Evidence map›Paper›PMID 29057989›Full record

Observational studySpinal cord2018

Physical therapy is targeted and adjusted over time for the rehabilitation of locomotor function in acute spinal cord injury interventions in physical and sports therapy.

Martina Franz, Lea Richner, Markus Wirz, Anne von Reumont, Ulla Bergner, Tanja Herzog, Werner Popp, Kathrin Bach, Norbert Weidner, Armin Curt

Open access · bronzeAbstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Spinal cord, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Review
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
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 5 institutions in 2 countries.

Martina FranzUniversity Hospital Balgrist, Spinal Cord Injury Center, Forchstrasse, Zurich, Switzerland. martina.franz@balgrist.ch.
Lea RichnerUniversity Hospital Balgrist, Spinal Cord Injury Center, Forchstrasse, Zurich, Switzerland.
Markus WirzZurich University of Applied Sciences, Winterthur, Switzerland.
Anne von ReumontSpinal Cord Injury Center, Heidelberg University Hospital, Heidelberg, Germany.
Ulla BergnerEuropean Multi-Center Study in Spinal Cord Injury (EMSCI), Zurich, Switzerland.
Tanja HerzogUniversity Hospital Balgrist, Spinal Cord Injury Center, Forchstrasse, Zurich, Switzerland.
Werner PoppUniversity Hospital Balgrist, Spinal Cord Injury Center, Forchstrasse, Zurich, Switzerland.
Kathrin BachSpinal Cord Injury Center, Heidelberg University Hospital, Heidelberg, Germany.
Norbert WeidnerSpinal Cord Injury Center, Heidelberg University Hospital, Heidelberg, Germany.
Armin CurtUniversity Hospital Balgrist, Spinal Cord Injury Center, Forchstrasse, Zurich, Switzerland.
Universitätsklinik Balgrist · CHUniversity Hospital Heidelberg · DEBerufsgenossenschaftliche Unfallklinik Murnau · DEHeidelberg University · DEZHAW Zurich University of Applied Sciences · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designProspective observational multicenter study.

objectivesInvestigation of content, duration and adjustment of physical therapy for the rehabilitation of ambulation in acute spinal cord injury (SCI).

settingEuropean Multicenter Study of SCI (EMSCI).

methodsPhysical therapy interventions during acute in-patient rehabilitation of eighty incomplete SCI patients (AIS B, C, D all lesion levels) were recorded using the SCI - Intervention Classification System. Mobility was documented using the Spinal Cord Independence Measurement (SCIM III), demographics and clinical data were retrieved from the EMSCI database.

resultsOverall recovery of locomotor function was categorized into three outcome groups (G1-G3). Of 76 initial wheelchair-using patients, 53.9% remained wheelchair user (G1), 25% regained moderate (G2) and 21.1% good walking (G3) capability. Strength training was the most frequently applied intervention of body function/-structure across all outcome groups (about 30% of all interventions), while interventions focusing on muscle tone and respiration were predominantly applied in wheelchair-dependent patients. Activity-focused interventions of transfer, transition, sitting were trained most intensively in outcome group G1, while walking and swimming were increasingly trained in patients with moderate and good walking outcomes. Physical therapy interventions of assistive and active trainings as well as corresponding training environments changed with the recovery of locomotor function.

conclusionsPhysical therapy of locomotor function is targeted to individual patients' conditions and becomes adjusted to the progress of ambulation. Although the involved clinical sites were not following explicitly standardized rehabilitation programs, common patterns can be discerned which may form the basis of prospective standardized programs.

Indexed as

Physical Therapy ModalitiesAcute DiseaseAdolescentAdultAgedAged, 80 and overEuropeExercise TherapyFemaleHumansLocomotionMaleMiddle AgedRehabilitation CentersSpinal Cord InjuriesWalking

Identifiers

PMID29057989
OpenAlexW2767075309

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.