Evidence map›Paper›PMID 23408218›Full record

ArticleJournal of rehabilitation research and development2012

Regional cortical and trabecular bone loss after spinal cord injury.

Shauna Dudley-Javoroski, Richard K Shields

Registry-linked trialAbstract read
In one paragraph

Article in Journal of rehabilitation research and development, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01093014 (Novel Intervention to Influence Muscle Plasticity in Veterans), which is not on this map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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.

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
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Beyond the initial impact: a systematic review of post-traumatic bone loss and its mechanisms.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Pooled it
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  15. Measuring tibial hemodynamics and metabolism at rest and after exercise using near-infrared spectroscopy.Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme · 2021
    Article
  16. Review
  17. Exploring changes in bone mass in individuals with a chronic spinal cord injury.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Observational
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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

2 authors at 1 institution in 1 country.

Shauna Dudley-JavoroskiPhysical Therapy and Rehabilitation Science, Carver College of Medicine, The University of Iowa, Iowa City, IA 52242, USA.
Richard K Shields
University of Iowa · US

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

Spinal cord injury (SCI) triggers rapid loss of trabecular bone mineral density (BMD) in bone epiphyses and a loss of cortical cross-sectional area (CSA) in bone diaphyses, increasing fracture risk for people with SCI. The purpose of this study was to measure trabecular BMD and cortical CSA loss at several previously unexamined lower-limb sites (4% fibula, 12% femur, 86% tibia, cortical) in individuals with SCI. Using peripheral quantitative computed tomography, we scanned 13 participants with SCI longitudinally and 16 on one occasion; 21 participants without SCI served as controls. In the first year post-SCI, 15% to 35% of BMD was lost at the distal femur, proximal tibia, and distal fibula. Bone loss at the distal fibula accelerated between 1 and 2 years post-SCI. BMD at these sites reached a steady state value of ~50% of the non-SCI value 4 years post-SCI. At the tibia diaphysis, cortical CSA decline was slower, eventually reaching 65% of the non-SCI value. Because of the extensive loss of bone observed at these sites, careful consideration needs to be given to the dose of musculoskeletal stress delivered during rehabilitation interventions like standing, muscle electrical stimulation, and aggressive stretching of spastic muscles.

Indexed as

Bone DensityAdolescentAdultAgedAnalysis of VarianceBone ResorptionCase-Control StudiesCervical VertebraeDiaphysesEpiphysesFemaleFemurFibulaHumansMaleMiddle Aged

Identifiers

PMID23408218
PMCPMC3647247
OpenAlexW2169079558

What OpenQuestion holds

Textmetadata
LicenceTDM
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.