Evidence map›Paper›PMID 29737432›Full record

ReviewClinical autonomic research : official journal of the Clinical Autonomic Research Society2019

Assessment of sudomotor function.

Sylvia J Buchmann, Ana Isabel Penzlin, Marie Luise Kubasch, Ben Min-Woo Illigens, Timo Siepmann

2 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Clinical autonomic research : official journal of the Clinical Autonomic Research Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing 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.

NCT04026568 phase2 / phase3terminatednot on this mapstarted 2021, after this paper: background citation

A Single Dose Pharmaco-Diagnostic for Peripheral Nerve Continuity After Trauma

TypeinterventionalSponsorMilton S. Hershey Medical CenterRan2021 to 2022Enrolled1ConditionsNerve InjuryArms4-Aminopyridine, Placebo oral tablet
NCT06003166 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Pharmaco-Diagnostic Crossover Trial for Peripheral Nerve Continuity After Trauma

TypeinterventionalSponsorUniversity of ArizonaRan2025 to 2028Enrolled68ConditionsPeripheral Nerve Injury, Crush InjuryArms4-Aminopyridine, Placebo
3 · Its place in the literature

Who cites it

26 citing papers in PubMed.

  1. Hyperadrenergic and neuropathic features based on clinical autonomic testing in individuals with POTS: an observational cross-sectional study.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
  2. Setting up an autonomic unit within the neurological department: a position statement of the European Federation of Autonomic Societies.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
  3. QSART and Q-Sweat normative data mismatch: a critical review of the clinical autonomic literature.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Validation of the Body ScanFrontiers in neurology · 2023
    Article
  13. Review
  14. Association of electrochemical skin conductance with neuropathy in chemotherapy-treated patients.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Autoantibodies Blocking MAnnals of neurology · 2020
    Article
  20. Assessment of cutaneous axon-reflex responses to evaluate functional integrity of autonomic small nerve fibers.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Review
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

5 authors.

Sylvia J BuchmannDepartment of Neurology, Campus Virchow, Charite University Medicine Berlin, Berlin, Germany.
Ana Isabel PenzlinDepartment of Neurology, Bavaria Hospital Kreischa, Kreischa, Germany.
Marie Luise KubaschDepartment of Neurology, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany.
Ben Min-Woo IlligensDepartment of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Timo SiepmannDepartment of Neurology, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany. timo.siepmann@uniklinikum-dresden.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo review the currently available literature on clinical autonomic tests of sudomotor function.

methodsWe searched PubMED/MEDLINE for articles on technical principles and clinical applications of sudomotor tests with a focus on their drawbacks and perspectives in order to provide a narrative review.

resultsThe quantitative sudomotor axon reflex sweat test (QSART) is the most widely used test of sudomotor function. The technique captures pathology with low intra- and inter-subject variability but is limited by technical demands. The thermoregulatory sweat test comprises topographic sweat pattern analysis of the ventral skin surface and allows differentiating preganglionic from postganglionic sudomotor damage when combined with a small fiber test such as QSART. The sympathetic skin response also belongs to the more established techniques and is used in lie detection systems due to its high sensitivity for sudomotor responses to emotional stimuli. However, its clinical utility is limited by high variability of measurements, both within and between subjects. Newer and, therefore, less widely established techniques include silicone impressions, quantitative direct and indirect axon reflex testing, sensitive sweat test, and measurement of electrochemical skin conductance. The spoon test does not allow a quantitative assessment of the sweat response but can be used as bedside-screening tool of sudomotor dysfunction.

conclusionWhile new autonomic sudomotor function testings have been developed and studied over the past decades, the most were well-studied and established techniques QSART and TST remain the gold standard of sudomotor assessment. Combining these techniques allows for sophisticated analysis of neurally mediated sudomotor impairment. However, newer techniques display potential to complement gold standard techniques to further improve their precision and diagnostic value.

Indexed as

Skin Physiological PhenomenaAnimalsAxonsBody Temperature RegulationGalvanic Skin ResponseHumansSweat GlandsSweatingAutonomicNeuropathySmall fiberSweatSympathetic

Identifiers

What OpenQuestion holds

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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.