Evidence map›Paper›PMID 34718779›Full record

ArticlePhysical therapy2022

Genomic and Epigenomic Evaluation of Electrically Induced Exercise in People With Spinal Cord Injury: Application to Precision Rehabilitation.

Michael A Petrie, Eric B Taylor, Manish Suneja, Richard K Shields

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Physical therapy, 2022. 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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.1field-weighted citation impact, top 13% 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.

NCT02622295 nacompletednot on this map

Musculoskeletal Plasticity After Spinal Cord Injury

TypeinterventionalSponsorRichard K ShieldsRan2015 to 2021Enrolled71ConditionsSpinal Cord InjuriesArmsSingle-session electrically induced exercise, Electrically-induced exercise training
NCT03139344 nacompletednot on this map

Long Duration Activity and Metabolic Control After Spinal Cord Injury

TypeinterventionalSponsorRichard K ShieldsRan2015 to 2022Enrolled89ConditionsSpinal Cord InjuriesArmsLow-frequency Exercise, High-frequency Exercise
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 16 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

4 authors at 1 institution in 1 country.

Michael A PetrieDepartment of Physical Therapy and Rehabilitation Science, Carver College of Medicine, The University of Iowa, Iowa City, Iowa, USA.
Eric B TaylorDepartment of Biochemistry, Carver College of Medicine, The University of Iowa, Iowa City, Iowa, USA.
Manish SunejaDepartment of Internal Medicine, Carver College of Medicine, The University of Iowa, Iowa City, Iowa, USA.
Richard K ShieldsDepartment of Physical Therapy and Rehabilitation Science, Carver College of Medicine, The University of Iowa, Iowa City, Iowa, USA.
University of Iowa · US

Funding

The University of Iowa Clinical and Translational Science AwardUL1TR002537 · NCATS · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R, WINOKUR, PATRICIA · 2018 to 2022
$20.0M
Regulation of Hepatic Macronutrient Metabolism by Mitochondrial Citrate TransportR01DK104998 · NIDDK · UNIVERSITY OF IOWA · PI TAYLOR, ERIC B · 2015 to 2022
$3.2M
Long Duration Activity and Metabolic Control after Spinal Cord InjuryR01HD082109 · NICHD · UNIVERSITY OF IOWA · PI SHIELDS, RICHARD K. · 2015 to 2019
$1.6M
Musculoskeletal Plasticity after Spinal Cord InjuryR01HD084645 · NICHD · UNIVERSITY OF IOWA · PI SHIELDS, RICHARD K. · 2015 to 2019
$1.6M
Vms1 is a Novel Protein Critical for Mitochondrial MaintenanceR00AR059190 · NIAMS · UNIVERSITY OF IOWA · PI TAYLOR, ERIC B · 2012 to 2014
$730k
NCATS NIH HHS UL1 TR002537NIAMS NIH HHS R00 AR059190NICHD NIH HHS R01 HD082109NICHD NIH HHS R01 HD084645NIDDK NIH HHS R01 DK104998
6 · The paper itself

Abstract

objectivePhysical therapists develop patient-centered exercise prescriptions to help overcome the physical, emotional, psychosocial, and environmental stressors that undermine a person's health. Optimally prescribing muscle activity for people with disability, such as a spinal cord injury, is challenging because of their loss of volitional movement control and the deterioration of their underlying skeletal systems. This report summarizes spinal cord injury-specific factors that should be considered in patient-centered, precision prescription of muscle activity for people with spinal cord injury. This report also presents a muscle genomic and epigenomic analysis to examine the regulation of the proliferator-activated receptor γ coactivator 1α (PGC-1α) (oxidative) and myostatin (hypertrophy) signaling pathways in skeletal muscle during low-frequency (lower-force) electrically induced exercise versus higher-frequency (higher-force) electrically induced exercise under constant muscle recruitment (intensity).

methodsSeventeen people with spinal cord injury participated in 1 or more unilateral electrically induced exercise sessions using a lower-force (1-, 3-, or 5-Hz) or higher-force (20-Hz) protocol. Three hours after the exercise session, percutaneous muscle biopsies were performed on exercised and nonexercised muscles for genomic and epigenomic analysis.

resultsWe found that low-frequency (low-force) electrically induced exercise significantly increased the expression of PGC-1α and decreased the expression of myostatin, consistent with the expression changes observed with high-frequency (higher-force) electrically induced exercise. Further, we found that low-frequency (lower-force) electrically induced exercise significantly demethylated, or epigenetically promoted, the PGC-1α signaling pathway. A global epigenetic analysis showed that >70 pathways were regulated with low-frequency (lower-force) electrically induced exercise.

conclusionThese novel results support the notion that low-frequency (low-force) electrically induced exercise may offer a more precise rehabilitation strategy for people with chronic paralysis and severe osteoporosis. Future clinical trials are warranted to explore whether low-frequency (lower-force) electrically induced exercise training affects the overall health of people with chronic spinal cord injury.

Indexed as

AdultElectric Stimulation TherapyEpigenomicsExercise TherapyGenomicsHumansMiddle AgedMuscular AtrophyPrecision MedicineSpinal Cord InjuriesDisabilityHypertrophyMolecularMusclePlasticityRehabilitation

Identifiers

PMID34718779
PMCPMC8754383
OpenAlexW3208793514

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.