Evidence map›Paper›PMID 36006372›Full record

Observational studyJournal of neurotrauma2023

Lower Motoneuron Dysfunction Impacts Spontaneous Motor Recovery in Acute Cervical Spinal Cord Injury.

Steffen Franz, Ute Eck, Christian Schuld, Laura Heutehaus, Marcel Wolf, Einar Wilder-Smith, Wilhelm Schulte-Mattler, Marc-André Weber, Rüdiger Rupp, Norbert Weidner

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Journal of neurotrauma, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

9 citing papers in PubMed, 17 citations in OpenAlex.

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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

10 authors at 3 institutions in 2 countries.

Steffen FranzSpinal Cord Injury Center, Heidelberg University Hospital, Heidelberg, Germany.
Ute EckSpinal Cord Injury Center, Heidelberg University Hospital, Heidelberg, Germany.
Christian SchuldSpinal Cord Injury Center, Heidelberg University Hospital, Heidelberg, Germany.
Laura HeutehausSpinal Cord Injury Center, Heidelberg University Hospital, Heidelberg, Germany.
Marcel WolfDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Einar Wilder-SmithDepartment of Neurology, Kantonsspital Lucerne, Lucerne, Switzerland.
Wilhelm Schulte-MattlerRegensburg, Germany.
Marc-André WeberInstitute of Diagnostic and Interventional Radiology, Pediatric Radiology and Neuroradiology, Rostock University Medical Center, Rostock, Germany.
Rüdiger RuppSpinal Cord Injury Center, Heidelberg University Hospital, Heidelberg, Germany.
Norbert WeidnerSpinal Cord Injury Center, Heidelberg University Hospital, Heidelberg, Germany.
Heidelberg University · DEUniversity of Bern · CHUniversity of Rostock · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Paresis after spinal cord injury (SCI) is caused by damage to upper and lower motoneurons (LMNs) and may differentially impact neurological recovery. This prospective monocentric longitudinal observational study investigated the extent and severity of LMN dysfunction and its impact on upper extremity motor recovery after acute cervical SCI. Pathological spontaneous activity at rest and/or increased discharge rates of motor unit action potentials recorded by needle electromyography (EMG) were taken as parameters for LMN dysfunction and its relation to the extent of myelopathy in the first available spine magnetic resonance imaging (MRI) was determined. Motor recovery was assessed by standardized neurological examination within the first four weeks (acute stage) and up to one year (chronic stage) after injury. Eighty-five muscles of 17 individuals with cervical SCI (neurological level of injury from C1 to C7) and a median age of 54 (28-59) years were examined. The results showed that muscles with signs of LMN dysfunction peaked at the lesion center (Χ

Indexed as

Cervical CordSpinal Cord InjuriesElectromyographyHumansMiddle AgedMotor NeuronsParesisProspective Studiesaxonal sproutingclinical trialsdenervationnerve transfer surgeryneuroprostheses

Identifiers

PMID36006372
PMCPMC10162119
OpenAlexW4293043085

What OpenQuestion holds

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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.