Evidence map›Paper›PMID 36850945›Full record

SynthesisSensors (Basel, Switzerland)2023

Protocols Targeting Afferent Pathways via Neuromuscular Electrical Stimulation for the Plantar Flexors: A Systematic Review.

Anastasia Papavasileiou, Anthi Xenofondos, Stéphane Baudry, Thomas Lapole, Ioannis G Amiridis, Dimitrios Metaxiotis, Themistoklis Tsatalas, Dimitrios A Patikas

Registry-linked trialOpen access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Sensors (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07321158 (The Effectiveness of High Versus Low Pulse Duration Neuromuscular Electrical Stimulation), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 64% 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.

NCT07321158 narecruitingnot on this mapstarted 2026, after this paper: background citation

The Effectiveness of High Versus Low Pulse Duration Neuromuscular Electrical Stimulation (NMES) in Patients With Upper Limb Pyramidal Tract-related Spasticity Measured by Neurophysiological Tools: A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of West AtticaRan2026 to 2026Enrolled45ConditionsPyramidal Tract-related Spasticity, Upper Motor Neuron LesionArmsHigh Pulse Duration Neuromuscular Electrical Stimulation Group, Low Pulse Duration Neuromuscular Electrical Stimulation Group, Usual Care Group
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 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

8 authors at 6 institutions in 4 countries.

Anastasia PapavasileiouLaboratory of Neuromechanics, School of Physical Education and Sports Science at Serres, Aristotle University of Thessaloniki, 62110 Serres, Greece.ORCID 0000-0001-8529-5482
Anthi XenofondosPhysical Education and Sports Sciences, Frederick University, 1036 Nicosia, Cyprus.ORCID 0000-0002-3315-9865
Stéphane BaudryLaboratory of Applied Biology, Research Unit in Applied Neurophysiology (LABNeuro), Université Libre de Bruxelles, 1070 Brussels, Belgium.
Thomas LapoleUniversité Jean Monnet Saint-Etienne, Lyon 1, Université Savoie Mont-Blanc, Laboratoire Interuniversitaire de Biologie de la Motricité, F-42023 Saint-Etienne, France.
Ioannis G AmiridisLaboratory of Neuromechanics, School of Physical Education and Sports Science at Serres, Aristotle University of Thessaloniki, 62110 Serres, Greece.ORCID 0000-0003-3731-8998
Dimitrios Metaxiotis2nd Orthopaedic Department, Papageorgiou Hospital, 56429 Thessaloniki, Greece.
Themistoklis TsatalasDepartment of Physical Education and Sport Science, University of Thessaly, 42100 Trikala, Greece.ORCID 0000-0002-6658-5764
Dimitrios A PatikasLaboratory of Neuromechanics, School of Physical Education and Sports Science at Serres, Aristotle University of Thessaloniki, 62110 Serres, Greece.ORCID 0000-0001-8921-4176
Aristotle University of Thessaloniki · GRFrederick University · CYPapageorgiou General Hospital · GRUniversité Claude Bernard Lyon 1 · FRUniversité Libre de Bruxelles · BEUniversity of Thessaly · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review documents the protocol characteristics of studies that used neuromuscular electrical stimulation protocols (NMES) on the plantar flexors [through triceps surae (TS) or tibial nerve (TN) stimulation] to stimulate afferent pathways. The review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement, was registered to PROSPERO (ID: CRD42022345194) and was funded by the Greek General Secretariat for Research and Technology (ERA-NET NEURON JTC 2020). Included were original research articles on healthy adults, with NMES interventions applied on TN or TS or both. Four databases (Cochrane Library, PubMed, Scopus, and Web of Science) were systematically searched, in addition to a manual search using the citations of included studies. Quality assessment was conducted on 32 eligible studies by estimating the risk of bias with the checklist of the Effective Public Health Practice Project Quality Assessment Tool. Eighty-seven protocols were analyzed, with descriptive statistics. Compared to TS, TN stimulation has been reported in a wider range of frequencies (5-100, vs. 20-200 Hz) and normalization methods for the contraction intensity. The pulse duration ranged from 0.2 to 1 ms for both TS and TN protocols. It is concluded that with increasing popularity of NMES protocols in intervention and rehabilitation, future studies may use a wider range of stimulation attributes, to stimulate motor neurons via afferent pathways, but, on the other hand, additional studies may explore new protocols, targeting for more optimal effectiveness. Furthermore, future studies should consider methodological issues, such as stimulation efficacy (e.g., positioning over the motor point) and reporting of level of discomfort during the application of NMES protocols to reduce the inherent variability of the results.

Indexed as

LegTibial NerveAdultAfferent PathwaysAnimalsChecklistElectric StimulationFishesHumansafferent feedbackextra forcefatiguehumanneuromuscular electrical stimulationplantar flexorsstimulation parameterstibial nervetrainingtriceps surae

Identifiers

PMID36850945
PMCPMC9967278
OpenAlexW4321458324

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.