Evidence map›Paper›PMID 31969052›Full record

ArticleNeurorehabilitation and neural repair2020

Vagus Nerve Stimulation Paired With Rehabilitative Training Enhances Motor Recovery After Bilateral Spinal Cord Injury to Cervical Forelimb Motor Pools.

Michael J Darrow, Miranda Torres, Maria J Sosa, Tanya T Danaphongse, Zainab Haider, Robert L Rennaker, Michael P Kilgard, Seth A Hays

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Neurorehabilitation and neural repair, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04534556 (Wireless Nerve Stimulation Device To Enhance Recovery After Stroke), which is not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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.

NCT04534556 naenrolling by invitationnot on this mapstarted 2021, after this paper: background citation

Wireless Nerve Stimulation Device To Enhance Recovery After Stroke

TypeinterventionalSponsorBaylor Research InstituteRan2021 to 2027Enrolled42ConditionsStroke, Chronic Stroke, Upper Extremity Paresis, Ischemic StrokeArmsActive Vagus Nerve Stimulation, Placebo Vagus Nerve Stimulation
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

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  16. Narrative review of current neuromodulation modalities for spinal cord injury.Frontiers in pain research (Lausanne, Switzerland) · 2023
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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

8 authors at 1 institution in 1 country.

Michael J DarrowThe University of Texas at Dallas, Richardson, TX, USA.ORCID 0000-0001-7798-1837
Miranda TorresThe University of Texas at Dallas, Richardson, TX, USA.
Maria J SosaThe University of Texas at Dallas, Richardson, TX, USA.
Tanya T DanaphongseThe University of Texas at Dallas, Richardson, TX, USA.
Zainab HaiderThe University of Texas at Dallas, Richardson, TX, USA.
Robert L RennakerThe University of Texas at Dallas, Richardson, TX, USA.
Michael P KilgardThe University of Texas at Dallas, Richardson, TX, USA.
Seth A HaysThe University of Texas at Dallas, Richardson, TX, USA.
The University of Texas at Dallas · US

Funding

Vagus Nerve Stimulation Paired with Rehabilitative Training to Enhance PlasticityR01NS085167 · NINDS · UNIVERSITY OF TEXAS DALLAS · PI KILGARD, MICHAEL P, RENNAKER, ROBERT L · 2014 to 2018
$1.9M
Evaluation of the Neuromodulatory Mechanisms of Vagus Nerve Stimulation to Improve Motor Rehabilitation after StrokeR01NS094384 · NINDS · UNIVERSITY OF TEXAS DALLAS · PI HAYS, SETH ALANSON · 2016 to 2020
$1.7M
Enhancing Recovery after Chronic Bilateral Cervical Spinal Cord Injury with Targeted Plasticity TherapyR01NS103803 · NINDS · UNIVERSITY OF TEXAS DALLAS · PI KILGARD, MICHAEL P, RENNAKER, ROBERT L · 2018 to 2022
$1.7M
NINDS NIH HHS R01 NS085167NINDS NIH HHS R01 NS094384NINDS NIH HHS R01 NS103803
6 · The paper itself

Abstract

Closed-loop vagus nerve stimulation (VNS) paired with rehabilitative training has emerged as a strategy to enhance recovery after neurological injury. Previous studies demonstrate that brief bursts of closed-loop VNS paired with rehabilitative training substantially improve recovery of forelimb motor function in models of unilateral and bilateral contusive spinal cord injury (SCI) at spinal level C5/6. While these findings provide initial evidence of the utility of VNS for SCI, the injury model used in these studies spares the majority of alpha motor neurons originating in C7-T1 that innervate distal forelimb muscles. Because the clinical manifestation of SCI in many patients involves damage at these levels, it is important to define whether damage to the distal forelimb motor neuron pools limits VNS-dependent recovery. In this study, we assessed recovery of forelimb function in rats that received a bilateral incomplete contusive SCI at C7/8 and underwent extensive rehabilitative training with or without paired VNS. The study design, including planned sample size, assessments, and statistical comparisons, was preregistered prior to beginning data collection ( https://osf.io/ysvgf/ ). VNS paired with rehabilitative training significantly improved recovery of volitional forelimb strength compared to equivalent rehabilitative training without VNS. Additionally, VNS-dependent enhancement of recovery generalized to 2 similar, but untrained, forelimb tasks. These findings indicate that damage to alpha motor neurons does not prevent VNS-dependent enhancement of recovery and provides additional evidence to support the evaluation of closed-loop VNS paired with rehabilitation in patients with incomplete cervical SCI.

Indexed as

Neurological RehabilitationVagus Nerve StimulationAnimalsCervical CordDisease Models, AnimalFemaleForelimbMotor NeuronsNeuronal PlasticityRatsRats, Sprague-DawleyRecovery of FunctionSpinal Cord Injuriescervicalplasticityrehabilitationspinal cord injuryvagal nerve stimulationvagus nerve stimulation

Identifiers

PMID31969052
PMCPMC7080607
OpenAlexW3000909400

What OpenQuestion holds

Textmetadata
LicenceTDM
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.