Evidence map›Paper›PMID 30778859›Full record

ArticleNeurology and therapy2019

Cerebrolysin as a New Treatment Option for Post-Stroke Spasticity: Patient and Physician Perspectives.

Nataliia Chemer, Volodymyr Bilanovskyi

Open access · goldAbstract read
In one paragraph

Article in Neurology and therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
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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

2 authors at 1 institution in 1 country.

Nataliia ChemerHead of Stroke Unit, Kyiv Regional Clinical Hospital, Kiev, Ukraine. chemerko@ukr.net.
Volodymyr Bilanovskyi, Kiev, Ukraine.
Kyiv City Clinical Oncology Center · UA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRecent studies show that spasticity occurs in 20-30% of all stroke victims, especially in younger patients. Botulinum toxin is a very effective treatment; however, it is not reimbursed in the Ukraine, thus leaving patients untreated and unable to use the paralyzed limb. Finally, this might result in long-term disability with economic consequences and negative impact on the psychological state of patients. Therefore, alternative and affordable treatment options are of high interest. This case report describes the therapeutic experience with Cerebrolysin on post-stroke spasticity in a chronic stroke patient from both the investigator's and the patient's perspective.

methodsCerebrolysin was administered for 30 days at a daily dose of 10 mL by intramuscular (IM) injections into the spastic limb of a 56-year-old chronic stroke patient. Therapeutic effects were assessed by the Modified Ashworth Scale (MAS), the mRS, and manual muscle testing (MMT).

resultsAfter completing the treatment course with Cerebrolysin, spasticity-related outcome measures like MMT had improved by 70% and the MAS by 2 points. The patient reported a beneficial effect on mood and motivation.

conclusionIntramuscular treatment with Cerebrolysin of post-stroke spasticity was safe and effective in this patient. The experiences observed in this patient are in line with the findings of a larger cohort study treated in the same way in the Philippines.

Indexed as

CerebrolysinPost-stroke spasticityRehabilitation

Identifiers

PMID30778859
PMCPMC6534635
OpenAlexW2916274205

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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.