Evidence map›Paper›PMID 31934354›Full record

ReviewSpinal cord series and cases2020

Anal reflex versus bulbocavernosus reflex in evaluation of patients with spinal cord injury.

Steven Kirshblum, Fatma Eren

Open access · bronzeAbstract readReview
In one paragraph

Review in Spinal cord series and cases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. S2, S3, and S4 Sacral Dermatomal Evoked Potentials: Technical Parameters and Normative Values.Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. 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

2 authors at 2 institutions in 1 country.

Steven KirshblumKessler Institution for Rehabilitation, West Orange, NJ USA.
Fatma Eren2Department of PM&R, Rutgers New Jersey Medical School, Newark, NJ USA.
Kessler Institute for Rehabilitation · USRutgers, The State University of New Jersey · US

Funding

ACL HHS 90SI5026
6 · The paper itself

Abstract

The examination of sacral reflexes provides an important method to differentiate an upper motor neuron vs lower motor neuron spinal cord injury (SCI). Two common sacral mediated reflexes used as part of the neurological assessment include the bulbocavernosus reflex (BCR) and anal reflex. As the clinical information from these tests are similar, we suggest that the anal reflex provides a better first option as a non-invasive clinical assessment of sacral reflex status in clinical practice in SCI as the testing for the anal reflex is less intrusive and already being performed as part of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) by pinprick stimulation of the S4-5 dermatome.

Indexed as

HumansNeurologic ExaminationReflexSpinal Cord InjuriesNeurological manifestationsSpinal cord diseases

Identifiers

PMID31934354
PMCPMC6946655
OpenAlexW3000586114

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.