Evidence map›Paper›PMID 35896613›Full record

ArticleSpinal cord2022

Spontaneous Motor Recovery after Cervical Spinal Cord Injury: Issues for Nerve Transfer Surgery Decision Making.

Jana Dengler, John D Steeves, Armin Curt, Munish Mehra, Christine B Novak, DOD consortium, EMSCI consortium, Ida K Fox

Abstract readMulticenter Study
PubMed Publisher
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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

4 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. 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

8 authors at 10 institutions in 5 countries.

Jana DenglerDivision of Plastic and Reconstructive Surgery, Tory Trauma Program, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-4717-5305
John D SteevesICORD, University of British Columbia, Vancouver British Columbia, Vancouver, Canada.
Armin CurtSpinal Cord Injury Center, Balgrist University Hospital, Zurich, Switzerland.
Munish MehraTigermed-BDM Inc, Gaithersburg Maryland, Maryland, USA.
Christine B NovakUniversity of Toronto, Division of Plastic & Reconstructive Surgery, Toronto, Ontario, Canada.
DOD consortium
EMSCI consortium
Ida K FoxDivision of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St Louis Missouri, USA. foxi@wustl.edu.
Washington University in St. Louis · USHeidelberg University · DEInstitut Guttmann · ESBerufsgenossenschaftliche Unfallklinik Murnau · DESchön Klinik Vogtareuth · DESunnybrook Health Science Centre · CAUniversitätsklinik Balgrist · CHUniversity and Rehabilitation Clinics Ulm · DEUniversity of British Columbia · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective cohort study.

objectivesTo quantify spontaneous upper extremity motor recovery between 6 and 12 months after spinal cord injury (SCI) to help guide timing of nerve transfer surgery to improve upper limb function in cervical SCI.

settingNineteen European SCI rehabilitation centers.

methodsData was extracted from the European Multicenter Study of SCI database for individuals with mid-level cervical SCI (N = 268). Muscle function grades at 6 and 12 months post-SCI were categorized for analysis.

resultsFrom 6 to 12 months after SCI, spontaneous surgically-relevant recovery was limited. Of all limbs (N = 263) with grade 0-2 elbow extension at 6 months, 4% regained grade 4-5 and 11% regained grade 3 muscle function at 12 months. Of all limbs (N = 380) with grade 0-2 finger flexion at 6 months, 3% regained grade 4-5 and 5% regained grade 3 muscle function at 12 months.

conclusionThis information supports early (6 month) post-injury surgical consultation and evaluation. With this information, individuals with SCI can more fully engage in preference-based decision-making about surgical intervention versus continued rehabilitation and spontaneous recovery to gain elbow extension and/or hand opening and closing.

Indexed as

Cervical CordNerve TransferSpinal Cord InjuriesDecision MakingHumansRecovery of FunctionRetrospective StudiesUpper Extremity

Identifiers

PMID35896613
OpenAlexW4288723600

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.