Evidence map›Paper›PMID 24919877›Full record

ReviewDevelopmental medicine and child neurology2014

Meaningfulness of mean group results for determining the optimal motor rehabilitation program for an individual child with cerebral palsy.

Diane L Damiano

Abstract readReview
In one paragraph

Review in Developmental medicine and child neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  11. Functional outcome after selective dorsal rhizotomy: a retrospective case control study.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
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  17. Evaluating a Therapeutic Powered Mobility Camp for Children with Severe Cerebral Palsy.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author.

Diane L DamianoRehabilitation Medicine Department/Clinical Center, National Institutes of Health, Bethesda, MD, USA.

Funding

Physical, Functional and Neurological Effects of Exercise in Children with CPZIACL060076 · CLC · CLINICAL CENTER · PI DAMIANO, DIANE L. · 2010 to 2021
$0k
Intramural NIH HHS Z99 CL999999
6 · The paper itself

Abstract

As research on the efficacy or effectiveness of interventions to improve motor functioning in cerebral palsy (CP) has accumulated and been incorporated into systematic reviews, the foundation for evidence-based practice in CP is growing. To determine whether an intervention is effective, clinical trials report mean group differences. However, even if a statistically significant mean group effect is found, this does not imply that this intervention was effective for each study participant or ensure positive outcomes for all with CP. A personalized approach to medical care is currently being advocated based primarily on increasingly recognized genetic variations in individual responses to medications and other therapies. A similar approach is also warranted, and perhaps more justifiable, in CP which includes a heterogeneous group of disorders. Even interventions deemed highly effective in CP demonstrate a range of individual responses along a continuum from a negative or negligible response to a strong positive effect, the bases for which remain incompletely understood. This narrative review recommends that the next critical step in advancing evidence-based practice is to implement research strategies to identify patient factors that predict treatment responses so we can not only answer the question 'what works', but also 'what works best, for whom'.

Indexed as

Treatment OutcomeCerebral PalsyHumansMovement Disorders

Identifiers

PMID24919877
PMCPMC4229436

What OpenQuestion holds

Textmetadata
LicenceTDM
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.