Evidence map›Paper›PMID 42784322›Full record

ArticleToxins2026

Goal Attainment and Outcome Evaluation for Upper and Lower Limb Spasticity: A Real-Life Cohort Analysis in a Community-Based Outreach Service.

Aideen Steed, Heather Williams, Jessie Alfonso, Denise Hancock, Stephen A Ashford

Abstract read
In one paragraph

Article in Toxins, 2026. 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

5 authors.

Aideen SteedRegional Hyper-Acute Rehabilitation Unit, Northwick Park Hospital, London Northwest University Healthcare NHS Trust, London HA1 3UJ, UK.ORCID 0000-0002-6805-3358
Heather WilliamsRegional Hyper-Acute Rehabilitation Unit, Northwick Park Hospital, London Northwest University Healthcare NHS Trust, London HA1 3UJ, UK.ORCID 0009-0009-8647-9318
Jessie AlfonsoRegional Hyper-Acute Rehabilitation Unit, Northwick Park Hospital, London Northwest University Healthcare NHS Trust, London HA1 3UJ, UK.ORCID 0009-0004-6686-6322
Denise HancockRegional Hyper-Acute Rehabilitation Unit, Northwick Park Hospital, London Northwest University Healthcare NHS Trust, London HA1 3UJ, UK.
Stephen A AshfordRegional Hyper-Acute Rehabilitation Unit, Northwick Park Hospital, London Northwest University Healthcare NHS Trust, London HA1 3UJ, UK.ORCID 0000-0001-5541-7063

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Botulinum toxin type A (BoNT-A) is an established treatment for spasticity. Goal Attainment Scaling (GAS), alongside standardized measures such as Arm Activity Measure (ArmA) and Leg Activity Measure (LegA), enables evaluation of patient-centered outcomes. This real-world cohort study evaluated goal attainment and standardized measure functional changes following BoNT-A for arm and/or leg spasticity, evaluated using GAS as well as passive function subscales of ArmA (ArmA-PF) and LegA (LegA-PF), and active function subscales (ArmA-AF; LegA-AF). Inclusion in the analysis was based on documented baseline and post-intervention GAS scores following BoNT-A therapy (

Indexed as

Botulinum Toxins, Type ALower ExtremityMuscle SpasticityNeuromuscular AgentsUpper ExtremityAdultAgedCohort StudiesFemaleGoalsHumansMaleMiddle AgedTreatment OutcomeBotulinum Toxins, Type ANeuromuscular Agentsactive functionArm Activity Measure (ArmA)botulinum toxin Agoal attainment scalingLeg Activity Measure (LegA)passive functionreal-world evidencespasticity

Identifiers

PMID42784322
PMCPMC13611506

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.