Evidence map›Paper›PMID 41707125›Full record

Trial reportAmerican journal of physical medicine & rehabilitation2026

At-Home Delivery of Vagus Nerve Stimulation Paired With Task-Specific Training Improves Performance of High-Priority Activities in Persons With Chronic Spinal Cord Injury or Stroke.

Kaitlyn M Malley, Joseph D Epperson, Zachary S Bynum, Saeid Kian, Emmanuel A Adehunoluwa, Spencer M Dunbar, Benjamin T Stanislav, Joel M Wright, David T Pruitt, Jane G Wigginton and 4 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of physical medicine & rehabilitation, 2026. 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. 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

14 authors.

Joseph D EppersonORCID 0000-0002-6430-8472
Emmanuel A Adehunoluwa
Benjamin T Stanislav
Joel M WrightFrom the Texas Biomedical Device Center, University of Texas at Dallas, Richardson, Texas.
David T PruittFrom the Texas Biomedical Device Center, University of Texas at Dallas, Richardson, Texas.ORCID 0000-0001-8356-0887
Jane G WiggintonFrom the Texas Biomedical Device Center, University of Texas at Dallas, Richardson, Texas.ORCID 0009-0007-8547-1459
Chad Swank
Robert L RennakerORCID 0000-0003-1260-1973
Michael P KilgardORCID 0000-0002-6699-1818

Funding

FitMi VNS: The First Automated Home Therapy System for Exercise-Paired Vagus Nerve Stimulation After StrokeU44NS117306 · NINDS · FLINT REHABILITATION DEVICES · PI FRIEDMAN, NIZAN · 2021 to 2022
$1.5M
NINDS NIH HHS U44 NS117306
6 · The paper itself

Abstract

objectiveVagus nerve stimulation during rehabilitative training can improve motor function years after stroke or spinal cord injury. This open-label study examined whether vagus nerve stimulation paired with participant-selected activities of daily living in a home environment can improve task performance in participants with chronic stroke or incomplete cervical spinal cord injury.

designFourteen participants were recruited from our previous randomized studies involving months of vagus nerve stimulation delivered during in-clinic therapy. Seven participants with chronic stroke and seven with chronic incomplete spinal cord injury completed 36 additional sessions of vagus nerve stimulation paired with training on a set of self-selected, high-priority activities of daily living at home. Each participant trained on 5-10 tasks. Performance was measured before and after vagus nerve stimulation + ADL therapy.

resultsVagus nerve stimulation + activity of daily living therapy reduced time to complete trained activities of daily living by 19.8 ± 5.2% for participants with stroke and 33.8 ± 4.9% for participants with spinal cord injury.

conclusionsThe observed gains are clinically meaningful and suggest a reduction in the functional burden of injury, which has the potential to improve independence and reduce reliance on caregivers. These initial results are sufficient to justify a randomized, sham-controlled study to evaluate whether vagus nerve stimulation during task-specific training can improve task performance and independence.

Indexed as

Activities of Daily LivingSpinal Cord InjuriesStroke RehabilitationVagus Nerve StimulationAdultAgedChronic DiseaseFemaleHumansMaleMiddle AgedRecovery of FunctionStrokeTask Performance and AnalysisTreatment OutcomeCervical Spinal Cord InjuryIschemic StrokeNeuromodulationVagal Nerve Stimulation

Identifiers

PMID41707125
PMCPMC13465908

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.