Evidence map›Paper›PMID 25997947›Full record

ReviewJournal of applied physiology (Bethesda, Md. : 1985)2015

Intermittent hypoxia and neurorehabilitation.

Elisa J Gonzalez-Rothi, Kun-Ze Lee, Erica A Dale, Paul J Reier, Gordon S Mitchell, David D Fuller

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of applied physiology (Bethesda, Md. : 1985), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03071393 (Acute Intermittent Hypoxia to Enhance Motor Function After Spinal Cord Injury), which is not on this map. Cited by 98 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 3% 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.

NCT03071393 nacompletednot on this mapstarted 2017, after this paper: background citation

Acute Intermittent Hypoxia to Enhance Motor Function After Spinal Cord Injury

TypeinterventionalSponsorUniversity of FloridaRan2017 to 2020Enrolled17ConditionsSpinal Cord InjuriesArmsHypoxia via Hypoxico Hyp-123, Sham via Hypoxico Hyp-123
3 · Its place in the literature

Who cites it

98 citing papers in PubMed, 1 synthesis or guideline pooled it, 142 citations in OpenAlex.

  1. Acute intermittent hypoxia in spinal cord injury gait rehabilitation: a systematic review of randomized trials.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
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  13. Phrenic long-term facilitation following acute intermittent hypercapnic-hypoxia in rats.Journal of applied physiology (Bethesda, Md. : 1985) · 2025
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38 more citing papers are in PubMed but not listed here.

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

6 authors at 3 institutions in 2 countries.

Elisa J Gonzalez-RothiDepartment of Physical Therapy College of Public Health and Health Professions, University of Florida, Gainesville, Florida;
Kun-Ze LeeDepartment of Biological Sciences, College of Science, National Sun Yat-sen University, Kaohsiung City, Taiwan;
Erica A DaleDepartment of Integrative Biology and Physiology, University of California-Los Angeles, Los Angeles, California; and.
Paul J ReierDepartment of Neuroscience, College of Medicine, University of Florida, Gainesville, Florida.
Gordon S MitchellDepartment of Physical Therapy College of Public Health and Health Professions, University of Florida, Gainesville, Florida;
David D FullerDepartment of Physical Therapy College of Public Health and Health Professions, University of Florida, Gainesville, Florida; ddf@phhp.ufl.edu.
University of Florida · USNational Sun Yat-sen University · TWUniversity of California, Los Angeles · US

Funding

Rehabilitation Research Career Development ProgramK12HD055929 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BROWN, DAVID A · 2007 to 2021
$11.7M
Control of Breathing & Glycogen Storage DiseaseR01HD052682 · NICHD · UNIVERSITY OF FLORIDA · PI BYRNE, BARRY J, FULLER, DAVID D · 2007 to 2024
$6.4M
Respiratory plasticity and spinal cord InjuryR37HL069064 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI MITCHELL, GORDON S. · 2002 to 2011
$4.2M
Plasticity and Repair in the Phrenic Motor SystemR01NS054025 · NINDS · UNIVERSITY OF FLORIDA · PI REIER, PAUL J · 2006 to 2015
$3.0M
Mechanisms of respiratory long-term facilitationR01HL080209 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI MITCHELL, GORDON S. · 2005 to 2013
$2.9M
Modulation of Phrenic Motoneuron Plasticity after Cervical Spinal Cord InjuryR01NS080180 · NINDS · UNIVERSITY OF FLORIDA · PI FULLER, DAVID D · 2012 to 2016
$1.7M
Respiratory Plasticity and Spinal Cord InjuryR01HL069064 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI MITCHELL, GORDON S. · 2014 to 2017
$1.5M
NHLBI NIH HHS HL-080209NHLBI NIH HHS HL-69064NHLBI NIH HHS R01 HL069064NICHD NIH HHS HD-052682NICHD NIH HHS K12 HD055929NICHD NIH HHS K12HD055929NINDS NIH HHS NS-054025NINDS NIH HHS R01 NS080180
6 · The paper itself

Abstract

In recent years, it has become clear that brief, repeated presentations of hypoxia [i.e., acute intermittent hypoxia (AIH)] can boost the efficacy of more traditional therapeutic strategies in certain cases of neurologic dysfunction. This hypothesis derives from a series of studies in animal models and human subjects performed over the past 35 yr. In 1980, Millhorn et al. (Millhorn DE, Eldridge FL, Waldrop TG. Respir Physiol 41: 87-103, 1980) showed that electrical stimulation of carotid chemoafferent neurons produced a persistent, serotonin-dependent increase in phrenic motor output that outlasts the stimulus for more than 90 min (i.e., a "respiratory memory"). AIH elicits similar phrenic "long-term facilitation" (LTF) by a mechanism that requires cervical spinal serotonin receptor activation and de novo protein synthesis. From 2003 to present, a series of studies demonstrated that AIH can induce neuroplasticity in the injured spinal cord, causing functional recovery of breathing capacity after cervical spinal injury. Subsequently, it was demonstrated that repeated AIH (rAIH) can induce recovery of limb function, and the functional benefits of rAIH are greatest when paired with task-specific training. Since uncontrolled and/or prolonged intermittent hypoxia can elicit pathophysiology, a challenge of intermittent hypoxia research is to ensure that therapeutic protocols are well below the threshold for pathogenesis. This is possible since many low dose rAIH protocols have induced functional benefits without evidence of pathology. We propose that carefully controlled rAIH is a safe and noninvasive modality that can be paired with other neurorehabilitative strategies including traditional activity-based physical therapy or cell-based therapies such as intraspinal transplantation of neural progenitors.

Indexed as

AnimalsHumansHypoxiaNervous System DiseasesNeural Stem CellsSpinal Cord Injuriescellular transplantationintermittent hypoxianeurorehabilitationspinal cord injury

Identifiers

PMID25997947
PMCPMC4683349
OpenAlexW254228499

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.