Evidence map›Paper›PMID 37045845›Full record

Trial reportNature communications2023

A case study of percutaneous epidural stimulation to enable motor control in two men after spinal cord injury.

Ashraf S Gorgey, Robert Trainer, Tommy W Sutor, Jacob A Goldsmith, Ahmed Alazzam, Lance L Goetz, Denise Lester, Timothy D Lavis

2 registry-linked trialsOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Nature communications, 2023. 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 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
6.6field-weighted citation impact, top 3% 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.

NCT04241250 phase2completednot on this map

Transspinal Versus Epidural Stimulation for Exoskeletal Assisted Walking After Spinal Cord Injury

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2020 to 2024Enrolled4ConditionsSpinal Cord InjuryArmsEAW+SCES (exoskelton and spinal cord epidural stimulation), EAW+TS (exoskelton and transspinal stimulation)
NCT04782947 phase2 / phase3recruitingnot on this map

Epidural Stimulation and Resistance Training for Overground Locomotion After Spinal Cord Injury

TypeinterventionalSponsorUnited States Department of DefenseRan2021 to 2026Enrolled20ConditionsSpinal Cord InjuriesArmsExoskeletal assisted walking, Epidural Stimulation, Resistance Training, delayed-ES, no-Resistance training
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 26 citations in OpenAlex.

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  17. Synergistic implications of combinatorial rehabilitation approaches using spinal stimulation on therapeutic outcomes in spinal cord injury.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2024
    Review
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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

8 authors at 2 institutions in 1 country.

Ashraf S GorgeySpinal Cord Injury and Disorders Center, Hunter Holmes McGuire VAMC, 1201 Broad Rock Boulevard, Richmond, VA, 23249, USA. ashraf.gorgey@va.gov.ORCID 0000-0002-9157-6034
Robert TrainerPhysical Medicine and Rehabilitation, Hunter Holmes McGuire VAMC, 1201 Broad Rock Boulevard, Richmond, VA, 23249, USA.
Tommy W SutorSpinal Cord Injury and Disorders Center, Hunter Holmes McGuire VAMC, 1201 Broad Rock Boulevard, Richmond, VA, 23249, USA.ORCID 0000-0001-5072-3184
Jacob A GoldsmithSpinal Cord Injury and Disorders Center, Hunter Holmes McGuire VAMC, 1201 Broad Rock Boulevard, Richmond, VA, 23249, USA.
Ahmed AlazzamSpinal Cord Injury and Disorders Center, Hunter Holmes McGuire VAMC, 1201 Broad Rock Boulevard, Richmond, VA, 23249, USA.
Lance L GoetzSpinal Cord Injury and Disorders Center, Hunter Holmes McGuire VAMC, 1201 Broad Rock Boulevard, Richmond, VA, 23249, USA.
Denise LesterPhysical Medicine and Rehabilitation, Hunter Holmes McGuire VAMC, 1201 Broad Rock Boulevard, Richmond, VA, 23249, USA.
Timothy D LavisSpinal Cord Injury and Disorders Center, Hunter Holmes McGuire VAMC, 1201 Broad Rock Boulevard, Richmond, VA, 23249, USA.
Hunter Holmes McGuire VA Medical Center · USVirginia Commonwealth University · US

Funding

Transspinal versus Epidural Stimulation for Exoskeletal Assisted Walking after Spinal Cord InjuryI21RX003456 · VA · VA VETERANS ADMINISTRATION HOSPITAL · PI GORGEY, ASHRAF · 2020 to 2022
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RRD VA I21 RX003456
6 · The paper itself

Abstract

Two persons with chronic motor complete spinal cord injury (SCI) were implanted with percutaneous spinal cord epidural stimulation (SCES) leads to enable motor control below the injury level (NCT04782947). Through a period of temporary followed by permanent SCES implantation, spinal mapping was conducted primarily to optimize configurations enabling volitional control of movement and training of standing and stepping as a secondary outcome. In both participants, SCES enabled voluntary increased muscle activation and movement below the injury and decreased assistance during exoskeleton-assisted walking. After permanent implantation, both participants voluntarily modulated induced torques but not always in the intended directions. In one participant, percutaneous SCES enabled motor control below the injury one-day following temporary implantation as confirmed by electromyography. The same participant achieved independent standing with minimal upper extremity self-balance assistance, independent stepping in parallel bars and overground ambulation with a walker. SCES via percutaneous leads holds promise for enhancing rehabilitation and enabling motor functions for people with SCI.

Indexed as

Spinal Cord InjuriesSpinal Cord StimulationElectromyographyHumansMaleMovementMuscle, SkeletalSpinal Cord

Identifiers

PMID37045845
PMCPMC10091329
OpenAlexW4365145801

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.