Evidence map›Paper›PMID 41039141›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026

Evaluation of blood flow restriction combined with routine rehabilitation in incomplete thoracic and lumbar spinal cord injury after decompression: a retrospective study.

Guihua Xiao, Yonggang Zhu, Zhou Yang, Minxing Wang, Yegai Feng, Xueliang Xu, Yongxue Li

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Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Letter to the editor concerning "comparative analysis of the correlation between paraspinal muscles fat infiltration and vertebral bone quality in patients with lumbar degenerative diseases" by wang et al. (Eur spine J [2025]: doi: 10.1007/s00586-025-09142-y).European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Article
  4. 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

7 authors.

Guihua XiaoDepartment of Neurorehabilitation, the First People's Hospital of Lianyungang, Lianyungang, China.
Yonggang ZhuDepartment of Neurorehabilitation, the First People's Hospital of Lianyungang, Lianyungang, China.
Zhou YangDepartment of Rehabilitation, Lianyungang Hospital of Traditional Chinese Medicine, Lianyungang, China.
Minxing WangDepartment of Neurorehabilitation, the First People's Hospital of Lianyungang, Lianyungang, China.
Yegai FengDepartment of Neurorehabilitation, the First People's Hospital of Lianyungang, Lianyungang, China.
Xueliang XuDepartment of Rehabilitation, Lianyungang Hospital of Traditional Chinese Medicine, Lianyungang, China.
Yongxue LiDepartment of Rehabilitation, Lianyungang Hospital of Traditional Chinese Medicine, Lianyungang, China. liyongxue@ldy.edu.rs.

Funding

the Scientific Research Development Fund of Kangda College, Nanjing Medical University KD2024KYJJ097
6 · The paper itself

Abstract

backgroundSpinal cord injury (SCI) is a disabling condition. While conventional rehabilitation provides benefits, its effects are often limited. This study aimed to evaluate the efficacy and safety of blood flow restriction (BFR) training combined with routine rehabilitation in SCI patients after decompression surgery.

methodsA retrospective analysis was conducted on 80 patients with SCI who underwent decompression surgery and received rehabilitation treatment at our hospital between January 2023 and January 2024. Based on treatment records, patients were categorized into a control group (routine rehabilitation only) and a combination group (BFR plus routine rehabilitation). Treatment lasted for 12 weeks. Outcomes assessed included muscle strength, Lower Extremity Motor scores (LEMS), Activity of daily living (ADL), lower limb muscle circumference, hemodynamic parameters, and adverse events.

resultsAt 3-month follow-up, patients in the combination group exhibited greater improvements in hip, knee, and ankle muscle strength, LEMS scores, ADL scores, and lower limb muscle circumference compared to both baseline and the control group (P < 0.05). No significant intergroup differences were observed at baseline or at 1-month follow-up. Heart rate, blood pressure, and adverse event incidence remained similar between the two groups throughout the observation period (P > 0.05).

conclusionBFR training combined with routine rehabilitation may enhance motor function, gait performance, and daily living abilities in SCI patients after decompression surgery without increasing adverse events. These findings support its clinical feasibility, but further prospective studies are warranted to confirm the results.

Indexed as

Blood flow restriction trainingFunctional rehabilitationRoutine rehabilitationSafetySpinal cord injury

Identifiers

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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.