Evidence map›Paper›PMID 30696926›Full record

SynthesisSpinal cord2019

Effect of electrical stimulation on muscle atrophy and spasticity in patients with spinal cord injury - a systematic review with meta-analysis.

Sergio Ricardo Thomaz, Gerson Cipriano, Magno Ferreira Formiga, Emerson Fachin-Martins, Graziella França Bernardelli Cipriano, Wagner Rodrigues Martins, Lawrence Patrick Cahalin

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Spinal cord, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
–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.

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

26 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  12. A Miniaturized Wireless, Battery-free Implant for In Vivo Musculoskeletal Stimulation.The ... Midwest Symposium on Circuits and Systems conference proceedings : MWSCAS. Midwest Symposium on Circuits and Systems · 2024
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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

7 authors.

Sergio Ricardo ThomazHealth Sciences and Technologies, Department of Physical Therapy, University of Brasilia, Brasília, DF, Brazil. srthomaz@yahoo.com.br.
Gerson CiprianoDoctoral Program in Physical Education and Rehabilitation Science, University of Brasilia, Brasilia, DF, Brazil.ORCID http://orcid.org/0000-0001-6323-7003
Magno Ferreira FormigaDepartment of Physical Therapy, University of Miami Miller School of Medicine, Coral Gables, FL, USA.ORCID http://orcid.org/0000-0003-0327-9695
Emerson Fachin-MartinsDoctoral Program in Physical Education and Rehabilitation Science, University of Brasilia, Brasilia, DF, Brazil.
Graziella França Bernardelli CiprianoHealth Sciences and Technologies, Department of Physical Therapy, University of Brasilia, Brasília, DF, Brazil.
Wagner Rodrigues MartinsDoctoral Program in Physical Education and Rehabilitation Science, University of Brasilia, Brasilia, DF, Brazil.
Lawrence Patrick CahalinDepartment of Physical Therapy, University of Miami Miller School of Medicine, Coral Gables, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designThis work is a systematic review with meta-analysis

objectiveEvaluate the effect of electrical stimulation (ES) on skeletal muscle volume and spasticity in individuals with spinal cord injury (SCI).

settingUniversity of Brasilia, Brazil

methodsSearches were conducted of the Cochrane Library, MEDLINE, CINAHL, PEDro, PsycINFO and EMBASE electronic databases for relevant articles published up to June 2018. No restrictions were imposed regarding the year of publication. The inclusion criteria were randomized controlled trials involving adults with SCI comparing ES to an active or passive control. Two independent reviewers extracted the data from the selected studies and methodological quality was assessed using the PEDro scale.

resultsThe initial search led to the retrieval of 164 studies, seven of which met the eligibility criteria, but only six were included in the meta-analysis. The six studies comprised 104 patients with complete or incomplete SCI. In the two studies that investigated the use of ES on muscle volume of the lower limbs, the overall effect was statistically significant in patients with acute SCI (mean difference: 0.86; 95% CI: 0.04 to 1.69; p < 0.04). Among the four studies that examined the use of ES for spasticity of the lower limb, the overall effect was non-significant (mean difference: 0.55; 95% CI: -0.31 to 1.41; p = 0.21).

conclusionsElectrical stimulation was found to be an effective method for increasing muscle volume in SCI patients, but had no effect on spasticity. Further investigation of the effect of ES on spasticity in SCI is needed.

Indexed as

Electric Stimulation TherapyHumansMuscle SpasticityMuscular AtrophySpinal Cord Injuries

Identifiers

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.