Evidence map›Paper›PMID 29860396›Full record

ArticleBrain : a journal of neurology2018

Eliciting inflammation enables successful rehabilitative training in chronic spinal cord injury.

Abel Torres-Espín, Juan Forero, Keith K Fenrich, Ana M Lucas-Osma, Aleksandra Krajacic, Emma Schmidt, Romana Vavrek, Pamela Raposo, David J Bennett, Phillip G Popovich and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Brain : a journal of neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
8.3field-weighted citation impact, top 2% 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

48 citing papers in PubMed, 95 citations in OpenAlex.

  1. Article
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  7. Nonresolving Neuroinflammation Regulates Axon Regeneration in Chronic Spinal Cord Injury.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
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  8. Review
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  12. Review
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  20. Challenges in Translating Regenerative Therapies for Spinal Cord Injury.Topics in spinal cord injury rehabilitation · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 2 countries.

Abel Torres-EspínFaculty of Rehabilitation Medicine, University of Alberta; Edmonton, Alberta, Canada.
Juan ForeroFaculty of Rehabilitation Medicine, University of Alberta; Edmonton, Alberta, Canada.
Keith K FenrichFaculty of Rehabilitation Medicine, University of Alberta; Edmonton, Alberta, Canada.
Ana M Lucas-OsmaFaculty of Rehabilitation Medicine, University of Alberta; Edmonton, Alberta, Canada.
Aleksandra KrajacicFaculty of Rehabilitation Medicine, University of Alberta; Edmonton, Alberta, Canada.
Emma SchmidtFaculty of Rehabilitation Medicine, University of Alberta; Edmonton, Alberta, Canada.
Romana VavrekFaculty of Rehabilitation Medicine, University of Alberta; Edmonton, Alberta, Canada.
Pamela RaposoFaculty of Rehabilitation Medicine, University of Alberta; Edmonton, Alberta, Canada.
David J BennettFaculty of Rehabilitation Medicine, University of Alberta; Edmonton, Alberta, Canada.
Phillip G PopovichCenter for Brain and Spinal Cord Repair, Department of Neuroscience, 460 W. 12th Ave., 694 Biomedical Research Tower, Ohio State University; Columbus, Ohio, USA.
Karim FouadFaculty of Rehabilitation Medicine, University of Alberta; Edmonton, Alberta, Canada.
University of Alberta · CAThe Ohio State University · US

Funding

CIHR MOP 119278
6 · The paper itself

Abstract

Rehabilitative training is one of the most successful therapies to promote motor recovery after spinal cord injury, especially when applied early after injury. Polytrauma and management of other medical complications in the acute post-injury setting often preclude or complicate early rehabilitation. Therefore, interventions that reopen a window of opportunity for effective motor training after chronic injury would have significant therapeutic value. Here, we tested whether this could be achieved in rats with chronic (8 weeks) dorsolateral quadrant sections of the cervical spinal cord (C4) by inducing mild neuroinflammation. We found that systemic injection of a low dose of lipopolysaccharide improved the efficacy of rehabilitative training on forelimb function, as assessed using a single pellet reaching and grasping task. This enhanced recovery was found to be dependent on the training intensity, where a high-intensity paradigm induced the biggest improvements. Importantly, in contrast to training alone, the combination of systemic lipopolysaccharide and high-intensity training restored original function (reparative plasticity) rather than enhancing new motor strategies (compensatory plasticity). Accordingly, electrophysiological and tract-tracing studies demonstrated a recovery in the cortical drive to the affected forelimb muscles and a restructuration of the corticospinal innervation of the cervical spinal cord. Thus, we propose that techniques that can elicit mild neuroinflammation may be used to enhance the efficacy of rehabilitative training after chronic spinal cord injury.

Indexed as

AnimalsCervical CordFemaleForelimbInflammationLipopolysaccharidesMyelitisNerve RegenerationNeuronal PlasticityPyramidal TractsRatsRats, Inbred LewRecovery of FunctionSpinal CordSpinal Cord InjuriesLipopolysaccharides

Identifiers

PMID29860396
PMCPMC6022560
OpenAlexW2805242384

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.