Evidence map›Paper›PMID 33741900›Full record

ArticleSpinal cord series and cases2021

Brain-computer interface-triggered functional electrical stimulation therapy for rehabilitation of reaching and grasping after spinal cord injury: a feasibility study.

Lazar I Jovanovic, Naaz Kapadia, Vera Zivanovic, Hope Jervis Rademeyer, Mohammad Alavinia, Colleen McGillivray, Sukhvinder Kalsi-Ryan, Milos R Popovic, Cesar Marquez-Chin

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Spinal cord series and cases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07610850 (Brain-controlled Spinal Cord Stimulation in Participants With Chronic Stroke for Lower and Upper Limb Rehabilitation), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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.

NCT07610850 narecruitingnot on this mapstarted 2026, after this paper: background citation

Brain-controlled Spinal Cord Stimulation in Participants With Chronic Stroke for Lower and Upper Limb Rehabilitation

TypeinterventionalSponsorEcole Polytechnique Fédérale de LausanneRan2026 to 2032Enrolled3ConditionsStroke, HemiplegiaArmsARC-BSI Stroke system
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review of Recent Advances in Implantable Brain-Computer Interfaces for the Restoration of Motor Function in Patients With Paralysis.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Review
  5. Brain-computer interface: an update for the clinicians.Frontiers in human neuroscience · 2026
    Review
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  13. [An emerging discipline: brain-computer interfaces medicine].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2024
    Review
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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

9 authors at 2 institutions in 2 countries.

Lazar I JovanovicInstitute of Biomedical Engineering, University of Toronto, Toronto, ON, Canada. lazar.jovanovic@mail.utoronto.ca.ORCID 0000-0002-1833-3597
Naaz KapadiaThe KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.
Vera ZivanovicThe KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.
Hope Jervis RademeyerThe KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.
Mohammad AlaviniaThe KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.
Colleen McGillivrayToronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.ORCID 0000-0002-0982-233X
Sukhvinder Kalsi-RyanThe KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.ORCID 0000-0003-2332-5986
Milos R PopovicInstitute of Biomedical Engineering, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-2837-2346
Cesar Marquez-ChinInstitute of Biomedical Engineering, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-9916-4122
University Health Network · CAUniversity of Toronto · CA

Funding

Ontario Neurotrauma Foundation (ONF) 2016-RHI-EEG-1020
6 · The paper itself

Abstract

STUDY

designFeasibility and preliminary clinical efficacy analysis in a single-arm interventional study.

objectivesWe developed a brain-computer interface-triggered functional electrical stimulation therapy (BCI-FEST) system for clinical application and conducted an interventional study to (1) assess its feasibility and (2) understand its potential clinical efficacy for the rehabilitation of reaching and grasping in individuals with sub-acute spinal cord injury (SCI).

settingSpinal cord injury rehabilitation hospital-Toronto Rehabilitation Institute-Lyndhurst Centre.

methodsFive participants with sub-acute SCI completed between 12 and 40 1-hour sessions using BCI-FEST, with up to 5 sessions a week. We assessed feasibility by measuring participants' compliance with treatment, the occurrence of adverse events, BCI sensitivity, and BCI setup duration. Clinical efficacy was assessed using Functional Independence Measure (FIM) and Spinal Cord Independence Measure (SCIM), as primary outcomes. In addition, we used two upper-limb function tests as secondary outcomes.

resultsOn average, participants completed 29.8 sessions with no adverse events. Only one of the 149 sessions was affected by technical challenges. The BCI sensitivity ranged between 69.5 and 80.2%, and the mean BCI setup duration was ~11 min. In the primary outcomes, three out of five participants showed changes greater than the minimal clinically important differences (MCIDs). Additionally, the mean change in secondary outcome measures met the threshold for detecting MCID as well; four out of five participants achieved MCID.

conclusionsThe new BCI-FEST intervention is safe, feasible, and promising for the rehabilitation of reaching and grasping after SCI.

Indexed as

Brain-Computer InterfacesElectric Stimulation TherapySpinal Cord InjuriesFeasibility StudiesHand StrengthHumans

Identifiers

PMID33741900
PMCPMC7979732
OpenAlexW3137384460

What OpenQuestion holds

Textmetadata
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.