Evidence map›Paper›PMID 27395446›Full record

ArticleRespiratory physiology & neurobiology2016

High frequency spinal cord stimulation-New method to restore cough.

K E Kowalski, J R Romaniuk, S W Brose, M A Richmond, T Kowalski, A F DiMarco

Open access · greenAbstract read
In one paragraph

Article in Respiratory physiology & neurobiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
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

14 citing papers in PubMed, 18 citations in OpenAlex.

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  5. Narrative review of current neuromodulation modalities for spinal cord injury.Frontiers in pain research (Lausanne, Switzerland) · 2023
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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 at 4 institutions in 1 country.

K E KowalskiResearch Service, Louis Stokes Cleveland VA Medical Center, Cleveland, OH, USA; Department of Medicine, Case Western Reserve University, Cleveland, OH, USA; MetroHealth Research Institute, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH, USA. Electronic address: kek5@case.edu.
J R RomaniukResearch Service, Louis Stokes Cleveland VA Medical Center, Cleveland, OH, USA.
S W BroseDepartment of Spinal Cord Injury, Louis Stokes Cleveland VA Medical Center, Cleveland, OH, USA; Department of Physical Medicine and Rehabilitation, Case Western Reserve University, Cleveland, OH, USA; Ohio University Heritage College of Osteopathic Medicine, Cleveland, OH, USA.
M A RichmondDepartment of Spinal Cord Injury, Louis Stokes Cleveland VA Medical Center, Cleveland, OH, USA; Department of Medicine, Case Western Reserve University, Cleveland, OH, USA.
T KowalskiMetroHealth Research Institute, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH, USA.
A F DiMarcoDepartment of Physical Medicine and Rehabilitation, Case Western Reserve University, Cleveland, OH, USA; MetroHealth Research Institute, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH, USA.
Louis Stokes Cleveland VA Medical Center · USMetroHealth · USCase Western Reserve University · USMetroHealth Medical Center · US

Funding

Inspiratory Muscle Activation via High Frequency Spinal Cord StimulationR01NS064157 · NINDS · CASE WESTERN RESERVE UNIVERSITY · PI DIMARCO, ANTHONY F. · 2009 to 2013
$2.5M
High Frequency Spinal Cord Stimulation to Restore CoughI01RX001488 · VA · LOUIS STOKES CLEVELAND VA MEDICAL CENTER · PI KOWALSKI, KRZYSZTOF E · 2015 to 2019
–
NINDS NIH HHS R01 NS064157RRD VA I01 RX001488
6 · The paper itself

Abstract

Spinal cord stimulation (SCS, 50Hz) is a useful method to restore an effective cough in persons with spinal cord injury (SCI). However, high stimulus amplitudes and potential activation of pain fibers, significantly limits this application. It is our hypothesis that high frequency SCS (HF-SCS), with low stimulus amplitudes may provide the same level of expiratory muscle activation. In 6 dogs, the effects of SCS, with varying stimulus parameters on positive pressure (P) generation was evaluated. At any given level of stimulus current, mean P was largest at 500Hz, compared to all other stimulus frequencies. For example, with stimulation at 1mA and frequencies of 200, 500 and 600Hz, P were 25±3, 58±4, 51±6cmH2O, respectively. By comparison, P achieved with conventional SCS parameters was 61±5cmH2O. HF-SCS results in a comparable P compared to that achieved with conventional stimulus parameters but with much lower stimulus amplitudes. This method may be useful to restore cough even in subjects with intact sensation.

Indexed as

Action PotentialsAnimalsBiophysical PhenomenaContinuous Positive Airway PressureCoughDisease Models, AnimalDogsElectromyographyEvoked Potentials, MotorFunctional Residual CapacityLaminectomyRespiratory MusclesSpinal Cord InjuriesSpinal Cord StimulationCoughExpiratory musclesRehabilitationSpinal cord stimulation

Identifiers

PMID27395446
PMCPMC5012955
OpenAlexW2470381232

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.