Evidence map›Paper›PMID 26689694›Full record

ReviewTopics in spinal cord injury rehabilitation2015

Neuromuscular Electrical Stimulation-Induced Resistance Training After SCI: A Review of the Dudley Protocol.

C Scott Bickel, Ceren Yarar-Fisher, Edward T Mahoney, Kevin K McCully

Open access · greenAbstract readReview
In one paragraph

Review in Topics in spinal cord injury rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

17 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
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  7. The role of electrical stimulation for rehabilitation and regeneration after spinal cord injury.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2022
    Review
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  11. Observational
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  17. Contributors to Metabolic Disease Risk Following Spinal Cord Injury.Current physical medicine and rehabilitation reports · 2016
    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

4 authors at 3 institutions in 2 countries.

C Scott BickelDepartments of Physical Therapy.
Ceren Yarar-FisherNutrition Sciences.
Edward T MahoneyDepartment of Kinesiology, University of Georgia, Athens, Georgia.
Kevin K McCullyDepartment of Kinesiology, University of Georgia, Athens, Georgia.
University of Georgia · USNutrition Sciences (Belgium) · BEUniversity of Alabama at Birmingham · US

Funding

Skeletal muscle plasticity, fitness and health after SCIR01HD039676 · NICHD · UNIVERSITY OF GEORGIA (UGA) · PI MCCULLY, KEVIN K. · 2001 to 2013
$3.5M
NICHD NIH HHS R01 HD039676NICHD NIH HHS R01HD039676
6 · The paper itself

Abstract

backgroundNeuromuscular electrical stimulation (NMES), often referred to as functional electrical stimulation (FES), has been used to activate paralyzed skeletal muscle in people with spinal cord injury (SCI). The goal of NMES has been to reverse some of the dramatic losses in skeletal muscle mass, to stimulate functional improvements in people with incomplete paralysis, and to produce some of the health benefits associated with exercise.

objectiveThe purpose of this brief review is to describe a quantifiable resistance training form of NMES developed by Gary A. Dudley.

methodsPeople with motor complete SCI were first tested to confirm that an NMES-induced muscle contraction of the quadriceps muscle could be achieved. The contraction stimulus consisted of biphasic pulses at 35 Hz performed with increasing current up to what was needed to produce full knee extension. Four sets of 10 knee extensions were elicited, if possible. Training occurred biweekly for 3 to 6 months, with ankle weights being increased up to an added weight of 9.1 kg if the 40 repetitions could be performed successfully for 2 sessions.

resultsMany participants have performed this protocol without adverse events, and all participants showed progression in the number of repetitions and/or the amount of weight lifted. Large increases in muscle mass occur, averaging 30% to 40%. Additional physiological adaptations to stimulated muscle have also been reported.

conclusionsThese results demonstrate that the affected skeletal muscle after SCI responds robustly to progressive resistance training many years after injury. Future work with NMES should determine whether gains in lean mass translate to improved health, function, and quality of life.

Indexed as

Electric StimulationElectric Stimulation TherapyMuscle ContractionMuscle StrengthQuadriceps MuscleResistance TrainingAdaptation, PhysiologicalHumansSpinal Cord Injurieselectrical stimulationmuscle hypertrophyspinal cord injury

Identifiers

PMID26689694
PMCPMC4750814
OpenAlexW2288640028

What OpenQuestion holds

Textmetadata
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.