Evidence map›Paper›PMID 37923886›Full record

Trial reportEuropean journal of applied physiology2024

Intermittent neck flexion induces greater sternocleidomastoid deoxygenation than inspiratory threshold loading.

Melissa Miles, Paul Davenport, Sunita Mathur, Ewan C Goligher, Dmitry Rozenberg, W Darlene Reid

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of applied physiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

  1. Timing of activation of different inspiratory muscles during incremental inspiratory loading in healthy adults: A cross-sectional study.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2025
    Article
  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

6 authors.

Melissa MilesDepartment of Physical Therapy, University of Toronto, 160-500 University Avenue, Toronto, ON, M5G 1V7, Canada.
Paul DavenportDepartment of Physiological Sciences, University of Florida, Gainesville, FL, USA.
Sunita MathurSchool of Rehabilitation Therapy, Faculty of Health Sciences, Queens University, Kingston, ON, Canada.ORCID http://orcid.org/0000-0001-5564-9796
Ewan C GoligherToronto General Hospital Research Institute, University Health Network, Toronto, ON, Canada.ORCID http://orcid.org/0000-0002-0990-6701
Dmitry Rozenberg *Toronto General Hospital Research Institute, University Health Network, Toronto, ON, Canada.ORCID http://orcid.org/0000-0001-8786-9152
W Darlene Reid *Department of Physical Therapy, University of Toronto, 160-500 University Avenue, Toronto, ON, M5G 1V7, Canada. darlene.reid@utoronto.ca.ORCID http://orcid.org/0000-0001-9980-8699

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare deoxygenation of the sternocleidomastoid, scalenes, and diaphragm/intercostals (Dia/IC) during submaximal intermittent neck flexion (INF) versus submaximal inspiratory threshold loading (ITL) in healthy adults.

methodsFourteen participants performed a randomized, cross-over, repeated measures design. After evaluation of maximal inspiratory pressures (MIP) and maximum voluntary contraction (MVC) for isometric neck flexion, participants were randomly assigned to submaximal ITL or INF until task failure. At least 2 days later, they performed the submaximal exercises in the opposite order. ITL or INF targeted 50 ± 5% of the MIP or MVC, respectively, until task failure. Near-infrared spectroscopy (NIRS) was applied to evaluate changes of deoxy-hemoglobin (ΔHHb), oxy-hemoglobin (ΔO

resultsInitially during INF, sternocleidomastoid HHb slope was greatest compared to the scalenes and Dia/IC. At isotime (6.5-7 min), ΔtHb (a marker of blood volume) and ΔO

conclusionIntermittent INF induces significant metabolic activity of the sternocleidomastoid and a lower perception of effort, which may provide an alternative inspiratory muscle training approach for mechanically ventilated patients.

Indexed as

Neck MusclesRespiratory MusclesAdultCross-Over StudiesDiaphragmHemoglobinsHumansOxygenOxyhemoglobinsHemoglobinsOxygenOxyhemoglobinsExerciseFatigueNear infraredRespiratory musclesSpectroscopy

Identifiers

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.