Evidence map›Paper›PMID 42317471›Full record

SynthesisFrontiers in human neuroscience2026

Spinal cord stimulation to manage autonomic dysfunction after spinal cord injury: a systematic review.

Pratham Upadhyay, Ioannis Tsikopoulos, Clement Hiscock, Hannah Houliston, Sean Doherty, Sarah Knight, David Baxter, Lynsey Duffell

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in human neuroscience, 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. 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

8 authors.

Pratham UpadhyayDepartment of Medical Physics and Biomedical Engineering, University College London, London, United Kingdom.
Ioannis TsikopoulosLondon Spinal Cord Injury Centre, Royal National Orthopaedic Hospital, London, United Kingdom.
Clement HiscockDepartment of Medical Physics and Biomedical Engineering, University College London, London, United Kingdom.
Hannah HoulistonDepartment of Medical Physics and Biomedical Engineering, University College London, London, United Kingdom.
Sean DohertyDepartment of Medical Physics and Biomedical Engineering, University College London, London, United Kingdom.
Sarah KnightDepartment of Medical Physics and Biomedical Engineering, University College London, London, United Kingdom.
David BaxterLondon Spinal Cord Injury Centre, Royal National Orthopaedic Hospital, London, United Kingdom.
Lynsey DuffellDepartment of Medical Physics and Biomedical Engineering, University College London, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Spinal cord injury (SCI) results in severe autonomic dysfunction, across cardiovascular, bladder, bowel and sexual domains, negatively affecting quality of life. Recently, there has been growing interest in the application of spinal cord stimulation (SCS) to restore or modulate autonomic functions in people with SCI. This review systematically evaluated the evidence for spinal cord and/or root stimulation, delivered via epidural (eSCS), transcutaneous (tSCS) spinal cord stimulation, or sacral (posterior) anterior root stimulation (SARS/SPARS) - in managing autonomic dysfunction after SCI. Methods: A systematic search of OVID Medline, OVID Embase, and Web of Science, was completed in September 2024. Eligible studies included adults with SCI (≥18 years old) receiving eSCS, tSCS, or SARS, reporting at least one quantitative autonomic outcome measure. Extracted data were synthesised by autonomic domain (cardiovascular, urinary, bowel, sexual), intervention type (eSCS, tSCS, or SARS) and duration of stimulation (acute vs. chronic). Results: Fifty-seven articles were identified, evaluating eSCS (30 studies, Conclusion: Electrical stimulation of the spinal cord and/or nerve roots is a promising method for modulating or restoring autonomic function after SCI. However, current evidence is based on small cohort or case studies, or retrospective reporting. Larger controlled studies are recommended to establish efficacy and long-term safety, and further mechanistic investigations are required. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420250621447, identifier PROSPERO (CRD420250621447).

Indexed as

autonomic functionbladderbowelcardiovascularsacral anterior root stimulationsexual functionspinal cord injuryspinal cord stimulation

Identifiers

PMID42317471
PMCPMC13272453

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.