Evidence map›Paper›PMID 34301286›Full record

ArticleJournal of neuroengineering and rehabilitation2021

Selective neural stimulation methods improve cycling exercise performance after spinal cord injury: a case series.

Kristen Gelenitis, Kevin Foglyano, Lisa Lombardo, Ronald Triolo

Open access · goldAbstract read
In one paragraph

Article in Journal of neuroengineering and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 35% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Trunk Posture from Randomly Oriented Accelerometers.Sensors (Basel, Switzerland) · 2022
    Article
  5. 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

4 authors at 2 institutions in 1 country.

Kristen GelenitisCase Western Reserve University, 10900 Euclid Ave, Cleveland, OH, 44106, USA. kxg277@case.edu.ORCID 0000-0003-0208-6971
Kevin FoglyanoLouis Stokes Cleveland VA Medical Center, 10701 East Blvd, Cleveland, OH, 44106, USA.
Lisa LombardoLouis Stokes Cleveland VA Medical Center, 10701 East Blvd, Cleveland, OH, 44106, USA.
Ronald TrioloCase Western Reserve University, 10900 Euclid Ave, Cleveland, OH, 44106, USA.
Louis Stokes Cleveland VA Medical Center · USCase Western Reserve University · US

Funding

Automatic Control of Standing Balance with Functional Neuromuscular StimulationR01NS040547 · NINDS · CASE WESTERN RESERVE UNIVERSITY · PI AUDU, MUSA L, TRIOLO, RONALD J · 2000 to 2022
$7.2M
TRAINING PROGRAM IN MUSCULOSKELETAL RESEARCHT32AR007505 · NIAMS · CASE WESTERN RESERVE UNIVERSITY · PI TRIOLO, RONALD J · 1986 to 2023
$6.3M
NEUROPROSTHESIS PERFORMANCE - NERVE CUFF ELECTRODESR01EB001889 · NIBIB · CASE WESTERN RESERVE UNIVERSITY · PI TRIOLO, RONALD J, TYLER, DUSTIN J. · 2003 to 2017
$5.9M
A neuroprosthesis for seated posture and balanceI01RX001204 · VA · LOUIS STOKES CLEVELAND VA MEDICAL CENTER · PI TRIOLO, RONALD J · 2015 to 2016
–
NIAMS NIH HHS T32 AR007505NIBIB NIH HHS R01 EB001889NINDS NIH HHS R01 NS040547RRD VA I01 RX001204RRD VA IK6 RX003844
6 · The paper itself

Abstract

backgroundExercise after paralysis can help prevent secondary health complications, but achieving adequate exercise volumes and intensities is difficult with loss of motor control. Existing electrical stimulation-driven cycling systems involve the paralyzed musculature but result in rapid force decline and muscle fatigue, limiting their effectiveness. This study explores the effects of selective stimulation patterns delivered through multi-contact nerve cuff electrodes on functional exercise output, with the goal of increasing work performed and power maintained within each bout of exercise.

methodsThree people with spinal cord injury and implanted stimulation systems performed cycling trials using conventional (S-Max), low overlap (S-Low), low duty cycle (C-Max), and/or combined low overlap and low duty cycle (C-Low) stimulation patterns. Outcome measures include total work (W), end power (P

resultsAt least one selective pattern significantly (p < 0.05) increased W and P

conclusionsSelective stimulation patterns can increase work performed and power sustained by paralyzed muscles prior to fatigue with increased stimulation efficiency. While still effective, low duty cycle patterns can cause inconsistent power outputs each pedal stroke, but this can be managed by utilizing optimized stimulation levels. Increasing work and sustained power each exercise session has the potential to ultimately improve the physiological benefits of stimulation-driven exercise.

Indexed as

Electric Stimulation TherapySpinal Cord InjuriesElectric StimulationHumansMuscle FatigueParalysisCyclingExerciseFatigueMusculoskeletalNeural stimulationParalysisSpinal cord Injury

Identifiers

PMID34301286
PMCPMC8301730
OpenAlexW3186677817

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.