Evidence map›Paper›PMID 42008493›Full record

ArticlePloS one2026

Effects of non-invasive spinal cord stimulation on autonomic function in individuals with subacute spinal cord injury: A pilot clinical trial protocol.

Ryo Nakahara, Sarah Nasson, Ellie Bieler, Emilee Putsche-Young, Benjamin Aguila, Jiayi Shen, Emma Chung, Laura Winston, Stephen Burns, Deborah Crane and 5 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06540859 (Spinal Cord Stimulation for Autonomic Recovery in Inpatient Rehabilitation After Acute SCI), which is not on this 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.

NCT06540859 narecruitingnot on this map

Spinal Cord Stimulation for Autonomic Recovery in Inpatient Rehabilitation After Acute SCI

TypeinterventionalSponsorUniversity of WashingtonRan2024 to 2027Enrolled26ConditionsSpinal Cord InjuriesArmsTranscutaneous Spinal Cord Stimulation, Sham Stimulation
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

15 authors.

Ryo NakaharaDepartment of Rehabilitation Medicine, University of Washington, Seattle, Washington, United States of America.ORCID https://orcid.org/0000-0002-8594-155X
Sarah NassonDepartment of Rehabilitation Medicine, University of Washington, Seattle, Washington, United States of America.
Ellie BielerDepartment of Rehabilitation Medicine, University of Washington, Seattle, Washington, United States of America.
Emilee Putsche-YoungDepartment of Rehabilitation Medicine, University of Washington, Seattle, Washington, United States of America.
Benjamin AguilaDepartment of Rehabilitation Medicine, University of Washington, Seattle, Washington, United States of America.
Jiayi ShenDepartment of Rehabilitation Medicine, University of Washington, Seattle, Washington, United States of America.
Emma ChungDepartment of Rehabilitation Medicine, University of Washington, Seattle, Washington, United States of America.
Laura WinstonDepartment of Rehabilitation Medicine, University of Washington, Seattle, Washington, United States of America.
Stephen BurnsDepartment of Rehabilitation Medicine, University of Washington, Seattle, Washington, United States of America.
Deborah CraneDepartment of Rehabilitation Medicine, University of Washington, Seattle, Washington, United States of America.
Margaret EugenioDivision of Gastroenterology, Harborview Medical Center, Seattle, Washington, United States of America.
Klaus KroghDepartment of Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus, Denmark.
Andrei KrassioukovInternational Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, BC, Canada.
Chet MoritzDepartment of Rehabilitation Medicine, University of Washington, Seattle, Washington, United States of America.
Soshi SamejimaDepartment of Rehabilitation Medicine, University of Washington, Seattle, Washington, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSpinal cord injury (SCI) at or above the thoracic sixth spinal cord level disrupts descending sympathetic and parasympathetic control, leading to severe autonomic dysfunctions including cardiovascular and pelvic organ function. These complications adversely affect the quality of life and are associated with increased morbidity and mortality after SCI. Transcutaneous spinal cord stimulation (tSCS) may offer therapeutic benefits for these functions. The safety of tSCS in subacute SCI, however, remains unknown. Therefore, this study aims to evaluate the feasibility of tSCS for autonomic recovery in individuals with subacute SCI within six months since injury. METHODS AND ANALYSIS: We designed a two-phase clinical protocol consisting of a pilot randomized controlled trial conducted during inpatient rehabilitation (Project A), followed by a post-discharge outpatient phase with a single-arm quasi-experimental design (Project B). In Project A, 26 adults with cervical or upper thoracic (≥T6) American Spinal Injury Association Impairment Scale (AIS) A-C SCI are planned to be enrolled and randomly assigned to receive tSCS or sham stimulation for five sessions (up to 90 minutes each) in parallel with standard care. Following discharge from inpatient rehabilitation, eligible participants will be offered continuation in Project B. New eligible participants who have not participated in Project A will also be recruited into Project B. They will receive 18 tSCS sessions over six weeks in the laboratory setting. Primary outcomes focus on feasibility, including recruitment, retention, and stimulation-related adverse events. Clinical outcomes will be collected at baseline, after each intervention, and at six months and one-year post-injury. Feasibility results will be summarized descriptively, and exploratory analyses of autonomic outcomes, including cardiovascular and pelvic organ function, will provide preliminary estimates of autonomic responses. ETHICS AND DISSEMINATION: The study has been approved by the University of Washington Institutional Review Board. Written informed consent will be obtained from all participants. Results will be submitted to peer-reviewed journals and shared with the scientific/clinical communities and individuals with lived experience of SCI.

trial registrationClinicalTrials.gov NCT06540859.

Indexed as

Autonomic Nervous SystemSpinal Cord InjuriesSpinal Cord StimulationAdultFemaleHumansMaleMiddle AgedPilot ProjectsQuality of LifeRandomized Controlled Trials as TopicTreatment Outcome

Identifiers

PMID42008493
PMCPMC13094951

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Registered trials

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.