Evidence map›Paper›PMID 28972191›Full record

Trial reportNeurology2017

Effects of acute intermittent hypoxia on hand use after spinal cord trauma: A preliminary study.

Randy D Trumbower, Heather B Hayes, Gordon S Mitchell, Steven L Wolf, Victoria A Stahl

6 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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.

NCT01272336 phase1completednot on this map

Intermittent Hypoxia Promotes Restoration of Hand Function Following SCI

TypeinterventionalSponsorEmory UniversityRan2010 to 2015Enrolled53ConditionsSpinal Cord InjuryArmsAcute Intermittent Hypoxia (AIH), SHAM-Intermittent Room Air
NCT02323698 phase1 / phase2completednot on this mapstarted 2019, after this paper: background citation

The Effects of Intermittent Hypoxia on Leg Function in Human Spinal Cord Injury (Caffeine Substudy)

TypeinterventionalSponsorSpaulding Rehabilitation HospitalRan2019 to 2022Enrolled36ConditionsSpinal Cord InjuriesArmsCaffeine, AIH, Placebo, SHAM
NCT02632422 naactive not recruitingnot on this map

Intermittent Hypoxia-Induced Recovery of Overground Walking in Persons With Subacute SCI

TypeinterventionalSponsorSpaulding Rehabilitation HospitalRan2015 to 2027Enrolled125ConditionsSpinal Cord InjuryArmsDaily acute intermittent hypoxia (dAIH), dSHAM, Walking
NCT04854057 naterminatednot on this mapstarted 2021, after this paper: background citation

Combinatorial Treatment of Acute Intermittent Hypoxia and Transcutaneous Electrical Spinal Cord Stimulation to Improve Hand Function in People With Cervical Spinal Cord Injury

TypeinterventionalSponsorSpaulding Rehabilitation HospitalRan2021 to 2021Enrolled3ConditionsSpinal Cord InjuriesArmsAIH - Intermittent Hypoxia - hypoxia air mixture, SHAM - Intermittent Room Air - room air mixture, TESS - Transcutaneous Electrical Spinal Cord Stimulation + Functional Task Practice
NCT05183113 nacompletednot on this mapstarted 2019, after this paper: background citation

Neurovascular Mechanisms of Intermittent Hypoxia Induced Neural Plasticity

TypeinterventionalSponsorNorthwestern UniversityRan2019 to 2023Enrolled43ConditionsSpinal Cord InjuriesArmsAcute Intermittent Hypoxia
NCT05217498 phase1 / phase2not yet recruitingnot on this mapstarted 2027, after this paper: background citation

A Selective Adenosine 2a Antagonist to Enhance Training-related Gains in Walking Function for Persons With Chronic, Incomplete Spinal Cord Injury

TypeinterventionalSponsorRandy Trumbower, PT, PhDRan2027 to 2028Enrolled40ConditionsSpinal Cord Injuries, MyelopathyArmsIstradefylline, low oxygen therapy
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

  1. Pooled it
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  8. Review
  9. Beneficially Stressing the Peripheral Nervous System to Repair.International journal of molecular sciences · 2026
    Review
  10. Article
  11. Article
  12. Hypoxia as a medicine.Science translational medicine · 2025
    Review
  13. Review
  14. Article
  15. Article
  16. Article
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  20. 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

5 authors at 2 institutions in 1 country.

