Evidence map›Paper›PMID 41191773›Full record

ArticleScience translational medicine2025

Burst-patterned stimulation restores colonic motility in preclinical models.

Bradley B Barth, Warren M Grill

Abstract read
In one paragraph

Article in Science translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Optimizing sacral nerve stimulation to relieve chronic constipation.Nature reviews. Gastroenterology & hepatology · 2026
    Article
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

2 authors.

Bradley B BarthDepartment of Biomedical Engineering, Duke University, Durham, NC 27710, USA.ORCID 0000-0002-4344-7182
Warren M GrillDepartment of Biomedical Engineering, Duke University, Durham, NC 27710, USA.ORCID 0000-0001-5240-6588

Funding

Developing a comprehensive model for peripheral nerve stimulation of gastrointestinal functionR01DK119795 · NIDDK · TERASAKI INSTITUTE FOR BIOMEDICAL INNOVATION · PI SHEN, XILING · 2019 to 2022
$1.8M
NIDDK NIH HHS R01 DK119795
6 · The paper itself

Abstract

Disrupted communication along the brain-gut axis contributes to impaired visceral function and debilitating symptoms. Colonic dysmotility, in particular, remains poorly managed by conventional pharmaceuticals. The objectives of our study were to restore colonic motility by electrical stimulation of the sacral nerves, optimize the stimulation pattern to relieve constipation, and elucidate the mechanisms of motor patterns evoked by stimulation. Through a combination of computational, ex vivo, and in vivo preclinical models, we engineered temporal patterns of sacral nerve stimulation to evoke maximally propulsive, prokinetic motility. We validated the optimized pattern of stimulation by measuring defecatory behavior in a loperamide model of constipation in rats. Compared with sham stimulation and the continuous pattern of stimulation conventionally used in the clinic, burst-patterned sacral nerve stimulation significantly increased fecal output to baseline and relieved constipation in awake, behaving rats. Further, we systematically varied stimulation frequency, stimulation duration, and interburst interval and determined the minimum effective parameters to maximize anorectal contractions. We demonstrated that a precise temporal pattern of sacral nerve stimulation relieves constipation in rats, establishing preclinical evidence and the foundational principles for translation to future pilot clinical trials.

Indexed as

ColonElectric Stimulation TherapyGastrointestinal MotilityAnimalsConstipationDefecationDisease Models, AnimalElectric StimulationLoperamideMaleRatsRats, Sprague-DawleyLoperamide

Identifiers

PMID41191773
PMCPMC13653494

What OpenQuestion holds

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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.