Evidence map›Paper›PMID 31822808›Full record

Observational studySpinal cord2020

Changes in bowel function following exoskeletal-assisted walking in persons with spinal cord injury: an observational pilot study.

Audrey Chun, Pierre K Asselin, Steven Knezevic, Stephen Kornfeld, William A Bauman, Mark A Korsten, Noam Y Harel, Vincent Huang, Ann M Spungen

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Spinal cord, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
3.1field-weighted citation impact, top 8% 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

24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 39 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

9 authors at 2 institutions in 1 country.

Audrey ChunVA Rehabilitation Research & Development Service National Center for the Medical Consequences of Spinal Cord Injury, James J. Peters VA Medical Center, Bronx, NY, 10468, USA.ORCID http://orcid.org/0000-0001-9592-5441
Pierre K AsselinVA Rehabilitation Research & Development Service National Center for the Medical Consequences of Spinal Cord Injury, James J. Peters VA Medical Center, Bronx, NY, 10468, USA.
Steven KnezevicVA Rehabilitation Research & Development Service National Center for the Medical Consequences of Spinal Cord Injury, James J. Peters VA Medical Center, Bronx, NY, 10468, USA.
Stephen KornfeldVA Rehabilitation Research & Development Service National Center for the Medical Consequences of Spinal Cord Injury, James J. Peters VA Medical Center, Bronx, NY, 10468, USA.
William A BaumanVA Rehabilitation Research & Development Service National Center for the Medical Consequences of Spinal Cord Injury, James J. Peters VA Medical Center, Bronx, NY, 10468, USA.
Mark A KorstenVA Rehabilitation Research & Development Service National Center for the Medical Consequences of Spinal Cord Injury, James J. Peters VA Medical Center, Bronx, NY, 10468, USA.
Noam Y HarelVA Rehabilitation Research & Development Service National Center for the Medical Consequences of Spinal Cord Injury, James J. Peters VA Medical Center, Bronx, NY, 10468, USA.ORCID http://orcid.org/0000-0003-3085-2194
Vincent HuangDepartment of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA.
Ann M SpungenVA Rehabilitation Research & Development Service National Center for the Medical Consequences of Spinal Cord Injury, James J. Peters VA Medical Center, Bronx, NY, 10468, USA. ann.spungen@va.gov.ORCID http://orcid.org/0000-0003-2242-2119
Rehabilitation Research and Development Service · USIcahn School of Medicine at Mount Sinai · US

Funding

National Center on Medical Consequences of Spinal Cord InjuryI50RX002020 · VA · JAMES J PETERS VA MEDICAL CENTER · PI BAUMAN, WILLIAM A, SPUNGEN, ANN MICHELE · 2016 to 2020
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RRD VA I50 RX002020
6 · The paper itself

Abstract

STUDY

designProspective, observational study.

objectiveTo explore the effects of exoskeletal-assisted walking (EAW) on bowel function in persons with spinal cord injury (SCI).

settingAmbulatory research facility located in a tertiary care hospital.

methodsIndividuals 18-65 years of age, with thoracic vertebrae one (T1) to T11 motor-complete paraplegia of at least 12 months duration were enrolled. Pre- and post-EAW training, participants were asked to report on various aspects of their bowel function as well as on their overall quality of life (QOL) as related to their bowel function.

resultsTen participants completed 25-63 sessions of EAW over a period of 12-14 weeks, one participant was lost to follow up due to early withdrawal after ten sessions. Due to the small sample size, each participant's results were presented descriptively in a case series format. At least 5/10 participants reported improvements with frequency of bowel evacuations, less time spent on bowel management per bowel day, fewer bowel accidents per month, reduced laxative and/or stool softener use, and improved overall satisfaction with their bowel program post-EAW training. Furthermore, 8/10 reported improved stool consistency and 7/10 reported improved bowel function related QOL. One participant reported worsening of bowel function post-EAW.

conclusionBetween 50 and 80% of the participants studied reported improvements in bowel function and/or management post-EAW training. EAW training appeared to mitigate SCI-related bowel dysfunction and the potential benefits of EAW on bowel function after SCI is worthy or further study.

Indexed as

DefecationExoskeleton DeviceWalkingAdolescentAdultAgedFemaleHumansMaleMiddle AgedParaplegiaPatient Outcome AssessmentPilot ProjectsProspective StudiesSpinal Cord InjuriesYoung Adult

Identifiers

PMID31822808
PMCPMC7145720
OpenAlexW2995916151

What OpenQuestion holds

Textmetadata
LicenceTDM
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.