Evidence map›Paper›PMID 29987761›Full record

ReviewNeurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics2018

Retraining Reflexes: Clinical Translation of Spinal Reflex Operant Conditioning.

Amir Eftekhar, James J S Norton, Christine M McDonough, Jonathan R Wolpaw

Open access · bronzeAbstract readReview
In one paragraph

Review in Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. 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

4 authors at 2 institutions in 1 country.

Amir EftekharNational Center for Adaptive Neurotechnologies, Wadsworth Center, New York State Department of Health, Albany, NY, USA. eftekhar@neurotechcenter.org.ORCID 0000-0002-5126-4327
James J S NortonNational Center for Adaptive Neurotechnologies, Wadsworth Center, New York State Department of Health, Albany, NY, USA.
Christine M McDonoughSchool of Health and Rehabilitation Services, University of Pittsburgh, Pittsburgh, PA, USA.
Jonathan R WolpawNational Center for Adaptive Neurotechnologies, Wadsworth Center, New York State Department of Health, Albany, NY, USA.
New York State Department of Health · USUniversity of Pittsburgh · US

Funding

SPINAL CIRCUITS &THE MUSCULOSKELETAL SYSTEMP01HD032571 · NICHD · EMORY UNIVERSITY · PI GOOLSBY, WILLIAM · 1995 to 2016
$16.2M
Training and DisseminationP41EB018783 · NIBIB · WADSWORTH CENTER · PI Theresa M. Vaughan · 2014 to 2026
$15.4M
Techniques DevelopmentP2CHD086844 · NICHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI SEGAL, RICHARD L · 2015 to 2024
$12.7M
TREAT 2.0 Tech-DevelopmentP2CHD086841 · NICHD · SIMBEX, LLC · PI GREENWALD, RICHARD M · 2015 to 2019
$6.2M
Translation of Rehabilitation Engineering Advances and Technology (TREAT)R24HD065703 · NICHD · SIMBEX, LLC · PI GREENWALD, RICHARD M, LURIE, JON D · 2010 to 2014
$3.3M
SUPRASPINAL CONTROL OF SPINAL CORD PLASTICITYR01HD036020 · NICHD · WADSWORTH CENTER · PI CHEN, XIANG YANG · 1997 to 2012
$3.2M
ADAPTIVE PLASTICITY IN THE SPINAL STRETCH REFLEXR01NS022189 · NINDS · WADSWORTH CENTER · PI WOLPAW, JONATHAN RICKEL · 1985 to 2012
$3.1M
Spinal Reflex Conditioning and LocomotionR01NS061823 · NINDS · WADSWORTH CENTER · PI CHEN, XIANG YANG, WOLPAW, JONATHAN RICKEL · 2008 to 2011
$1.3M
Operant Conditioning of Spinal Reflexes to Improve Function after Nerve InjuryI01BX002550 · VA · STRATTON VETERANS ADMIN MEDICAL CENTER · PI WOLPAW, JONATHAN RICKEL · 2014 to 2017
–
BLRD VA I01 BX002550NIBIB NIH HHS P41 EB018783NICHD NIH HHS P01 HD032571NICHD NIH HHS P2C HD086841NICHD NIH HHS P2C HD086844NICHD NIH HHS R01 HD036020NICHD NIH HHS R24 HD065703NIH HHS 1P41EB018783NIH HHS HD32571NIH HHS HD36020NIH HHS NS061823NIH HHS NS22189NINDS NIH HHS R01 NS022189NINDS NIH HHS R01 NS061823U.S. Department of Veterans Affairs BX002550
6 · The paper itself

Abstract

Neurological disorders, such as spinal cord injury, stroke, traumatic brain injury, cerebral palsy, and multiple sclerosis cause motor impairments that are a huge burden at the individual, family, and societal levels. Spinal reflex abnormalities contribute to these impairments. Spinal reflex measurements play important roles in characterizing and monitoring neurological disorders and their associated motor impairments, such as spasticity, which affects nearly half of those with neurological disorders. Spinal reflexes can also serve as therapeutic targets themselves. Operant conditioning protocols can target beneficial plasticity to key reflex pathways; they can thereby trigger wider plasticity that improves impaired motor skills, such as locomotion. These protocols may complement standard therapies such as locomotor training and enhance functional recovery. This paper reviews the value of spinal reflexes and the therapeutic promise of spinal reflex operant conditioning protocols; it also considers the complex process of translating this promise into clinical reality.

Indexed as

AnimalsConditioning, OperantHumansNeuronal PlasticityReflexSpinal Cord Injuriesclinical translationH-reflexneurological disorders.operant conditioningplasticityrehabilitationSpinal reflex

Identifiers

PMID29987761
PMCPMC6095771
OpenAlexW2878555217

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.