Evidence map›Paper›PMID 29340899›Full record

Trial reportMedical & biological engineering & computing2018

Assessing sensorimotor excitability after spinal cord injury: a reflex testing method based on cycling with afferent stimulation.

Stefano Piazza, Diego Torricelli, Julio Gómez-Soriano, Diego Serrano-Muñoz, Gerardo Ávila-Martín, Iriana Galán-Arriero, José Luis Pons, Julian Taylor

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Medical & biological engineering & computing, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 50% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
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

8 authors at 3 institutions in 3 countries.

Stefano PiazzaNeural Rehabilitation Group, Cajal Institute, CSIC, 28002, Madrid, Spain.
Diego TorricelliNeural Rehabilitation Group, Cajal Institute, CSIC, 28002, Madrid, Spain.
Julio Gómez-SorianoSensorimotor Function Group, Hospital Nacional de Parapléjicos, 45072, Toledo, Spain. julio.soriano@uclm.es.
Diego Serrano-MuñozSensorimotor Function Group, Hospital Nacional de Parapléjicos, 45072, Toledo, Spain.
Gerardo Ávila-MartínSensorimotor Function Group, Hospital Nacional de Parapléjicos, 45072, Toledo, Spain.
Iriana Galán-ArrieroSensorimotor Function Group, Hospital Nacional de Parapléjicos, 45072, Toledo, Spain.
José Luis PonsNeural Rehabilitation Group, Cajal Institute, CSIC, 28002, Madrid, Spain.
Julian TaylorSensorimotor Function Group, Hospital Nacional de Parapléjicos, 45072, Toledo, Spain.
Hospital Nacional de Parapléjicos · ESInstituto Cajal · ESUniversity of Oxford · GB

Funding

Ministerio de Ciencia e Innovación (ES) HYPER project (CSD2009-00067)Seventh Framework Programme (BE) BIOMOT project (FP7-ICT-2013.2.1-611695)
6 · The paper itself

Abstract

Several studies have examined spinal reflex modulation during leg cycling in healthy and spinal cord injury (SCI) subjects. However, the effect of cutaneous plantar afferent input on spinal excitability during leg cycling after SCI has not been characterised. The aim of the study was to test the feasibility of using controlled leg cycling in combination with plantar cutaneous electrical stimulation (ES) cycling to assess lower limb spinal sensorimotor excitability in subjects with motor complete or incomplete SCI. Spinal sensorimotor excitability was estimated by measuring cutaneomuscular-conditioned soleus H-reflex activity. Reflex excitability was tested before and after a 10-min ES cycling session in 13 non-injured subjects, 6 subjects with motor incomplete SCI (iSCI) who had moderately impaired gait function, 4 subjects with motor iSCI who had severely impaired gait function, and 5 subjects with motor complete SCI (cSCI). No modulation of soleus H-reflex with plantar cutaneous stimuli was observed after either iSCI or cSCI when compared to non-injured subjects. However, after ES cycling, reflex excitability significantly increased in subjects with iSCI and moderately impaired gait function. ES cycling facilitated spinal sensorimotor excitability only in subjects with motor iSCI with residual gait function. Increased spinal excitability induced with a combination of exercise and afferent stimulation could be adopted with diagnostic and prognostic purposes to reveal the activity-based neurorehabilitation profile of individual subjects with motor iSCI.

trial registrationISRCTN 26172500 ; retrospectively registered on 15 July 2016 Graphical abstract ᅟ.

Indexed as

ReflexAdultAgedBicyclingDemographyElectric StimulationFemaleHumansMaleMiddle AgedNeurons, AfferentSensorimotor CortexSpinal Cord InjuriesActivity-based neurorehabilitationLeg cyclingMotor incomplete spinal cord injuryNeuroplasticityPlantar electrical stimulationSpinal sensorimotor excitability

Identifiers

PMID29340899
OpenAlexW2784171990

What OpenQuestion holds

Textmetadata
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.