ArticleJournal of pediatric neurosciences2011
Outcome of selective motor fasciculotomy in the treatment of upper limb spasticity.
Article in Journal of pediatric neurosciences, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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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.
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.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Interventions to improve upper limb function for children with bilateral cerebral palsy: a systematic review.Developmental medicine and child neurology · 2019Pooled it
- Localizing motor entry points of adductor muscles of thigh for motor point procedures in the treatment of adductor spasticity.Anatomy & cell biology · 2024Article
- Lateral Pectoral Nerve Identification through Ultrasound-Guided Methylene Blue Injection during Selective Peripheral Neurectomy for Shoulder Spasticity: Proposal for a New Procedure.Journal of personalized medicine · 2024Article
- The utility of selective partial neurectomy of the musculocutaneous nerve in children with bilateral spastic elbow.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023Article
- Defining spasticity: a new approach considering current movement disorders terminology and botulinum toxin therapy.Journal of neurology · 2018Article
- The role of neurectomy in the management of spasticity of the upper limb.EFORT open reviews · 2017Article
- Microsurgical anatomy of branches of musculocutaneous nerve: clinical relevance for spastic elbow surgery.Surgical and radiologic anatomy : SRA · 2017Article
- Motor branches of the ulnar nerve to the forearm: an anatomical study and guidelines for selective neurectomy.Surgical and radiologic anatomy : SRA · 2015Article
- Anatomical study of the musculocutaneous nerve branching pattern: application for selective neurectomy in the treatment of elbow flexors spasticity.Surgical and radiologic anatomy : SRA · 2015Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe objective was to assess the outcome of selective motor fasciculotomy in relieving upper limb harmful resistant spasticity and thereby to improve motor functions in persons with cerebral palsy. MATERIALS AND
methodsTwenty people having cerebral palsy (12 females and 8 males) with age ranging from 5 to 35 (mean 12.85) years with upper limb resistant spasticity due to spastic hemiplegia (n=7), triplegia (n=6), and quadriplegia (n=7) were assessed using Modified Ashworth Scale, Selective Voluntary Control Grade, Wee FIM Scale and hand function evaluation. Selective motor fasciculotomy was performed on the musculocutaneous nerve (n=13) for elbow flexors spasticity, median nerve (n=24) for pronators and radial wrist flexors spasticity and ulnar nerve (n=3) for ulnar wrist flexors spasticity. Pre- and post-op therapeutic exercises were performed.
resultsStatistical analysis using the Wilcoxon Signed Ranks test showed significant reduction in spasticity and improvement in selective voluntary control, hand functions (grasp to hold a 2 inch rod), and Wee FIM (self-care domain in particular). There was no recurrence in spasticity and complications following surgery.
conclusionsThe selective motor fasciculotomy of musculocutaneous, median, and ulnar nerves significantly reduces spasticity in the affected muscle groups and thereby improves the self-care (motor) functions in selected people with cerebral palsy who have harmful resistant spasticity without any organic shortening of the muscles. The procedure is safe and the spasticity does not recur.
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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.