Evidence map›Paper›PMID 25610796›Full record

Trial reportNeuroImage. Clinical2015

Brain structural connectivity increases concurrent with functional improvement: evidence from diffusion tensor MRI in children with cerebral palsy during therapy.

Zoë A Englander, Jessica Sun, Laura Case, Mohamad A Mikati, Joanne Kurtzberg, Allen W Song

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in NeuroImage. Clinical, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
5.3field-weighted citation impact, top 4% 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

34 citing papers in PubMed, 68 citations in OpenAlex.

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  17. Examining mobility, independence, motor function, participation, and parental stress in a school-aged Turkish cerebral palsy population: a cross-sectional study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2019
    Article
  18. Article
  19. Autologous cord blood in children with cerebral palsy: a review.International journal of molecular sciences · 2019
    Review
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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

6 authors at 2 institutions in 1 country.

Zoë A EnglanderBrain Imaging and Analysis Center, Duke University Medical Center, United States ; Department of Biomedical Engineering, Duke University Medical Center, United States.
Jessica SunDepartment of Pediatrics, Duke University Medical Center, United States ; The Robertson Cell and Translational Therapy Center, Duke University Medical Center, United States.
Laura CaseDivision of Physical Therapy, Duke University Medical Center, United States.
Mohamad A MikatiDepartment of Pediatrics, Duke University Medical Center, United States.
Joanne KurtzbergDepartment of Pediatrics, Duke University Medical Center, United States ; The Robertson Cell and Translational Therapy Center, Duke University Medical Center, United States.
Allen W SongBrain Imaging and Analysis Center, Duke University Medical Center, United States ; Department of Biomedical Engineering, Duke University Medical Center, United States ; Department of Radiology, Duke University Medical Center, United States.
Duke Medical Center · USDuke University · US

Funding

Training in Medical ImagingT32EB001040 · NIBIB · DUKE UNIVERSITY · PI NIGHTINGALE, KATHRYN RADABAUGH · 2003 to 2018
$4.4M
High Fidelity Diffusion MRI for Children with Cerebral Palsy in Stem Cell TherapyR01NS075017 · NINDS · DUKE UNIVERSITY · PI SONG, ALLEN W · 2012 to 2021
$3.4M
NIBIB NIH HHS T32 EB 001040NIBIB NIH HHS T32 EB001040NINDS NIH HHS NS 075017NINDS NIH HHS R01 NS075017
6 · The paper itself

Abstract

Cerebral Palsy (CP) refers to a heterogeneous group of permanent but non-progressive movement disorders caused by injury to the developing fetal or infant brain (Bax et al., 2005). Because of its serious long-term consequences, effective interventions that can help improve motor function, independence, and quality of life are critically needed. Our ongoing longitudinal clinical trial to treat children with CP is specifically designed to meet this challenge. To maximize the potential for functional improvement, all children in this trial received autologous cord blood transfusions (with order randomized with a placebo administration over 2 years) in conjunction with more standard physical and occupational therapies. As a part of this trial, magnetic resonance imaging (MRI) is used to improve our understanding of how these interventions affect brain development, and to develop biomarkers of treatment efficacy. In this report, diffusion tensor imaging (DTI) and subsequent brain connectome analyses were performed in a subset of children enrolled in the clinical trial (n = 17), who all exhibited positive but varying degrees of functional improvement over the first 2-year period of the study. Strong correlations between increases in white matter (WM) connectivity and functional improvement were demonstrated; however no significant relationships between either of these factors with the age of the child at time of enrollment were identified. Thus, our data indicate that increases in brain connectivity reflect improved functional abilities in children with CP. In future work, this potential biomarker can be used to help differentiate the underlying mechanisms of functional improvement, as well as to identify treatments that can best facilitate functional improvement upon un-blinding of the timing of autologous cord blood transfusions at the completion of this study.

Indexed as

BrainCerebral PalsyChild, PreschoolCombined Modality TherapyCord Blood Stem Cell TransplantationDiffusion Tensor ImagingFemaleHumansImage Processing, Computer-AssistedInfantMaleNeural PathwaysPhysical Therapy ModalitiesRecovery of FunctionCerebral palsyDiffusion tensor imagingGMFM-66Structural connectome

Identifiers

PMID25610796
PMCPMC4297884
OpenAlexW2001445971

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.