Evidence map›Paper›PMID 29867586›Full record

ArticleFrontiers in physiology2018

Epidural Spinal Cord Stimulation of Lumbosacral Networks Modulates Arterial Blood Pressure in Individuals With Spinal Cord Injury-Induced Cardiovascular Deficits.

Sevda C Aslan, Bonnie E Legg Ditterline, Michael C Park, Claudia A Angeli, Enrico Rejc, Yangsheng Chen, Alexander V Ovechkin, Andrei Krassioukov, Susan J Harkema

5 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Frontiers in physiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 72 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 2 pooled it
8.0field-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.

NCT02037620 nacompletednot on this map

Recovery of Cardiovascular Function With Epidural Stimulation After Human Spinal Cord Injury

TypeinterventionalSponsorUniversity of LouisvilleRan2014 to 2019Enrolled5ConditionsSpinal Cord InjuryArms5-6-5 Specify electrode, Restore Advance Pulse Generator
NCT03924388 naunknown statusnot on this mapstarted 2020, after this paper: background citation

The Effects of Spinal Cord Stimulation on Autonomic Function in People With Spinal Cord Injury

TypeinterventionalSponsorUniversity of CalgaryRan2020 to 2022Enrolled46ConditionsSpinal Cord Injuries, Autonomic Dysreflexia, Orthostatic Hypotension, DysautonomicArmsEpidural spinal cord stimulation, Trnascutaneous electrical spinal cord stimulation.
NCT04994886 naterminatednot on this mapstarted 2021, after this paper: background citation

Restoring Hemodynamic Stability Using Targeted Epidural Spinal Stimulation Following Spinal Cord Injury

TypeinterventionalSponsorJocelyne BlochRan2021 to 2024Enrolled4ConditionsSpinal Cord InjuriesArmsDevice implantation
NCT05111093 narecruitingnot on this mapstarted 2021, after this paper: background citation

Epidural Electrical Stimulation to Restore Hemodynamic Stability and Trunk Control in People With Spinal Cord Injury

TypeinterventionalSponsorEcole Polytechnique Fédérale de LausanneRan2021 to 2030Enrolled20ConditionsSpinal Cord InjuriesArmsARC-IM Investigational System implantation
NCT07504055 narecruitingnot on this mapstarted 2026, after this paper: background citation

Effectiveness of Transcutaneous Spinal Cord Stimulation on Blood Pressure Regulation in Individuals With Chronic Spinal Cord Injury

TypeinterventionalSponsorUniversity of LouisvilleRan2026 to 2029Enrolled40ConditionsSpinal Cord Injury, Orthostatic Hypertension, Autonomic DysreflexiaArmsSpinal Cord Transcutaneous Stimulation
3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 2 syntheses or guidelines pooled it, 112 citations in OpenAlex.

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  17. Cardiovascular safety of transcutaneous spinal cord stimulation in cervical spinal cord injury.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
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12 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

9 authors at 4 institutions in 2 countries.

Sevda C AslanDepartment of Neurological Surgery, University of Louisville, Louisville, KY, United States.
Bonnie E Legg DitterlineDepartment of Neurological Surgery, University of Louisville, Louisville, KY, United States.
Michael C ParkDepartment of Neurological Surgery, University of Louisville, Louisville, KY, United States.
Claudia A AngeliDepartment of Neurological Surgery, University of Louisville, Louisville, KY, United States.
Enrico RejcDepartment of Neurological Surgery, University of Louisville, Louisville, KY, United States.
Yangsheng ChenDepartment of Neurological Surgery, University of Louisville, Louisville, KY, United States.
Alexander V OvechkinDepartment of Neurological Surgery, University of Louisville, Louisville, KY, United States.
Andrei KrassioukovExperimental Medicine Program, University of British Columbia, Vancouver, BC, Canada.
Susan J HarkemaDepartment of Neurological Surgery, University of Louisville, Louisville, KY, United States.
University of Louisville · USRehabilitation Institute of Michigan · USInternational Collaboration On Repair Discoveries · CAUniversity of Minnesota · US

Funding

Mechanisms of plasticity and repair after SCIP30GM103507 · NIGMS · UNIVERSITY OF LOUISVILLE · PI WHITTEMORE, SCOTT R · 2012 to 2015
$4.2M
NIGMS NIH HHS P30 GM103507
6 · The paper itself

Abstract

Disruption of motor and autonomic pathways induced by spinal cord injury (SCI) often leads to persistent low arterial blood pressure and orthostatic intolerance. Spinal cord epidural stimulation (scES) has been shown to enable independent standing and voluntary movement in individuals with clinically motor complete SCI. In this study, we addressed whether scES configured to activate motor lumbosacral networks can also modulate arterial blood pressure by assessing continuous, beat-by-beat blood pressure and lower extremity electromyography during supine and standing in seven individuals with C5-T4 SCI. In three research participants with arterial hypotension, orthostatic intolerance, and low levels of circulating catecholamines (group 1), scES applied while supine and standing resulted in increased arterial blood pressure. In four research participants without evidence of arterial hypotension or orthostatic intolerance and normative circulating catecholamines (group 2), scES did not induce significant increases in arterial blood pressure. During scES, there were no significant differences in electromyographic (EMG) activity between group 1 and group 2. In group 1, during standing assisted by scES, blood pressure was maintained at 119/72 ± 7/14 mmHg (mean ± SD) compared with 70/45 ± 5/7 mmHg without scES. In group 2 there were no arterial blood pressure changes during standing with or without scES. These findings demonstrate that scES configured to facilitate motor function can acutely increase arterial blood pressure in individuals with SCI-induced cardiovascular deficits.

Indexed as

blood pressureepidural stimulationhuman spinal cord injuryorthostatic hypotensionsystemic hypotension

Identifiers

PMID29867586
PMCPMC5968099
OpenAlexW2803580757

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.