Evidence map›Paper›PMID 27800189›Full record

ReviewNeural plasticity2016

Paired Stimulation to Promote Lasting Augmentation of Corticospinal Circuits.

Noam Y Harel, Jason B Carmel

Abstract readReview
In one paragraph

Review in Neural plasticity, 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
–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

14 citing papers in PubMed.

  1. Article
  2. Timing-dependent synergies between noninvasive motor cortex and spinal cord stimulation in chronic cervical spinal cord injury.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2025
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. State-Dependent Gain Modulation of Spinal Motor Output.Frontiers in bioengineering and biotechnology · 2020
    Article
  11. Article
  12. Recruitment of Additional Corticospinal Pathways in the Human Brain with State-Dependent Paired Associative Stimulation.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2018
    Article
  13. Article
  14. 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

2 authors.

Noam Y HarelJames J. Peters Veterans Affairs Medical Center, Bronx, NY, USA; Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0003-3085-2194
Jason B CarmelBurke Medical Research Institute, White Plains, NY, USA; Weill Cornell Medical College, New York, NY, USA.ORCID 0000-0002-3933-3692

Funding

Motor cortex electrical stimulation to augment spontaneous recovery after chronicsubcortical strokeR01NS092875 · NINDS · WINIFRED MASTERSON BURKE MED RES INST · PI CARMEL, JASON BRANT · 2015 to 2019
$2.1M
Injury and adaptation in the developing rat corticospinal and rubrospinal tractsK08NS073796 · NINDS · WINIFRED MASTERSON BURKE MED RES INST · PI CARMEL, JASON BRANT · 2011 to 2015
$910k
Advanced materials for safe and effective stimulation of the rat cervical spinal cordR21EB020318 · NIBIB · WINIFRED MASTERSON BURKE MED RES INST · PI CARMEL, JASON BRANT, VOIT, WALTER · 2016 to 2017
$499k
NIBIB NIH HHS R21 EB020318NINDS NIH HHS K08 NS073796NINDS NIH HHS R01 NS092875
6 · The paper itself

Abstract

After injury, electrical stimulation of the nervous system can augment plasticity of spared or latent circuits through focal modulation. Pairing stimulation of two parts of a spared circuit can target modulation more specifically to the intended circuit. We discuss 3 kinds of paired stimulation in the context of the corticospinal system, because of its importance in clinical neurorehabilitation. The first uses principles of Hebbian plasticity: by altering the stimulation timing of presynaptic neurons and their postsynaptic targets, synapse function can be modulated up or down. The second form uses synchronized presynaptic inputs onto a common synaptic target. We dub this a "convergent" mechanism, because stimuli have to converge on a common target with coordinated timing. The third form induces focal modulation by tonic excitation of one region (e.g., the spinal cord) during phasic stimulation of another (e.g., motor cortex). Additionally, endogenous neural activity may be paired with exogenous electrical stimulation. This review addresses what is known about paired stimulation of the corticospinal system of both humans and animal models, emphasizes how it qualitatively differs from single-site stimulation, and discusses the gaps in knowledge that must be addressed to maximize its use and efficacy in neurorehabilitation.

Indexed as

Electric StimulationAnimalsEfferent PathwaysEvoked Potentials, MotorHumansMotor CortexMotor NeuronsSpinal Cord Injuries

Identifiers

PMID27800189
PMCPMC5075312

What OpenQuestion holds

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LicenceCC BY
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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.