Evidence map›Paper›PMID 36830867›Full record

ArticleBiomedicines2023

Contralateral Selectivity of Upper-Limb Motor Pools via Targeted Stimulation of the Cervical Spinal Cord.

Neil Fleming, Clare Taylor, Mark Etzelmueller, Conor Gill, Clodagh O'Keeffe, Nicholas Mahony, Richard B Reilly

Open access · goldAbstract read
In one paragraph

Article in Biomedicines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

7 authors at 1 institution in 1 country.

Neil FlemingDiscipline of Anatomy, School of Medicine, Trinity College Dublin, D02 R590 Dublin, Ireland.
Clare TaylorDiscipline of Anatomy, School of Medicine, Trinity College Dublin, D02 R590 Dublin, Ireland.
Mark EtzelmuellerSchool of Engineering, Trinity College, The University of Dublin, D08 XW7X Dublin, Ireland.
Conor GillSchool of Engineering, Trinity College, The University of Dublin, D08 XW7X Dublin, Ireland.ORCID 0000-0001-6644-3320
Clodagh O'KeeffeSchool of Engineering, Trinity College, The University of Dublin, D08 XW7X Dublin, Ireland.
Nicholas MahonyDiscipline of Anatomy, School of Medicine, Trinity College Dublin, D02 R590 Dublin, Ireland.
Richard B ReillySchool of Engineering, Trinity College, The University of Dublin, D08 XW7X Dublin, Ireland.ORCID 0000-0001-8578-1245
Trinity College Dublin · IE

Funding

Enterprise Ireland DT20180128
6 · The paper itself

Abstract

Transcutaneous spinal cord stimulation (tSCS) at the cervical level may facilitate improved upper-limb function in those with incomplete tetraplegia. While clinical trials are ongoing, there is still much debate regarding the transmission pathway as well as appropriate stimulation parameters. This study aimed to explore the extent to which cervical tSCS can induce mono-synaptic reflexes in discrete upper-limb motor pools and examine the effects of altering stimulus location and intensity.

methodsFourteen participants with intact nervous systems completed two laboratory visits, during which posterior root-muscle reflexes (PRMRs) were evoked via a 3 × 3 cathode matrix applied over the cervical spine. An incremental recruitment curve at the C7 vertebral level was initially performed to attain resting motor threshold (RMT) in each muscle. Paired pulses (1 ms square monophasic with inter-pulse interval of 50 ms) were subsequently delivered at a frequency of 0.25 Hz at two intensities (RMT and RMT + 20%) across all nine cathode positions. Evoked responses to the 1st (PRMR

resultsA significant effect of the spinal level was observed in all muscles for PRMR

conclusionsA level of unilateral motor pool selectivity may be attained by altering stimulus intensity and location during cervical tSCS. Optimising these parameters may improve the efficacy of this neuromodulation method in clinical cohorts.

Indexed as

cervical spinespinal cord injurytranscutaneous spinal cord stimulationtSCSupper limb

Identifiers

PMID36830867
PMCPMC9952898
OpenAlexW4317933362

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.