Evidence map›Paper›PMID 38874496›Full record

ReviewJournal of neurotrauma2024

Spinal Cord Transcutaneous Stimulation in Cervical Spinal Cord Injury: A Review Examining Upper Extremity Neuromotor Control, Recovery Mechanisms, and Future Directions.

Goutam Singh, Pawan Sharma, Gail Forrest, Susan Harkema, Andrea Behrman, Yury Gerasimenko

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of neurotrauma, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06698224 (Paired Spinal Cord and Peripheral Nerve Stimulation for Hand Function Recovery in Humans Post Cervical SCI), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT06698224 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Paired Spinal Cord and Peripheral Nerve Stimulation for Hand Function Recovery in Humans Post Cervical SCI

TypeinterventionalSponsorKessler FoundationRan2025 to 2026Enrolled14ConditionsSpinal Cord Injury, Spinal Cord Disease, Spinal Cord Injuries (SCI)ArmsSpinal cord transcutaneous stimulation, Paired spinal cord and peripheral nerve stimulation
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Evaluation of blood flow restriction combined with routine rehabilitation in incomplete thoracic and lumbar spinal cord injury after decompression: a retrospective study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  6. Review
  7. Article
  8. Review
  9. 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

6 authors.

Goutam SinghKentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, Kentucky, USA.ORCID 0000-0002-3382-2321
Pawan SharmaKentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, Kentucky, USA.
Gail ForrestDepartment of Physical Medicine & Rehabilitation, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
Susan HarkemaKentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, Kentucky, USA.
Andrea BehrmanKentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, Kentucky, USA.
Yury GerasimenkoKentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, Kentucky, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cervical spinal cord injury (SCI) results in significant sensorimotor impairments below the injury level, notably in the upper extremities (UEs), impacting daily activities and quality of life. Regaining UE function remains the top priority for individuals post-cervical SCI. Recent advances in understanding adaptive plasticity within the sensorimotor system have led to the development of novel non-invasive neurostimulation strategies, such as spinal cord transcutaneous stimulation (scTS), to facilitate UE motor recovery after SCI. This comprehensive review investigates the neuromotor control of UE, the typical recovery trajectories following SCI, and the therapeutic potential of scTS to enhance UE motor function in individuals with cervical SCI. Although limited in number with smaller sample sizes, the included research articles consistently suggest that scTS, when combined with task-specific training, improves voluntary control of arm and hand function and sensation. Further, the reported improvements translate to the recovery of various UE functional tasks and positively impact the quality of life in individuals with cervical SCI. Several methodological limitations, including stimulation site selection and parameters, training strategies, and sensitive outcome measures, require further advancements to allow successful translation of scTS from research to clinical settings. This review also summarizes the current literature and proposes future directions to support establishing approaches for scTS as a viable neuro-rehabilitative tool.

Indexed as

Cervical CordRecovery of FunctionSpinal Cord InjuriesUpper ExtremityCervical VertebraeHumansSpinal Cord StimulationTranscutaneous Electric Nerve Stimulationneurological rehabilitationneuromodulationneurophysiologyspinal cord injuryspinal cord transcutaneous stimulationupper extremity

Identifiers

PMID38874496
PMCPMC11971538

What OpenQuestion holds

Textmetadata
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.