Evidence map›Paper›PMID 29686256›Full record

ArticleSpinal cord2018

Passive limb movement intervals results in repeated hyperemic responses in those with paraplegia.

Keith J Burns, Brandon S Pollock, Jon Stavres, Martin Kilbane, Amber Brochetti, John McDaniel

Open access · bronzeAbstract read
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. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

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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

6 authors at 4 institutions in 1 country.

Keith J BurnsDepartment of Exercise Science, Walsh University, North Canton, OH, USA.
Brandon S PollockDepartment of Exercise Science, Walsh University, North Canton, OH, USA.
Jon StavresHeart and Vascular Institute, Penn State College of Medicine, Hershey, PA, USA.ORCID http://orcid.org/0000-0003-0564-7252
Martin KilbaneAdvanced Platform Technology Center, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH, USA.
Amber BrochettiAdvanced Platform Technology Center, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH, USA.
John McDanielAdvanced Platform Technology Center, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH, USA. JMcDani5@kent.edu.
Louis Stokes Cleveland VA Medical Center · USWalsh University · USKent State University · USPenn State Milton S. Hershey Medical Center · US

Funding

Exercise to improve blood flow and vascular health in the lower limbs of SCI.I21RX001732 · VA · LOUIS STOKES CLEVELAND VA MEDICAL CENTER · PI MCDANIEL, JOHN · 2015 to 2017
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RRD VA I21 RX001732
6 · The paper itself

Abstract

STUDY

designRepeated measures.

objectivesReports suggest passive limb movement (PLM) could be used as a therapy to increase blood flow and tissue perfusion in the paralyzed lower limbs of those with spinal cord injuries. However, the hyperemic response to PLM appears to be transient, lasting only 30-45 s despite continued limb movement. The purpose of this investigation was to determine whether the hyperemic response is repeatable across multiple short bouts of passive limb movement.

settingCleveland Veterans Affairs Medical Center.

methodsNine individuals with paraplegia 46 ± 6 years of age, 17 ± 12 years post injury (range: 3-33 years) with complete T3-T11 injuries were subject to 5 × 1 min bouts of passive knee extension/flexion at 1 Hz with a 1 min recovery period between each bout. Heart rate (HR), mean arterial pressure (MAP), femoral artery blood flow (FABF), skin blood flow (SBF), and tissue perfusion in the lower limb were recorded during baseline and throughout each bout of PLM.

resultsDespite no increase in HR (p ≥ 0.8) or MAP (p ≥ 0.40) across all four bouts of PLM, the average increase in FABF during each bout ranged from 71 ± 87% to 88 ± 93% greater than baseline (p ≤ 0.043). SBF also increased between 465 ± 302% and 582 ± 309% across the five bouts of PLM (p ≤ 0.005).

conclusionsRepeated bouts of PLM in those with SCI while in an upright position resulted in a robust and steady increase in FABF and SBF which could have implications for improving vascular health and tissue perfusion in the lower limbs of those with paraplegia.

Indexed as

Lower ExtremityRegional Blood FlowAdultArterial PressureExercise TherapyFemaleFemoral ArteryHeart RateHemoglobinsHumansMaleMiddle AgedParaplegiaPostureSkinSpinal Cord InjuriesHemoglobins

Identifiers

PMID29686256
PMCPMC6173639
OpenAlexW2802221496

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.