Evidence map›Paper›PMID 38482108›Full record

ArticleArchives of rehabilitation research and clinical translation2024

Cryoneurolysis of the Femoral Nerve for Focal Spasticity in an Ambulatory Patient.

Ève Boissonnault, Fraser MacRae, Mahdis Hashemi, Andrei Bursuc, Paul Winston

Open access · goldAbstract readCase Reports
In one paragraph

Article in Archives of rehabilitation research and clinical translation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Percutaneous Cryoneurolysis as a Dynamic Treatment for Spasticity: A Case Series.Archives of rehabilitation research and clinical translation · 2025
    Article
  7. Cryoneurolysis and Quadriplegia: A Case Report on Pain and Severe Spasticity Management.Archives of rehabilitation research and clinical translation · 2024
    Article
  8. Article
  9. 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.

Ève BoissonnaultCentre Hospitalier de l'Université de Montréal, Montréal, Canada.
Fraser MacRaeCanadian Advances in Neuro-Orthopedics for Spasticity Consortium, Kingston, Canada.
Mahdis HashemiCanadian Advances in Neuro-Orthopedics for Spasticity Consortium, Kingston, Canada.
Andrei BursucCentre Hospitalier de l'Université de Montréal, Montréal, Canada.
Paul WinstonCanadian Advances in Neuro-Orthopedics for Spasticity Consortium, Kingston, Canada.
Centre Hospitalier de l’Université de Montréal · CAIsland Health · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Spasticity of the knee extensors is a common presentation among patients with multiple sclerosis. The resulting stiff leg gait can result in increased risk of falls, heightened energy expenditure during gait, lowered gait speed, and compensatory gait mechanisms that increase wear on the hips. Cryoneurolysis is a novel percutaneous, minimally invasive treatment for focal spasticity. Methods: A single patient with multiple sclerosis was treated with cryoneurolysis of the femoral nerve branch to rectus femoris. The patient was followed for 15 months. Spasticity severity, gait speed, and patient reported outcomes were collected at each follow-up. Results: Spasticity severity as per the Modified Ashworth Scale was reduced at 1 month, with change persisting up to 15 months post-procedure. Range of motion as per the Modified Tardieu Scale showed gradual improvement over the 15-month period. Gait speed increased after the procedure from 21.15 seconds to 12.49 seconds for the 10 m walk test 1 month post-procedure, then slowed to baseline after 15 months. The patient's confidence in their gait improved and their independence was maintained throughout the follow-up period. Because of the regression in the 10 m walk test, the patient elected to have the procedure repeated after 15 months. Immediately after the procedure, the 10 m test time improved to 16.20 seconds. Conclusion: Cryoneurolysis of the femoral nerve may be an effective, long-lasting treatment for spasticity causing stiff knee gait in patients with multiple sclerosis.

Indexed as

GaitMultiple sclerosisRehabilitationSpasticity

Identifiers

PMID38482108
PMCPMC10928293
OpenAlexW4390610589

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.