Evidence map›Paper›PMID 32310048›Full record

SynthesisCurrent neuropharmacology2021

The Therapeutic Potential and Usage Patterns of Cannabinoids in People with Spinal Cord Injuries: A Systematic Review.

Kylie J Nabata, Emmanuel K Tse, Tom E Nightingale, Amanda H X Lee, Janice J Eng, Matthew Querée, Matthias Walter, Andrei V Krassioukov

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Current neuropharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Evidence synthesis of medical cannabis research: current challenges and opportunities.European archives of psychiatry and clinical neuroscience · 2025
    Review
  7. Development of a pain self-management intervention framework for people with spinal cord injury.African journal of primary health care & family medicine · 2023
    Article
  8. Transcriptomic Profiling after In Vitro ΔPharmaceuticals (Basel, Switzerland) · 2023
    Article
  9. Article
  10. Review
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 3 institutions in 1 country.

Kylie J NabataInternational Collaboration On Repair Discoveries (ICORD), University of British Columbia (UBC), Vancouver, Canada.
Emmanuel K TseInternational Collaboration On Repair Discoveries (ICORD), University of British Columbia (UBC), Vancouver, Canada.
Tom E NightingaleInternational Collaboration On Repair Discoveries (ICORD), University of British Columbia (UBC), Vancouver, Canada.
Amanda H X LeeInternational Collaboration On Repair Discoveries (ICORD), University of British Columbia (UBC), Vancouver, Canada.
Janice J EngInternational Collaboration On Repair Discoveries (ICORD), University of British Columbia (UBC), Vancouver, Canada.
Matthew QueréeDepartment of Physical Therapy, UBC, Vancouver, Canada.
Matthias WalterInternational Collaboration On Repair Discoveries (ICORD), University of British Columbia (UBC), Vancouver, Canada.
Andrei V KrassioukovInternational Collaboration On Repair Discoveries (ICORD), University of British Columbia (UBC), Vancouver, Canada.
University of British Columbia · CAInternational Collaboration On Repair Discoveries · CAUniversity of British Columbia Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople with spinal cord injuries (SCI) commonly experience pain and spasticity; limitations of current treatments have generated interest in cannabis as a possible therapy.

objectivesWe conducted this systematic review to: 1) examine usage patterns and reasons for cannabinoid use, and 2) determine the treatment efficacy and safety of cannabinoid use in people with SCI.

methodsPubMed, Embase, Web of Science and Cumulative Index to Nursing and Allied Health Literature databases were queried for keywords related to SCI and cannabinoids.

results7,232 studies were screened, and 34 were included in this systematic review. Though 26 studies addressed cannabinoid usage, only 8 investigated its therapeutic potential on outcomes such as pain and spasticity. The most common method of use was smoking. Relief of pain, spasticity and recreation were the most common reasons for use. A statistically significant reduction of pain and spasticity was observed with cannabinoid use in 83% and 100% of experimental studies, respectively. However, on examination of randomized control trials (RCTs) alone, effect sizes ranged from - 0.82 to 0.83 for pain and -0.95 to 0.09 for spasticity. Cannabinoid use was associated with fatigue and cognitive deficits.

conclusionCurrent evidence suggests that cannabinoids may reduce pain and spasticity in people with SCI, but its effect magnitude and clinical significance are unclear. Existing information is lacking on optimal dosage, method of use, composition and concentration of compounds. Long-term, double-blind, RCTs, assessing a wider range of outcomes should be conducted to further understand the effects of cannabinoid use in people with SCI.

Indexed as

Spinal Cord InjuriesAdolescentAdultAgedAnalgesicsCannabinoidsChildChild, PreschoolHumansInfantMiddle AgedPainRandomized Controlled Trials as TopicTreatment OutcomeYoung AdultAnalgesicsCannabinoidscannabinoidscannabismarijuanapainspasticitySpinal cord injury

Identifiers

PMID32310048
PMCPMC8033968
OpenAlexW3016864120

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.