Evidence map›Paper›PMID 27857638›Full record

ArticleJournal of chiropractic medicine2016

Changes in Muscle Spasticity in Patients With Cerebral Palsy After Spinal Manipulation: Case Series.

Oleh Kachmar, Taras Voloshyn, Mykhailo Hordiyevych

2 registry-linked trialsOpen access · bronzeAbstract readCase Reports
In one paragraph

Article in Journal of chiropractic medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.1field-weighted citation impact, top 13% 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.

NCT03005938 nacompletednot on this map

Influence of the Spinal Manipulation on Muscle Spasticity and Manual Dexterity in Children With Cerebral Palsy, Randomized Control Trial.

TypeinterventionalSponsorInternational Clinic of Rehabilitation, UkraineRan2016 to 2017Enrolled85ConditionsCerebral Palsy, SpasticArmsSpinal manipulation, Imitation of the spinal manipulation
NCT03454412 completednot on this mapstarted 2018, after this paper: background citation

A Pilot Study of Hand Function in Children With Cerebral Palsy Undergoing Intensive Neurophysiological Rehabilitation

TypeobservationalSponsorInternational Clinic of Rehabilitation, UkraineRan2018 to 2019Enrolled44ConditionsCerebral PalsyArmsIntensive Neurophysiological Rehabilitation
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 19 citations in OpenAlex.

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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

3 authors at 1 institution in 1 country.

Oleh KachmarInnovative Technologies Department, International Clinic of Rehabilitation, Truskavets, Ukraine.
Taras VoloshynRehabilitation Department, International Clinic of Rehabilitation, Truskavets, Ukraine.
Mykhailo HordiyevychRehabilitation Department, International Clinic of Rehabilitation, Truskavets, Ukraine.
International Clinic of Rehabilitation · UA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose of this case series was to report quantitative changes in wrist muscle spasticity in children with cerebral palsy after 1 spinal manipulation (SM) and a 2-week course of treatment.

methodsTwenty-nine patients, aged 7 to 18 years, with spastic forms of cerebral palsy and without fixed contracture of the wrist, were evaluated before initiation of treatment, after 1 SM, and at the end of a 2-week course of treatment. Along with daily SM, the program included physical therapy, massage, reflexotherapy, extremity joint mobilization, mechanotherapy, and rehabilitation computer games for 3 to 4 hours' duration. Spasticity of the wrist flexor was measured quantitatively using a Neuroflexor device, which calculates the neural component (NC) of muscle tone, representing true spasticity, and excluding nonneural components, caused by altered muscle properties: elasticity and viscosity.

resultsSubstantial decrease in spasticity was noted in all patient groups after SM. The average NC values decreased by 1.65 newtons (from 7.6 ± 6.2 to 5.9 ± 6.5) after 1 SM. Another slight decrease of 0.5 newtons was noted after a 2-week course of treatment. In the group of patients with minimal spasticity, the decrease in NC after the first SM was almost twofold-from 3.93 ± 2.9 to 2.01 ± 1.0. In cases of moderate spasticity, NC reduction was noted only after the 2-week course of intensive treatment.

conclusionsIn this sample of patients with cerebral palsy, a decrease in wrist muscle spasticity was noted after SM. Spasticity reduction was potentiated during the 2-week course of treatment.

Indexed as

Cerebral PalsyMuscle SpasticitySpinal Manipulation

Identifiers

PMID27857638
PMCPMC5106424
OpenAlexW2524990925

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.