Evidence map›Paper›PMID 41760000›Full record

ArticleMedicine2026

Pharmacological and device-based interventions for paraplegia: A ClinicalTrials.gov-based analysis.

Nasser M Alorfi, Fahad S Alshehri, Saad M Wali, Ahmed M Ashour, Mohammed M Aldurdunji, Safa S Almarzoky Abuhussain, Beisan A Mohammad, Nihal Abdalla Ibrahim

Abstract read
In one paragraph

Article in Medicine, 2026. 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

8 authors.

Nasser M AlorfiPharmacology and Toxicology Department, College of Pharmacy, Umm Al-Qura University, Makkah, Saudi Arabia.ORCID 0000-0002-0636-7685
Fahad S AlshehriPharmacology and Toxicology Department, College of Pharmacy, Umm Al-Qura University, Makkah, Saudi Arabia.
Saad M WaliPharmacology and Toxicology Department, College of Pharmacy, Umm Al-Qura University, Makkah, Saudi Arabia.
Ahmed M AshourPharmacology and Toxicology Department, College of Pharmacy, Umm Al-Qura University, Makkah, Saudi Arabia.
Mohammed M AldurdunjiPharmaceutical Practices Department, College of Pharmacy, Umm Al-Qura University, Makkah, Saudi Arabia.
Safa S Almarzoky AbuhussainPharmaceutical Practices Department, College of Pharmacy, Umm Al-Qura University, Makkah, Saudi Arabia.
Beisan A MohammadPharmaceutical Sciences Department-PharmD Program, Fakeeh College for Medical Sciences, Fakeeh Care Group, Jeddah, Saudi Arabia.
Nihal Abdalla IbrahimDepartment of Clinical Sciences, College of Pharmacy and Health Sciences, Ajman University, Ajman, United Arab Emirates.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Paraplegia, resulting from spinal cord injury or neurological disease, presents significant challenges in long-term care and rehabilitation. Effective therapeutic strategies are crucial for improving mobility, reducing complications, and enhancing quality of life. To systematically analyze clinical trials registered on ClinicalTrials.gov that investigate pharmacological, device-based, and procedural interventions for individuals with paraplegia. A retrospective analysis of 84 paraplegia-related clinical trials registered on ClinicalTrials.gov was conducted on July 3, 2025. Studies were categorized by type (interventional or observational), intervention class (pharmacological, device-based, behavioral, biological, or procedural), and primary outcome focus. Emphasis was placed on interventional trials (n = 61), with descriptive analyses of sample size, enrollment range, and outcome categories. Among the 84 included studies, 61 (73%) were interventional and 23 (27%) were observational. Device-based interventions (n = 30) were the most frequently investigated and included exoskeleton-assisted walking, functional electrical stimulation, and robotic rehabilitation systems. Pharmacological interventions (n = 10) targeted spasticity, neuroprotection, and cardiovascular regulation. Behavioral interventions (n = 7) emphasized patient engagement and rehabilitation planning, while biological and procedural therapies (n = 7) focused on neurostimulation and regenerative strategies. Primary outcomes most commonly assessed mobility/function (n = 13), safety (n = 9), and cardiometabolic parameters (n = 6), with many studies reporting small sample sizes. Clinical trials in paraplegia research are increasingly centered on pharmacological and device-supported interventions aimed at enhancing motor recovery and minimizing secondary disability. While variability in sample size and outcome measures exists, this analysis highlights promising directions for optimizing long-term management of paraplegia. Greater standardization in trial design and outcome reporting will be essential for advancing therapeutic effectiveness and clinical applicability.

Indexed as

ParaplegiaClinical Trials as TopicElectric Stimulation TherapyExoskeleton DeviceHumansQuality of LifeRetrospective StudiesSpinal Cord Injuriesdisabilityexoskeletonfunctional recoverymobilityneuroprotectionparaplegia

Identifiers

PMID41760000
PMCPMC12956234

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.