Evidence map›Paper›PMID 40854427›Full record

ArticleRespiratory physiology & neurobiology

Diaphragm pacing elicits respiratory plasticity in awake rodents after C2 hemisection.

Taylor C Holmes, Kaylyn A Schwichtenberg, Kristi A Streeter

Abstract read
In one paragraph

Article in Respiratory physiology & neurobiology. 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

3 authors.

Taylor C HolmesExercise and Rehabilitation Science Program, Department of Physical Therapy, Marquette University, Milwaukee, WI, United States.
Kaylyn A SchwichtenbergExercise and Rehabilitation Science Program, Department of Physical Therapy, Marquette University, Milwaukee, WI, United States.
Kristi A StreeterExercise and Rehabilitation Science Program, Department of Physical Therapy, Marquette University, Milwaukee, WI, United States. Electronic address: Kristi.streeter@marquette.edu.

Funding

Clinical and Translational Science AwardUL1TR001436 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI FREED, JULIE K · 2015 to 2025
$47.5M
J. NRSA Training CoreTL1TR001437 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI THOMAS, DANNY GEORGE · 2015 to 2024
$3.7M
Phrenic Afferents and Neuromuscular Plasticity Following Spinal Cord InjuryR00HL143207 · NHLBI · MARQUETTE UNIVERSITY · PI STREETER, KRISTI ANN · 2020 to 2022
$732k
NCATS NIH HHS TL1 TR001437NCATS NIH HHS UL1 TR001436NHLBI NIH HHS R00 HL143207
6 · The paper itself

Abstract

Cervical spinal cord injury (cSCI) creates profound respiratory deficits that are commonly managed with chronic mechanical ventilation. Diaphragm pacing (DP) is an emerging clinical intervention designed to combat the deleterious effects associated with chronic mechanical ventilation. While anecdotal evidence suggests that DP may restore independent breathing, the impact of daily DP on respiratory output is unknown. Therefore, we investigated if DP induces ventilatory and diaphragm electromyography (EMG) plasticity in awake rodents following cSCI. All animals (n = 42) were implanted with diaphragm EMGs, received a left incomplete C2 hemisection, and were treated with DP, DP + dorsal rhizotomy, or served as controls (no DP). In animals receiving a dorsal rhizotomy, the left cervical dorsal roots (C4-C6) were cut to test if phrenic afferents are necessary for the induction of plasticity. One week after C2 hemisection, we delivered daily DP for 1 h/day (5 min on/5 min off) and recorded ventilation and diaphragm EMG output for 60 min over 4 consecutive days. During DP, we found an increase in tidal volume. After DP, tidal volume remained elevated in males for at least 60 min, and to a lesser extent in females. DP increased diaphragm EMG amplitude 60 min post-pacing in males, but not females. Despite an identical DP intervention, rhizotomy treated male animals did not exhibit a sustained increase in tidal volume or EMG amplitude. Our data suggests that DP induces phrenic afferent dependent plasticity characterized by a long-lasting increase in tidal volume and diaphragm EMG amplitude in awake male rodents following cSCI.

Indexed as

DiaphragmNeuronal PlasticitySpinal Cord InjuriesAnimalsCervical CordCervical VertebraeDisease Models, AnimalElectromyographyFemaleMalePhrenic NerveRatsRats, Sprague-DawleyRhizotomyTidal VolumeWakefulnessCervical spinal cord injuryDiaphragmDiaphragm pacingPhrenic afferentsRespiratory plasticity

Identifiers

PMID40854427
PMCPMC12443133

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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.