Evidence map›Paper›PMID 41562992›Full record

ArticleMethods and protocols2026

Probiotic and Prebiotic Supplementation for Gastrointestinal Discomfort in Chronic Spinal Cord Injury (PRO-GIDSCI): A Randomized Controlled Crossover Trial Protocol.

Julia Trunz, Cyra Schmandt, Anneke Hertig-Godeschalk, Marija Glisic, Jivko Stoyanov, Claudio Perret

Registry-linked trialAbstract read
In one paragraph

Article in Methods and protocols, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06870331 (The Effect of Probiotic and Prebiotic Supplementation on Gastrointestinal Health in Individuals With Chronic Spinal Cord Injury), which is not on this map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

NCT06870331 narecruitingnot on this map

The Effect of Probiotic and Prebiotic Supplementation on Gastrointestinal Health in Individuals With Chronic Spinal Cord Injury: A Randomized Controlled Crossover Trial

TypeinterventionalSponsorSwiss Paraplegic Research, NottwilRan2025 to 2027Enrolled50ConditionsSpinal Cord InjuryArmsProbiotic, Prebiotic
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Julia TrunzSwiss Paraplegic Research, 6207 Nottwil, Switzerland.ORCID 0009-0007-5707-2899
Cyra SchmandtSwiss Paraplegic Research, 6207 Nottwil, Switzerland.ORCID 0009-0009-7142-6416
Anneke Hertig-GodeschalkSwiss Paraplegic Research, 6207 Nottwil, Switzerland.ORCID 0000-0002-4337-3865
Marija GlisicSwiss Paraplegic Research, 6207 Nottwil, Switzerland.ORCID 0000-0002-0108-2576
Jivko StoyanovSwiss Paraplegic Research, 6207 Nottwil, Switzerland.ORCID 0000-0001-6842-6284
Claudio PerretSwiss Paraplegic Research, 6207 Nottwil, Switzerland.ORCID 0000-0003-3953-589X

Funding

Swiss National Science Foundation 10003400
6 · The paper itself

Abstract

backgroundGastrointestinal discomfort affects up to 70% of individuals with spinal cord injury (SCI), largely due to gut dysbiosis caused by altered transit time and reduced gastrointestinal motility from autonomic disruption. Emerging evidence links prebiotics and probiotics to improved microbiome balance and reduced inflammation, yet data in SCI remain limited.

methodsIndividuals aged ≥ 18 years, with a chronic SCI (≥1 year) experiencing significant gastrointestinal symptoms, will be invited to participate in this single-center randomized controlled crossover trial. Persons currently taking antibiotics, who have relevant eating or digestive disorders, or who have undergone a recent diet change will be excluded from the study. Participants will be randomized (1:1) into two groups. The first group will take a probiotic (Biotics-G, Burgerstein AG, Rapperswil-Jona, Switzerland) supplement for eight weeks, then after a four-week washout period, they will take a prebiotic (Oat Bran, Naturaplan, manufactured by Swissmill, Zurich, Switzerland) supplement for another eight weeks. The second group will receive the supplements in reverse order. The primary outcome is the Gastrointestinal Quality of Life Index, a questionnaire to assess quality of life related to gastrointestinal disorders. Secondary outcomes consist of gastrointestinal transit time, inflammatory blood markers, and gut microbiome composition. ETHICS: The study will be conducted in accordance with the Declaration of Helsinki. The study was approved by the Ethics Committee for Northwest/Central Switzerland (EKNZ, ID: 2025-00238, 24.02.2025, Version 2.0). The study is registered at ClinicalTrials.gov (ID: NCT06870331, 02.04.2025). Written informed consent will be obtained from all participants involved in the study.

Indexed as

bowel managementgastrointestinal transit timeincontinenceparaplegiatetraplegia

Identifiers

PMID41562992
PMCPMC12821591

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Registered trials

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.