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. 2023 Apr 13;5:14. doi: 10.1186/s42466-023-00241-z

Table 1.

Clinical studies investigating ESCS

Included studies Number of participant(s) Level of injury and ASIA grading Main functional outcomes Study type Level of evidence*
Harkema et al. [8] 1 C7 (AIS B) Full weight-bearing standing with assistance during ESCS Case report 4
Angeli et al. [4] 4

T4 (AIS A);

T4 (AIS A);

C5 (AIS B);

T1 (AIS B)

Walk overground with parallel bars (2/4); taking steps on treadmill with body-weight support (other 2/4); standing with trunk stability Case series 4
Gill et al. [7] 1 T6 (AIS A) Independent standing; stepping on treadmill; stepping overground with walker and assistance Case report 4
Rejc et al. [10] 4

T4 (AIS A);

T4 (AIS A);

T2 (AIS B);

C7 (AIS B);

Full weight-bearing standing with self-balance assistance Case series 4
Rowald et al. [14] 3

T4 (AIS A);

T3 (AIS A);

T7 (AIS B);

Overground walking with body-weight support after three days of ESCS; leg movements for cycling and swimming; improved trunk control Case series 4
Wagner et al. [15] 3

C7 (AIS C);

C4 (AIS D);

C7 (AIS C);

Overground walking with body-weight support; Increased Lower Extremity Motor Scores (ISNCSCI); Case series 4
Lu et al. [16] 2

C5 (AIS B);

C6 (AIS B)

Increased Upper Extremity Motor Scores (ISNCSCI); Improvement in selfcare-subcategories in the SCIM III Case series 4
Darrow et al. [6] 2

T8 (AIS A);

T4 (AIS A)

Improvement of symptomatic hypotension (1/2); volitional voiding (1/2) with residual volumes; recovery of female orgasm (1/2) Case series 4
Schieferdecker et al. [17] 5 (4 SCI, 1 Multiple sclerosis) Not specified. All participants were paraplegic Decreased urine leakage and incontinence Retrospective case series 4
Herrity et al. [18] 20 (10/10) in intervention group/usual care group) Range from C2 to T4 (AIS A/B) Improved bladder capacity in intervention group (whereas no change in usual care group) Case control study;cohort study 3b

*Levels of evidence were classified according to the Oxford Centre of Evidence-Based Medicine: Levels of Evidence [19]