Evidence map›Paper›PMID 33013317›Full record

ArticleFrontiers in molecular neuroscience2020

Epidural Electrical Stimulation: A Review of Plasticity Mechanisms That Are Hypothesized to Underlie Enhanced Recovery From Spinal Cord Injury With Stimulation.

Jaclyn T Eisdorfer, Rupert D Smit, Kathleen M Keefe, Michel A Lemay, George M Smith, Andrew J Spence

Open access · goldAbstract read
In one paragraph

Article in Frontiers in molecular neuroscience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
5.5field-weighted citation impact, top 3% 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

35 citing papers in PubMed, 63 citations in OpenAlex.

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  8. Activity of spinal RORβ neurons is related to functional improvements following combination treatment after complete SCI.Proceedings of the National Academy of Sciences of the United States of America · 2025
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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

6 authors at 2 institutions in 1 country.

Jaclyn T EisdorferDepartment of Bioengineering, College of Engineering, Temple University, Philadelphia, PA, United States.
Rupert D SmitDepartment of Neuroscience, Shriners Hospitals Pediatric Research Center, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, United States.
Kathleen M KeefeDepartment of Bioengineering, College of Engineering, Temple University, Philadelphia, PA, United States.
Michel A LemayDepartment of Bioengineering, College of Engineering, Temple University, Philadelphia, PA, United States.
George M SmithDepartment of Neuroscience, Shriners Hospitals Pediatric Research Center, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, United States.
Andrew J SpenceDepartment of Bioengineering, College of Engineering, Temple University, Philadelphia, PA, United States.
Temple University · USTemple University Hospital · US

Funding

Intrathecal pump delivery of neurotrophins for locomotor recovery after spinal cord injuryR01NS110605 · NINDS · TEMPLE UNIV OF THE COMMONWEALTH · PI LEMAY, MICHEL A · 2020 to 2023
$1.4M
NINDS NIH HHS R01 NS110605
6 · The paper itself

Abstract

Spinal cord injury (SCI) often results in life-long sensorimotor impairment. Spontaneous recovery from SCI is limited, as supraspinal fibers cannot spontaneously regenerate to form functional networks below the level of injury. Despite this, animal models and humans exhibit many motor behaviors indicative of recovery when electrical stimulation is applied epidurally to the dorsal aspect of the lumbar spinal cord. In 1976, epidural stimulation was introduced to alleviate spasticity in Multiple Sclerosis. Since then, epidural electrical stimulation (EES) has been demonstrated to improve voluntary mobility across the knee and/or ankle in several SCI patients, highlighting its utility in enhancing motor activation. The mechanisms that EES induces to drive these improvements in sensorimotor function remain largely unknown. In this review, we discuss several sensorimotor plasticity mechanisms that we hypothesize may enable epidural stimulation to promote recovery, including changes in local lumbar circuitry, propriospinal interneurons, and the internal model. Finally, we discuss genetic tools for afferent modulation as an emerging method to facilitate the search for the mechanisms of action.

Indexed as

afferent stimulationdesigner receptor exclusively activated by designer drugs (DREADDs)efferent motor copyelectrical epidural stimulationinternal motor copymonosynaptic connectionsplasticitypropriospinal detours

Identifiers

PMID33013317
PMCPMC7497436
OpenAlexW3082338846

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.