Evidence map›Paper›PMID 41303128›Full record

ReviewJournal of clinical medicine2025

Advancements in Understanding Spasticity: A Neuromusculoskeletal Modeling Perspective.

Mohammad S Shourijeh, Argyrios Stampas, Shuo-Hsiu Chang, Radha Korupolu, Gerard E Francisco

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07583277 (Selective Dorsal Rhizotomy as a Cost Effective and Safe Procedure as an Alternative to Intrathecal Baclofen Pump in Patients With Post Traumatic Spasticity), which is not on this 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.

NCT07583277 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Selective Dorsal Rhizotomy as a Cost Effective and Safe Procedure as an Alternative to Intrathecal Baclofen Pump in Patients With Post Traumatic Spasticity: Multi-center Cohort Study

TypeinterventionalSponsorAssiut UniversityRan2026 to 2027Enrolled32ConditionsPost Traumatic Induced SpasticityArmsSelective dorsal rhizotomy with neuromonitoring
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Walking as a Window to the Brain: Redefining Gait in Neurology.Medical sciences (Basel, Switzerland) · 2026
    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

5 authors.

Mohammad S ShourijehDepartment of Physical Medicine and Rehabilitation, UTHealth Houston McGovern Medical School, Houston, TX 77030, USA.ORCID 0000-0002-6916-8528
Argyrios StampasDepartment of Physical Medicine and Rehabilitation, UTHealth Houston McGovern Medical School, Houston, TX 77030, USA.ORCID 0000-0003-4600-6208
Shuo-Hsiu ChangDepartment of Physical Medicine and Rehabilitation, UTHealth Houston McGovern Medical School, Houston, TX 77030, USA.ORCID 0000-0001-9173-2044
Radha KorupoluDepartment of Physical Medicine and Rehabilitation, UTHealth Houston McGovern Medical School, Houston, TX 77030, USA.
Gerard E FranciscoDepartment of Physical Medicine and Rehabilitation, UTHealth Houston McGovern Medical School, Houston, TX 77030, USA.ORCID 0000-0002-5681-1916

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spasticity, a complex consequence of upper motor neuron lesions, poses challenges for clinical assessment due to its neural and mechanical origins. Traditional scales like the Modified Ashworth and Tardieu Scales provide subjective, context-limited insights, often missing spasticity's dynamic nature. Neuromusculoskeletal (NMS) modeling offers objective, quantitative insights by integrating patient-specific muscle-tendon properties, reflex dynamics, and multi-joint biomechanics. This scoping review examines advancements in spasticity modeling, comparing mechanical, neurological, and integrated approaches, and their applications in conditions like cerebral palsy and stroke. We highlight barriers to clinical translation, including computational demands and regulatory challenges, and propose future directions, such as real-time simulation and machine learning integration, to enhance personalized assessment and treatment.

Indexed as

cerebral palsycomputational modelinggait analysismuscle-tendon mechanicsneuromusculoskeletal modelingreflex hyperexcitabilityspasticityspinal cord injurystroke rehabilitation

Identifiers

PMID41303128
PMCPMC12653318

What OpenQuestion holds

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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.