Evidence map›Paper›PMID 37109234›Full record

ArticleJournal of clinical medicine2023

Spinal Cord Stimulation Prevents Autonomic Dysreflexia in Individuals with Spinal Cord Injury: A Case Series.

Soshi Samejima, Claire Shackleton, Raza N Malik, Kawami Cao, Anibal Bohorquez, Tom E Nightingale, Rahul Sachdeva, Andrei V Krassioukov

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06587841 (Noninvasive Spinal Cord Neuromodulation to Improve Lower Urinary Tract Function After Spinal Cord Injury in Ukrainian War Veterans), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 4% 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.

NCT06587841 narecruitingnot on this mapstarted 2024, after this paper: background citation

Noninvasive Spinal Cord Neuromodulation to Improve Lower Urinary Tract Function After Spinal Cord Injury in Ukrainian War Veterans

TypeinterventionalSponsorUniversity of British ColumbiaRan2024 to 2027Enrolled60ConditionsSpinal Cord Injuries, Bowel Dysfunction, Sexual Dysfunction, Autonomic DysfunctionArmsSpinal COrd NEuromodulation™ (SCONE™) for transcutaneous spinal cord stimulation (TSCS)
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  10. Cardiovascular safety of transcutaneous spinal cord stimulation in cervical spinal cord injury.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
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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 2 countries.

Soshi SamejimaInternational Collaboration on Repair Discoveries, Faculty of Medicine, University of British Columbia, Vancouver, BC V5Z 1M9, Canada.
Claire ShackletonInternational Collaboration on Repair Discoveries, Faculty of Medicine, University of British Columbia, Vancouver, BC V5Z 1M9, Canada.
Raza N MalikInternational Collaboration on Repair Discoveries, Faculty of Medicine, University of British Columbia, Vancouver, BC V5Z 1M9, Canada.
Kawami CaoInternational Collaboration on Repair Discoveries, Faculty of Medicine, University of British Columbia, Vancouver, BC V5Z 1M9, Canada.
Anibal BohorquezDivision of Physical Medicine and Rehabilitation, Department of Medicine, University of British Columbia, Vancouver, BC V5Z 2G9, Canada.
Tom E NightingaleInternational Collaboration on Repair Discoveries, Faculty of Medicine, University of British Columbia, Vancouver, BC V5Z 1M9, Canada.ORCID 0000-0003-2947-4931
Rahul SachdevaInternational Collaboration on Repair Discoveries, Faculty of Medicine, University of British Columbia, Vancouver, BC V5Z 1M9, Canada.
Andrei V KrassioukovInternational Collaboration on Repair Discoveries, Faculty of Medicine, University of British Columbia, Vancouver, BC V5Z 1M9, Canada.ORCID 0000-0002-0022-7972
University of British Columbia · CAVancouver Coastal Health · CA

Funding

BC Knowledge Development Fund naCanadian Foundation of Innovation naCanadian Institute for Health Research naCongressionally Directed Medical Research Programs naParalyzed Veterans of America naPraxis Spinal Cord Institute naRick Hansen Foundation naSpinal Research naWings for Life na
6 · The paper itself

Abstract

Spinal cord injury (SCI) results in severe cardiovascular dysfunction due to the disruption of supraspinal control. Autonomic dysreflexia (AD), an uncontrolled rise in blood pressure in response to peripheral stimuli including common bowel routine, digital anorectal stimulation (DARS), reduces the quality of life, and increases morbidity and mortality. Recently, spinal cord stimulation (SCS) has emerged as a potential intervention to mitigate unstable blood pressure following SCI. The objective of this case series was to test the real-time effect of epidural SCS (eSCS) at the lumbosacral spinal cord, the most common implant location, on mitigating AD in individuals with SCI. We recruited three individuals with cervical and upper thoracic motor-complete SCI who have an implanted epidural stimulator. We demonstrated that eSCS can reduce the elevation in blood pressure and prevent DARS-induced AD. The blood pressure variability analysis indicated that eSCS potentially reduced vascular sympathetic nervous system activity during DARS, compared to without eSCS. This case series provides evidence to support the use of eSCS to prevent AD episodes during routine bowel procedures, improving the quality of life for individuals with SCI and potentially reducing cardiovascular risks.

Indexed as

autonomic dysreflexiacardiovascular functionepidural stimulationspinal cord injuryspinal cord stimulation

Identifiers

PMID37109234
PMCPMC10146034
OpenAlexW4366090694

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.