Evidence map›Paper›PMID 33951477›Full record

Trial reportExperimental neurology2021

Single-session effects of acute intermittent hypoxia on breathing function after human spinal cord injury.

Tommy Sutor, Kathryn Cavka, Alicia K Vose, Joseph F Welch, Paul Davenport, David D Fuller, Gordon S Mitchell, Emily J Fox

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Experimental neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03071393 (Acute Intermittent Hypoxia to Enhance Motor Function After Spinal Cord Injury), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.0field-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.

NCT03071393 nacompletednot on this map

Acute Intermittent Hypoxia to Enhance Motor Function After Spinal Cord Injury

TypeinterventionalSponsorUniversity of FloridaRan2017 to 2020Enrolled17ConditionsSpinal Cord InjuriesArmsHypoxia via Hypoxico Hyp-123, Sham via Hypoxico Hyp-123
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 43 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Phrenic long-term facilitation following acute intermittent hypercapnic-hypoxia in rats.Journal of applied physiology (Bethesda, Md. : 1985) · 2025
    Article
  5. Article
  6. An update on spinal cord injury and diaphragm neuromotor control.Expert review of respiratory medicine · 2025
    Review
  7. Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Low level CORespiratory physiology & neurobiology · 2024
    Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. Review
  20. Article
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

8 authors at 3 institutions in 1 country.

Tommy SutorHunter Holmes McGuire VA Medical Center, United States. Electronic address: Thomas.sutor@va.gov.
Kathryn CavkaBrooks Rehabilitation, Jacksonville, FL, United States. Electronic address: Kathryn.cavka@brooksrehab.org.
Alicia K VoseDepartment of Physical Therapy, University of Florida, Gainesville, FL, United States; Breathing Research and Therapeutics Center, University of Florida, Gainesville, FL, United States. Electronic address: avose1@ufl.edu.
Joseph F WelchDepartment of Physical Therapy, University of Florida, Gainesville, FL, United States; Breathing Research and Therapeutics Center, University of Florida, Gainesville, FL, United States. Electronic address: joseph.welch@phhp.ufl.edu.
Paul DavenportBreathing Research and Therapeutics Center, University of Florida, Gainesville, FL, United States; Department of Physiological Sciences, University of Florida, Gainesville, FL, United States. Electronic address: pdavenpo@ufl.edu.
David D FullerDepartment of Physical Therapy, University of Florida, Gainesville, FL, United States; Breathing Research and Therapeutics Center, University of Florida, Gainesville, FL, United States. Electronic address: dfuller@phhp.ufl.edu.
Gordon S MitchellDepartment of Physical Therapy, University of Florida, Gainesville, FL, United States; Breathing Research and Therapeutics Center, University of Florida, Gainesville, FL, United States. Electronic address: gsmitche@phhp.ufl.edu.
Emily J FoxDepartment of Physical Therapy, University of Florida, Gainesville, FL, United States; Brooks Rehabilitation, Jacksonville, FL, United States; Breathing Research and Therapeutics Center, University of Florida, Gainesville, FL, United States. Electronic address: ejfox@phhp.ufl.edu.
University of Florida · USBrooks Rehabilitation Clinical Research Center · USHunter Holmes McGuire VA Medical Center · US

Funding

Rehabilitation Research Career Development ProgramK12HD055929 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BROWN, DAVID A · 2007 to 2021
$11.7M
Ampakines and Respiratory NeuroplasticityR01HL139708 · NHLBI · UNIVERSITY OF FLORIDA · PI FULLER, DAVID D · 2018 to 2021
$1.5M
NHLBI NIH HHS R01 HL139708NICHD NIH HHS K12 HD055929
6 · The paper itself

Abstract

After spinal cord injury (SCI) respiratory complications are a leading cause of morbidity and mortality. Acute intermittent hypoxia (AIH) triggers spinal respiratory motor plasticity in rodent models, and repetitive AIH may have the potential to restore breathing capacity in those with SCI. As an initial approach to provide proof of principle for such effects, we tested single-session AIH effects on breathing function in adults with chronic SCI. 17 adults (13 males; 34.1 ± 14.5 years old; 13 motor complete SCI; >6 months post injury) completed two randomly ordered sessions, AIH versus sham. AIH consisted of 15, 1-min episodes (hypoxia: 10.3% O2; sham: 21% O2) interspersed with room air breathing (1.5 min, 21% oxygen); no attempt was made to regulate arterial CO2 levels. Blood oxygen saturation (SpO2), maximal inspiratory and expiratory pressures (MIP; MEP), forced vital capacity (FVC), and mouth occlusion pressure within 0.1 s (P0.1) were assessed. Outcomes were compared using nonparametric Wilcoxon's tests, or a 2 × 2 ANOVA. Baseline SpO2 was 97.2 ± 1.3% and was unchanged during sham experiments. During hypoxic episodes, SpO2 decreased to 84.7 ± 0.9%, and returned to baseline levels during normoxic intervals. Outcomes were unchanged from baseline post-sham. Greater increases in MIP were evident post AIH vs. sham (median values; +10.8 cmH

Indexed as

AdultCross-Over StudiesDouble-Blind MethodFemaleHumansHypoxiaMaleMiddle AgedRecovery of FunctionRespiratory MechanicsSpinal Cord InjuriesVital CapacityYoung AdultAcute intermittent hypoxiaHumanRehabilitationRespiratory functionRespiratory plasticitySpinal cord injury

Identifiers

PMID33951477
PMCPMC8616729
OpenAlexW3157050026

What OpenQuestion holds

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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.