Evidence map›Paper›PMID 35477745›Full record

ArticleSpinal cord2022

Feasibility of transcutaneous spinal direct current stimulation combined with locomotor training after spinal cord injury.

Kelly A Hawkins, Louis A DeMark, Arian Vistamehr, Hannah J Snyder, Christy Conroy, Clayton Wauneka, Geneva Tonuzi, David D Fuller, David J Clark, Emily J Fox

Open access · greenAbstract read
In one paragraph

Article in Spinal cord, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Review
  6. 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

10 authors at 2 institutions in 1 country.

Kelly A HawkinsDepartment of Physical Therapy, University of Florida, Gainesville, FL, USA.ORCID 0000-0002-9281-230X
Louis A DeMarkBrooks Rehabilitation, Jacksonville, FL, USA.
Arian VistamehrBrooks Rehabilitation, Jacksonville, FL, USA.
Hannah J SnyderBrooks Rehabilitation, Jacksonville, FL, USA.
Christy ConroyBrooks Rehabilitation, Jacksonville, FL, USA.
Clayton WaunekaBrooks Rehabilitation, Jacksonville, FL, USA.
Geneva TonuziBrooks Rehabilitation, Jacksonville, FL, USA.
David D FullerDepartment of Physical Therapy, University of Florida, Gainesville, FL, USA.
David J ClarkBrain Rehabilitation Research Center of Excellence, North Florida/South Georgia Veterans Health System, Gainesville, FL, USA.
Emily J FoxDepartment of Physical Therapy, University of Florida, Gainesville, FL, USA. ejfox@phhp.ufl.edu.ORCID 0000-0003-0142-3497
Brooks Rehabilitation Clinical Research Center · USUniversity of Florida · US

Funding

Rehabilitation Research Career Development ProgramK12HD055929 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BROWN, DAVID A · 2007 to 2021
$11.7M
Rehabilitation Research Resource to Enhance Clinical Trials (ReACT)P2CHD086851 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BAMMAN, MARCAS M · 2015 to 2019
$7.1M
Training In Rehabilitation and Neuromuscular PlasticityT32HD043730 · NICHD · UNIVERSITY OF FLORIDA · PI DAVID D FULLER · 2003 to 2026
$5.3M
NICHD NIH HHS HD055929NICHD NIH HHS HD-15-010NICHD NIH HHS K12 HD055929NICHD NIH HHS P2C HD086851NICHD NIH HHS T32 HD043730NICHD NIH HHS T32HD043730
6 · The paper itself

Abstract

STUDY

designFeasibility study, consisting of random-order, cross-over study of a single intervention session, followed by a parallel-arm study of 16 sessions.

objectivesTo investigate the feasibility of a novel combinatorial approach with simultaneous delivery of transcutaneous spinal direct current stimulation (tsDCS) and locomotor training (tsDCS + LT) after spinal cord injury, compared to sham stimulation and locomotor training (sham + LT), and examine preliminary effects on walking function.

settingClinical research center in the southeastern United States.

methodsEight individuals with chronic incomplete spinal cord injury (ISCI) completed the two-part protocol. Feasibility was assessed based on safety (adverse responses), tolerability (pain, spasticity, skin integrity), and protocol achievement (session duration, intensity). Walking function was assessed with the 10 m and 6 min walk tests.

resultsThere were no major adverse responses. Minimal reports of skin irritation and musculoskeletal pain were consistent between groups. Average training peak heart rate as percent of maximum (mean(SD); tsDCS + LT: 66 (4)%, sham + LT: 69 (10)%) and Borg ratings of perceived exertion (tsDCS + LT: 17.5 (1.2), sham + LT: 14.4 (1.8)) indicate both groups trained at high intensities. Walking speed gains exceeded the minimal clinically important difference (MCID) in three of four who received tsDCS + LT (0.18 (0.29) m/s) and one of four in sham + LT (-0.05 (0.23) m/s). Gains in walking endurance exceeded the MCID in one of four in each group (tsDCS + LT: 36.4 (69.0) m, sham + LT: 4.9 (56.9) m).

conclusionsCombinatorial tsDCS and locomotor training is safe and feasible for individuals with chronic ISCI, even those with considerable walking impairment. Study outcomes support the need to investigate the efficacy of this approach.

Indexed as

Spinal Cord InjuriesSpinal Cord StimulationCross-Over StudiesFeasibility StudiesHumansPhysical Therapy ModalitiesSpinal Cord

Identifiers

PMID35477745
PMCPMC9606142
OpenAlexW4225094288

What OpenQuestion holds

Textmetadata
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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.