Evidence map›Paper›PMID 34615867›Full record

ArticleNature communications2021

Noninvasive spinal stimulation safely enables upright posture in children with spinal cord injury.

Anastasia Keller, Goutam Singh, Joel H Sommerfeld, Molly King, Parth Parikh, Beatrice Ugiliweneza, Jessica D'Amico, Yury Gerasimenko, Andrea L Behrman

2 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase I
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
5.8field-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.

NCT03975634 naunknown statusnot on this map

Transcutaneous Spinal Stimulation: Augmenting Training for Attaining Intrinsic Trunk Control in Children With Spinal Cord Injury

TypeinterventionalSponsorUniversity of LouisvilleRan2019 to 2025Enrolled9ConditionsSpinal Cord InjuriesArmsTranscutaneous Spinal Stimulation
NCT07615686 narecruitingnot on this mapstarted 2026, after this paper: background citation

Transcutaneous Spinal Cord Stimulation to Improve Strength and Gait in Children With Spina Bifida

TypeinterventionalSponsorBailey PetersenRan2026 to 2029Enrolled20ConditionsSpina Bifida, MyelomeningoceleArmsTranscutaneous stimulator
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 52 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Medullary and C3-C4 propriospinal pathways underlying mammalian forelimb movement control.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
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 1 institution in 2 countries.

Anastasia KellerDepartment of Neurological Surgery, University of Louisville, Louisville, KY, USA.
Goutam SinghDepartment of Neurological Surgery, University of Louisville, Louisville, KY, USA.ORCID 0000-0002-3382-2321
Joel H SommerfeldDepartment of Neurological Surgery, University of Louisville, Louisville, KY, USA.ORCID 0000-0002-4972-0872
Molly KingDepartment of Neurological Surgery, University of Louisville, Louisville, KY, USA.ORCID 0000-0002-1864-5021
Parth ParikhKentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, KY, USA.ORCID 0000-0003-3975-833X
Beatrice UgiliwenezaDepartment of Neurological Surgery, University of Louisville, Louisville, KY, USA.
Jessica D'AmicoDepartment of Neurological Surgery, University of Louisville, Louisville, KY, USA.
Yury GerasimenkoKentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, KY, USA.
Andrea L BehrmanDepartment of Neurological Surgery, University of Louisville, Louisville, KY, USA. andrea.behrman@louisville.edu.ORCID 0000-0003-1859-8787
University of Louisville · US

Funding

Techniques DevelopmentP2CHD086844 · NICHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI GEORGE, MARK S · 2015 to 2024
$12.7M
Transformation of Paraplegic Paralysis to Overground Stepping in HumansR01NS102920 · NINDS · UNIVERSITY OF LOUISVILLE · PI OVECHKIN, ALEXANDER VLADIMIROVICH · 2019 to 2023
$2.8M
NICHD NIH HHS P2C HD086844NINDS NIH HHS R01 NS102920
6 · The paper itself

Abstract

In children with spinal cord injury (SCI), scoliosis due to trunk muscle paralysis frequently requires surgical treatment. Transcutaneous spinal stimulation enables trunk stability in adults with SCI and may pose a non-invasive preventative therapeutic alternative. This non-randomized, non-blinded pilot clinical trial (NCT03975634) determined the safety and efficacy of transcutaneous spinal stimulation to enable upright sitting posture in 8 children with trunk control impairment due to acquired SCI using within-subject repeated measures study design. Primary safety and efficacy outcomes (pain, hemodynamics stability, skin irritation, trunk kinematics) and secondary outcomes (center of pressure displacement, compliance rate) were assessed within the pre-specified endpoints. One participant did not complete the study due to pain with stimulation on the first day. One episode of autonomic dysreflexia during stimulation was recorded. Following hemodynamic normalization, the participant completed the study. Overall, spinal stimulation was well-tolerated and enabled upright sitting posture in 7 out of the 8 participants.

Indexed as

AdolescentBiomechanical PhenomenaChildChild, PreschoolFemaleHumansMalePilot ProjectsPostureSpinal Cord InjuriesSpine

Identifiers

PMID34615867
PMCPMC8494794
OpenAlexW3202588001

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.