Evidence map›Paper›PMID 27313240›Full record

SynthesisPhysical therapy2016

Effectiveness of Rehabilitation Interventions to Improve Gait Speed in Children With Cerebral Palsy: Systematic Review and Meta-analysis.

Noelle G Moreau, Amy Winter Bodkin, Kristie Bjornson, Amy Hobbs, Mallary Soileau, Kay Lahasky

2 registry-linked trialsOpen access · bronzeAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Physical therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 81 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 11 pooled it
9.6field-weighted citation impact, top 1% 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.

NCT06330311 nacompletednot on this mapstarted 2024, after this paper: background citation

Effectiveness of Whole-Body Vibration on Lower Limb Motor Function and Spasticity in Children With Spastic Cerebral Palsy

TypeinterventionalSponsorUniversidad Complutense de MadridRan2024 to 2024Enrolled30ConditionsSpastic Cerebral Palsy, Physical Therapy Modalities, Vibration, ExposureArmsPhysiotherapy
NCT07612332 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Non-Immersive Virtual Reality for Gait and Balance Training With Rehametrics in Children With Cerebral Palsy: Protocol for a Pre-post Single Group Pilot Study

TypeinterventionalSponsorUniversidad Nacional de San Agustin de ArequipaRan2026 to 2026Enrolled10ConditionsCerebral Palsy (CP)Armsnon inmersive VR System
3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 11 syntheses or guidelines pooled it, 210 citations in OpenAlex.

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  6. Corticospinal Responses Following Gait-Specific Training in Stroke Survivors: A Systematic Review.International journal of environmental research and public health · 2022
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21 more citing papers are in PubMed but not listed here.

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 3 institutions in 1 country.

Noelle G MoreauN.G. Moreau, PT, PhD, Department of Physical Therapy, Louisiana State University Health Sciences Center, 1900 Gravier St, 7th Floor, New Orleans, LA 70112 (USA). Nmorea@lsuhsc.edu.
Amy Winter BodkinA.W. Bodkin, PT, PhD, Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Kristie BjornsonK. Bjornson, PT, PhD, Department of Pediatrics, University of Washington, Seattle Children's Research Institute, Seattle, Washington.
Amy HobbsA. Hobbs, PT, DPT, Department of Physical Therapy, Louisiana State University Health Sciences Center.
Mallary SoileauM. Soileau, PT, DPT, Department of Physical Therapy, Louisiana State University Health Sciences Center.
Kay LahaskyK. Lahasky, PT, DPT, Department of Physical Therapy, Louisiana State University Health Sciences Center.
Louisiana State University Health Sciences Center New Orleans · USSeattle Children's Hospital · USUniversity of Colorado Anschutz Medical Campus · US

Funding

Activity and Participation in Ambulatory Cerebral PalsyK23HD060764 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI BJORNSON, KRISTIE F · 2009 to 2013
$629k
Muscle Performance and Walking in Cerebral Palsy: Short-burst Interval TrainingR21HD077186 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI BJORNSON, KRISTIE F, MOREAU, NOELLE G · 2014 to 2015
$420k
Dosing and Motor Learning in Children with an Injured Brain or Cerebral PalsyR13HD070615 · NICHD · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI KOLOBE, HLAPANG A. · 2011 to 2011
$12k
NICHD NIH HHS K23 HD060764NICHD NIH HHS R13 HD070615NICHD NIH HHS R21 HD077186
6 · The paper itself

Abstract

backgroundChildren with cerebral palsy (CP) have decreased gait speeds, which can negatively affect their community participation and quality of life. However, evidence for effective rehabilitation interventions to improve gait speed remains unclear. PURPOSE: The purpose of this study was to determine the effectiveness of interventions for improving gait speed in ambulatory children with CP. DATA SOURCES: MEDLINE/PubMed, CINAHL, ERIC, and PEDro were searched from inception through April 2014. STUDY SELECTION: The selected studies were randomized controlled trials or had experimental designs with a comparison group, included a physical therapy or rehabilitation intervention for children with CP, and reported gait speed as an outcome measure. DATA EXTRACTION: Methodological quality was assessed by PEDro scores. Means, standard deviations, and change scores for gait speed were extracted. General study information and dosing parameters (frequency, duration, intensity, and volume) of the intervention were recorded. DATA SYNTHESIS: Twenty-four studies were included. Three categories of interventions were identified: gait training (n=8), resistance training (n=9), and miscellaneous (n=7). Meta-analysis showed that gait training was effective in increasing gait speed, with a standardized effect size of 0.92 (95% confidence interval=0.19, 1.66; P=.01), whereas resistance training was shown to have a negligible effect (effect size=0.06; 95% confidence interval=-0.12, 0.25; P=.51). Effect sizes from negative to large were reported for studies in the miscellaneous category. LIMITATIONS: Gait speed was the only outcome measure analyzed.

conclusionsGait training was the most effective intervention in improving gait speed for ambulatory children with CP. Strength training, even if properly dosed, was not shown to be effective in improving gait speed. Velocity training, electromyographic biofeedback training, and whole-body vibration were effective in improving gait speed in individual studies and warrant further investigation.

Indexed as

Physical Therapy ModalitiesAdolescentBiofeedback, PsychologyCerebral PalsyChildChild, PreschoolElectromyographyHumansResistance TrainingVibrationWalking Speed

Identifiers

PMID27313240
PMCPMC5131187
OpenAlexW2443052383

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.