Evidence map›Paper›PMID 29074997›Full record

ArticleScientific reports2017

Motor recovery after activity-based training with spinal cord epidural stimulation in a chronic motor complete paraplegic.

Enrico Rejc, Claudia A Angeli, Darryn Atkinson, Susan J Harkema

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02339233 (Spinal Epidural Electrode Array to Facilitate Standing and Stepping After Spinal Cord Injury), which is not on this map. Cited by 108 papers.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed
11.7field-weighted citation impact, top 1% 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.

NCT02339233 nacompletednot on this map

Spinal Epidural Electrode Array to Facilitate Standing and Stepping After Spinal Cord Injury

TypeinterventionalSponsorUniversity of LouisvilleRan2010 to 2019Enrolled8ConditionsSpinal Cord InjuryArmsStanding and Stepping with spinal cord Epidural Stimulation
3 · Its place in the literature

Who cites it

108 citing papers in PubMed, 172 citations in OpenAlex.

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48 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

4 authors at 2 institutions in 1 country.

Enrico RejcKentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, Kentucky, USA.
Claudia A AngeliKentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, Kentucky, USA.
Darryn AtkinsonKentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, Kentucky, USA.
Susan J HarkemaKentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, Kentucky, USA. SusanHarkema@KentuckyOneHealth.org.
Neurological Surgery · USUniversity of Louisville · US

Funding

Spinal Epidural Electrode Array to Facilitate Standing and Stepping After SCIR01EB007615 · NIBIB · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI EDGERTON, REGGIE · 2008 to 2013
$4.9M
Mechanisms of plasticity and repair after SCIP30GM103507 · NIGMS · UNIVERSITY OF LOUISVILLE · PI WHITTEMORE, SCOTT R · 2012 to 2015
$4.2M
NIBIB NIH HHS R01 EB007615NIGMS NIH HHS P30 GM103507
6 · The paper itself

Abstract

The prognosis for recovery of motor function in motor complete spinal cord injured (SCI) individuals is poor. Our research team has demonstrated that lumbosacral spinal cord epidural stimulation (scES) and activity-based training can progressively promote the recovery of volitional leg movements and standing in individuals with chronic clinically complete SCI. However, scES was required to perform these motor tasks. Herein, we show the progressive recovery of voluntary leg movement and standing without scES in an individual with chronic, motor complete SCI throughout 3.7 years of activity-based interventions utilizing scES configurations customized for the different motor tasks that were specifically trained (standing, stepping, volitional leg movement). In particular, this report details the ongoing neural adaptations that allowed a functional progression from no volitional muscle activation to a refined, task-specific activation pattern and movement generation during volitional attempts without scES. Similarly, we observed the re-emergence of muscle activation patterns sufficient for standing with independent knee and hip extension. These findings highlight the recovery potential of the human nervous system after chronic clinically motor complete SCI.

Indexed as

MovementAdultElectrodes, ImplantedEpidural SpaceHumansLegMaleMuscle ContractionMuscle, SkeletalNeurological RehabilitationParaplegiaSpinal Cord InjuriesSpinal Cord Stimulation

Identifiers

PMID29074997
PMCPMC5658385
OpenAlexW2762911039

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.