Evidence map›Paper›PMID 38097809›Full record

ArticleNature biomedical engineering2024

Restoration of sensory feedback from the foot and reduction of phantom limb pain via closed-loop spinal cord stimulation.

Ameya C Nanivadekar, Rohit Bose, Bailey A Petersen, Elizaveta V Okorokova, Devapratim Sarma, Tyler J Madonna, Beatrice Barra, Juhi Farooqui, Ashley N Dalrymple, Isaiah Levy and 7 more

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Nature biomedical engineering, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 2% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Long-term outcomes of spinal cord stimulation for refractory phantom limb pain.Frontiers in pain research (Lausanne, Switzerland) · 2026
    Article
  7. Article
  8. Using EMG Biofeedback to Restore Closed-Loop Neural Control on a Powered Prosthetic Ankle.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2026
    Article
  9. Article
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  11. Review
  12. Article
  13. Flexible 3D Kirigami Probes for In Vitro and In Vivo Neural Applications.Advanced materials (Deerfield Beach, Fla.) · 2025
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 3 institutions in 2 countries.

Ameya C Nanivadekar *Rehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0001-7889-9077
Rohit Bose *Rehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0003-3966-4464
Bailey A Petersen *Rehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA, USA.
Elizaveta V OkorokovaDepartment of Organismal Biology and Anatomy, University of Chicago, Chicago, IL, USA.ORCID http://orcid.org/0000-0002-2719-2706
Devapratim SarmaRehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA, USA.
Tyler J MadonnaRehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA, USA.
Beatrice BarraRehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA, USA.
Juhi FarooquiRehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA, USA.
Ashley N DalrympleRehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0001-8566-7178
Isaiah LevyDepartment of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA, USA.
Eric R HelmDepartment of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA, USA.
Vincent J MieleDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Michael L BoningerRehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0001-6966-919X
Marco CapogrossoRehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-0975-316X
Sliman J BensmaiaDepartment of Organismal Biology and Anatomy, University of Chicago, Chicago, IL, USA.ORCID http://orcid.org/0000-0003-4039-9135
Douglas J WeberRehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA, USA.
Lee E FisherRehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA, USA. lef44@pitt.edu.ORCID http://orcid.org/0000-0002-9072-3119
University of Pittsburgh · USUniversity of Chicago · USUniversity of Fribourg · CH

Funding

The effect of spinal cord stimulation on spinal reflex gain and dorsal column sensory pathway and their correlation with phantom limb painUH3NS100541 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FISHER, LEE E, WEBER, DOUGLAS J · 2017 to 2022
$4.6M
Restoring Proprioception to Improve Balance and Gait in Lower-Limb Amputees - COVID-19 SupplementF30HD098794 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PETERSEN, BAILEY ANNE · 2019 to 2022
$120k
NICHD NIH HHS F30 HD098794NINDS NIH HHS UH3 NS100541Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (Swiss National Science Foundation) P1FRP3_188027U.S. Department of Health & Human Services | National Institutes of Health (NIH) F30HD098794U.S. Department of Health & Human Services | National Institutes of Health (NIH) UH3NS100541
6 · The paper itself

Abstract

Restoring somatosensory feedback in individuals with lower-limb amputations would reduce the risk of falls and alleviate phantom limb pain. Here we show, in three individuals with transtibial amputation (one traumatic and two owing to diabetic peripheral neuropathy), that sensations from the missing foot, with control over their location and intensity, can be evoked via lateral lumbosacral spinal cord stimulation with commercially available electrodes and by modulating the intensity of stimulation in real time on the basis of signals from a wireless pressure-sensitive shoe insole. The restored somatosensation via closed-loop stimulation improved balance control (with a 19-point improvement in the composite score of the Sensory Organization Test in one individual) and gait stability (with a 5-point improvement in the Functional Gait Assessment in one individual). And over the implantation period of the stimulation leads, the three individuals experienced a clinically meaningful decrease in phantom limb pain (with an average reduction of nearly 70% on a visual analogue scale). Our findings support the further clinical assessment of lower-limb neuroprostheses providing somatosensory feedback.

Indexed as

Feedback, SensoryFootPhantom LimbSpinal Cord StimulationAdultAgedAmputation, SurgicalFemaleGaitHumansMaleMiddle Aged

Identifiers

PMID38097809
PMCPMC11404213
OpenAlexW4389736228

What OpenQuestion holds

Textmetadata
LicenceTDM
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.