Evidence map›Paper›PMID 28623144›Full record

Observational studyArchives of physical medicine and rehabilitation2017

Cardiovascular Stress During Inpatient Spinal Cord Injury Rehabilitation.

Dominik Zbogar, Janice J Eng, Jeremy W Noble, William C Miller, Andrei V Krassioukov, Mary C Verrier

Open access · greenAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Archives of physical medicine and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

12 citing papers in PubMed, 20 citations in OpenAlex.

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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 at 5 institutions in 1 country.

Dominik ZbogarRehabilitation Research Program, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada; International Collaboration on Repair Discoveries, Vancouver, BC, Canada; Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Janice J EngRehabilitation Research Program, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada; International Collaboration on Repair Discoveries, Vancouver, BC, Canada; Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. Electronic address: Janice.Eng@ubc.ca.
Jeremy W NobleFaculty of Kinesiology, University of New Brunswick, Fredericton, New Brunswick, Canada.
William C MillerRehabilitation Research Program, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada; International Collaboration on Repair Discoveries, Vancouver, BC, Canada; Department of Occupational Science & Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Andrei V KrassioukovInternational Collaboration on Repair Discoveries, Vancouver, BC, Canada; Division of Physical Medicine and Rehabilitation, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Mary C VerrierUniversity Health Network - Toronto Rehabilitation Institute, Toronto, ON, Canada; Department of Physical Therapy, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
University of British Columbia · CAToronto Rehabilitation Institute · CAUniversity of New Brunswick · CAVancouver Coastal Health · CAVancouver Coastal Health Research Institute · CA

Funding

CIHR
6 · The paper itself

Abstract

objectives(1) To measure the amount of cardiovascular stress, self-reported physical activity, and accelerometry-measured physical activity by individuals with spinal cord injury (SCI) during physical therapy (PT) and occupational therapy (OT); and (2) to investigate the relations between these measures.

designObservational study.

settingTwo inpatient SCI rehabilitation centers.

participantsPatients with SCI (N=87) were recruited from consecutive admissions to rehabilitation.

interventionsNot applicable.

main outcome measuresHeart rate was recorded by a Holter monitor, whereas physical activity was captured by self-report (Physical Activity Recall Assessment for People with SCI questionnaire) and real-time wrist accelerometry during a total of 334 PT and OT inpatient sessions. Differences between individuals with paraplegia and tetraplegia were assessed via Mann-Whitney U tests. Spearman correlations were used to explore the relation between measurements of physical activity and heart rate.

resultsTime spent at a heart rate within a cardiovascular training zone (≥40% heart rate reserve) was low and did not exceed a median of 5 minutes. In contrast, individuals reported at least 60 minutes of higher-intensity time during therapy. There was a low but statistically significant correlation between all measures.

conclusionsThe cardiovascular stress incurred by individuals with SCI during inpatient PT and OT sessions is low and not sufficient to obtain a cardiovascular training effect to optimize their neurologic, cardiovascular, or musculoskeletal health; this represents a lost opportunity to maximize rehabilitation. Self-reported minutes of higher-intensity physical activity do not reflect actual time spent at a higher intensity measured objectively via a heart rate monitor.

Indexed as

Occupational TherapyPhysical Therapy ModalitiesAccelerometryAdultAgedExerciseFemaleHeart RateHumansInpatientsMaleMiddle AgedParaplegiaQuadriplegiaSpinal Cord InjuriesAccelerometryHeart rateOccupational therapyRehabilitationSelf reportSpinal cord injuries

Identifiers

PMID28623144
PMCPMC5766325
OpenAlexW2625399026

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.