Evidence map›Paper›PMID 41015535›Full record

ArticleJournal of neurophysiology2025

Noninvasive spatiotemporal spinal neuromodulation targeting dorsal roots improves paretic leg motor control during walking in persons with stroke.

Hyosok Lim, Shijun Yan, Iram Hameeduddin, Weena Dee, Velarie Pech, William Z Rymer, Ming Wu

Abstract read
In one paragraph

Article in Journal of neurophysiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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

7 authors.

Hyosok LimLegs and Walking Lab, Shirley Ryan AbilityLab, Chicago, Illinois, United States.
Shijun YanLegs and Walking Lab, Shirley Ryan AbilityLab, Chicago, Illinois, United States.ORCID 0000-0001-7868-5204
Iram HameeduddinLegs and Walking Lab, Shirley Ryan AbilityLab, Chicago, Illinois, United States.ORCID 0009-0004-6636-0890
Weena DeeLegs and Walking Lab, Shirley Ryan AbilityLab, Chicago, Illinois, United States.ORCID 0000-0001-7658-5234
Velarie PechLegs and Walking Lab, Shirley Ryan AbilityLab, Chicago, Illinois, United States.
William Z RymerLegs and Walking Lab, Shirley Ryan AbilityLab, Chicago, Illinois, United States.
Ming WuLegs and Walking Lab, Shirley Ryan AbilityLab, Chicago, Illinois, United States.ORCID 0000-0002-9542-6332

Funding

Constraint induced movement therapy for walking in individuals post strokeR01HD082216 · NICHD · REHABILITATION INSTITUTE OF CHICAGO D/B/A SHIRLEY RYAN ABILITYLAB · PI WU, MING · 2015 to 2019
$1.5M
Neuromodulatory strategies targeting cortical and spinal pathways to facilitate paretic leg motor control during walking in individuals with strokeF32HD117548 · NICHD · REHABILITATION INSTITUTE OF CHICAGO D/B/A SHIRLEY RYAN ABILITYLAB · PI LIM, HYOSOK · 2025 to 2025
$37k
Brinson Foundation (The Brinson Foundation)HHS | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) R01HD082216NICHD NIH HHS F32 HD117548NICHD NIH HHS R01 HD082216
6 · The paper itself

Abstract

Individuals post-stroke demonstrate impaired motor control and muscle weakness in the paretic leg interfering their mobility. We aimed to determine whether applying spatiotemporally controlled transcutaneous spinal cord stimulation (tSCS), when combined with constraint force-induced forced use (CIFU), enhances paretic leg motor control during walking in individuals post-stroke. Thirteen individuals with stroke (age: 64.2 ± 7.1 yr old; time post-stroke: 14.1 ± 6.1 yr) were tested in a crossover design under two conditions: active versus sham tSCS during CIFU treadmill walking (tSCS + CIFU vs. sham + CIFU). In both conditions, CIFU treadmill walking was performed with a constraint force applied to the nonparetic leg during the swing phase of gait. For the active condition, tSCS was delivered at L4 during the swing phase (80 Hz) and at S1 during the stance phase (30 Hz) of the paretic leg, filled with a carrier frequency of 9.5 kHz. Spatiotemporal gait parameters, muscle activity, and propulsive force were assessed. Participants showed greater increases in paretic step length and step height in the tSCS + CIFU condition compared with the sham + CIFU condition, whereas showed prolonged paretic stance time in both conditions. The tSCS + CIFU condition also showed significantly less foot path variability of the paretic leg compared with sham + CIFU. Muscle synergy analysis revealed increased muscle weightings in plantarflexion, dorsiflexion, and hip/knee extension synergies of the paretic leg in both conditions. Propulsive force of the paretic leg showed no change in both conditions. In conclusion, applying spatiotemporally controlled tSCS during CIFU treadmill walking may enhance paretic leg motor control in individuals post-stroke.

Indexed as

LegParesisSpinal Cord StimulationSpinal Nerve RootsStrokeStroke RehabilitationWalkingAgedFemaleGaitHumansMaleMiddle AgedMuscle, Skeletalgaitmuscle synergynoninvasive spinal cord stimulationspatiotemporally controlledstroke

Identifiers

PMID41015535
PMCPMC12560167

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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.