Evidence map›Paper›PMID 29400990›Full record

Observational studyThe journal of spinal cord medicine2019

Inspiratory muscle training is feasible and safe for patients with acute spinal cord injury.

Tony McDonald, Kathy Stiller

2 registry-linked trialsAbstract readObservational Study
In one paragraph

Observational study in The journal of spinal cord medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 12% 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.

NCT04210063 nacompletednot on this map

Effect of Inspiratory Muscle Training (IMT) on Breathing, Balance, and Blood Pressure Maintenance in Spinal Cord Injury (SCI)

TypeinterventionalSponsorUniversity of MiamiRan2019 to 2020Enrolled18ConditionsSpinal Cord InjuriesArmsInspiratory Muscle Training (IMT)
NCT06547606 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

The Effect of Resistive Inspiratory Muscle Training on Optimizing Lung Function in Individuals With Spinal Cord Injury

TypeinterventionalSponsorUniversity of DhakaRan2024 to 2025Enrolled60ConditionsSpinal Cord Injury (SCI), Respiratory ComplicationArmsUsual Care
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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  4. Effects of rehabilitation exercise programs on respiratory function, muscle strength, and exercise performance ability in individuals with spinal cord injury: a pilot randomized controlled trial.The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology · 2026
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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

2 authors at 2 institutions in 1 country.

Tony McDonalda Physiotherapy Department , Royal Adelaide Hospital , Adelaide , Australia.
Kathy Stillerb Allied Health, Central Adelaide Local Health Network , Adelaide , Australia.
Royal Adelaide Hospital · AUWomen's and Children's Health Network · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the feasibility and safety and, to a lesser extent efficacy, of inspiratory muscle training (IMT) for patients with acute complete cervical or thoracic spinal cord injury (SCI).

designProspective, observational pilot study comprising a series of case reports.

settingTertiary care, public hospital.

participantsSeven adult subjects with an acute complete cervical or thoracic SCI.

interventionsParticipants received IMT as soon as their respiratory condition was stable. A high-resistance, low-repetition program of IMT using a POWERbreathe KH1 device was instituted. Training comprised 3-6 sets of 6 breaths, commenced at 50% maximum inspiratory pressure with the training load progressively increased. OUTCOME MEASURES: Feasibility (number of sessions when the criteria to participate in IMT were met/not met), safety (symptoms and physiological stability) before, during and after IMT sessions and efficacy (lung function) were measured.

resultsThere were 50 sessions in total where participants met the criteria to receive IMT, with a mean (range) of 7.1 (3-11) IMT sessions per participant delivered over 10.7 (4-17) days. IMT was feasible, with all 50 planned sessions of IMT able to be delivered, and safe, with stable physiological parameters and no adverse symptoms or events recorded before, during or after IMT. Maximal inspiratory pressure increased for four participants and forced vital capacity increased for three participants over the duration of their IMT sessions.

conclusionA high-resistance, low-repetition program of IMT was feasible and safe in adults with an acute complete cervical or thoracic SCI whose respiratory status was stable.

trial registrationAustralian New Zealand Clinical Trials Registry (ACTRN 12614000975695).

Indexed as

Maximal Respiratory PressuresOutcome Assessment, Health CareVital CapacityAdultBreathing ExercisesCervical VertebraeFeasibility StudiesHumansMaleMiddle AgedPilot ProjectsProspective StudiesRespiratory MusclesSpinal Cord InjuriesThoracic VertebraeYoung AdultBreathing exercisesRespiratory muscle trainingSafetySpinal cord injuries

Identifiers

PMID29400990
PMCPMC6419641
OpenAlexW2791876997

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.