Evidence map›Paper›PMID 27530758›Full record

Trial reportTrials2016

Transcranial direct current stimulation combined with upper limb functional training in children with spastic, hemiparetic cerebral palsy: study protocol for a randomized controlled trial.

Renata Calhes Franco Moura, Cibele Almeida Santos, Luanda André Collange Grecco, Roberta Delasta Lazzari, Arislander Jonathan Lopes Dumont, Natalia Carvalho de Almeida Duarte, Luiz Alfredo Braun, Jamile Benite Palma Lopes, Ligia Abram Dos Santos, Eliane Lopes Souza Rodrigues and 4 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04490187 (tDCS and Motor Learning in Children With DCD), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 19% 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.

NCT04490187 naunknown statusnot on this mapstarted 2018, after this paper: background citation

tDCS and Motor Learning in Children With DCD

TypeinterventionalSponsorUniversity of British ColumbiaRan2018 to 2021Enrolled14ConditionsDevelopmental Coordination DisorderArmsMotor Learning
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
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

14 authors at 6 institutions in 2 countries.

Renata Calhes Franco MouraRehabilitation Sciences, Nove de Julho University (UNINOVE), São Paulo, SP, Brazil.
Cibele Almeida SantosRehabilitation Sciences, Nove de Julho University (UNINOVE), São Paulo, SP, Brazil.
Luanda André Collange GreccoRehabilitation Sciences, Nove de Julho University (UNINOVE), São Paulo, SP, Brazil.
Roberta Delasta LazzariRehabilitation Sciences, Nove de Julho University (UNINOVE), São Paulo, SP, Brazil.
Arislander Jonathan Lopes DumontRehabilitation Sciences, Nove de Julho University (UNINOVE), São Paulo, SP, Brazil.
Natalia Carvalho de Almeida DuarteRehabilitation Sciences, Nove de Julho University (UNINOVE), São Paulo, SP, Brazil.
Luiz Alfredo BraunRehabilitation Sciences, Nove de Julho University (UNINOVE), São Paulo, SP, Brazil.
Jamile Benite Palma LopesRehabilitation Sciences, Nove de Julho University (UNINOVE), São Paulo, SP, Brazil.
Ligia Abram Dos SantosHospital Servidor Publico, São Paulo, SP, Brazil.
Eliane Lopes Souza RodriguesMandaqui Hospital Complex, São Paulo, SP, Brazil.
Giorgio AlbertiniMotion Analysis Laboratory, IRCCS San Raffaele Pisana, Pisana, Rome, Italy.
Veronica CimolinDepartment of Electronic Information and Bioengineering, Politecnico di Milano, Milan, Italy.
Manuela GalliMotion Analysis Laboratory, IRCCS San Raffaele Pisana, Pisana, Rome, Italy.
Claudia Santos OliveiraRehabilitation Sciences, Nove de Julho University (UNINOVE), São Paulo, SP, Brazil. csantos@uninove.br.
Universidade Nove de Julho · BRHospital do Servidor Público Municipal · BRHospital São Paulo · BRIRCCS Ospedale San Raffaele · ITIstituto di Ricovero e Cura a Carattere Scientifico San RaffaelePolitecnico di Milano · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of the proposed study is to perform a comparative analysis of functional training effects for the paretic upper limb with and without transcranial direct current stimulation over the primary motor cortex in children with spastic hemiparetic cerebral palsy.

methodsThe sample will comprise 34 individuals with spastic hemiparetic cerebral palsy, 6 to 16 years old, classified at level I, II, or III of the Manual Ability Classification System. Participants will be randomly allocated to two groups: (1) functional training of the paretic upper limb combined with anodic transcranial stimulation; (2) functional training of the paretic upper limb combined with sham transcranial stimulation. Evaluation will involve three-dimensional movement analysis and electromyography using the SMART-D 140® system (BTS Engineering) and the FREEEMG® system (BTS Engineering), the Quality of Upper Extremity Skills Test, to assess functional mobility, the Portable Device and Ashworth Scale, to measure movement resistance and spasticity, and the Pediatric Evaluation of Disability Inventory, to evaluate performance. Functional reach training of the paretic upper limb will include a range of manual activities using educational toys associated with an induced constraint of the non-paretic limb during the training. Training will be performed in five weekly 20-minute sessions for two weeks. Transcranial stimulation over the primary motor cortex will be performed during the training sessions at an intensity of 1 mA. Findings will be analyzed statistically considering a 5 % significance level (P ≤ 0.05). DISCUSSION: This paper presents a detailed description of a prospective, randomized, controlled, double-blind, clinical trial designed to demonstrate the effects of combining transcranial direct current stimulation over the primary motor cortex and functional training of the paretic limb in children with cerebral palsy classified at level I, II, or III of the Manual Ability Classification System. The results will be published and evidence found may contribute to the use of transcranial stimulation for this population.

trial registrationReBEC RBR-6V4Y3K . Registered on 11 February 2015.

Indexed as

Child DevelopmentMotor ActivityTranscranial Direct Current StimulationAdolescentAge FactorsBiomechanical PhenomenaBrazilCerebral PalsyChildClinical ProtocolsDisability EvaluationDouble-Blind MethodElectromyographyFemaleHumansMaleCerebral palsyElectrical stimulationPhysical therapy

Identifiers

PMID27530758
PMCPMC4987976
OpenAlexW2509300804

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.