Evidence map›Paper›PMID 40316532›Full record

ArticleNature communications2025

Precise control of tibial nerve stimulation for bladder regulation via evoked compound action potential feedback mechanisms.

Young-Soo Lim, Ji Hong Kim, Junho Kim, MinhDuc Hoang, Wonok Kang, Mattew Koh, Won Hyuk Choi, Steve Park, Unyong Jeong, Do Hwan Kim and 1 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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.

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

10 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Ionic-Bionic Interfaces: Advancing Iontronic Strategies for Bioelectronic Sensing and Therapy.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  5. Review
  6. Review
  7. Article
  8. Autonomous Polymer Frameworks for Sustainable Tissue-Interfaced Plastic Bioelectronics.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  9. Article
  10. Review
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

11 authors.

Young-Soo Lim *Department of Convergence IT Engineering (CiTE), Pohang University of Science and Technology (POSTECH), Pohang, Republic of Korea.
Ji Hong Kim *Department of Chemical Engineering, Hanyang University, Seoul, Republic of Korea.
Junho Kim *School of Interdisciplinary Bioscience and Bioengineering, Pohang University of Science and Technology (POSTECH), Pohang, Republic of Korea.ORCID http://orcid.org/0000-0003-2809-9244
MinhDuc HoangDepartment of Convergence IT Engineering (CiTE), Pohang University of Science and Technology (POSTECH), Pohang, Republic of Korea.
Wonok KangDepartment of Convergence IT Engineering (CiTE), Pohang University of Science and Technology (POSTECH), Pohang, Republic of Korea.ORCID http://orcid.org/0000-0001-8372-4140
Mattew KohPOSTECH Medical Science and Engineering, Pohang University of Science and Technology (POSTECH), Pohang, Republic of Korea.
Won Hyuk ChoiDepartment of Chemical Engineering, Hanyang University, Seoul, Republic of Korea.
Steve ParkDepartment of Materials Science and Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Republic of Korea.ORCID http://orcid.org/0000-0002-1428-592X
Unyong JeongDepartment of Materials Science and Engineering, Pohang University of Science and Technology (POSTECH), Pohang, Republic of Korea.ORCID http://orcid.org/0000-0002-7519-7595
Do Hwan KimDepartment of Chemical Engineering, Hanyang University, Seoul, Republic of Korea. dhkim76@hanyang.ac.kr.ORCID http://orcid.org/0000-0003-3003-8125
Sung-Min ParkDepartment of Convergence IT Engineering (CiTE), Pohang University of Science and Technology (POSTECH), Pohang, Republic of Korea. sungminpark@postech.ac.kr.ORCID http://orcid.org/0000-0002-8359-8110

Funding

Ministry of Science, ICT and Future Planning (MSIP) 2021M3H4A1A03049084Ministry of Science, ICT and Future Planning (MSIP) 2022M3C1A3081294Ministry of Science, ICT and Future Planning (MSIP) RS-2024-00405818
6 · The paper itself

Abstract

Optimizing stimulation protocols for peripheral neuromodulation often depends on patient feedback, which can result in inconsistent clinical outcomes. Here we present a closed-loop control system for peripheral nerve stimulation (PNS) that utilizes evoked compound action potential (ECAP) feedback to regulate stimulation parameters, addressing the limitations of traditional methods. Unlike established closed-loop control techniques in the central nervous system, such as local field potential and spike analysis, a comparable approach for the peripheral nervous system remains underdeveloped. ECAPs can be consistently observed across peripheral nerves, providing a reliable measure of nerve activation. We developed a fully implantable device and neural interface for tibial nerve stimulation (TNS) that incorporates the proposed closed-loop system. This TNS system shows promise as a PNS treatment for alleviating overactive bladder symptoms. In a rat model, the system demonstrated longer micturition intervals and greater effectiveness compared to conventional motor response-based control.

Indexed as

Action PotentialsElectric Stimulation TherapyTibial NerveUrinary BladderUrinary Bladder, OveractiveAnimalsFeedback, PhysiologicalFemaleRatsRats, Sprague-DawleyUrination

Identifiers

PMID40316532
PMCPMC12048617

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.