Evidence map›Paper›PMID 40990031›Full record

ArticleFrontiers in neurology2025

Transspinal stimulation preceding assisted step training reorganizes neuronal excitability and function of inhibitory networks in spinal cord injury: a randomized controlled trial.

Abdullah M Sayed Ahmad, Morad Zaaya, Noam Y Harel, Maria Knikou

Abstract read
In one paragraph

Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Trial
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Abdullah M Sayed AhmadKlab4Recovery Research Program, The City University of New York, New York, NY, United States.
Morad ZaayaKlab4Recovery Research Program, The City University of New York, New York, NY, United States.
Noam Y HarelJames J. Peters Veterans Affairs Medical Center, Bronx, NY, United States.
Maria KnikouKlab4Recovery Research Program, The City University of New York, New York, NY, United States.

Funding

Priming with High-Frequency Trans-spinal Stimulation to Augment Locomotor Training Benefits in Spinal Cord InjuryR01HD100544 · NICHD · COLLEGE OF STATEN ISLAND · PI HAREL, NOAM Y., KNIKOU, MARIA · 2020 to 2023
$2.2M
NICHD NIH HHS R01 HD100544
6 · The paper itself

Abstract

Introduction: In this pilot randomized sham-controlled clinical trial, we characterized the spinal neuronal and network excitability in human spinal cord injury (SCI) when transspinal stimulation preceded locomotor training within the same session. Methods: Fourteen participants with chronic SCI received an average of 40 sessions with 30 Hz transspinal stimulation delivered for 30 min during standing (active: Results: Transspinal stimulation administered before locomotor training increased the amount of homosynaptic depression in the active-standing and active-supine groups, while presynaptic inhibition exerted on Ia afferent terminals increased in all study groups. Reciprocal Ia inhibition improved in the sham-standing and active-supine groups while in all groups the excitability threshold of soleus motoneurons decreased. Conclusion: This study demonstrated that transspinal stimulation preceding locomotor training partially restores some of the spinal inhibitory mechanisms acting presynaptic or postsynaptic, and produces network reorganization in chronic SCI. Noninvasive transspinal stimulation can increase the benefits of locomotor training, bringing spinal neuronal networks to a more functional state in chronic SCI.

Indexed as

locomotor trainingmultimodal rehabilitationnetwork excitabilityneurorecoveryspinal cord injurytransspinal stimulation

Identifiers

PMID40990031
PMCPMC12450697

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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.