Early exercise therapy in patients with severe traumatic spinal cord injury: is it feasible in the ICU?
Bibliographic record
Abstract
Following traumatic spinal cord injury (SCI), patients remain immobilized in the intensive care unit (ICU) and the wards for several weeks before they are transferred to rehabilitation [ 1 ]. Unfortunately, this places them at high risk for deconditioning and developing immobility-associated complications [ 2 ]. In addition, immobility during the acute stages after TSCI could potentially hinder adaptive neuroplasticity and limit long-term neurological recovery, while early mobilization/exercise could improve outcomes [ 3 ]. Until now, early exercise therapy (EET) had never been attempted in humans due to practical obstacles for bedridden patients and potential concerns for safety, especially for patients in the ICU. In this context, the PROMPT-SCI trial is the first trial designed to evaluate the safety and feasibility of EET in patients with acute severe TSCI (ClinicalTrials.gov: NCT04699474) [ 4 ]. In this Correspondence, we aim to report specifically on our patients who were hospitalized in the ICU.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.014 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.029 | 0.016 |
| Insufficient payload (model declined to judge) | 0.005 | 0.002 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".