Evidence map›Paper›PMID 33409476›Full record

ArticleiScience2021

Spinal motor mapping by epidural stimulation of lumbosacral posterior roots in humans.

Ursula S Hofstoetter, Ivan Perret, Aymeric Bayart, Peter Lackner, Heinrich Binder, Brigitta Freundl, Karen Minassian

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in iScience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06295614 (Study on Preliminary Safety and Efficacy of the ARC-IM Therapy to Alleviate Locomotor Deficits in People With Parkinson's Disease), which is not on this map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
2.9field-weighted citation impact, top 8% 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.

NCT06295614 narecruitingnot on this mapstarted 2024, after this paper: background citation

Study on Preliminary Safety and Efficacy of the ARC-IM Therapy to Alleviate Locomotor Deficits in People With Parkinson's Disease

TypeinterventionalSponsorEcole Polytechnique Fédérale de LausanneRan2024 to 2029Enrolled6ConditionsParkinson DiseaseArmsARC-IM System implantation
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 45 citations in OpenAlex.

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  9. Spinal Cord Stimulation Improves Feedback Control of Reaching Post-Stroke.medRxiv : the preprint server for health sciences · 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

7 authors at 2 institutions in 1 country.

Ursula S HofstoetterCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, 1090 Vienna, Austria.
Ivan PerretCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, 1090 Vienna, Austria.
Aymeric BayartCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, 1090 Vienna, Austria.
Peter LacknerNeurological Center, Klinik Penzing Wiener Gesundheitsverbund, 1140 Vienna, Austria.
Heinrich BinderNeurological Center, Klinik Penzing Wiener Gesundheitsverbund, 1140 Vienna, Austria.
Brigitta FreundlNeurological Center, Klinik Penzing Wiener Gesundheitsverbund, 1140 Vienna, Austria.
Karen MinassianCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, 1090 Vienna, Austria.
Medical University of Vienna · ATWiener Krankenanstaltenverbund · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epidural electrical stimulation of the spinal cord is an emergent strategy for the neurological recovery of lower-extremity motor function. Motoneuron pools are thought to be recruited by stimulation of posterior roots. Here, we linked electromyographic data of epidurally evoked lower-extremity responses of 34 individuals with upper motoneuron disorders to a population model of the spinal cord constructed using anatomical parameters of thousands of individuals. We identified a relationship between segmental stimulation sites and activated spinal cord segments, which made spinal motor mapping from epidural space possible despite the complex anatomical interface imposed by the posterior roots. Our statistical approach provided evidence for low-threshold sites of posterior roots and effects of monopolar and bipolar stimulation previously predicted by computer modeling and allowed us to test the impact of different upper motoneuron disorders on the evoked responses. Finally, we revealed a statistical association between intraoperative and postoperative mapping of the spinal cord.

Indexed as

Clinical NeuroscienceNervous System AnatomyNeuroanatomyNeuroscience

Identifiers

PMID33409476
PMCPMC7773960
OpenAlexW3111257510

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.