Evidence map›Paper›PMID 40655926›Full record

GuidelineGerman medical science : GMS e-journal2025

Rehabilitation of the lower extremities, standing and walking function in people with spinal cord injury or disease: Guideline of the German-Speaking Medical Society for Spinal Cord Injury.

Sophie Irrgang, Sandra Himmelhaus, Kirstin Allek, Claudio Bartholet, Ines Bersch-Porada, Armin Curt, Burkhart Huber, Daniel Kuhn, Karen Kynast, Norbert Weidner and 1 more

Abstract readPractice Guideline
In one paragraph

Guideline in German medical science : GMS e-journal, 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.

Sophie IrrgangSwiss Paraplegic Research, Nottwil, Switzerland.
Sandra HimmelhausSwiss Paraplegic Research, Nottwil, Switzerland.
Kirstin AllekSpinal Cord Injury Center, Zentralklinik Bad Berka, Germany.
Claudio BartholetSpinal Cord Injury Center, University Hospital Balgrist, Zurich, Switzerland.
Ines Bersch-PoradaSwiss Paraplegic Center, Nottwil, Switzerland.
Armin CurtSpinal Cord Injury Center, University Hospital Balgrist, Zurich, Switzerland.
Burkhart HuberSpinal Cord Injury Rehabilitation Center, Bad Häring, Austria.
Daniel KuhnClinic for Physical and Rehabilitative Medicine, Berufsgenossenschaftliche Kliniken Bergmannstrost, Halle, Germany.
Karen KynastSpinal Cord Injury Center, Heidelberg University Hospital, Heidelberg, Germany.
Norbert WeidnerSpinal Cord Injury Center, Heidelberg University Hospital, Heidelberg, Germany.
Anke Scheel-SailerSwiss Paraplegic Research, Nottwil, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: According of the level and severity of the spinal cord injury or disease (SCI/D), and the impairment of motor, sensory, and autonomic functions, individuals with SCI/D recover some standing and walking capabilities. To increase quality of rehabilitation and use newest evidence, the clinical practice guideline (CPG) "S2e-Guideline Rehabilitation of lower extremities, standing and walking function in people with SCI/D" of the German speaking Medical Association for Paraplegiology (DMGP) was updated. Methods: Following a multi-tiered approach systematic searches were conducted to identify appropriate literature. For this purpose, the Databases PubMed, EMBASE, Cochrane Library and PEDro were searched. Recommendations on assessments were grouped to the categories "activity and participation" or "body functions/body structures". Recommendations on interventions were labeled with outcomes standing, walking, strength, range of motion, pain and muscle tonus. Results: In total, 9,871 studies were identified during the search. Of these, four systematic reviews and eleven primary studies were utilized in composing the recommendations. A total of 25 recommendations were made, with 20 derived from the literature and 5 based on expert consensus. In total 14 functional assessments and 11 rehabilitation interventions became compiled. The assembled recommendations regarding assessments could be well built on published literature, while overall there is a paucity of literature proofing the evidence of specific interventions used in clinical practice. Therefore, the expertise of the international expert group and input from patient representatives were pivotal. Conclusion: The method of an evidence-based guideline was sufficient for the recommendation of functional assessments but showed the need scientific clarification in the field of clinically established interventions.

Indexed as

Lower ExtremitySpinal Cord InjuriesStanding PositionWalkingGermanyHumanslower extremitiesrehabilitationspinal cord injurystandingwalking

Identifiers

PMID40655926
PMCPMC12247552

What Socratic 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 Socratic graph.