Evidence map›Paper›PMID 35711273›Full record

ArticleFrontiers in neurology2022

Respective Contributions of Instrumented 3D Gait Analysis Data and Tibial Motor Nerve Block on Presurgical Spastic Equinus Foot Assessment: A Retrospective Study of 40 Adults.

Camille Cormier, Clément Sourisseau, Emmeline Montane, Marino Scandella, Evelyne Castel-Lacanal, Xavier De Boissezon, Philippe Marque, David Gasq

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2022. 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
1.0field-weighted citation impact, top 25% 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, 7 citations in OpenAlex.

  1. Article
  2. Observational
  3. Observational
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

8 authors at 2 institutions in 1 country.

Camille CormierDepartment of Physiological Explorations, University Hospital of Toulouse, Toulouse, France.
Clément SourisseauDepartment of Physiological Explorations, University Hospital of Toulouse, Toulouse, France.
Emmeline MontaneDepartment of Physical and Rehabilitation Medicine, University Hospital of Toulouse, Toulouse, France.
Marino ScandellaGait Analysis Laboratory, Department of Pediatric Surgery, University Hospital of Toulouse, Toulouse, France.
Evelyne Castel-LacanalToNIC, Toulouse NeuroImaging Centre, Inserm, University of Toulouse 3, Toulouse, France.
Xavier De BoissezonToNIC, Toulouse NeuroImaging Centre, Inserm, University of Toulouse 3, Toulouse, France.
Philippe MarqueToNIC, Toulouse NeuroImaging Centre, Inserm, University of Toulouse 3, Toulouse, France.
David GasqDepartment of Physiological Explorations, University Hospital of Toulouse, Toulouse, France.
Hôpital Rangueil · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spastic equinus foot is a common deformity in neurologic patients who compromise walking ability. It is related to the imbalance between weak dorsiflexion and overactive plantar flexor muscles. To achieve the best functional results after surgical management, the challenge is to identify the relevant components involved in the deformity using several methods, namely, examination in the supine position, motor nerve blocks allowing transient anesthesia of suspected overactive muscles, and kinematic and electromyographic data collected during an instrumented 3D gait analysis. The procedure is not standardized; its use varies from one team to another. Access to gait analysis laboratories is limited, and some teams do not perform motor nerve blocks. When both examinations are available, instrumental data from the instrumented 3D gait analysis can be used to specify muscle targets for motor blocks, but data collected from both examinations are sometimes considered redundant. This retrospective cohort analysis compared examination in the supine position, temporary motor nerve blocks, and instrumented 3D gait analysis data in 40 adults after brain or spinal cord injuries. Clinical data collected before motor nerve block was not associated with instrumental data to assess calf muscle's overactivity and tibialis anterior function. Improvement of ankle dorsiflexion in the swing phase after tibial motor nerve block was associated with soleus spastic co-contraction during this phase corroborating its involvement in ankle dorsiflexion defects. This study showed the relevance of tibial motor nerve block to remove spastic calf dystonia and facilitate the assessment of calf contracture. It also underlined the need for complementary and specific analyses of the tibialis anterior abnormal activation pattern after motor nerve block to confirm or deny their pathological nature.

Indexed as

brain injurieselectromyographyfoot deformitiesgait analysismuscle spasticitynerve blockspinal cord injury (SCI)

Identifiers

PMID35711273
PMCPMC9196860
OpenAlexW4281682653

What OpenQuestion holds

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LicenceCC BY
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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.