Evidence map›Paper›PMID 26951870›Full record

ArticleArchives of physical medicine and rehabilitation2016

Active Lifestyle Is Associated With Reduced Dyspnea and Greater Life Satisfaction in Spinal Cord Injury.

Eric Garshick, Sara Mulroy, Daniel E Graves, Karen Greenwald, John A Horton, Leslie R Morse

Registry-linked trialAbstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04500223 (The Effect of Neck Stabilization Exercise Plus Cardiopulmonary Rehabilitation on Pulmonary Function of SCI), which is 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.

NCT04500223 nacompletednot on this mapstarted 2020, after this paper: background citation

The Effect of Neck Stabilization Exercise Plus Cardiopulmonary Rehabilitation on Pulmonary Function of SCI

TypeinterventionalSponsorTaoyuan General HospitalRan2020 to 2021Enrolled13ConditionsSpinal Cord InjuryArmsCervical Cranioflexion exercise plus cardiopulmonary exercise, Cervical stretch exercise plus cardiopulmonary rehabilitation
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Article
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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

6 authors.

Eric GarshickPulmonary, Allergy, Sleep, and Critical Care Medicine Section, Veterans Affairs Boston Healthcare System, Boston, MA; Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, MA; Harvard Medical School, Boston, MA. Electronic address: Eric.Garshick@va.gov.
Sara MulroyRancho Los Amigos National Rehabilitation Center, Downey, CA.
Daniel E GravesFrazier Rehabilitation Institute, University of Louisville, Louisville, KY.
Karen GreenwaldDepartment of Physical Medicine and Rehabilitation, University of Pittsburgh Medical Center, Pittsburgh, PA.
John A HortonDepartment of Physical Medicine and Rehabilitation, University of Pittsburgh Medical Center, Pittsburgh, PA.
Leslie R MorseSpaulding-Harvard Spinal Cord Injury Model System, Spaulding Rehabilitation Hospital, Boston, MA; Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA.

Funding

Adiposity and Bone Loss in Spinal Cord InjuryR01AR059270 · NIAMS · SPAULDING REHABILITATION HOSPITAL · PI MORSE, LESLIE R. · 2010 to 2014
$3.0M
Vitamin D, Respiratory Function, and Illness in Chronic SCII01RX000792 · VA · VA BOSTON HEALTH CARE SYSTEM · PI GARSHICK, ERIC · 2014 to 2016
–
ACL HHS 90SI5007NIAMS NIH HHS R01 AR059270RRD VA I01 RX000792
6 · The paper itself

Abstract

objectiveTo assess the relations between measures of activity with dyspnea and satisfaction with life in chronic spinal cord injury (SCI).

designCross-sectional survey.

settingFive SCI centers.

participantsBetween July 2012 and March 2015, subjects (N=347) with traumatic SCI ≥1 year after injury who used a manual wheelchair or walked with or without an assistive device reported hours spent away from home or yard on the previous 3 days, sports participation, and planned exercise.

interventionsNot applicable.

main outcome measuresSatisfaction with Life Scale (SWLS) and dyspnea. Dyspnea was defined as shortness of breath when hurrying on the level or going up a slight hill, going slower than people the same age on the level because of breathlessness, or stopping for breath when going at your own pace, or after about 100yd (or after a few minutes) on the level.

resultsDyspnea prevalence was 30%. Adjusting for asthma or chronic obstructive pulmonary disease, mobility mode, race, and season, there was a significant linear trend between greater SWLS scores and quartiles of time spent away from the home or yard (P=.0002). SWLS score was greater if participating in organized sports (P=.01), although was not significantly greater with planned exercise (P=.093). Planned exercise was associated with a reduced odds ratio (OR) of dyspnea (.57; 95% confidence interval [CI], .34-.95; P=.032), but organized sports was not (P=.265). Dyspnea was not significantly increased in persons who spent the fewest hours outside their home or yard (≤7h) compared with people who spent the most hours outside their home or yard (>23h) (OR=1.69; 95% CI, 0.83-3.44; P=.145).

conclusionsIn SCI, a planned exercise program is associated with less dyspnea. An active lifestyle characterized by greater time spent away from home or yard and sports participation is associated with greater SWLS scores.

Indexed as

Personal SatisfactionActivities of Daily LivingAdultAgedAged, 80 and overCross-Sectional StudiesDyspneaExerciseFemaleHumansLife StyleMaleMiddle AgedQuality of LifeSpinal Cord InjuriesTime FactorsExerciseQuality of lifeRehabilitationSpinal cord injuries

Identifiers

PMID26951870
PMCPMC4802491

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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.