Evidence map›Paper›PMID 36572202›Full record

Trial reportArchives of physical medicine and rehabilitation2023

Exercise Training Does Not Attenuate Cardiac Atrophy or Loss of Function in Individuals With Acute Spinal Cord Injury: A Pilot Study.

Matthew R Ely, Grant D Schleifer, Tamanna K Singh, Aaron L Baggish, J Andrew Taylor

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

Trial report in Archives of physical medicine and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06514950 (Yoga Breath Training to Improve Cardiorespiratory Synchrony in Spinal Cord Injury), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 26% 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.

NCT06514950 narecruitingnot on this mapstarted 2024, after this paper: background citation

Yoga Breath Training to Improve Cardiorespiratory Synchrony in Spinal Cord Injury

TypeinterventionalSponsorSpaulding Rehabilitation HospitalRan2024 to 2027Enrolled20ConditionsSpinal Cord InjuriesArmsUjjayi Yogic Breathing
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. 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

5 authors at 1 institution in 1 country.

Matthew R ElyDepartment of Physical Medicine & Rehabilitation, Harvard Medical School, Cambridge, MA. Electronic address: mely@bwh.harvard.edu.
Grant D SchleiferDepartment of Physical Medicine & Rehabilitation, Harvard Medical School, Cambridge, MA.
Tamanna K SinghCardiovascular Performance Program, Harvard Medical School, Cambridge, MA.
Aaron L BaggishCardiovascular Performance Program, Harvard Medical School, Cambridge, MA.
J Andrew TaylorDepartment of Physical Medicine & Rehabilitation, Harvard Medical School, Cambridge, MA.
Harvard University · US

Funding

Hybrid-FES Exercise To Prevent Cardiovascular Declines In Acute Spinal Cord InjuryR01HL117037 · NHLBI · SPAULDING REHABILITATION HOSPITAL · PI TAYLOR, J ANDREW · 2013 to 2024
$4.9M
NHLBI NIH HHS R01 HL117037
6 · The paper itself

Abstract

objectiveTo investigate the effects of 2 modes of exercise training, upper-body alone, and the addition of electrical stimulation of the lower body, to attenuate cardiac atrophy and loss of function in individuals with acute spinal cord injury (SCI).

designRandomized controlled trial.

settingRehabilitation Hospital.

participantsVolunteers (N=27; 5 women, 22 men) who were <24 months post SCI.

interventionsVolunteers completed either 6 months of no structured exercise (Control), arm rowing (AO), or a combination of arm rowing with electrical stimulation of lower body paralyzed muscle (functional electrical stimulation [FES] rowing).

main outcome measuresTransthoracic echocardiography was performed on each subject prior to and 6 months after the intervention. The relations between time since injury and exercise type to cardiac structure and function were assessed via 2-way repeated-measures analysis of variance and with multilevel linear regression.

resultsTime since injury was significantly associated with a continuous decline in cardiac structure and systolic function, specifically, a reduction in left ventricular mass (0.197 g/month; P=.049), internal diameter during systole (0.255 mm/month; P<.001), and diastole (0.217 mm/month; P=.019), as well as cardiac output (0.048 L/month, P=.019), and left ventricular percent shortening (0.256 %/month; P=.027). These associations were not differentially affected by exercise (Control vs AO vs FES, P>.05).

conclusionsThese results indicate that within the subacute phase of recovery from SCI there is a linear loss of left ventricular cardiac structure and systolic function that is not attenuated by current rehabilitative aerobic exercise practices. Reductions in cardiac structure and function may increase the risk of cardiovascular disease in individuals with SCI and warrants further interventions to prevent cardiac decline.

Indexed as

Electric Stimulation TherapySpinal Cord InjuriesAtrophyExerciseExercise TherapyFemaleHumansMalePilot ProjectsAtrophyEchocardiographyExerciseHeartRehabilitation

Identifiers

PMID36572202
PMCPMC10247388
OpenAlexW4312209853

What OpenQuestion holds

Textmetadata
LicenceTDM
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.