Evidence map›Paper›PMID 38957257›Full record

ArticleCureus2024

Effectiveness of Botulinum Toxin Injection With Casting in Children With Spastic Cerebral Palsy: A Randomized Controlled Trial.

Shivansh Vishwakarma, Dileep Kumar, Ravindra Kumar Garg, Anil K Gupta, Ajai Singh, Sudhir Mishra, Ganesh Yadav

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

7 authors.

Shivansh VishwakarmaDepartment of Physical Medicine and Rehabilitation, King George's Medical University, Lucknow, IND.
Dileep KumarDepartment of Physical Medicine and Rehabilitation, King George's Medical University, Lucknow, IND.
Ravindra Kumar GargDepartment of Neurology, King George's Medical University, Lucknow, IND.
Anil K GuptaDepartment of Physical Medicine and Rehabilitation, King George's Medical University, Lucknow, IND.
Ajai SinghDepartment of Pediatric Orthopaedics, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
Sudhir MishraDepartment of Physical Medicine and Rehabilitation, King George's Medical University, Lucknow, IND.
Ganesh YadavDepartment of Physical Medicine and Rehabilitation, King George's Medical University, Lucknow, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe most common form of movement disorder presented in children with cerebral palsy is spasticity, and dynamic equinus is the most common spastic ankle deformity. Botulinum toxin (BT) injection is now an established first-line treatment for focal spasticity.

aimTo assess the effects of BT injection with casting in the treatment of dynamic equinus in children diagnosed with cerebral palsy with spastic diplegia. SETTING AND

designA prospective randomized controlled trial was conducted among patients aged 2-12 years with cerebral palsy and spastic diplegia, attending the general outpatient department and admitted to the indoor facility of the Department of Physical Medicine and Rehabilitation and the Department of Pediatric Orthopedics at King George's Medical University, Lucknow. MATERIAL AND

methodsTwo groups of 19 patients each were formed. Group A received BT injection with casting, whereas in group B, only a cast was applied. Outcome measures including spasticity by Modified Ashworth Scale (MAS), Modified Tardieu Scale (MTS), range of motion (ROM), passive ankle dorsiflexion, and Gross Motor Function Measure (GMFM-66) (dimensions D and E) were assessed before and after the intervention.

resultsThe participants in groups A and B were age-matched. A statistically significant difference was seen within group A and group B for MAS, passive ROM-dorsiflexion (PROM-DF), and passive ROM-plantarflexion (PROM-PF) at various follow-ups. In the 3rd week, MAS in each group was statistically insignificant (p-value> 0.05).

conclusionThere was a significant improvement in tone and a significant increase in the passive range of motion in both groups.

Indexed as

botulinum toxin injectioncastingcerebral palsy (cp)equinusmuscle spasticity

Identifiers

PMID38957257
PMCPMC11217874

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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.