Evidence map›Paper›PMID 36198701›Full record

ArticleNature communications2022

A pilot study combining noninvasive spinal neuromodulation and activity-based neurorehabilitation therapy in children with cerebral palsy.

Susan Hastings, Hui Zhong, Rochel Feinstein, Gittel Zelczer, Christel Mitrovich, Parag Gad, V Reggie Edgerton

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.7field-weighted citation impact, top 6% 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.

NCT04882592 phase1unknown statusnot on this map

Noninvasive Spinal Neuromodulation Enables Locomotor Recovery in Individuals With Cerebral Palsy

TypeinterventionalSponsorSpineX Inc.Ran2021 to 2024Enrolled50ConditionsCerebral PalsyArmsSCiP
NCT07615686 narecruitingnot on this mapstarted 2026, after this paper: background citation

Transcutaneous Spinal Cord Stimulation to Improve Strength and Gait in Children With Spina Bifida

TypeinterventionalSponsorBailey PetersenRan2026 to 2029Enrolled20ConditionsSpina Bifida, MyelomeningoceleArmsTranscutaneous stimulator
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 28 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

7 authors at 3 institutions in 2 countries.

Susan HastingsSusan Hastings Pediatric Physical Therapy, San Jose, CA, 95128, USA.
Hui ZhongRancho Research Institute, Downey, CA, 90242, USA.
Rochel FeinsteinOPTimal care Therapy, Lakewood, NJ, 08701, USA.
Gittel ZelczerOPTimal care Therapy, Lakewood, NJ, 08701, USA.
Christel MitrovichReneu Health, San Diego, CA, 92111, USA.ORCID 0000-0003-1540-0835
Parag GadRancho Research Institute, Downey, CA, 90242, USA. parag@spinex.co.ORCID 0000-0001-8352-7614
V Reggie EdgertonRancho Research Institute, Downey, CA, 90242, USA.ORCID 0000-0001-6534-1875
Rancho Research Institute · USUC San Diego Health System · USUniversity of Southern California · US

Funding

Transformation of Dormant Spinal Networks to Mitigate Symptoms of Neurogenic BladderR44DK129164 · NIDDK · SPINEX, INC. · PI GAD, PARAG · 2021 to 2022
$1.9M
NIDDK NIH HHS R44 DK129164
6 · The paper itself

Abstract

Cerebral Palsy (CP) is the most common pediatric motor disability with multiple symptoms and etiologies. CP is exhibited through sensorimotor delays, impaired posture resulting in limited activities and participation. Our recently concluded, single arm, unblinded, pilot study (NCT04882592) explored whether an intervention combining non-invasive spinal neuromodulation during an activity-based neurorehabilitation therapy (ABNT) can improve voluntary sensory-motor function captured via the Gross Motor Function Measure (GMFM-88) scores (primary outcome). Sixteen children diagnosed with CP with Gross Motor Function Classification Scale levels I-V were recruited and received the same intervention (2x/week for 8 weeks) to correct the dysfunctional connectivity between supraspinal and spinal networks using the normally developed proprioception. We demonstrate that the intervention was associated with clinically and statistically significant improvement in GMFM-88 scores in all children, thus meeting the prespecified primary endpoint. However, the improvement with ABNT alone needs further exploration. No serious adverse events were observed (safety endpoint).

Indexed as

Cerebral PalsyMotor DisordersNeurological RehabilitationPersons with DisabilitiesChildHumansMotor SkillsPilot Projects

Identifiers

PMID36198701
PMCPMC9535012
OpenAlexW4301600596

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.