Evidence map›Paper›PMID 25896345›Full record

Trial reportSpinal cord2015

Fatigue in persons with subacute spinal cord injury who are dependent on a manual wheelchair.

C F J Nooijen, S Vogels, H M H Bongers-Janssen, M P Bergen, H J Stam, H J G van den Berg-Emons, Act-Active Research Group

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Spinal cord, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. 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

7 authors.

C F J NooijenErasmus MC University Medical Center, Department of Rehabilitation Medicine, Rotterdam, The Netherlands.
S VogelsRijndam Rehabilitation Institute, Rotterdam, The Netherlands.
H M H Bongers-JanssenAdelante Rehabilitation Center, Hoensbroek, The Netherlands.
M P BergenRijndam Rehabilitation Institute, Rotterdam, The Netherlands.
H J StamErasmus MC University Medical Center, Department of Rehabilitation Medicine, Rotterdam, The Netherlands.
H J G van den Berg-EmonsErasmus MC University Medical Center, Department of Rehabilitation Medicine, Rotterdam, The Netherlands.
Act-Active Research Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designCross-sectional.

objectivesTo determine the prevalence and severity of fatigue in persons with subacute spinal cord injury (SCI), assess whether demographic and lesion characteristics are related to fatigue and determine the relationship with physical fitness and physical behavior.

settingMeasurements were performed 2 months before discharge from inpatient rehabilitation.

methodsThirty-six persons with subacute SCI, dependent on a manual wheelchair, mean age 43±15 and 83% men, completed the Fatigue Severity Scale (FSS). FSS scores >4 indicated fatigue. We recorded age and lesion characteristics, measured body mass index, measured peak power output and peak oxygen uptake during a maximal handcycling test and determined physical behavior using an accelerometer-based activity monitor. T-tests were used to test for differences in fatigue between subgroups based on age and lesion characteristics, and regression analyses to assess the relationship with physical fitness and physical behavior.

resultsMean FSS was 3.3±1.3. Fatigue, including severe fatigue, was prevalent in 31% (95% confidence interval: 16-46) of participants compared with 18% in the general population. Furthermore, mean fatigue was significantly higher in persons with incomplete compared with complete lesions (t=2.22, P=0.03). Mean scores between other subgroups did not differ significantly. Of the physical fitness and physical behavior measures, only peak oxygen uptake tended to be related to more fatigue (B=-1.47, P=0.05).

conclusionFatigue was prevalent and is of concern in persons with subacute SCI. Those with incomplete lesions seem to be at higher risk. Because fatigue is known to persist among persons with SCI, interventions to reduce fatigue seem necessary.

Indexed as

WheelchairsAccelerometryAdultBody Mass IndexCross-Sectional StudiesExercise TestFatigueFemaleHandHumansInpatientsLongitudinal StudiesMiddle AgedMotor ActivityOxygen ConsumptionPhysical Fitness

Identifiers

PMID25896345

What OpenQuestion holds

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Registered trials

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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.