Evidence map›Paper›PMID 29877852›Full record

ArticleIEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society2018

Transcutaneous Electrical Spinal Stimulation Promotes Long-Term Recovery of Upper Extremity Function in Chronic Tetraplegia.

Fatma Inanici, Soshi Samejima, Parag Gad, V Reggie Edgerton, Christoph P Hofstetter, Chet T Moritz

9 registry-linked trialsOpen access · greenAbstract readCase Reports
In one paragraph

Article in IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 9 registered trials, which are not on this map. Cited by 119 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 4 pooled it
12.6field-weighted citation impact, top 1% 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.

NCT04697472 nacompletednot on this mapstarted 2021, after this paper: background citation

Clinical Assessment of Upper Extremity Performance in Individuals With Spinal Cord Injury Using the LIFT System to Deliver Non-invasive Electrical Spinal Stimulation (ARC Therapy)

TypeinterventionalSponsorONWARD Medical, Inc.Ran2021 to 2022Enrolled65ConditionsChronic Spinal Cord InjuryArmsLIFT System
NCT04854057 naterminatednot on this mapstarted 2021, after this paper: background citation

Combinatorial Treatment of Acute Intermittent Hypoxia and Transcutaneous Electrical Spinal Cord Stimulation to Improve Hand Function in People With Cervical Spinal Cord Injury

TypeinterventionalSponsorSpaulding Rehabilitation HospitalRan2021 to 2021Enrolled3ConditionsSpinal Cord InjuriesArmsAIH - Intermittent Hypoxia - hypoxia air mixture, SHAM - Intermittent Room Air - room air mixture, TESS - Transcutaneous Electrical Spinal Cord Stimulation + Functional Task Practice
NCT05267951 narecruitingnot on this mapstarted 2022, after this paper: background citation

Closed-loop Spinal Stimulation for Restoration of Upper Extremity Function After Spinal Cord Injury

TypeinterventionalSponsorUniversity of WashingtonRan2022 to 2028Enrolled9ConditionsSpinal Cord InjuriesArmsOpen-loop Stimulation, Close-loop Stimulation, Functional Task Practice
NCT05284201 nacompletednot on this mapstarted 2022, after this paper: background citation

Safety and Performance Assessment of the LIFT System When Used to Support Home-based Upper Extremity Training in Individuals With Spinal Cord Injury.

TypeinterventionalSponsorONWARD Medical, Inc.Ran2022 to 2022Enrolled17ConditionsChronic Spinal Cord InjuryArmsLIFT System
NCT05669508 naactive not recruitingnot on this mapstarted 2022, after this paper: background citation

The Reynolds Innovative Spinal Electrical Stimulation (RISES) Program: Transcutaneous Spinal Cord Stimulation

TypeinterventionalSponsorThomas Jefferson UniversityRan2022 to 2026Enrolled4ConditionsSpinal Cord Injuries, Spinal Cord DiseasesArmsRISES-T System, Occupational/Physical Therapy
NCT06773286 narecruitingnot on this mapstarted 2024, after this paper: background citation

Establishing the Feasibility, Safety, and Efficacy of Spinal Cord Transcutaneous Stimulation with Activity-based Training for Upper Extremity Function Recovery in Individuals with Acute to Subacute Tetraplegia

TypeinterventionalSponsorKessler FoundationRan2024 to 2025Enrolled30ConditionsSpinal Cord Injury CervicalArmsActive Stimulation, Sham, Training only
NCT07152145 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Transcutaneous Electrical Spinal Stimulation (tSCS) for Improving Upper Limb Function in People With MS

TypeinterventionalSponsorParc de Salut MarRan2025 to 2026Enrolled60ConditionsMultiple SclerosisArmsActive stimulation tSCS, Sham: stimulations using a non-active electric stimulation, Occupational/Upper Limb Rehabilitation Therapy
NCT07208188 early_phase1not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Transcutaneous Spinal Cord Stimulation for Rehabilitation of Upper Limbs in Early Spinal Cord Injury: Randomised Feasibility Study

TypeinterventionalSponsorNHS Greater Glasgow and ClydeRan2025 to 2027Enrolled20ConditionsSpinal Cord Injuries (SCI)ArmsTranscutaneous spinal cord stimulation (tESCS) active group, Sham transcutaneous spinal cord stimulation (tESCS)
NCT07375745 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Combined Gait Training and Transcutaneous Spinal Cord Stimulation to Enhance Lower Limbs Motor Recovery After Subacute SCI

TypeinterventionalSponsorCentre for Interdisciplinary Research in Rehabilitation of Greater MontrealRan2026 to 2029Enrolled40ConditionsSpinal Cord Injury, Spinal Cord Injury Subacute, Locomotion, Gait Disorder, SensorimotorArmsProtocol 1: Gait training combined with a sham stimulation, Protocol 2: Gait training combined with an effective tSCS
3 · Its place in the literature

Who cites it

119 citing papers in PubMed, 4 syntheses or guidelines pooled it, 202 citations in OpenAlex.

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59 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

6 authors at 2 institutions in 1 country.

Fatma Inanici
Soshi Samejima
Parag Gad
V Reggie Edgerton
Christoph P Hofstetter
Chet T Moritz
University of Washington · USUniversity of California, Los Angeles · US

Funding

Enabling forelimb function with agonist drug and epidural stimulation in SCIU01EB015521 · NIBIB · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI EDGERTON, REGGIE, LU, DANIEL · 2013 to 2017
$6.0M
NIBIB NIH HHS U01 EB015521
6 · The paper itself

Abstract

Upper extremity function is the highest priority of tetraplegics for improving quality of life. We aim to determine the therapeutic potential of transcutaneous electrical spinal cord stimulation for restoration of upper extremity function. We tested the hypothesis that cervical stimulation can facilitate neuroplasticity that results in long-lasting improvement in motor control. A 62-year-old male with C3, incomplete, chronic spinal cord injury (SCI) participated in the study. The intervention comprised three alternating periods: 1) transcutaneous spinal stimulation combined with physical therapy (PT); 2) identical PT only; and 3) a brief combination of stimulation and PT once again. Following four weeks of combined stimulation and physical therapy training, all of the following outcome measurements improved: the Graded Redefined Assessment of Strength, Sensation, and Prehension test score increased 52 points and upper extremity motor score improved 10 points. Pinch strength increased 2- to 7-fold in left and right hands, respectively. Sensation recovered on trunk dermatomes, and overall neurologic level of injury improved from C3 to C4. Most notably, functional gains persisted for over 3 month follow-up without further treatment. These data suggest that noninvasive electrical stimulation of spinal networks can promote neuroplasticity and long-term recovery following SCI.

Indexed as

Spinal CordUpper ExtremityArmEvoked Potentials, MotorHandHumansMaleMiddle AgedNeuronal PlasticityPhysical Therapy ModalitiesQuadriplegiaQuality of LifeRecovery of FunctionSpinal Cord InjuriesTranscutaneous Electric Nerve StimulationTreatment Outcome

Identifiers

PMID29877852
PMCPMC6986544
OpenAlexW2799541389

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

and 3 more above

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.