Evidence map›Paper›PMID 36306168›Full record

Trial reportJournal of rehabilitation medicine2022

Goal Attainment after Treatment with Abobotulinumtoxina and a Tailored Home Therapy Programme in Children with Upper Limb Spasticity: Descriptive, Exploratory Analysis of a Large Randomized, Controlled Study

Jorge Carranza-Del Río, Nigar Dursun, Cigdem Cekmece, Marcin Bonikowski, Weronika Pyrzanowska, Edward Dabrowski, Ann Tilton, Joyce Oleszek, Magali Volteau, Simon Page and 2 more

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of rehabilitation medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 42% 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.

NCT02106351 phase3completednot on this map

A Phase III, Multicentre, Double Blind, Prospective, Randomised, Controlled, Multiple Treatment Study Assessing Efficacy And Safety Of DYSPORT® Used In The Treatment Of Upper Limb Spasticity In Children

TypeinterventionalSponsorIpsenRan2014 to 2018Enrolled212ConditionsUpper Limb Spasticity (Altered Skeletal Muscle Performance) in ChildrenArmsBotulinum toxin type A
NCT06128616 phase3unknown statusnot on this mapstarted 2023, after this paper: background citation

Efficacy of Extracorporeal Shock Wave Therapy Integrated to Combined Treatment of Botulinum Toxin A and Serial Casting in Children With Cerebral Palsy

TypeinterventionalSponsorKocaeli UniversityRan2023 to 2024Enrolled40ConditionsSpasticity/Paresis, Cerebral PalsyArmsESWT, Botulinum Toxin Type A, Serial Casting, Physical Therapy, Occupational Therapy
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
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

12 authors at 8 institutions in 5 countries.

Jorge Carranza-Del RíoHospital San José Celaya, Celaya, Guanajuato, Mexico.
Nigar DursunKocaeli University Faculty of Medicine Department of Physical Medicine and Rehabilitation, Turkey.
Cigdem CekmeceKocaeli University Faculty of Medicine Department of Physical Medicine and Rehabilitation, Turkey.
Marcin BonikowskiMazovian Neuropsychiatry Centre, Warsaw, Poland.
Weronika PyrzanowskaMazovian Neuropsychiatry Centre, Warsaw, Poland.
Edward DabrowskiBeaumont Health, Oakland University School of Medicine, Grosse Pointe, MI.
Ann TiltonLSU Health Sciences Center and Children's Hospital New Orleans, New Orleans, LA.
Joyce OleszekChildren's Hospital Colorado, Aurora, CO, USA.
Magali VolteauIpsen, Les Ulis, France.
Simon PageIpsen, Bath Road, Slough, UK.
Angela ShierkUniversity of Texas Southwestern Medical Center and Scottish Rite Hospital for Children, Dallas, TX, USA.
Mauricio R DelgadoUniversity of Texas Southwestern Medical Center and Scottish Rite Hospital for Children, Dallas, TX, USA. mdelgadomd@gmail.com.
Kocaeli Üniversitesi · TRSouthwestern Medical Center · USIpsen (France) · FRIpsen (United Kingdom) · GBLouisiana State University Health Sciences Center New Orleans · USOakland University · USUniversity of Celaya · MXUniversity of Colorado Denver · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis exploratory analysis of a large, randomized, double-blind study (NCT02106351) describes the effect of treatment with abobotulinumtoxinA followed by a tailored home exercises therapy programme in enabling children with upper limb spasticity due to cerebral palsy to achieve their functional goals using goal attainment scaling (GAS).

methodsChildren with cerebral palsy and spasticity in ≥ 1 upper limb received up to 4 injection cycles of abobotulinumtoxinA (2 U/kg (cycle 1 only), 8U/kg and 16U/kg) into the elbow and wrist flexors and other upper limb muscles selected to support individual treatment goals. Children followed a home exercises therapy programme, which included stretches and exercises specifically chosen to facilitate goal achievement and engagement in activities.

resultsFor cycle 1, most children had active function goals set as their primary goal (69.7% vs 19.2% passive function goals). GAS T- scores and goal responder rates at week 16 indicated that most types of primary goal were achieved at least as expected during cycle 1 (all groups). Primary goal GAS T-scores were generally maintained for the first 3 abobotulinumtoxinA treatment cycles.

conclusionMost children with upper limb spasticity treated with repeat cycles of abobotulinumtoxinA supported by an individualized home exercises therapy programme achieved their functional goals.

Indexed as

Botulinum Toxins, Type ACerebral PalsyNeuromuscular AgentsChildHumansMuscle SpasticityTreatment OutcomeUpper ExtremityBotulinum Toxins, Type ANeuromuscular Agents

Identifiers

PMID36306168
PMCPMC9762673
OpenAlexW4307468117

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.