Evidence map›Paper›PMID 34855565›Full record

SynthesisThe journal of spinal cord medicine2023

Transcutaneous spinal cord stimulation effects on spasticity in patients with spinal cord injury: A systematic review.

Anas R Alashram, Elvira Padua, Manikandan Raju, Cristian Romagnoli, Giuseppe Annino

Abstract readSystematic Review
In one paragraph

Synthesis in The journal of spinal cord medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. New Developments in the Surgery for Spasticity.Advances and technical standards in neurosurgery · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. 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

5 authors.

Anas R AlashramDepartment of Physiotherapy, Isra University, Amman, Jordan.ORCID 0000-0002-3066-3943
Elvira PaduaDepartment of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, Rome, Italy.
Manikandan RajuClinical/Experimental Neuroscience and Psychology, Department of Neuroscience Umane, University of Sapienza, Rome, Italy.
Cristian RomagnoliPhD School in Science and Culture of Well-being and Lifestyle, Alma Mater University, Bologna, Italy.
Giuseppe AnninoDepartment of Medicine Systems, University of Rome "Tor Vergata", Rome, Italy.ORCID 0000-0001-8578-6046

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextSpasticity is one of the most prevalent impairments following spinal cord injury (SCI). It can lead to a decrease in the patient's functional level. Transcutaneous spinal cord stimulation (tSCS) has demonstrated motor function improvements following SCI. No systematic reviews were published examining the influences of tSCS on spasticity post-SCI.

objectivesThis review aimed to investigate the effects of tSCS on spasticity in patients with SCI.

methodsPubMed, SCOPUS, PEDro, CINAHL, MEDLINE, REHABDATA, AMED, and Web of Science databases were searched until June 2021. The Physiotherapy Evidence Database (PEDro) scale was used to assess the methodological quality of the selected studies.

resultsSix studies met the inclusion criteria. Five studies were pilot studies, and one was a case series. The scores on the PEDro scale ranged from two to four, with a median score of four. The results showed heterogenous evidence for the effects of tSCS on spasticity reduction post-SCI.

conclusionsTSCS appears safe and well-tolerated intervention in patients with SCI. The evidence for the effectiveness of tSCS on spasticity in chronic SCI patients is limited. Further randomized controlled studies are strongly needed to study the effects of tSCS on patients with SCI.

Indexed as

Spinal Cord InjuriesSpinal Cord StimulationHumansMuscle SpasticityPhysical Therapy ModalitiesPilot ProjectsRehabilitationSpasticitySpinal cord injuriesSpinal cord stimulationTherapy

Identifiers

PMID34855565
PMCPMC10274551

What OpenQuestion holds

Textmetadata
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.