{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T04:37:06Z","timestamp":1759207026713,"version":"3.40.5"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,1,16]],"date-time":"2019-01-16T00:00:00Z","timestamp":1547596800000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This case describes a 16\u2010year\u2010old boy who suffered a severe traumatic brain injury. The patient gradually recovered but developed debilitating spasticity mainly in left triceps muscle, abnormal positioning of shoulder girdle complex, and shoulder pain. Phenol (6%) was injected to axillary and radial nerves under the guidance of electrical stimulation and ultrasound imaging at 10\u2009weeks after the initial injury. After injection, triceps spasticity and shoulder pain were immediately reduced, and abnormal positions of shoulder girdle complex and elbow joint gradually returned to functional limits over 2\u2009weeks. This case suggests that phenol neurolysis for spasticity management in early recovery could yield functional recovery.<jats:bold>Level of Evidence<\/jats:bold>: V<\/jats:p>","DOI":"10.1016\/j.pmrj.2018.06.002","type":"journal-article","created":{"date-parts":[[2018,6,19]],"date-time":"2018-06-19T21:54:47Z","timestamp":1529445287000},"page":"90-93","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Phenol Neurolysis for the Management of Shoulder Spasticity in Early Recovery From Traumatic Brain Injury: A Case Report"],"prefix":"10.1002","volume":"11","author":[{"given":"Manuel F.","family":"Mas","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation University of Texas Health Sciences Center at Houston  Houston and TIRR Memorial Hermann, Houston, TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig","family":"DiTommaso","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Baylor College of Medicine  Houston TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0551-7442","authenticated-orcid":false,"given":"Sheng","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation University of Texas Health Sciences Center at Houston  Houston and TIRR Memorial Hermann, Houston, TX"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,1,16]]},"reference":[{"key":"e_1_2_4_2_1","first-page":"389","article-title":"Spasticity in disorders of consciousness: A behavioral study","volume":"51","author":"Thibaut A","year":"2015","journal-title":"Eur J Phys Rehabil Med"},{"key":"e_1_2_4_3_1","doi-asserted-by":"crossref","unstructured":"MayerNH EsquenaziA. Managing upper motoneuron muscle overactivity. In: Zasler N Katz DI Zafonte R eds. Brain Injury Medicine. 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