Evidence map›Paper›PMID 32943611›Full record

ReviewSpinal cord series and cases2020

A case for inspiratory muscle training in SCI: potential role as a preventative tool in infectious respiratory diseases like COVID-19.

Anne E Palermo, Lawrence P Cahalin, Mark S Nash

2 registry-linked trialsOpen access · bronzeAbstract readCase ReportsReview
In one paragraph

Review in Spinal cord series and cases, 2020. 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 22% 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.

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
NCT07024095 narecruitingnot on this mapstarted 2025, after this paper: background citation

"Effects of Inspiratory Muscle Training on Pulmonary Function, Functional Capacity, and Quality of Life After Percutaneous Vertebroplasty in Individuals With Osteoporotic Vertebral Compression Fracture"

TypeinterventionalSponsorIstinye UniversityRan2025 to 2026Enrolled24ConditionsOsteoporotic Vertebral Compression Fractures, Restrictive Pulmonary Disorders, Inspiratory Muscle Weakness, Postoperative Pulmonary FunctionArmsInspiratory Muscle Training (IMT), control group
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. 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 at 1 institution in 1 country.

Anne E PalermoDepartment of Physical Therapy, The Miami Project to Cure Paralysis, The University of Miami Miller School of Medicine, Miami, FL, USA. a.palermo@miami.edu.ORCID http://orcid.org/0000-0003-4642-2594
Lawrence P CahalinDepartment of Physical Therapy, The University of Miami Miller School of Medicine, Miami, FL, USA.
Mark S NashThe Miami Project to Cure Paralysis, The University of Miami Miller School of Medicine, Miami, FL, USA.ORCID http://orcid.org/0000-0003-4205-4130
University of Miami · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRespiratory complications (RC) are a leading cause of death after spinal cord injury (SCI) due to compromised immune function and respiratory muscle weakness. Thus, individuals with SCI are at high risk of developing COVID-19 related RC. Results of a SCI clinical trial showed a supervised respiratory muscle training (RMT) program decreased risk of developing RC. The feasibility of conducting unsupervised RMT is not well documented. Four publications (n = 117) were identified in which unsupervised RMT was performed. Significant improvements in respiratory outcomes were reported in two studies: Maximal Inspiratory and Expiratory Pressure (MIP40% and MEP25%, respectively), Peak Expiratory Flow (PEF9%), seated and supine Forced Vital Capacity (FVC23% and 26%, respectively), and Peak Cough Flow (28%). This review and case report will attempt to show that an inspiratory muscle training (IMT) home exercise program (HEP) is feasible and may prepare the respiratory system for RC associated with COVID-19 in patients with SCI. CASE PRESENTATION: A 23-year-old with tetraplegia (P1), history of mechanical ventilation, and hospitalization for RC, completed 27 IMT HEP sessions in one month. MIP and sustained MIP (SMIP) increased from baseline by 28% and 26.5%, respectively. Expiratory volumes and rates also improved (FVC, FEV1, and PEF: 11.7%, 8.3%, and 14.2%, respectively). DISCUSSION: The effects of COVID-19 on patients with SCI remains inconclusive, but recent literature and the results of this case suggest that unsupervised IMT is feasible and may limit the severity of RC in patients with SCI who contract COVID-19.

Indexed as

BetacoronavirusBreathing ExercisesCoronavirus InfectionsCOVID-19HumansInhalationMalePandemicsPneumonia, ViralQuadriplegiaRespiratory Tract InfectionsSARS-CoV-2Spinal Cord InjuriesYoung Adult

Identifiers

PMID32943611
PMCPMC7494979
OpenAlexW3087228137

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.