of spinal cord medicine, 2012. 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT01093014 nacompletednot on this map

Novel Intervention to Influence Muscle Plasticity in Veterans

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2011 to 2014Enrolled33ConditionsSpinal Cord InjuriesArmsLow-force muscle stimulation, High-force muscle stimulation, Sequential low-force and high-force muscle stimulation
NCT02622295 nacompletednot on this mapstarted 2015, after this paper: background citation

Musculoskeletal Plasticity After Spinal Cord Injury

TypeinterventionalSponsorRichard K ShieldsRan2015 to 2021Enrolled71ConditionsSpinal Cord InjuriesArmsSingle-session electrically induced exercise, Electrically-induced exercise training
NCT03139344 nacompletednot on this mapstarted 2015, after this paper: background citation

Long Duration Activity and Metabolic Control After Spinal Cord Injury

TypeinterventionalSponsorRichard K ShieldsRan2015 to 2022Enrolled89ConditionsSpinal Cord InjuriesArmsLow-frequency Exercise, High-frequency Exercise
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Bone and non-contractile soft tissue changes following open kinetic chain resistance training and testosterone treatment in spinal cord injury: an exploratory study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Trial
  2. Article
  3. Observational
  4. Bone architecture adaptations after spinal cord injury: impact of long-term vibration of a constrained lower limb.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016
    Article
  5. Low-frequency stimulation regulates metabolic gene expression in paralyzed muscle.Journal of applied physiology (Bethesda, Md. : 1985) · 2015
    Article
  6. 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

2 authors.

Colleen L McHenryPhysical Therapy and Rehabilitation Science, Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA.
Richard K Shields

Funding

Neuro-Musculoskeletal Plasticity after SCIR01NR010285 · NINR · UNIVERSITY OF IOWA · PI SHIELDS, RICHARD K. · 2006 to 2010
$1.6M
Mechanical stress and skeletal plasticity after spinal cord injury in humansR01HD062507 · NICHD · UNIVERSITY OF IOWA · PI SHIELDS, RICHARD K. · 2010 to 2014
$1.5M
NICHD NIH HHS R01 HD062507NICHD NIH HHS R01HD062507NINR NIH HHS R01 NR010285NINR NIH HHS R01NR010285
6 · The paper itself

Abstract

CONTEXT/

objectiveThe distal femur is the primary fracture site in patients with osteoporosis after spinal cord injury (SCI).

objectiveTo mathematically compare the compression and shear forces at the distal femur during quadriceps stimulation in the standing, supine, and seated positions. A force analysis across these positions may be a consideration for people with SCI during neuromuscular electrical stimulation of the quadriceps.

designA biomechanical model.

settingResearch laboratory. OUTCOME MEASURES: Compression and shear forces from the standing, supine, and seated biomechanical models at the distal femur during constant loads generated by the quadriceps muscles.

resultsThe standing model estimated the highest compressive force at 240% body weight and the lowest shear force of 24% body weight at the distal femur compared with the supine and seated models. The supine model yielded a compressive force of 191% body weight with a shear force of 62% body weight at the distal femur. The seated model yielded the lowest compressive force of 139% body weight and the highest shear force of 215% body weight.

conclusionsWhen inducing a range of forces in the quadriceps muscles, the seated position yields the highest shear forces and lowest compressive forces when compared with the supine and standing positions. Standing with isometric contractions generates the highest compressive loads and lowest shear forces. Early active resistive standing may provide the most effective means to prevent bone loss after SCI.

Indexed as

Patient PositioningBiomechanical PhenomenaCompressive StrengthExerciseFemurHumansIsometric ContractionKnee JointModels, BiologicalPostureShear StrengthSpinal Cord Injuries

Identifiers

PMID22507023
PMCPMC3324830

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.