{"id":"W3197524878","doi":"10.3389/fresc.2021.709969","title":"Surgical Approaches to Upper Limb Spasticity in Adult Patients: A Literature Review","year":2021,"lang":"en","type":"review","venue":"Frontiers in Rehabilitation Sciences","topic":"Botulinum Toxin and Related Neurological Disorders","field":"Medicine","cited_by":18,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of British Columbia; Island Health","funders":"","keywords":"Medicine; Spasticity; Physical therapy; Upper limb; Randomized controlled trial; CINAHL; Orthopedic surgery; MEDLINE; Systematic review; Physical medicine and rehabilitation; Rehabilitation; Forearm; Elbow; Evidence-based medicine; Wrist; Psychological intervention; Surgery; Alternative medicine","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow"],"consensus_categories":[],"category_scores_codex":[0.001073156,0.000387974,0.002106693,0.0007926369,0.00006331068,0.00005520732,0.0003192755,0.0005194604,0.00004330461],"category_scores_gemma":[0.004838106,0.0002508324,0.0005607663,0.004901921,0.0004390339,0.0001433174,0.00009648905,0.0009577021,0.00001938266],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001610963,"about_ca_system_score_gemma":0.0002800059,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.000003183965,"about_ca_topic_score_gemma":0.000003748368,"domain_scores_codex":[0.9958643,0.0008764208,0.001111683,0.0010874,0.0006302029,0.0004300122],"domain_scores_gemma":[0.9984823,0.0006512137,0.0001967331,0.000329284,0.0001427889,0.0001976887],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"not_applicable","study_design_scores_codex":[0.00004995805,0.0009836163,0.01152186,0.04851018,0.00003589425,0.0001127381,0.0005182347,0.00002059115,9.547906e-9,0.0005380678,0.01442846,0.9232804],"study_design_scores_gemma":[0.0006647909,0.00110372,0.001767873,0.1763509,0.000180464,0.00002545173,0.000230901,0.00006525253,2.553575e-8,0.0002011146,0.8190143,0.0003952362],"study_design_candidate":"design_other","study_design_consensus":null,"genre_codex":"review","genre_gemma":"review","genre_scores_codex":[0.0003034772,0.9908611,0.00003596201,0.004934142,0.0005927308,0.002373863,0.00001805973,0.00002748406,0.0008531717],"genre_scores_gemma":[0.00002826321,0.9885087,0.009797521,0.001060635,0.00003689047,0.0003072967,0.00009577498,0.00001845512,0.0001464813],"genre_candidate":"review","genre_consensus":"review","teacher_disagreement_score":0.9228852,"threshold_uncertainty_score":0.9999944,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.07035172506871792,"score_gpt":0.3332448801310637,"score_spread":0.2628931550623458,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}