Evidence map›Paper›PMID 28703038›Full record

SynthesisThe journal of spinal cord medicine2017

Rehabilitation Interventions to modify endocrine-metabolic disease risk in Individuals with chronic Spinal cord injury living in the Community (RIISC): A systematic review and scoping perspective.

Jenna C Gibbs, Dany H Gagnon, Austin J Bergquist, Jasmine Arel, Tomas Cervinka, Rasha El-Kotob, Désirée B Maltais, Dalton L Wolfe, B Catharine Craven

Open access · greenAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The journal of spinal cord medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

8 citing papers in PubMed, 17 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

9 authors at 4 institutions in 1 country.

Jenna C Gibbsa Department of Kinesiology , University of Waterloo , Waterloo , ON , Canada.ORCID 0000-0003-2921-2093
Dany H Gagnonb Université de Montréal, École de Réadaptation , Montréal , QC , Canada.
Austin J Bergquistc University Health Network-Toronto Rehabilitation Institute, Lyndhurst Centre , Toronto , ON , Canada.
Jasmine Arelb Université de Montréal, École de Réadaptation , Montréal , QC , Canada.
Tomas Cervinkac University Health Network-Toronto Rehabilitation Institute, Lyndhurst Centre , Toronto , ON , Canada.
Rasha El-Kotoba Department of Kinesiology , University of Waterloo , Waterloo , ON , Canada.
Désirée B Maltaisd Department of Rehabilitation , Université Laval , Québec , QC , Canada.
Dalton L Wolfee Department of Physical Medicine and Rehabilitation , Western University , London , ON , Canada.
B Catharine Cravena Department of Kinesiology , University of Waterloo , Waterloo , ON , Canada.ORCID 0000-0001-8234-6803
University Health Network · CAUniversité de Montréal · CAUniversité Laval · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextEndocrine-metabolic disease (EMD) risk following spinal cord injury (SCI) is associated with significant multi-morbidity (i.e. fracture, diabetes, heart disease), mortality, and economic burden. It is unclear to what extent rehabilitation interventions can modify EMD risk and improve health status in community-dwelling adults with chronic SCI.

objectivesTo characterize rehabilitation interventions and summarize evidence on their efficacy/effectiveness to modify precursors to EMD risk in community-dwelling adults with chronic SCI.

methodsSystematic searches of MEDLINE PubMed, EMBASE Ovid, CINAHL, CDSR, and PsychInfo were completed. All randomized, quasi-experimental, and prospective controlled trials comparing rehabilitation/therapeutic interventions with control/placebo interventions in adults with chronic SCI were eligible. Two authors independently selected studies and abstracted data. Mean differences of change from baseline were reported for EMD risk outcomes. The GRADE approach was used to rate the quality of evidence.

resultsOf 489 articles identified, 16 articles (11 studies; n=396) were eligible for inclusion. No studies assessed the effects of rehabilitation interventions on incident fragility fractures, heart disease, and/or diabetes. Individual studies reported that exercise and/or nutrition interventions could improve anthropometric indices, body composition/adiposity, and biomarkers. However, there were also reports of non-statistically significant between-group differences.

conclusionsThere was very low-quality evidence that rehabilitation interventions can improve precursors to EMD risk in community-dwelling adults with chronic SCI. The small number of studies, imprecise estimates, and inconsistency across studies limited our ability to make conclusions. A high-quality longitudinal intervention trial is needed to inform community-based rehabilitation strategies for EMD risk after chronic SCI.

Indexed as

Endocrine System DiseasesExercise TherapyHumansIndependent LivingMetabolic DiseasesNeurological RehabilitationNutrition TherapySpinal Cord InjuriesEndocrine and metabolic diseasesExerciseNutritionRehabilitationSpinal cord injuries

Identifiers

PMID28703038
PMCPMC5778937
OpenAlexW2734336917

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.