Evidence map›Paper›PMID 24623352›Full record

Trial reportExperimental brain research2014

Improvements in hand function after intensive bimanual training are not associated with corticospinal tract dysgenesis in children with unilateral cerebral palsy.

Kathleen M Friel, Hsing-Ching Kuo, Jason B Carmel, Stefan B Rowny, Andrew M Gordon

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Experimental brain research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.1field-weighted citation impact, top 9% of its field
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

17 citing papers in PubMed, 29 citations in OpenAlex.

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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 at 3 institutions in 1 country.

Kathleen M FrielBurke-Cornell Medical Research Institute, 785 Mamaroneck Avenue, White Plains, NY, 10605, USA, kfriel@burke.org.
Hsing-Ching Kuo
Jason B Carmel
Stefan B Rowny
Andrew M Gordon
Columbia University Irving Medical Center · USCornell University · USColumbia University · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024156 · NCRR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2006 to 2011
$53.0M
CTSA: K12 COMPONENTKL2RR024157 · NCRR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2006 to 2011
$8.9M
CLINICAL AND TRANSLATIONAL SCIENCE AWARDTL1RR024158 · NCRR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2006 to 2011
$1.6M
Injury and adaptation in the developing rat corticospinal and rubrospinal tractsK08NS073796 · NINDS · WINIFRED MASTERSON BURKE MED RES INST · PI CARMEL, JASON BRANT · 2011 to 2015
$910k
Mechanisms of cerebral palsy recovery induced by balancing motor cortex activityK01NS062116 · NINDS · WINIFRED MASTERSON BURKE MED RES INST · PI FRIEL, KATHLEEN MARGARET · 2008 to 2012
$853k
NCRR NIH HHS KL2 RR024157NCRR NIH HHS TL1 RR024158NCRR NIH HHS UL1 RR024156NINDS NIH HHS K01 NS062116NINDS NIH HHS K08 NS073796NINDS NIH HHS NS062116
6 · The paper itself

Abstract

Unilateral cerebral palsy (CP) results from damage to the developing brain that occurs within the first 2 years of life. Previous studies found associations between asymmetry in the size of the corticospinal tract (CST) from the two hemispheres and severity of hand impairments in children with unilateral CP. The extent to which CST damage affects the capacity for hand function improvement is unknown. This study examines the association between an estimate of CST dysgenesis and (1) hand function and (2) the efficacy of intensive bimanual training in improving hand function. Children with unilateral CP, age 3.6-14.9 years, n = 35, received intensive bimanual training. Children engaged in bimanual functional/play activities (6 h/day, 15 days). Peduncle asymmetry, an estimate of CST dysgenesis, was measured on T1-weighted magnetic resonance imaging scans. Hand function was measured pre- and post-treatment using the assisting hand assessment (AHA) and Jebsen-Taylor test of hand function (JTTHF). AHA and JTTHF improved post-treatment (p < 0.001). Peduncle asymmetry was correlated with baseline AHA and JTTHF (p < 0.001) but not with AHA or JTTHF improvement post-training (R(2) < 0.1, p > 0.2). An estimate of CST dysgenesis is correlated with baseline hand function but is a poor predictor of training efficacy, possibly indicating a flexibility of developing motor systems to mediate recovery.

Indexed as

Cerebral PalsyChildChild, PreschoolDisability EvaluationFemaleFunctional LateralityHandHumansMagnetic Resonance ImagingMaleMusculoskeletal ManipulationsPyramidal TractsTreatment Outcome

Identifiers

PMID24623352
PMCPMC4037561
OpenAlexW2042859766

What OpenQuestion holds

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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.