Evidence map›Paper›PMID 41028546›Full record

ArticleSpinal cord2025

Physiotherapy interventions for the respiratory management of people with spinal cord injury: recommendations from an Australian and New Zealand clinical practice guideline.

K E Tranter, L A Harvey, J Ross, B Wadsworth, D J Berlowitz, E A Bye, L W Chen, H Patterson, M McDonald, S Calthorpe and 12 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Spinal cord, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

22 authors.

K E TranterThe John Walsh Centre for Rehabilitation Research, University of Sydney, Sydney, NSW, Australia. keira.tranter@sydney.edu.au.
L A HarveyThe John Walsh Centre for Rehabilitation Research, University of Sydney, Sydney, NSW, Australia.ORCID 0000-0002-4365-0236
J RossVictorian Spinal Cord Service, Melbourne, VIC, Australia.ORCID 0000-0002-2562-1829
B WadsworthPrincess Alexandra Hospital, Metro South Health, Brisbane, QLD, Australia.ORCID 0000-0002-4207-1136
D J BerlowitzVictorian Respiratory Support Service, Melbourne, VIC, Australia.ORCID 0000-0003-2543-8722
E A ByeNeuroscience Research Australia, Sydney, NSW, Australia.ORCID 0000-0003-4824-3194
L W ChenRoyal North Shore Hospital, Sydney, NSW, Australia.ORCID 0000-0002-9201-034X
H PattersonRoyal North Shore Hospital, Sydney, NSW, Australia.
M McDonaldVictorian Spinal Cord Service, Melbourne, VIC, Australia.
S CalthorpeThe Alfred Trauma Service, Melbourne, VIC, Australia.
J AgostinelloVictorian Spinal Cord Service, Melbourne, VIC, Australia.
E GollanPrincess Alexandra Hospital, Metro South Health, Brisbane, QLD, Australia.
S DenisPrince of Wales Hospital, Sydney, NSW, Australia.
L BlecherPrince of Wales Hospital, Sydney, NSW, Australia.
D WilsonSpinal Outreach Team, Adelaide, SA, Australia.
J PeachPrincess Alexandra Hospital, Metro South Health, Brisbane, QLD, Australia.
T McDonaldHampstead Rehabilitation Centre, Adelaide, SA, Australia.
M WaltersAuckland Spinal Rehabilitation Unit, Counties Manukau, Health New Zealand, Auckland, New Zealand.
J MatherMiddlemore hospital, Manukau District, Health New Zealand, Auckland, New Zealand.
L DavisRoyal North Shore Hospital, Sydney, NSW, Australia.
M D'CruzAustralian Quadriplegic Association, Sydney, NSW, Australia.
J V GlinskyThe John Walsh Centre for Rehabilitation Research, University of Sydney, Sydney, NSW, Australia.ORCID 0000-0002-8188-3583

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designDevelopment of respiratory recommendations in a Clinical Practice Guideline (CPG).

objectives(i) To describe the evidence recommendations and consensus-based opinion statements for the effectiveness of respiratory interventions to improve respiratory muscle strength, lung volumes and secretion clearance. (ii) To outline the clinical rationale for these recommendations and statements.

settingAustralia and New Zealand

methodsSixteen clinical questions relating to respiratory interventions for people with spinal cord injury (SCI) were presented in PICO format (Participant, Intervention, Comparison, Outcome) and decided a-priori by a respiratory guideline committee. Systematic reviews were conducted to answer each of the questions using rigorous methodology to synthesise evidence from randomised controlled trials. Evidence was assessed for risk of bias and quality using Grading of Recommendations Assessment Development and Evaluation (GRADE). Details were presented to a guideline panel who voted on each question and developed either an evidence recommendation or a consensus-based opinion statement.

resultsEighteen randomised controlled trials met the inclusion criteria and were relevant for eight questions. Three of these trials had interventions and outcomes relevant to more than one question. Overall, ten, eight and two trials answered questions related to improving respiratory muscle strength, lung volumes and secretion clearance, respectively.

conclusionThe Australian and New Zealand CPGs for the physiotherapy management of people with SCI ( www.sciptguide.com ) provide evidence recommendations and consensus-based opinion statements to inform respiratory management of people with SCI.

Indexed as

Physical Therapy ModalitiesPractice Guidelines as TopicRespiratory TherapySpinal Cord InjuriesAustraliaHumansNew ZealandRandomized Controlled Trials as TopicRespiratory Muscles

Identifiers

PMID41028546
PMCPMC12583130

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.