Evidence map›Paper›PMID 39744762›Full record

ArticlePhysiological reports2025

Effects of fascial manipulation, vibration exercise, motor imagery, or neuro-muscular electrical stimulation on the coagulation system: A pilot study.

Gerhard Cvirn, Anna Hawliczek, Axel Schlagenhauf, Bianca Brix, Karin Schmid Zalaudek, Sebastian Schwaminger, Margret Paar, Willibald Wonisch, Thomas Wagner, Ziva Arko and 1 more

Abstract read
In one paragraph

Article in Physiological reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Gerhard CvirnDivision of Medicinal Chemistry, Otto Loewi Research Center, Medical University of Graz, Graz, Austria.
Anna HawliczekGravitational Physiology and Medicine Research Unit, Division of Physiology, Otto Loewi Research Center, Medical University of Graz, Graz, Austria.
Axel SchlagenhaufDivision of General Paediatrics, Department of Paediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria.
Bianca BrixGravitational Physiology and Medicine Research Unit, Division of Physiology, Otto Loewi Research Center, Medical University of Graz, Graz, Austria.
Karin Schmid ZalaudekGravitational Physiology and Medicine Research Unit, Division of Physiology, Otto Loewi Research Center, Medical University of Graz, Graz, Austria.
Sebastian SchwamingerDivision of Medicinal Chemistry, Otto Loewi Research Center, Medical University of Graz, Graz, Austria.
Margret PaarDivision of Medicinal Chemistry, Otto Loewi Research Center, Medical University of Graz, Graz, Austria.
Willibald WonischDivision of Medicinal Chemistry, Otto Loewi Research Center, Medical University of Graz, Graz, Austria.
Thomas WagnerDepartment of Blood Group Serology and Transfusion Medicine, Medical University of Graz, Graz, Austria.
Ziva ArkoDepartment of Physiotherapy, Univerza Alma Mater Europaea, Maribor, Slovenia.
Nandu GoswamiGravitational Physiology and Medicine Research Unit, Division of Physiology, Otto Loewi Research Center, Medical University of Graz, Graz, Austria.ORCID https://orcid.org/0000-0002-6704-0723

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Available evidence suggests that various medical/rehabilitation treatments evoke multiple effects on blood hemostasis. It was therefore the aim of our study to examine whether fascial manipulation, vibration exercise, motor imagery, or neuro-muscular electrical stimulation can activate the coagulation system, and, thereby, expose patients to thrombotic risk. Ten healthy young subject were enrolled in the study. Blood samples were obtained pre and posttreatment. Besides standard laboratory methods, calibrated automated thrombography (CAT) and thrombelastometry (TEM) were used allowing sensitive detection of hyper- and hypocoagulable states. Application of fascial manipulation, motor imagery, or neuro-muscular electrical stimulation had vitually no effect whereas a single bout of vibration exercise caused significant coagulation activation. For example, TEM-derived coagulation times were significantly shortened (209 ± 34 vs. 187 ± 41 s, p = 0.0098) and CAT-derived thrombin peaks were significantly higher (235 ± 88 vs. 268 ± 82 nM, p = 0.0020) in post compared with preexercise samples. Moreover, vibration exercise, motor imagery, and neuro-muscular electrical stimulation caused significant plasma expansion (6.15%, 7.53%, and 3.88% plasma volume changes, respectively). We conclude that vibrational exercise apparently represents a potential procoagulant stimulus, and ongoing studies have to clarify whether VE should be applied particularly to patients with an elevated risk for thrombosis.

Indexed as

Blood CoagulationVibrationAdultElectric StimulationExerciseFemaleHumansMalePilot ProjectsThrombelastographyYoung Adultclot formation processhemodilutionrehabilitation treatmentthrombelastometrythrombin generation

Identifiers

PMID39744762
PMCPMC11693986

What OpenQuestion holds

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Registered trials

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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.