Evidence map›Paper›PMID 23396653›Full record

ArticleJournal of ultrasound2008

Ultrasound-guided injection of botulinum toxin A in the treatment of iliopsoas spasticity.

L M Sconfienza, N Perrone, F Lacelli, C Lentino, G Serafini

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of ultrasound, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02586142 (Botulinum Toxin Injections by Ultrasounds Guidance and Stretching Exercise in Spastic Toe Clawing), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 30% of its field
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.

NCT02586142 phase3completednot on this mapstarted 2010, after this paper: background citation

Botulinum Toxin Injections by Ultrasounds Guidance and Stretching Exercise in Spastic Toe Clawing

TypeinterventionalSponsorChang Gung Memorial HospitalRan2010 to 2013Enrolled30ConditionsCerebrovascular AccidentArmsBotulinum Toxin Type A, Stretching exercise
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Review
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  5. Article
  6. Observational
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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

5 authors at 2 institutions in 1 country.

L M SconfienzaDi.Me.S. Sezione di Radiodiagnostica, Università degli Studi di Genova, Genova, Italy.
N Perrone
F Lacelli
C Lentino
G Serafini
Ospedale Santa Corona · ITUniversity of Genoa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIntramuscular injection of botulinum toxin A (BTX-A) is a common treatment for iliopsoas muscle spasticity, but it is not easy to position the needle in this muscle without guidance. In this paper we describe an ultrasound-guided technique for the intramuscular injection of BTX-A to treat spasticity of the iliopsoas muscle. Its effectiveness was assessed in 10 patients. METHOD AND MATERIALS: The ultrasound-guided technique for BTX-A injection was used on 10 patients. The needle was inserted into the muscle belly at an angle of 45° along the longitudinal axis of the muscle when allowed by patient's condition.

resultsIn all cases, the iliopsoas muscle was easily identified and both the iliac and psoas components were assessed. Introduction of the needle and drug injection were entirely carried out under ultrasonographic guidance. The procedure was successful in all patients, even in those with a high-grade spasticity, and general anesthesia was not required.

conclusionsThis ultrasound-guided technique allows accurate guidance for the injection of BTX-A, and it can be considered as an alternate supportive therapy in patients with spasticity and dystonia.

Indexed as

Botulinum A toxinCerebral palsyIliopsoas muscleInjectionInterventional ultrasonography

Identifiers

PMID23396653
PMCPMC3552655
OpenAlexW2154847361

What OpenQuestion 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 OpenQuestion graph.