Evidence map›Paper›PMID 40669007›Full record

Trial reportThe journal of spinal cord medicine2026

The effect of electromyography-triggered electrical stimulation applied to the back extensors muscles on trunk balance and muscle thickness in individuals with complete thoracic spinal cord injury: A randomized controlled trial.

Handan E N Bayraktar, Meriç Selim Şipal, Elif Yalçın, Medine Kocamanoğlu

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The journal of spinal cord medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Handan E N BayraktarDepartment of Physical Medicine and Rehabilitation, Samsun Training and Research Hospital, Samsun, Turkey.ORCID 0000-0003-2462-5470
Meriç Selim ŞipalAnkara Bilkent City Hospital, Physical Therapy and Rehabilitation Hospital, Ankara, Turkey.ORCID 0000-0002-5500-0206
Elif YalçınAnkara Bilkent City Hospital, Physical Therapy and Rehabilitation Hospital, Ankara, Turkey.ORCID 0000-0002-0374-4502
Medine KocamanoğluDepartment of Public Health, Selçuk University Faculty of Medicine, Konya, Turkey.ORCID 0000-0002-1462-8048

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextImpaired activation of the paraspinal muscles in individuals with complete thoracic spinal cord injury (SCI) can result in trunk instability, difficulty performing functional transfers, and an increased risk of falls. Since trunk control plays a central role in seated balance, it has a substantial impact on the ability to carry out activities of daily living and maintain independence.

objectiveThis study aimed to investigate the effect of electromyography-triggered neuromuscular electrical stimulation (EMG-NMES) applied to multifidus and erector spinae muscles on trunk balance and muscle thickness in individuals with complete thoracic SCI.

designA randomized controlled trial.

settingA tertiary rehabilitation center in Ankara, Türkiye.

participantsFifteen participants with complete thoracic SCI.

methodsParticipants were randomized into an experimental group (

resultsThe primary outcome measures improved significantly more in the experimental group than in the control group. The mean between-group difference in TCT was 1.98 points (95% CI: 0.47-3.49; effect size 0.92; p = 0.014). For mFRT area, the mean difference between groups was 156.63 cm

conclusionsThis study found that a four-week EMG-NMES protocol combined with exercise improved trunk balance and functional reach distance in individuals with complete thoracic SCI.

Indexed as

Back MusclesElectric Stimulation TherapyElectromyographyParaspinal MusclesPostural BalanceSpinal Cord InjuriesAdultExercise TherapyFemaleHumansMaleMiddle AgedThoracic VertebraeTorsoElectrical stimulationSpinal cord injuryTrunk balance

Identifiers

PMID40669007
PMCPMC13123054

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Registered trials

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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.