Evidence map›Paper›PMID 24407377›Full record

Trial reportJournal of neural transmission (Vienna, Austria : 1996)2014

Spasticity treatment with onabotulinumtoxin A: data from a prospective German real-life patient registry.

Axel Schramm, Jean-Pierre Ndayisaba, Matthias Auf dem Brinke, Martin Hecht, Christoph Herrmann, Martin Huber, Elmar Lobsien, Sabine Mehnert, Iris Reuter, Andrea Stenner and 4 more

Abstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Journal of neural transmission (Vienna, Austria : 1996), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Trial
  5. A proof-of-concept study on the effectiveness of botulinum toxin on spasticity plus syndrome in multiple sclerosis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Botulinum toxin for the management of spasticity in multiple sclerosis: the Italian botulinum toxin network study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Observational
  12. Patient Registry of Spasticity Care World: Data Analysis Based on Physician Experience.American journal of physical medicine & rehabilitation · 2017
    Observational
  13. Article
  14. Botulinum Toxin Treatment in Multiple Sclerosis-a Review.Current treatment options in neurology · 2017
    Review
  15. Article
  16. Observational
  17. Article
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

14 authors.

Axel SchrammDepartment of Neurology, University of Erlangen, Schwabachanlage 6, 91054, Erlangen, Germany, axel.schramm@uk-erlangen.de.
Jean-Pierre Ndayisaba
Matthias Auf dem Brinke
Martin Hecht
Christoph Herrmann
Martin Huber
Elmar Lobsien
Sabine Mehnert
Iris Reuter
Andrea Stenner
Christian van der Ven
Martin Winterholler
Andreas Kupsch
Joerg Wissel

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed at providing real-life baseline, injection and outcome data for the treatment of various forms of spasticity with onabotulinumtoxin A in Germany. Prospective data were collected in an open multicenter patient registry from 2005 until 2010, encompassing the experience of ten specialized German centers in the treatment of spasticity using onabotulinumtoxin A in 508 patients with a total of 2005 treatment sessions. Disease entities comprised spasticity following stroke (both ischemic and hemorrhagic), traumatic brain injury, multiple sclerosis, cerebral palsy, and anoxia. Sustained improvement was observed in a variety of outcome parameters including goal attainment and motor performance scores for up to five repeated injection sessions. No significant differences between disease entities or between upper and lower limb treatment were observed with regard to efficacy and safety following onabotulinumtoxin A treatment. Minor to moderate side effects were reported in <1 % of the study population. We conclude that repetitive treatment of focal and multifocal spasticity with onabotulinumtoxin A provides a safe and efficacious therapeutic strategy for patients with different disease entities of the central nervous system.

Indexed as

AdultBotulinum Toxins, Type AFemaleGermanyHumansLower ExtremityMaleMiddle AgedMuscle SpasticityNeuromuscular AgentsProspective StudiesRegistriesTreatment OutcomeUpper ExtremityBotulinum Toxins, Type ANeuromuscular Agents

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.