Evidence map›Paper›PMID 29366377›Full record

Trial reportNeurorehabilitation and neural repair2018

Pulse Width Does Not Influence the Gains Achieved With Neuromuscular Electrical Stimulation in People With Multiple Sclerosis: Double-Blind, Randomized Trial.

Awad M Almuklass, Leah Davis, Landon D Hamilton, Jeffrey R Hebert, Enrique Alvarez, Roger M Enoka

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Neurorehabilitation and neural repair, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05500963 (Reducing Fatigue in People With Multiple Sclerosis by Treatment With Transcutaneous Electrical Nerve Stimulation), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 21% 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.

NCT05500963 narecruitingnot on this mapstarted 2023, after this paper: background citation

Reducing Fatigue in People With Multiple Sclerosis by Treatment With Transcutaneous Electrical Nerve Stimulation

TypeinterventionalSponsorUniversity of Colorado, BoulderRan2023 to 2028Enrolled60ConditionsMultiple SclerosisArmsTranscutaneous electrical nerve stimulation
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

6 authors at 3 institutions in 2 countries.

Awad M Almuklass1 University of Colorado, Boulder, CO, USA.ORCID 0000-0003-0189-5160
Leah Davis1 University of Colorado, Boulder, CO, USA.
Landon D Hamilton1 University of Colorado, Boulder, CO, USA.
Jeffrey R Hebert3 University of Colorado Denver, Aurora, CO, USA.
Enrique Alvarez3 University of Colorado Denver, Aurora, CO, USA.
Roger M Enoka1 University of Colorado, Boulder, CO, USA.
University of Colorado Boulder · USUniversity of Colorado Denver · USKing Saud bin Abdulaziz University for Health Sciences · SA

Funding

Neuromuscular Electrical Stimulation and Mobility in Multiple SclerosisR03HD079508 · NICHD · UNIVERSITY OF COLORADO · PI ENOKA, ROGER M. · 2014 to 2015
$154k
NICHD NIH HHS R03 HD079508
6 · The paper itself

Abstract

backgroundMultiple sclerosis (MS) eventually compromises the walking ability of most individuals burdened with the disease. Treatment with neuromuscular electrical stimulation (NMES) can restore some functional abilities in persons with MS, but its effectiveness may depend on stimulus-pulse duration.

objectiveTo compare the effects of a 6-week intervention with narrow- or wide-pulse NMES on walking performance, neuromuscular function, and disability status of persons with relapsing-remitting MS.

methodsIndividuals with MS (52.6 ± 7.4 years) were randomly assigned to either the narrow-pulse (n = 13) or wide-pulse (n = 14) group. The NMES intervention was performed on the dorsiflexor and plantar flexor muscles of both legs (10 minutes each muscle, 4 s on and 12 s off) at a tolerable level for 18 sessions across 6 weeks. Outcomes were obtained before (week 0) and after (week 7) the intervention and 4 weeks later (week 11).

resultsThere was no influence of stimulus-pulse duration on the outcomes ( P > .05); thus, the data were collapsed across groups. The NMES intervention improved ( P < .05) gait speed and walking endurance, dorsiflexor strength in the more-affected leg, plantar flexor strength in the less-affected leg, force control for plantar flexors in the less-affected leg, and self-reported levels of fatigue and walking limitations.

conclusionThere was no influence of stimulus-pulse duration on the primary outcomes (gait speed and walking endurance). The 6-week NMES intervention applied to the lower leg muscles of persons with mild to moderate levels of disability can improve their walking performance and provide some symptom relief.

Indexed as

Electric Stimulation TherapyAdultDisability EvaluationDouble-Blind MethodFemaleHumansMaleMiddle AgedMultiple Sclerosis, Relapsing-RemittingMuscle, SkeletalMuscle StrengthTreatment OutcomeWalkingforce steadinessmultiple sclerosismuscle strengthneuromuscular electrical stimulationwalking endurancewide pulse

Identifiers

PMID29366377
PMCPMC5811347
OpenAlexW2789994977

What OpenQuestion holds

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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.