Spinal Cord Research Help
AboutCategoriesLatest ResearchContact
Subscribe
Spinal Cord Research Help

Making Spinal Cord Injury (SCI) Research Accessible to Everyone. Simplified summaries of the latest research, designed for patients, caregivers and anybody who's interested.

Quick Links

  • Home
  • About
  • Categories
  • Latest Research
  • Disclaimer

Contact

  • Contact Us
© 2025 Spinal Cord Research Help

All rights reserved.

  1. Home
  2. Research
  3. Spinal Cord Injury
  4. Towards Rebalancing Blood Pressure Instability after Spinal Cord Injury with Spinal Cord Electrical Stimulation: A Mini Review and Critique of the Evolving Literature

Towards Rebalancing Blood Pressure Instability after Spinal Cord Injury with Spinal Cord Electrical Stimulation: A Mini Review and Critique of the Evolving Literature

Auton Neurosci., 2022 · DOI: 10.1016/j.autneu.2021.102905 · Published: January 1, 2022

Spinal Cord InjuryCardiovascular ScienceNeurology

Simple Explanation

Spinal cord injury (SCI) can lead to blood pressure instability, including orthostatic hypotension (OH) and autonomic dysreflexia (AD), increasing the risk of vascular diseases. Electrical stimulation of the spinal cord is being explored as a potential therapy to normalize blood pressure by targeting the spinal circuitry that controls the cardiovascular system. Research suggests spinal cord stimulation can help restore blood pressure control in individuals with SCI, but more studies are needed to understand the underlying mechanisms and optimal stimulation parameters.

Study Duration
Not specified
Participants
Review article
Evidence Level
Review

Key Findings

  • 1
    Epidural stimulation can cause a rise in blood pressure and prevent orthostatic hypotension by inducing vasoconstriction below the level of injury.
  • 2
    Transcutaneous spinal cord stimulation can increase blood pressure and cerebral artery flow velocities in individuals with SCI.
  • 3
    Spinal cord stimulation has shown potential in attenuating the severity of hypertension and resolving AD caused by induced colonic distension in animal studies and human case series.

Research Summary

Spinal cord injury (SCI) often leads to blood pressure instability, manifesting as orthostatic hypotension (OH) and autonomic dysreflexia (AD), which significantly increases the risk of cardiovascular diseases. Spinal cord electrical stimulation is emerging as a potential therapeutic approach to address blood pressure instability in SCI patients, with studies showing its ability to restore movement and improve autonomic neuroregulation. Despite promising results, further research is needed to fully understand the mechanisms of action, optimize stimulation parameters, and ensure the long-term safety and efficacy of spinal cord electrical stimulation for managing blood pressure instability in individuals with SCI.

Practical Implications

Therapeutic Potential

Spinal cord electrical stimulation could offer a novel approach to manage blood pressure instability in individuals with SCI, potentially reducing their risk of cardiovascular diseases.

Research Advancement

Further research is needed to optimize stimulation parameters, identify specific spinal cord targets, and understand the mechanisms of action underlying the effects of spinal cord electrical stimulation on blood pressure regulation.

Clinical Translation

Refining protocols for spinal cord electrical stimulation could lead to wider clinical implementation of this technology, improving the quality of life for individuals with SCI experiencing blood pressure instability.

Study Limitations

  • 1
    Variability in the pathophysiology after spinal cord injuries.
  • 2
    Nonstandard stimulation sites and parameters used in studies to date.
  • 3
    Need for more robust studies to corroborate animal data for AD management.

Your Feedback

Was this summary helpful?

Back to Spinal Cord Injury