Evidence map›Paper›PMID 33230202›Full record

ArticleScientific reports2020

Time-dynamic pulse modulation of spinal cord stimulation reduces mechanical hypersensitivity and spontaneous pain in rats.

Muhammad M Edhi, Lonne Heijmans, Kevin N Vanent, Kiernan Bloye, Amanda Baanante, Ki-Soo Jeong, Jason Leung, Changfang Zhu, Rosana Esteller, Carl Y Saab

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Review
  3. Neuroprosthetic closed-loop strategy for sustained blood pressure reduction via simultaneous stimulation and recording from the spinal cord.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. 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

10 authors at 5 institutions in 2 countries.

Muhammad M EdhiDepartment of Neurosurgery, Rhode Island Hospital, 593 Eddy St., Providence, RI, 02903, USA.
Lonne HeijmansDepartment of Neurosurgery, Rhode Island Hospital, 593 Eddy St., Providence, RI, 02903, USA.
Kevin N VanentDepartment of Neurosurgery, Rhode Island Hospital, 593 Eddy St., Providence, RI, 02903, USA.
Kiernan BloyeDepartment of Neurosurgery, Rhode Island Hospital, 593 Eddy St., Providence, RI, 02903, USA.
Amanda BaananteDepartment of Neurosurgery, Rhode Island Hospital, 593 Eddy St., Providence, RI, 02903, USA.
Ki-Soo JeongDepartment of Neurosurgery, Rhode Island Hospital, 593 Eddy St., Providence, RI, 02903, USA.
Jason LeungDepartment of Neurosurgery, Rhode Island Hospital, 593 Eddy St., Providence, RI, 02903, USA.
Changfang ZhuBoston Scientific Neuromodulation, Valencia, CA, 91355, USA.
Rosana EstellerBoston Scientific Neuromodulation, Valencia, CA, 91355, USA.
Carl Y SaabDepartment of Neurosurgery, Rhode Island Hospital, 593 Eddy St., Providence, RI, 02903, USA. carl_saab@brown.edu.
Rhode Island Hospital · USBoston Scientific (United States) · USCase Western Reserve University · USCleveland Clinic · USMaastricht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Enhancing the efficacy of spinal cord stimulation (SCS) is needed to alleviate the burden of chronic pain and dependence on opioids. Present SCS therapies are characterized by the delivery of constant stimulation in the form of trains of tonic pulses (TPs). We tested the hypothesis that modulated SCS using novel time-dynamic pulses (TDPs) leads to improved analgesia and compared the effects of SCS using conventional TPs and a collection of TDPs in a rat model of neuropathic pain according to a longitudinal, double-blind, and crossover design. We tested the effects of the following SCS patterns on paw withdrawal threshold and resting state EEG theta power as a biomarker of spontaneous pain: Tonic (conventional), amplitude modulation, pulse width modulation, sinusoidal rate modulation, and stochastic rate modulation. Results demonstrated that under the parameter settings tested in this study, all tested patterns except pulse width modulation, significantly reversed mechanical hypersensitivity, with stochastic rate modulation achieving the highest efficacy, followed by the sinusoidal rate modulation. The anti-nociceptive effects of sinusoidal rate modulation on EEG outlasted SCS duration on the behavioral and EEG levels. These results suggest that TDP modulation may improve clinical outcomes by reducing pain intensity and possibly improving the sensory experience.

Indexed as

AnimalsElectrodes, ImplantedHyperalgesiaMaleNeuralgiaPain ManagementPain MeasurementPain ThresholdPeripheral Nerve InjuriesRatsRats, Sprague-DawleySciatic NerveSpinal CordSpinal Cord StimulationStereotaxic TechniquesTime Factors

Identifiers

PMID33230202
PMCPMC7683561
OpenAlexW3106544364

What OpenQuestion holds

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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.