Evidence map›Paper›PMID 29866177›Full record

Trial reportJournal of neuroengineering and rehabilitation2018

A novel sensor-based assessment of lower limb spasticity in children with cerebral palsy.

Seoyoung Choi, Yong Beom Shin, Soo-Yeon Kim, Jonghyun Kim

Abstract readClinical Trial
In one paragraph

Trial report in Journal of neuroengineering and rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Technology-assisted assessment of spasticity: a systematic review.Journal of neuroengineering and rehabilitation · 2022
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  6. Wearable sensors in paediatric neurology.Developmental medicine and child neurology · 2025
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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

4 authors.

Seoyoung ChoiDepartment of Robotics Engineering, DGIST (Daegu Gyeongbuk Institute of Science and Technology), 333 Techno Jungang-daero, Daegu, 42988, Republic of Korea.
Yong Beom ShinDepartment of Rehabilitation Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, 179 Gudeok-ro, Busan, 49241, Republic of Korea.
Soo-Yeon KimDepartment of Rehabilitation Medicine, Pusan National University Yangsan Hospital, 20 Geumo-ro, Yangsan, 50612, Republic of Korea.
Jonghyun KimDepartment of Robotics Engineering, DGIST (Daegu Gyeongbuk Institute of Science and Technology), 333 Techno Jungang-daero, Daegu, 42988, Republic of Korea. jhkim@dgist.ac.kr.ORCID 0000-0002-0380-7446

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo provide effective interventions for spasticity, accurate and reliable spasticity assessment is essential. For the assessment, the Modified Tardieu Scale (MTS) has been widely used owing to its simplicity and convenience. However, it has poor or moderate accuracy and reliability.

methodsWe proposed a novel inertial measurement unit (IMU)-based MTS assessment system to improve the accuracy and reliability of the MTS itself. The proposed system consists of a joint angle calculation algorithm, a function to detect abnormal muscle reaction (a catch and clonus), and a visual biofeedback mechanism. Through spastic knee and ankle joint assessment, the proposed IMU-based MTS assessment system was compared with the conventional MTS assessment system in 28 children with cerebral palsy by two raters.

resultsThe results showed that the proposed system has good accuracy (root mean square error < 3.2°) and test-retest and inter-rater reliabilities (ICC > 0.8), while the conventional MTS system has poor or moderate reliability. Moreover, we found that the deteriorated reliability of the conventional MTS system comes from its goniometric measurement as well as from irregular passive stretch velocity.

conclusionsThe proposed system, which is clinically relevant, can significantly improve the accuracy and reliability of the MTS in lower limbs for children with cerebral palsy.

Indexed as

Severity of Illness IndexWearable Electronic DevicesAdultAlgorithmsCerebral PalsyChildFeedback, SensoryFemaleHumansLower ExtremityMaleMuscle, SkeletalMuscle SpasticityReproducibility of ResultsAccuracyAssessmentCerebral palsyInertia measurement unit (IMU)Joint angleModified Tardieu scaleReliabilitySpasticity

Identifiers

PMID29866177
PMCPMC5987429

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Registered trials

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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.