Evidence map›Paper›PMID 23924075›Full record

ReviewNeuromodulation : journal of the International Neuromodulation Society2014

Reversible nerve conduction block using kilohertz frequency alternating current.

Kevin L Kilgore, Niloy Bhadra

Abstract readReview
In one paragraph

Review in Neuromodulation : journal of the International Neuromodulation Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 107 papers.

0numbers the graph read from it
0cells of the map it votes in
107citing 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

107 citing papers in PubMed.

  1. Trial
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  4. Differential Tissue-Coupled Powering for Battery-Free Injectable Electroceuticals.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  5. Computational modelling of the suppression of optic nerve fibre.Medical & biological engineering & computing · 2026
    Article
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47 more citing papers are in PubMed but not listed here.

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

2 authors.

Kevin L KilgoreDepartment of Orthopaedics, MetroHealth Medical Center, Cleveland, OH, USA; Research Service, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH, USA; Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, USA.
Niloy Bhadra

Funding

A Novel Waveform for Electrical Nerve Conduction BlockR01EB002091 · NIBIB · CASE WESTERN RESERVE UNIVERSITY · PI KILGORE, KEVIN L. · 2003 to 2010
$2.6M
Separated-interface Electrodes for use with High Frequency Nerve Conduction BlockR01NS074149 · NINDS · CASE WESTERN RESERVE UNIVERSITY · PI BHADRA, NARENDRA · 2011 to 2014
$1.4M
NIBIB NIH HHS R01 EB002091NINDS NIH HHS R01 NS074149
6 · The paper itself

Abstract

objectivesThe features and clinical applications of balanced-charge kilohertz frequency alternating currents (KHFAC) are reviewed. Preclinical studies of KHFAC block have demonstrated that it can produce an extremely rapid and reversible block of nerve conduction. Recent systematic analysis and experimentation utilizing KHFAC block have resulted in a significant increase in interest in KHFAC block, both scientifically and clinically. MATERIALS AND

methodsWe review the history and characteristics of KHFAC block, the methods used to investigate this type of block, the experimental evaluation of block, and the electrical parameters and electrode designs needed to achieve successful block. We then analyze the existing clinical applications of high-frequency currents, comparing the early results with the known features of KHFAC block.

resultsAlthough many features of KHFAC block have been characterized, there is still much that is unknown regarding the response of neural structures to rapidly fluctuating electrical fields. The clinical reports to date do not provide sufficient information to properly evaluate the mechanisms that result in successful or unsuccessful treatment.

conclusionsKHFAC nerve block has significant potential as a means of controlling nerve activity for the purpose of treating disease. However, early clinical studies in the use of high-frequency currents for the treatment of pain have not been designed to elucidate mechanisms or allow direct comparisons to preclinical data. We strongly encourage the careful reporting of the parameters utilized in these clinical studies, as well as the development of outcome measures that could illuminate the mechanisms of this modality.

Indexed as

Neural ConductionAction PotentialsAnimalsComputer SimulationElectricityElectric Stimulation TherapyHumansModels, AnimalModels, NeurologicalNerve FibersObesityPain ManagementPeripheral NervesSpinal CordUrination DisordersElectrical stimulationhigh frequencykilo hertz frequency nerve blocknerve blockpain blockspasticity block

Identifiers

PMID23924075
PMCPMC3834124

What OpenQuestion holds

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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.