Evidence map›Paper›PMID 32737639›Full record

Trial reportAnnals of biomedical engineering2021

A Novel High-Density Electromyography Probe for Evaluating Anorectal Neurophysiology: Design, Human Feasibility Study, and Validation with Trans-Sacral Magnetic Stimulation.

Niranchan Paskaranandavadivel, Chris Varghese, Jaime Lara, Shasti Ramachandran, Leo Cheng, Ales Holobar, Armen Gharibans, Ian Bissett, Rowan Collinson, Cathy Stinear and 1 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Annals of biomedical engineering, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.8field-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

1 citing paper in PubMed, 11 citations in OpenAlex.

  1. 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

11 authors at 4 institutions in 3 countries.

Niranchan PaskaranandavadivelAuckland Bioengineering Institute, University of Auckland, Auckland, New Zealand. nira.pask@auckland.ac.nz.ORCID http://orcid.org/0000-0001-7377-8524
Chris VargheseDepartment of Surgery, University of Auckland, Auckland, New Zealand.
Jaime LaraAuckland Bioengineering Institute, University of Auckland, Auckland, New Zealand.
Shasti RamachandranAuckland Bioengineering Institute, University of Auckland, Auckland, New Zealand.
Leo ChengAuckland Bioengineering Institute, University of Auckland, Auckland, New Zealand.
Ales HolobarFaculty of Electrical Engineering and Computer Science, University of Maribor, Maribor, Slovenia.
Armen GharibansDepartment of Surgery, University of Auckland, Auckland, New Zealand.
Ian BissettDepartment of Surgery, University of Auckland, Auckland, New Zealand.
Rowan CollinsonAuckland City Hospital, Auckland, New Zealand.
Cathy StinearDepartment of Medicine, University of Auckland, Auckland, New Zealand.
Gregory O'GradyAuckland Bioengineering Institute, University of Auckland, Auckland, New Zealand.
University of Auckland · NZAuckland City Hospital · NZAuckland Institute of Studies · NZUniversity of Maribor · SI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fecal incontinence (FI) substantially impairs quality of life and imparts a major socioeconomic burden. Anal sphincter injury and possibly pudendal nerve damage are considered common causes, however, current clinical methods for evaluating their function remain suboptimal. Electromyography (EMG) and pudendal nerve terminal latencies have been applied with some success, but are not considered standard practice due to uncertain accuracy and clinical value. In this study we developed and applied a novel anorectal high-density (HD) EMG probe in humans and pigs to acquire quantitative electrophysiological metrics of the anorectum. In the human trial we assessed somatic pathways and showed that EMG amplitude was greater for tight voluntary squeezes than light voluntary squeezes (0.03 ± 0.02 mV vs. 0.05 ± 0.03 mV). In a porcine model we applied trans-sacral magnetic stimulation to evoke extrinsically activated involuntary pathways and the resulting motor evoked potentials (MEP) were captured using the HD-EMG probe. The mean MEP amplitude at 50% magnetic stimulation intensity output (MSO) was significantly lower that the MEP amplitude at 85, 95 and 100% MSO (1.52 ± 0.50 mV vs. 3.10 ± 0.60 mV). In conclusion, the use of HD-EMG probe in conjunction with trans-sacral magnetic stimulation, for spatiotemporal mapping of anorectal EMG and MEP activity is anticipated to achieve new insights into FI and could offer improved diagnostic and prognostic biomarkers for anorectal dysfunction.

Indexed as

AdultAgedAnal CanalAnimalsElectromyographyEvoked Potentials, MotorFeasibility StudiesFemaleHumansMagnetic PhenomenaMaleMiddle AgedRectumReproducibility of ResultsSwineAnorectal electrophysiologyElectromyographyHigh-resolution

Identifiers

PMID32737639
OpenAlexW3046229251

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.