Evidence map›Paper›PMID 29070812›Full record

ArticleSpinal cord2018

Evidence-based scientific exercise guidelines for adults with spinal cord injury: an update and a new guideline.

Kathleen A Martin Ginis, Jan W van der Scheer, Amy E Latimer-Cheung, Andy Barrow, Chris Bourne, Peter Carruthers, Marco Bernardi, David S Ditor, Sonja Gaudet, Sonja de Groot and 18 more

Erratum issued 2 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in Spinal cord, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 2 registered trials, which are not on this map. Cited by 231 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
231citing papers in PubMed, 14 pooled it
–field-weighted citation impact
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.

NCT05959837 narecruitingnot on this mapstarted 2023, after this paper: background citation

Usability of the Adapted Rower for People With Spinal Cord Injury

TypeinterventionalSponsorUniversity of South CarolinaRan2023 to 2025Enrolled15ConditionsSpinal Cord InjuriesArmsAdaptive Rowing Exercise
NCT06624566 nacompletednot on this mapstarted 2024, after this paper: background citation

EINTER PROGRAM: Intensive Therapeutic Exercise in Patients With Spinal Cord Injury.

TypeinterventionalSponsorInstituto de Investigación Sanitaria AragónRan2024 to 2024Enrolled63ConditionsSpinal Cord InjuryArmsExperimental: Implementation of an intensive therapeutic group exercise program in the neurorehabilitation process
3 · Its place in the literature

Who cites it

231 citing papers in PubMed, 14 syntheses or guidelines pooled it.

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171 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors.

Kathleen A Martin GinisUniversity of British Columbia, Kelowna, Canada. kathleen_martin.ginis@ubc.ca.ORCID http://orcid.org/0000-0002-7076-3594
Jan W van der ScheerLoughborough University, Loughborough, UK.
Amy E Latimer-CheungQueen's University, Kingston, Canada.
Andy BarrowParalympian and Inspirational Speaker, London, UK.
Chris BourneSpinal Cord Injury Ontario, Ottawa, Canada.
Peter CarruthersBromakin Wheelchairs, Loughborough, UK.
Marco BernardiSapienza University of Rome, Rome, Italy.
David S DitorBrock University, St. Catharines, Canada.
Sonja GaudetSpinal Cord Injury British Columbia, Vancouver, Canada.
Sonja de GrootUniversity of Groningen, Groningen, The Netherlands.
Keith C HayesOntario Neurotrauma Foundation, Toronto, Canada.
Audrey L HicksMcMaster University, Hamilton, Canada.
Christof A LeichtLoughborough University, Loughborough, UK.
Jan LexellLund University, Lund, Sweden.
Steven MacalusoWestern University, London, Canada.
Patricia J MannsUniversity of Alberta, Edmonton, Canada.
Christopher B McBrideSpinal Cord Injury British Columbia, Vancouver, Canada.
Vanessa K NoonanRick Hansen Institute, Vancouver, Canada.
Pierre PomerleauInstitut de Réadaptation en Déficience Physique de Québec, Ville de Québec, Canada.
James H RimmerUniversity of Alabama at Birmingham, Alabama, USA.
Robert B ShawUniversity of British Columbia, Kelowna, Canada.
Brett SmithUniversity of Birmingham, Birmingham, UK.
Karen M SmithLoughborough University, Loughborough, UK.
John D SteevesICORD, Vancouver, Canada.
Dot TusslerNational Spinal Injuries Centre, Stoke Mandeville Hospital, Aylesbury, UK.
Christopher R WestUniversity of British Columbia, Kelowna, Canada.
Dalton L WolfeParkwood Institute, Lawson Health Research Institute, London, Canada.
Victoria L Goosey-TolfreyICORD, Vancouver, Canada.

Funding

University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Stuart J Frank · 2013 to 2026
$19.5M
6 · The paper itself

Abstract

objectivesTo describe the process and outcomes of using a new evidence base to develop scientific guidelines that specify the type and minimum dose of exercise necessary to improve fitness and cardiometabolic health in adults with spinal cord injury (SCI).

settingInternational.

methodsUsing Appraisal of Guidelines, Research and Evaluation (AGREE) II reporting criteria, steps included (a) determining the guidelines' scope; (b) conducting a systematic review of relevant literature; (c) holding three consensus panel meetings (European, Canadian and International) to formulate the guidelines; (d) obtaining stakeholder feedback; and (e) process evaluation by an AGREE II consultant. Stakeholders were actively involved in steps (c) and (d).

resultsFor cardiorespiratory fitness and muscle strength benefits, adults with a SCI should engage in at least 20 min of moderate to vigorous intensity aerobic exercise 2 times per week AND 3 sets of strength exercises for each major functioning muscle group, at a moderate to vigorous intensity, 2 times per week (strong recommendation). For cardiometabolic health benefits, adults with a SCI are suggested to engage in at least 30 min of moderate to vigorous intensity aerobic exercise 3 times per week (conditional recommendation).

conclusionsThrough a systematic, rigorous, and participatory process involving international scientists and stakeholders, a new exercise guideline was formulated for cardiometabolic health benefits. A previously published SCI guideline was endorsed for achieving fitness benefits. These guidelines represent an important step toward international harmonization of exercise guidelines for adults with SCI, and a foundation for developing exercise policies and programs for people with SCI around the world.

Indexed as

AdultCardiorespiratory FitnessEvidence-Based MedicineExercise TherapyHumansInternational CooperationPractice Guidelines as TopicSpinal Cord Injuries

Identifiers

PMID29070812

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.