Evidence map›Paper›PMID 37438337›Full record

ArticleSpinal cord series and cases2023

Autogenic biofeedback training improves autonomic responses in a participant with cervical motor complete spinal cord injury- case report.

Rachel D Torres, Hani Rashed, Prateek Mathur, Camilo Castillo, Thomas Abell, Daniela G L Terson de Paleville

Erratum issuedOpen access · greenAbstract readCase Reports
In one paragraph

Article in Spinal cord series and cases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. The gut feeling in motion sickness.Communications biology · 2025
    Review
  2. [Lifetide biofeedback intervention in type 2 diabetic patients: a pilot observation].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Rachel D TorresInterdisciplinary Program in Translational Neuroscience, University of Louisville, Louisville, KY, USA.
Hani RashedDivision of Gastroenterology, Hepatology & Nutrition, Vanderbilt University Medical Center, Nashville, TN, USA.
Prateek MathurDivision of Gastroenterology, Hepatology and Nutrition, University of Louisville, Louisville, KY, USA.
Camilo CastilloDivision of Physical Medicine and Rehabilitation, University of Louisville, Louisville, KY, USA.
Thomas AbellDivision of Gastroenterology, Hepatology and Nutrition, University of Louisville, Louisville, KY, USA.
Daniela G L Terson de PalevilleSchool of Medicine, Department of Physiology, University of Louisville, Louisville, KY, USA. dtdepa01@louisville.edu.
University of Louisville · USVanderbilt University Medical Center · US

Funding

NASA 80NSSC20M0047
6 · The paper itself

Abstract

STUDY

designSingle-subject case design

objectiveTo evaluate the Autogenic Feedback Training Exercise (AFTE) on autonomic nervous system responses.

introductionAFTE combines specific autogenic exercises with biofeedback of multiple physiological responses. Originally developed by the National Aeronautics and Space Administration (NASA), AFTE is used to improve post-flight orthostatic intolerance and motion sickness in astronauts. Individuals with cervical or upper thoracic spinal cord injury (SCI) often present symptoms of autonomic dysfunction similar to astronauts. We hypothesize that AFTE challenges nervous system baroreflex, gastric and vascular responses often impaired after SCI.

methodsUsing a modified AFTE protocol, we trained a hypotensive female participant with cervical motor complete (C5/6-AIS A) SCI, and a male non-injured control participant (NI) and measured blood pressure (BP), heart rate (HR), gastric electrical activity, and microvascular blood volume before, during and after AFTE. The participants were instructed to complete breathing and imagery exercises to help facilitate relaxation. Subsequently, they were instructed to use stressful imagery and breathing exercises during arousal trials.

resultsBoth participants completed 8 sessions of approximately 45 min each. Microvascular blood volume decreased 23% (SCI) and 54% (NI) from the beginning to the end of the stimulation cycles. The participant with SCI became progressively more normotensive and improved levels of gastric electrical activity, while the NI participant's changes in HR, gastric electrical activity, and BP were negligible.

conclusionsAFTE may offer a novel non-pharmacologic intervention to minimize symptoms of dysautonomia in people with SCI.

Indexed as

Autonomic Nervous System DiseasesSpinal Cord InjuriesAutonomic Nervous SystemBiofeedback, PsychologyExercise TherapyFemaleHumansMaleUnited States

Identifiers

PMID37438337
PMCPMC10338546
OpenAlexW4384008478

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.