Randy D TrumbowerFrom the Department of Physical Medicine and Rehabilitation (R.D.T.), Harvard Medical School, Cambridge; Department of Physical Medicine and Rehabilitation (R.D.T.), Spaulding Rehabilitation Hospital, Charlestown, MA; Division of Physical Therapy (H.B.H., S.L.W., V.A.S.), Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA; Center for Respiratory Research and Rehabilitation (G.S.M.), Department of Physical Therapy, and McKnight Brain Institute (G.S.M.), University of Florida, Gainesville; and Center for Visual and Neurocognitive Rehabilitation (S.L.W.), Atlanta VA Medical Center, Decatur, GA. rtrumbower@partners.org.
Heather B HayesFrom the Department of Physical Medicine and Rehabilitation (R.D.T.), Harvard Medical School, Cambridge; Department of Physical Medicine and Rehabilitation (R.D.T.), Spaulding Rehabilitation Hospital, Charlestown, MA; Division of Physical Therapy (H.B.H., S.L.W., V.A.S.), Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA; Center for Respiratory Research and Rehabilitation (G.S.M.), Department of Physical Therapy, and McKnight Brain Institute (G.S.M.), University of Florida, Gainesville; and Center for Visual and Neurocognitive Rehabilitation (S.L.W.), Atlanta VA Medical Center, Decatur, GA.
Gordon S MitchellFrom the Department of Physical Medicine and Rehabilitation (R.D.T.), Harvard Medical School, Cambridge; Department of Physical Medicine and Rehabilitation (R.D.T.), Spaulding Rehabilitation Hospital, Charlestown, MA; Division of Physical Therapy (H.B.H., S.L.W., V.A.S.), Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA; Center for Respiratory Research and Rehabilitation (G.S.M.), Department of Physical Therapy, and McKnight Brain Institute (G.S.M.), University of Florida, Gainesville; and Center for Visual and Neurocognitive Rehabilitation (S.L.W.), Atlanta VA Medical Center, Decatur, GA.
Steven L WolfFrom the Department of Physical Medicine and Rehabilitation (R.D.T.), Harvard Medical School, Cambridge; Department of Physical Medicine and Rehabilitation (R.D.T.), Spaulding Rehabilitation Hospital, Charlestown, MA; Division of Physical Therapy (H.B.H., S.L.W., V.A.S.), Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA; Center for Respiratory Research and Rehabilitation (G.S.M.), Department of Physical Therapy, and McKnight Brain Institute (G.S.M.), University of Florida, Gainesville; and Center for Visual and Neurocognitive Rehabilitation (S.L.W.), Atlanta VA Medical Center, Decatur, GA.
Victoria A StahlFrom the Department of Physical Medicine and Rehabilitation (R.D.T.), Harvard Medical School, Cambridge; Department of Physical Medicine and Rehabilitation (R.D.T.), Spaulding Rehabilitation Hospital, Charlestown, MA; Division of Physical Therapy (H.B.H., S.L.W., V.A.S.), Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA; Center for Respiratory Research and Rehabilitation (G.S.M.), Department of Physical Therapy, and McKnight Brain Institute (G.S.M.), University of Florida, Gainesville; and Center for Visual and Neurocognitive Rehabilitation (S.L.W.), Atlanta VA Medical Center, Decatur, GA.
Harvard University · USUniversity of Florida · US

Funding

MULTICENTER CAREER DEVELOPMENT PROGRAM FOR PHYSICAL AND OCCUPATIONAL THERAPYK12HD055931 · NICHD · WASHINGTON UNIVERSITY · PI HAYES, MARCIE HARRIS · 2007 to 2021
$12.7M
NICHD NIH HHS K12 HD055931
6 · The paper itself

Abstract

objectiveTo test the hypothesis that daily acute intermittent hypoxia (AIH) combined with hand opening practice improves hand dexterity, function, and maximum hand opening in persons with chronic, motor-incomplete, cervical spinal cord injury.

methodsSix participants completed the double-blind, crossover study. Participants received daily (5 consecutive days) AIH (15 episodes per day: 1.5 minutes of fraction of inspired oxygen [FIo

resultsDaily AIH + hand opening practice improved hand dexterity, function, and maximum hand opening in all participants. AIH + hand opening practice improved Box and Block Test scores vs baseline in 5 participants (

conclusionsThis report suggests the need for further study of AIH as a plasticity "primer" for task-specific training in spinal cord injury rehabilitation. Important clinical questions remain concerning optimal AIH dosage, patient screening, safety, and effect persistence. CLINICALTRIALSGOV IDENTIFIER: NCT01272336.

Indexed as

HypoxiaAdultCross-Over StudiesDouble-Blind MethodFemaleHandHumansMaleMiddle AgedPsychomotor PerformanceSpinal Cord InjuriesStatistics, NonparametricTreatment Outcome

Identifiers

PMID28972191
PMCPMC5664298
OpenAlexW2764190690

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.