Evidence map›Paper›PMID 28795657›Full record

Trial reportJournal of neurotrauma2018

Body System Effects of a Multi-Modal Training Program Targeting Chronic, Motor Complete Thoracic Spinal Cord Injury.

Katie L Gant, Kathleen G Nagle, Rachel E Cowan, Edelle C Field-Fote, Mark S Nash, Jochen Kressler, Christine K Thomas, Mabelin Castellanos, Eva Widerström-Noga, Kimberly D Anderson

Abstract readClinical Trial
In one paragraph

Trial report in Journal of neurotrauma, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
1.5field-weighted citation impact, top 18% 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  20. Targeted-Plasticity in the Corticospinal Tract After Human Spinal Cord Injury.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2018
    Review
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

10 authors at 6 institutions in 1 country.

Katie L Gant1 The Miami Project to Cure Paralysis, The University of Miami Miller School of Medicine , Miami, Florida.
Kathleen G Nagle4 Covance, Inc. , Indianapolis, Indiana.
Rachel E Cowan1 The Miami Project to Cure Paralysis, The University of Miami Miller School of Medicine , Miami, Florida.
Edelle C Field-Fote5 Shepherd Center , Atlanta, Georgia .
Mark S Nash1 The Miami Project to Cure Paralysis, The University of Miami Miller School of Medicine , Miami, Florida.
Jochen Kressler8 The Department of Exercise and Nutritional Sciences, San Diego State University , San Diego, California.
Christine K Thomas1 The Miami Project to Cure Paralysis, The University of Miami Miller School of Medicine , Miami, Florida.
Mabelin Castellanos1 The Miami Project to Cure Paralysis, The University of Miami Miller School of Medicine , Miami, Florida.
Eva Widerström-Noga1 The Miami Project to Cure Paralysis, The University of Miami Miller School of Medicine , Miami, Florida.
Kimberly D Anderson1 The Miami Project to Cure Paralysis, The University of Miami Miller School of Medicine , Miami, Florida.
University of Miami · USBruce W. Carter VA Medical Center · USCovance (United States) · USGeorgia Institute of Technology · USNeurological Surgery · USSan Diego State University · US

Funding

NIH Neurotrauma Summer Research Experience ProgramR25NS083064 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ANDERSON, KIMBERLY DAWN, DIETRICH, W DALTON · 2013 to 2017
$367k
NINDS NIH HHS R25 NS083064
6 · The paper itself

Abstract

The safety and efficacy of pharmacological and cellular transplantation strategies are currently being evaluated in people with spinal cord injury (SCI). In studies of people with chronic SCIs, it is thought that functional recovery will be best achieved when drug or cell therapies are combined with rehabilitation protocols. However, any functional recovery attributed to the therapy may be confounded by the conditioned state of the body and by training-induced effects on neuroplasticity. For this reason, we sought to investigate the effects of a multi-modal training program on several body systems. The training program included body-weight-supported treadmill training for locomotion, circuit resistance training for upper body conditioning, functional electrical stimulation for activation of sublesional muscles, and wheelchair skills training for overall mobility. Eight participants with chronic, thoracic-level, motor-complete SCI completed the 12-week training program. After 12 weeks, upper extremity muscular strength improved significantly for all participants, and some participants experienced improvements in function, which may be explained by increased strength. Neurological function did not change. Changes in pain and spasticity were highly variable between participants. This is the first demonstration of the effect of this combination of four training modalities. However, balancing participant and study-site burden with capturing meaningful outcome measures is also an important consideration.

Indexed as

AdultElectric Stimulation TherapyExercise TherapyFemaleHumansMaleMiddle AgedMuscle StrengthPilot ProjectsRecovery of FunctionSpinal Cord InjuriesThoracic VertebraeYoung Adultclinical trialsconditioningexerciserehabilitationspinal cord injury

Identifiers

PMID28795657
PMCPMC6909697
OpenAlexW2743402672

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.