Evidence map›Paper›PMID 40585014›Full record

ArticleTopics in spinal cord injury rehabilitation2025

A Novel Testing Battery for Preserved Autonomic Regulation Following Spinal Cord Injury and New Translationally Focused Data Representation.

Ryan Solinsky, Kathryn Burns, Jason W Hamner, Daniel D Veith, Wolfgang Singer, J Andrew Taylor

Registry-linked trialAbstract read
In one paragraph

Article in Topics in spinal cord injury rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07210411 (Acute and Chronic Repercussion of Spinal Cord Stimulation After Spinal Cord Injury), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT07210411 narecruitingnot on this mapstarted 2026, after this paper: background citation

Acute and Chronic Repercussion of Spinal Cord Stimulation After Spinal Cord Injury

TypeinterventionalSponsorMayo ClinicRan2026 to 2031Enrolled80ConditionsSpinal Cord InjuriesArmsTests of sympathetic inhibition, Tests of above level sympathetic activation, Testing of below level sympathetic activation, Epidural stimulation, Transcutaneous stimulation
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Ryan SolinskyDepartment of Physical Medicine & Rehabilitation, Mayo Clinic, Rochester, Minnesota.
Kathryn BurnsSpaulding Rehabilitation Hospital, Cambridge, Massachusetts.
Jason W HamnerSpaulding Rehabilitation Hospital, Cambridge, Massachusetts.
Daniel D VeithDepartment of Physical Medicine & Rehabilitation, Mayo Clinic, Rochester, Minnesota.
Wolfgang SingerDepartment of Neurology, Mayo Clinic, Rochester, Minnesota.
J Andrew TaylorSpaulding Rehabilitation Hospital, Cambridge, Massachusetts.

Funding

Techniques DevelopmentP2CHD086844 · NICHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI THOMPSON, AIKO · 2015 to 2024
$12.7M
Deciphering Preserved Autonomic Function after Spinal Cord InjuryK23HD102663 · NICHD · SPAULDING REHABILITATION HOSPITAL · PI SOLINSKY, RYAN · 2020 to 2024
$822k
NICHD NIH HHS K23 HD102663NICHD NIH HHS P2C HD086844
6 · The paper itself

Abstract

Background: Autonomic dysfunction is common after spinal cord injury (SCI). There are currently limited tools to comprehensively characterize its deficits. While individual established autonomic tests have a long history and sound scientific background, translating these autonomic testing results to inform clinical understanding is a major barrier. Objectives: To assess a strategic battery of autonomic tests to characterize and act as a biomarker of autonomic regulation for individuals with SCI and to develop a novel graphical representation of these data to facilitate understanding of autonomic dysfunction after SCI. Methods: We outline a battery of six laboratory autonomic tests that were curated to collectively describe the ability of individuals with SCI to inhibit and recruit sympathetic activity through the injured spinal cord. Heart rate/blood pressure variability, bolus phenylephrine, hand and foot cold pressor, Valsalva maneuver, and bladder pressor are herein described. Incorporating normative control data for 30 uninjured individuals completing this testing battery, we further demonstrate the utility of a composite biomarker, comparing these control results to 11 individuals with SCI. Results: Results demonstrate strong normality of data with testing psychometrics, suggesting stable reproducibility with repeat testing. Even in this preliminary sample of individuals with SCI, clear differences begin to emerge compared to uninjured norms. This illustrates the ability of this collective testing battery to characterize autonomic regulation after SCI. To aid in clinical translation, we further present a graphical representation, an Conclusion: Utilizing these autonomic phenotypes, three example cases of individuals with SCI highlight evidence of varied degrees of autonomically complete SCI. Together, this represents a key advancement in our understanding of autonomic function after SCI.

Indexed as

Autonomic Nervous SystemAutonomic Nervous System DiseasesSpinal Cord InjuriesAdultBlood PressureFemaleHeart RateHumansMaleMiddle AgedValsalva Maneuverautonomic regulationdata visualizationoutcome measuresspinal cord injury

Identifiers

PMID40585014
PMCPMC12199568

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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.