Evidence map›Paper›PMID 38674065›Full record

ArticleInternational journal of molecular sciences2024

Improvement in Motor and Walking Capacity during Multisegmental Transcutaneous Spinal Stimulation in Individuals with Incomplete Spinal Cord Injury.

Hatice Kumru, Aina Ros-Alsina, Loreto García Alén, Joan Vidal, Yury Gerasimenko, Agusti Hernandez, Mark Wrigth

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
5.5field-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.

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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 13 citations in OpenAlex.

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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

7 authors at 3 institutions in 3 countries.

Hatice KumruFundación Institut Guttmann, Institut Universitari de NeurorehabilitacióAdscrit a la UAB, 08916 Badalona, Spain.ORCID 0000-0002-0501-1660
Aina Ros-AlsinaFundación Institut Guttmann, Institut Universitari de NeurorehabilitacióAdscrit a la UAB, 08916 Badalona, Spain.
Loreto García AlénFundación Institut Guttmann, Institut Universitari de NeurorehabilitacióAdscrit a la UAB, 08916 Badalona, Spain.
Joan VidalFundación Institut Guttmann, Institut Universitari de NeurorehabilitacióAdscrit a la UAB, 08916 Badalona, Spain.ORCID 0000-0002-3952-2442
Yury GerasimenkoPavlov Institute of Physiology, St. Petersburg 199034, Russia.ORCID 0000-0002-9345-3791
Agusti HernandezFundación Institut Guttmann, Institut Universitari de NeurorehabilitacióAdscrit a la UAB, 08916 Badalona, Spain.
Mark WrigthFundación Institut Guttmann, Institut Universitari de NeurorehabilitacióAdscrit a la UAB, 08916 Badalona, Spain.
Universitat Autònoma de Barcelona · ESInstitut Guttmann · ESUniversity of Louisville · US

Funding

ERDF A way of making Europe REGAIT-PID2021-124111OB-C31
6 · The paper itself

Abstract

Transcutaneous multisegmental spinal cord stimulation (tSCS) has shown superior efficacy in modulating spinal locomotor circuits compared to single-site stimulation in individuals with spinal cord injury (SCI). Building on these findings, we hypothesized that administering a single session of tSCS at multiple spinal segments may yield greater enhancements in muscle strength and gait function during stimulation compared to tSCS at only one or two segments. In our study, tSCS was applied at single segments (C5, L1, and Coc1), two segments (C5-L1, C5-Coc1, and L1-Coc1), or multisegments (C5-L1-Coc1) in a randomized order. We evaluated the 6-m walking test (6MWT) and maximum voluntary contraction (MVC) and assessed the Hmax/Mmax ratio during stimulation in ten individuals with incomplete motor SCI. Our findings indicate that multisegmental tSCS improved walking time and reduced spinal cord excitability, as measured by the Hmax/Mmax ratio, similar to some single or two-site tSCS interventions. However, only multisegmental tSCS resulted in increased tibialis anterior (TA) muscle strength. These results suggest that multisegmental tSCS holds promise for enhancing walking capacity, increasing muscle strength, and altering spinal cord excitability in individuals with incomplete SCI.

Indexed as

Spinal Cord InjuriesSpinal Cord StimulationWalkingAdultFemaleGaitHumansMaleMiddle AgedMuscle, SkeletalMuscle StrengthSpinal Cordgaitincomplete spinal cord injurymultiple segmental stimulationmuscle strengthspinal cord excitabilitytranscutaneous spinal cord stimulation

Identifiers

PMID38674065
PMCPMC11050444
OpenAlexW4394957174

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.