Evidence map›Paper›PMID 41076564›Full record

ReviewCurrent opinion in neurology2025

Overlapping mechanisms of epidural spinal cord stimulation for pain control and movement recovery.

Evan F Joiner, Marom Bikson, Jason B Carmel

Abstract readReview
In one paragraph

Review in Current opinion in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. 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

3 authors.

Evan F JoinerDepartment of Neurological Surgery, Columbia University Vagelos College of Physicians and Surgeons.
Marom BiksonDepartment of Biomedical Engineering, The City College of New York.
Jason B CarmelDepartment of Neurology, Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA.

Funding

Neurology Research Education and Mentorship ProgramUE5NS070697 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Jason Brant Carmel, Sheng-Han Kuo · 2024 to 2026
$475k
NINDS NIH HHS UE5 NS070697
6 · The paper itself

Abstract

purpose of reviewSpinal cord stimulation (SCS) for pain control and movement recovery have developed under parallel conceptual frameworks. SCS for pain has traditionally targeted the dorsal columns, while SCS for movement recovery has targeted the large-diameter afferent fibers near the dorsal root entry zone. We review the evidence to support these parallel mechanistic frameworks and explore potential mechanistic overlap between the two fields. RECENT

findingsRecent advances in closed-loop stimulation for pain and dorsal root (DR) stimulation for movement recovery speak to the value of these parallel mechanistic models in each field. However, review of the devices, electrode placement, and stimulation parameters used in both fields reveals overlap in the doses of SCS considered effective in each. Furthermore, evidence from finite element modeling suggests overlapping recruitment of dorsal column and dorsal root fibers from both midline and lateral stimulation. SUMMARY: There is evidence to support overlapping mechanisms of SCS for pain and movement recovery. The implications of potential mechanistic overlap warrant further investigation.

Indexed as

Pain ManagementRecovery of FunctionSpinal CordSpinal Cord StimulationHumansMovementmovement recoverypain managementspinal cord stimulation

Identifiers

PMID41076564
PMCPMC13020546

What OpenQuestion holds

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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.