Evidence map›Paper›PMID 27826251›Full record

ArticleFrontiers in physiology2016

Immature Spinal Locomotor Output in Children with Cerebral Palsy.

Germana Cappellini, Yury P Ivanenko, Giovanni Martino, Michael J MacLellan, Annalisa Sacco, Daniela Morelli, Francesco Lacquaniti

Open access · goldAbstract read
In one paragraph

Article in Frontiers in physiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 1 pooled it
7.2field-weighted citation impact, top 2% 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

72 citing papers in PubMed, 1 synthesis or guideline pooled it, 121 citations in OpenAlex.

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12 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

7 authors at 3 institutions in 2 countries.

Germana CappelliniCentre of Space Bio-medicine, University of Rome Tor Vergata Rome, Italy.
Yury P IvanenkoLaboratory of Neuromotor Physiology, Istituti di Ricovero e Cura a Carattere Scientifico (IRCCS) Santa Lucia Foundation Rome, Italy.
Giovanni MartinoCentre of Space Bio-medicine, University of Rome Tor Vergata Rome, Italy.
Michael J MacLellanSchool of Kinesiology, Louisiana State University, Baton Rouge LA, USA.
Annalisa SaccoDepartment of Pediatric Neurorehabilitation, Istituti di Ricovero e Cura a Carattere Scientifico (IRCCS) Santa Lucia Foundation Rome, Italy.
Daniela MorelliDepartment of Pediatric Neurorehabilitation, Istituti di Ricovero e Cura a Carattere Scientifico (IRCCS) Santa Lucia Foundation Rome, Italy.
Francesco LacquanitiCentre of Space Bio-medicine, University of Rome Tor VergataRome, Italy; Laboratory of Neuromotor Physiology, Istituti di Ricovero e Cura a Carattere Scientifico (IRCCS) Santa Lucia FoundationRome, Italy; Department of Systems Medicine, University of Rome Tor VergataRome, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Rome Tor Vergata · ITLouisiana State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Detailed descriptions of gait impairments have been reported in cerebral palsy (CP), but it is still unclear how maturation of the spinal motoneuron output is affected. Spatiotemporal alpha-motoneuron activation during walking can be assessed by mapping the electromyographic activity profiles from several, simultaneously recorded muscles onto the anatomical rostrocaudal location of the motoneuron pools in the spinal cord, and by means of factor analysis of the muscle activity profiles. Here, we analyzed gait kinematics and EMG activity of 11 pairs of bilateral muscles with lumbosacral innervation in 35 children with CP (19 diplegic, 16 hemiplegic, 2-12 years) and 33 typically developing (TD) children (1-12 years). TD children showed a progressive reduction of EMG burst durations and a gradual reorganization of the spatiotemporal motoneuron output with increasing age. By contrast, children with CP showed very limited age-related changes of EMG durations and motoneuron output, as well as of limb intersegmental coordination and foot trajectory control (on both sides for diplegic children and the affected side for hemiplegic children). Factorization of the EMG signals revealed a comparable structure of the motor output in children with CP and TD children, but significantly wider temporal activation patterns in children with CP, resembling the patterns of much younger TD infants. A similar picture emerged when considering the spatiotemporal maps of alpha-motoneuron activation. Overall, the results are consistent with the idea that early injuries to developing motor regions of the brain substantially affect the maturation of the spinal locomotor output and consequently the future locomotor behavior.

Indexed as

abnormal developmentbasic muscle activation patternscerebral palsygaitspinal locomotor output

Identifiers

PMID27826251
PMCPMC5078720
OpenAlexW2539247695

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.