Evidence map›Paper›PMID 42763327›Full record

ArticleSpinal cord2026

Blood flow restricted exercise with and without transcutaneous spinal cord stimulation via telehealth in persons with tetraplegia. A protocol for randomized clinical trial.

Ashraf S Gorgey, Muhammad U Rehman, Momal Wasim, Refka E Khalil, Bret Brooks, Ronald Seel, Rajbir Chaggar, Timothy Lavis

Registry-linked trialAbstract read
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In one paragraph

Article in Spinal cord, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05423600 (Transspinal Stimulation With and Without Blood Flow Restricted Exercise Via Telehealth in Persons With Tetraplegia), 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.

NCT05423600 narecruitingnot on this map

Transspinal Stimulation With and Without Blood Flow Restricted Exercise Via Telehealth in Persons With Tetraplegia

TypeinterventionalSponsorVirginia Commonwealth UniversityRan2022 to 2026Enrolled44ConditionsTetraplegia/TetraparesisArmsBES + TS, Experimental: BES+sham TS
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.

Ashraf S GorgeySpinal Cord Injury and Disorders, Richmond VA Medical Center, Richmond, VA, USA. ashraf.gorgey@va.gov.ORCID http://orcid.org/0000-0002-9157-6034
Muhammad U RehmanSpinal Cord Injury and Disorders, Richmond VA Medical Center, Richmond, VA, USA.
Momal WasimSpinal Cord Injury and Disorders, Richmond VA Medical Center, Richmond, VA, USA.
Refka E KhalilSpinal Cord Injury and Disorders, Richmond VA Medical Center, Richmond, VA, USA.
Bret BrooksSpinal Cord Injury and Disorders, Richmond VA Medical Center, Richmond, VA, USA.
Ronald SeelVirginia Commonwealth University, Department of Physical Medicine & Rehabilitation, Richmond, VA, USA.
Rajbir ChaggarVirginia Commonwealth University, Department of Physical Medicine & Rehabilitation, Richmond, VA, USA.ORCID http://orcid.org/0000-0002-1685-4508
Timothy LavisSpinal Cord Injury and Disorders, Richmond VA Medical Center, Richmond, VA, USA.

Funding

U.S. Department of Health & Human Services | ACL | National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) 90SIMS0014
6 · The paper itself

Abstract

STUDY

designA single site randomized clinical trial; Richmond, VA, USA.

objectiveTo determine the effect of 16 weeks of home-based blood flow restriction-enhanced neuromuscular electrical stimulation (BES) and non-invasive transcutaneous spinal cord stimulation (TSS) with mass practiced (MP) training on cervical neuroplasticity and upper extremity function in individuals with tetraplegia. The program is supported by a telehealth-based approach designed to improve adherence.

methodsForty-four adults (18-70 years) with incomplete cervical SCI (AIS B-D; injury level C8 or above) will be randomized to TSS + BES + MP or sham TSS + BES + MP for 30 weeks. All participants, accompanied by a caregiver, will complete a 4-week education and training phase (2 weeks on-site, 2 weeks via telehealth), followed by 16 weeks of telehealth-supervised home training. Baseline assessments will occur before training (BL1) and after the education phase (Phase 1, BL2). Post-intervention (P1) testing will follow 16 weeks of home-based training (Phase 2), with an additional follow-up (Fw) after an 8-week washout period to evaluate any carry-over effects (Phase 3). The first 15 months will serve as a feasibility phase without randomization; data from these participants will be included within the TSS + BES + MP group. Randomization thereafter will be conducted using a computer-generated sequence. Home-based TSS application for upper extremity function is a feasible and safe strategy in persons with tetraplegia. The proposal is likely to ensure long-term compliance and adherence as well as to reduce the barriers associated with exercise interventions in persons with tetraplegia. SPONSORSHIP: National Institute on Disability, Independent Living, and Rehabilitation Research [NIDILRR]. CLINICALTRIALS: GOV IDENTIFIER: NCT05423600.

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

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 Socratic graph.