Evidence map›Paper›PMID 30561813›Full record

ReviewJournal of orthopaedic research : official publication of the Orthopaedic Research Society2019

Regenerative rehabilitation: The role of mechanotransduction in orthopaedic regenerative medicine.

Vaida Glatt, Christopher H Evans, Martin J Stoddart

Abstract readReview
In one paragraph

Review in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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.

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

20 citing papers in PubMed.

  1. Review
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  8. Combined regenerative rehabilitation improves recovery following volumetric muscle loss injury in a rat model.Journal of biomedical materials research. Part B, Applied biomaterials · 2024
    Article
  9. Review
  10. Review
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  12. Article
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  17. Gene therapy for bone healing: lessons learned and new approaches.Translational research : the journal of laboratory and clinical medicine · 2021
    Review
  18. Article
  19. The Grand Challenges of Medical Technology.Frontiers in medical technology · 2020
    Article
  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

3 authors.

Vaida GlattDepartment of Orthopaedic Surgery, University of Texas Health Science Center, San Antonio, Texas.
Christopher H EvansRehabilitation Medicine Research Center, Mayo Clinic, Rochester, Minnesota.
Martin J StoddartAO Research Institute Davos, Davos, Switzerland.ORCID 0000-0002-9538-1517

Funding

Technology Development P2CHD086843 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AMBROSIO, FABRISIA · 2015 to 2024
$10.5M
Healing of Segmental Defects of Bone by Gene TransferR01AR050243 · NIAMS · MAYO CLINIC ROCHESTER · PI EVANS, CHRISTOPHER HOWARD · 2003 to 2014
$6.0M
Multichannel Microstimulation of Primary Afferent Neurons to Restore ProprioceptiR01NS072342 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WEBER, DOUGLAS J · 2012 to 2016
$2.4M
NIAMS NIH HHS R01 AR050243NICHD NIH HHS P2C HD086843NINDS NIH HHS R01 NS072342
6 · The paper itself

Abstract

Regenerative rehabilitation is an emerging area of investigation that seeks to integrate regenerative medicine with rehabilitation medicine. It is based on the realization that combining these two areas of medicine at an early stage of treatment will produce a better clinical outcome than the traditional linear approach of first administering the elements of regeneration followed, after a delay, by rehabilitation. Indeed, in certain settings, a case can be made for initiating rehabilitation protocols before starting regenerative intervention. This review summarizes the contents of a workshop held during the 2018 annual meeting of the Orthopaedic Research Society. It introduced the concept of regenerative rehabilitation and then provided two orthopaedic examples drawn from the domains of cartilage repair and bone healing. Rehabilitation medicine can supply a variety of physical stimuli, including electrical stimulation, thermal stimulation and mechanical stimulation. Of these, mechanical stimulation has the most obvious relevance to orthopaedics. The mechano-responsiveness of cartilage and bone has been known for a long time, but is poorly understood and has led to only limited clinical application. Improved bioreactor designs that allow multi-axial loading enable new insights into the responsiveness of chondrocytes and chondroprogenitor cells to specific types of load, especially shear. Recent studies on the mechanobiology of bone healing show that modulating the mechanical environment of an experimental osseous lesion by a process of "Reverse Dynamization" soon after injury considerably enhances healing. Future studies are needed to probe the molecular mechanisms responsible for these phenomena and to translate these findings into clinical practice. © 2018 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 37:1263-1269, 2019.

Indexed as

OrthopedicsRegenerative MedicineRehabilitationAnimalsChondrogenesisFracture HealingHumansMechanotransduction, CellularTransforming Growth Factor betaTransforming Growth Factor betabone healingchondrocytechondrogenesisMSCregenerative rehabilitationreverse dynamization

Identifiers

PMID30561813
PMCPMC6546504

What OpenQuestion holds

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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.