Evidence map›Paper›PMID 35806954›Full record

ArticleJournal of clinical medicine2022

Novel Noninvasive Spinal Neuromodulation Strategy Facilitates Recovery of Stepping after Motor Complete Paraplegia.

Ricardo Siu, Edward H Brown, Samineh Mesbah, Federica Gonnelli, Tanvi Pisolkar, V Reggie Edgerton, Alexander V Ovechkin, Yury P Gerasimenko

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 30 citations in OpenAlex.

  1. In Memoriam: V. Reggie Edgerton.Journal of neuroengineering and rehabilitation · 2026
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  10. Synergistic implications of combinatorial rehabilitation approaches using spinal stimulation on therapeutic outcomes in spinal cord injury.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2024
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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

8 authors at 3 institutions in 3 countries.

Ricardo SiuKentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, KY 40202, USA.ORCID 0000-0002-3302-5496
Edward H BrownKentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, KY 40202, USA.
Samineh MesbahKentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, KY 40202, USA.
Federica GonnelliDepartment of Medicine, University of Udine, 33100 Udine, Italy.
Tanvi PisolkarKentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, KY 40202, USA.
V Reggie EdgertonDepartment of Neurobiology, University of California, Los Angeles, CA 90095, USA.ORCID 0000-0001-6534-1875
Alexander V OvechkinKentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, KY 40202, USA.
Yury P GerasimenkoKentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, KY 40202, USA.ORCID 0000-0002-9345-3791
University of Louisville · USUniversity of California, Los Angeles · USUniversity of Udine · IT

Funding

Transformation of Paraplegic Paralysis to Overground Stepping in HumansR01NS102920 · NINDS · UNIVERSITY OF LOUISVILLE · PI OVECHKIN, ALEXANDER VLADIMIROVICH · 2019 to 2023
$2.8M
Ministry of Science and Higher Education of the Russian Federation 075-15-2020-921NINDS NIH HHS R01 NS102920NINDS NIH HHS R01NS102920-02
6 · The paper itself

Abstract

It has been suggested that neuroplasticity-promoting neuromodulation can restore sensory-motor pathways after spinal cord injury (SCI), reactivating the dormant locomotor neuronal circuitry. We introduce a neuro-rehabilitative approach that leverages locomotor training with multi-segmental spinal cord transcutaneous electrical stimulation (scTS). We hypothesized that scTS neuromodulates spinal networks, complementing the neuroplastic effects of locomotor training, result in a functional progression toward recovery of locomotion. We conducted a case-study to test this approach on a 27-year-old male classified as AIS A with chronic SCI. The training regimen included task-driven non-weight-bearing training (1 month) followed by weight-bearing training (2 months). Training was paired with multi-level continuous and phase-dependent scTS targeting function-specific motor pools. Results suggest a convergence of cross-lesional networks, improving kinematics during voluntary non-weight-bearing locomotor-like stepping. After weight-bearing training, coordination during stepping improved, suggesting an important role of afferent feedback in further improvement of voluntary control and reorganization of the sensory-motor brain-spinal connectome.

Indexed as

locomotionneuromodulationrehabilitationspinal cord injuryspinal excitabilityspinal motor networkstranscutaneous stimulation

Identifiers

PMID35806954
PMCPMC9267673
OpenAlexW4283580905

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.