Evidence map›Paper›PMID 41466197›Full record

Trial reportBMC neurology2025

Therapeutic efficacy of 3 dimensions printed orthoses on wrist-hand flexor spasticity in post-stroke hemiplegia: a multi-center stratified clinical study.

Gaiyan Li, Yanmin Wang, Cuibin Tang, Shu Deng, Jie Shen, Yuqing Bi, Ying Xu, Ying Zhang

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Gaiyan LiDepartment of Rehabilitation, Xuhui District Central Hospital, Shanghai, China.
Yanmin WangDepartment of Rehabilitation, Xuhui District Central Hospital, Shanghai, China.
Cuibin TangDepartment of Rehabilitation, Xuhui District Kangjian Street Health Service Center, Shanghai, China.
Shu DengDepartment of Rehabilitation, Shanghai Lansheng Wanzhong Hospital, Shanghai, China.
Jie ShenDepartment of Rehabilitation, Shanghai Eighth People's Hospital, Shanghai, China.
Yuqing BiShanghai Sport University, Shanghai, China.
Ying Xu *Department of Rehabilitation, Xuhui District Central Hospital, Shanghai, China. zhuxu98@163.com.
Ying Zhang *Department of Rehabilitation, Xuhui District Central Hospital, Shanghai, China. zhangying032317@163.com.

Funding

2022 Shanghai Science and Technology Commission NO:22Y31900200Major Project of Shanghai Xuhui District Health Commission NO.SHXH292103Shanghai Municipal Health Commission Key Disciplinary Construction Project 2024ZDXK0039
6 · The paper itself

Abstract

objectiveThis study mainly aimed to compare the clinical efficacy of 3D-printed orthoses versus low-temperature thermoplastic plate orthoses(LTT)on wrist-hand flexor spasticity post-stroke.

methodsPatients were stratified into three cohorts based on the Modified Ashworth Scale (MAS) grades (1,1+, and 2), with 60 patients per cohort. Patients in each cohort were randomized into treatment and control groups: MAS1 (3D, n = 23; control, n = 24); MAS1+ (3D, n = 24; control, n = 25); MAS2 (3D, n = 25; control, n = 26). Orthoses were worn 4–8 h daily for 6 consecutive weeks, followed by a 6-week post-intervention follow-up. The primary outcome was MAS scores. Visual analogue scale(VAS), passive range of motion(PROM), Fugl-Meyer Assessment(FMA), and swelling scale (SS) scores were secondary outcomes, assessed at baseline, 6 weeks, and after 12 weeks.

resultsAt 6 weeks, significant difference in the MAS scores were observed between groups: effective rates (ERs) were MAS1:71.4% vs. 30.8%, p = 0.006; MAS1+: 63% vs. 37%, p = 0.03. After 12 weeks, significant difference in MAS score changes persisted: ERs were MAS1: 66.7% vs. 33.3%, p = 0.029; MAS1+: 64.7% vs. 35.3%, p = 0.001. Significant difference was observed in the Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST) among the MAS1, MAS1+, and MAS2 cohorts (p < 0.01).

conclusion3D-printed orthoses demonstrated superior efficacy to LTT orthoses in reducing mild-to-moderate (MAS 1, 1+) wrist-hand flexor spasticity post-stroke. For severe spasticity (MAS 2), further optimization of material properties and scanning technology may be necessary.

trial registrationChiCTR-INR-2,300,070,454 (Registered: 4 December 2023).

Indexed as

HemiplegiaMuscle SpasticityOrthotic DevicesPrinting, Three-DimensionalStrokeStroke RehabilitationAgedFemaleHandHumansMaleMiddle AgedTreatment OutcomeWrist3D-printedLow-temperature thermoplastic orthosisSpasticityStroke

Identifiers

PMID41466197
PMCPMC12751636

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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.