Evidence map›Paper›PMID 35686460›Full record

Trial reportJournal of neurotrauma2022

Caffeine Enhances Intermittent Hypoxia-Induced Gains in Walking Function for People with Chronic Spinal Cord Injury.

Randy D Trumbower, Stella Barth, Christopher Tuthill, Chloe Slocum, Guogen Shan, Ross Zafonte, Gordon S Mitchell

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of neurotrauma, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Acute intermittent hypoxia in spinal cord injury gait rehabilitation: a systematic review of randomized trials.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Pooled it
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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

7 authors at 4 institutions in 1 country.

Randy D TrumbowerDepartment of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts, USA.
Stella BarthSpaulding Rehabilitation Hospital, Charlestown, Massachusetts, USA.
Christopher TuthillDepartment of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts, USA.
Chloe SlocumSpaulding Rehabilitation Hospital, Charlestown, Massachusetts, USA.
Guogen ShanDepartment of Biostatistics, College of Medicine, University of Florida, Gainesville, Florida, USA.
Ross ZafonteDepartment of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts, USA.
Gordon S MitchellBreathing Research and Therapeutics Center, Department of Physical Therapy, College of Medicine, University of Florida, Gainesville, Florida, USA.
Harvard University · USSpaulding Rehabilitation Hospital · USFlorida College · USUniversity of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Incomplete spinal cord injury (iSCI) often results in lifelong walking impairments that limit functional independence. Thus, treatments that trigger enduring improvement in walking after iSCI are in high demand. Breathing brief episodes of low oxygen (i.e., acute intermittent hypoxia, AIH) enhances breathing and walking function in rodents and humans with chronic iSCI. Pre-clinical studies found that AIH also causes the accumulation of extracellular adenosine that undermines AIH-induced functional plasticity. Pharmacologically blocking adenosine A2a receptors (A2aR) prior to AIH resulted in a dramatic improvement in motor facilitation in rodents with iSCI; however, a similar beneficial effect in humans is unclear. Thus, we conducted a double-blind, placebo-controlled, crossover randomized study to test the hypothesis that a non-selective A2aR antagonist (i.e., caffeine) enhances AIH-induced effects on walking function in people with chronic (≥1yr) iSCI. We enrolled 12 participants to receive daily (5 days) caffeine or placebo (4 mg/kg) 30 min before breathing 15, 1.5-min low oxygen (AIH; F

Indexed as

CaffeineSpinal Cord InjuriesHumansHypoxiaOxygenWalkingCaffeineOxygenadenosinecaffeineplasticityrehabilitationspinal cord traumawalking

Identifiers

PMID35686460
PMCPMC9734018
OpenAlexW4281741386

What OpenQuestion holds

Textmetadata
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.