Evidence map›Paper›PMID 30196326›Full record

Observational studyJournal of neurology2018

The effect of a single botulinum toxin treatment on somatosensory processing in idiopathic isolated cervical dystonia: an observational study.

Joke De Pauw, Patrick Cras, Steven Truijen, Rudy Mercelis, Sarah Michiels, Wim Saeys, Luc Vereeck, Ann Hallemans, Willem De Hertogh

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 36% 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.

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

0 citing papers in PubMed, 4 citations in OpenAlex.

No citing paper in PubMed yet.

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

9 authors at 2 institutions in 1 country.

Joke De PauwDepartment of Physical Therapy and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium. joke.depauw@uantwerpen.be.ORCID http://orcid.org/0000-0003-1798-4563
Patrick CrasDepartment of Neurology, Antwerp University Hospital, Edegem, Belgium.
Steven TruijenDepartment of Physical Therapy and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium.
Rudy MercelisDepartment of Neurology, Antwerp University Hospital, Edegem, Belgium.
Sarah MichielsDepartment of Physical Therapy and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium.
Wim SaeysDepartment of Physical Therapy and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium.
Luc VereeckDepartment of Physical Therapy and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium.
Ann HallemansDepartment of Physical Therapy and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium.
Willem De HertoghDepartment of Physical Therapy and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium.
University of Antwerp · BEAntwerp University Hospital · BE

Funding

Universiteit Antwerpen G815
6 · The paper itself

Abstract

backgroundPatients with idiopathic cervical dystonia (CD) experience involuntary neck muscle contractions, abnormal head position and pain accompanied by dysfunctions in somatosensory processes such as postural control, cervical sensorimotor and perception of visual verticality. First-line treatment is injection with botulinum toxin (BoNT). It remains unclear whether this affects sensorimotor processes.

aimTo investigate the effect of first-line care on deficiencies in somatosensory processes.

methodsIn this observational study, 24 adult patients with idiopathic CD were assessed three times over a treatment period of 12 weeks following a single treatment with BoNT. Disease severity was assessed by a disease-specific questionnaire, rating scale and the visual analogue scale. Seated postural control was assessed with posturography, cervical sensorimotor control was assessed by the joint repositioning error with an eight-camera infrared motion analysis system during a head repositioning accuracy test and perception of visual verticality was assessed with the subjective visual vertical test.

resultsDisease symptoms significantly improved following BoNT injections and deteriorated again at 12 weeks. This improvement was not accompanied by improved postural control, cervical sensorimotor control and perception of visual verticality. A trend toward improvement was seen; however, it did not reach the level of the control population.

conclusionThe peripheral and central treatment effects of BoNT have little to no effect on postural and cervical sensorimotor control in CD. Further research may explore whether sensory training or specialized exercise therapy improves somatosensory integration and everyday functioning in patients with CD.

Indexed as

PostureAdultAgedAged, 80 and overBotulinum ToxinsFemaleHumansMaleMiddle AgedNeuromuscular AgentsProprioceptionTorticollisTreatment OutcomeVisual PerceptionBotulinum ToxinsNeuromuscular AgentsBotulinum toxinCervical dystoniaProprioceptionSensorimotor integration

Identifiers

PMID30196326
OpenAlexW2890874111

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.