Evidence map›Paper›PMID 33814721›Full record

ArticleJournal of physical therapy science2021

Long-term effects of combined botulinum toxin treatment and rehabilitation on upper limb muscle spasms: a case report.

Kazuo Saito, Yumiko Saito, Kyoko Hirota, Hirotaka Matui, Kimitaka Hase

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Journal of physical therapy science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. The use of botulinum toxin for spasticity in people with spinal cord injury: a scoping review.European journal of physical and rehabilitation medicine · 2026
    Article
  2. 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

5 authors at 3 institutions in 1 country.

Kazuo SaitoDepartment of Rehabilitation, Faculty of Health Sciences, Tokyo Kasei University: 2-15-1 Inariyama, Sayama, Saitama 350-1398, Japan.
Yumiko SaitoDepartment of Rehabilitation, Fuchinobe General Hospital, Japan.
Kyoko HirotaDepartment of Rehabilitation, Fuchinobe General Hospital, Japan.
Hirotaka MatuiDepartment of Rehabilitation, Fuchinobe General Hospital, Japan.
Kimitaka HaseDepartment of Rehabilitation Medicine, Kansai Medical University, Japan.
Hitachi General Hospital · JPKansai Medical University · JPTokyo Kasei University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

[Purpose] We report our experience with a patient with a central spinal cord injury who showed improved finger and upper limb functions after long-term treatment with a combination of rehabilitation and botulinum toxin type A. [Participants and Methods] The patient had spasms and pain that gradually became more profound and was given botulinum toxin type A at 1 year 3 months after sustaining a spinal cord injury. We administered 14 botulinum toxin type A injections periodically for 7 years 4 months after the injury. We administered the injections at an average interval of 5.6 months. Splints that allowed extension and improved finger muscle tone and contracture were made for the patient. [Results] The patient experienced gradual alleviation of the spasms in the proximal upper limb muscles and improved range of motion after receiving five doses of botulinum toxin type A. The spasms and range of motion in the fingers gradually improved around 4 years after the injury through splint therapy and a combination of botulinum toxin type A administration and rehabilitation. [Conclusion] The combination of botulinum toxin type A, splint, and rehabilitation therapies can lead to positive improvements in finger spasticity and range of motion and is recommended for hypertonia cases with severe contractures.

Indexed as

Carry-over effectConcomitant use of splintRestoration of hand function

Identifiers

PMID33814721
PMCPMC8012200
OpenAlexW3138979517

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.