Evidence map›Paper›PMID 29130382›Full record

ArticleNeurorehabilitation and neural repair

Less-Affected Hand Function in Children With Hemiparetic Unilateral Cerebral Palsy: A Comparison Study With Typically Developing Peers.

Tonya L Rich, Jeremiah S Menk, Kyle D Rudser, Timothy Feyma, Bernadette T Gillick

2 registry-linked trialsAbstract read
In one paragraph

Article in Neurorehabilitation and neural repair. 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 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–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.

NCT02015338 completednot on this map

Comparing the Location of the Motor Cortex in Children Using Two Methods: EEG and TMS

TypeobservationalSponsorUniversity of MinnesotaRan2014 to 2015Enrolled47ConditionsCongenital Hemiparesis
NCT07497100 recruitingnot on this map

Relationship Between Quality of Upper Limb Function and Participation Activities of Children With Hemiplegic Cerebral Palsy

TypeobservationalSponsorCairo UniversityRan2026 to 2026Enrolled72ConditionsQuality of Upper Limb Function, Participation Activities, Hemiplegic CP
3 · Its place in the literature

Who cites it

26 citing papers in PubMed.

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  13. Spinal cord H-reflex post-activation depression is linked with hand motor control in adults with cerebral palsy.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2023
    Article
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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

5 authors.

Tonya L Rich1 University of Minnesota, Minneapolis, MN, USA.
Jeremiah S Menk1 University of Minnesota, Minneapolis, MN, USA.
Kyle D Rudser1 University of Minnesota, Minneapolis, MN, USA.
Timothy Feyma2 Gillette Children's Specialty Healthcare, St Paul, MN, USA.
Bernadette T Gillick1 University of Minnesota, Minneapolis, MN, USA.

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)KL2TR000113 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$5.4M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)KL2RR033182 · NCRR · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2011 to 2011
$1.4M
Novel Neuromodulatory Intervention in the Rehabilitation of Pediatric HemiparesisK01HD078484 · NICHD · UNIVERSITY OF MINNESOTA · PI GILLICK, BERNADETTE THERESE · 2014 to 2018
$654k
NCATS NIH HHS KL2 TR000113NCATS NIH HHS UL1 TR000114NCRR NIH HHS KL2 RR033182NICHD NIH HHS K01 HD078484
6 · The paper itself

Abstract

backgroundNeurorehabilitation interventions in children with unilateral cerebral palsy (UCP) target motor abilities in daily life yet deficits in hand skills persist. Limitations in the less-affected hand may affect overall bimanual hand skills.

objectiveTo compare hand function, by timed motor performance on the Jebsen-Taylor Test of Hand Function (JTTHF) and grip strength of children with UCP to children with typical development (CTD), aged 8 to 18 years old. Exploratory analyses compared hand function measures with regard to neurophysiological outcomes measured by transcranial magnetic stimulation and between group comparisons of hemispheric motor threshold.

methodsBaseline hand skills were evaluated in 47 children (21 UCP; 26 CTD). Single-pulse transcranial magnetic stimulation testing assessed corticospinal tract and motor threshold.

resultsThe mean difference of the less-affected hand of children with UCP to the dominant hand of CTD on the JTTHF was 21.4 seconds (95% CI = 9.32-33.46, P = .001). The mean difference in grip strength was -30.8 N (95% CI = -61.9 to 0.31, P = .052). Resting motor thresholds between groups were not significant, but age was significantly associated with resting motor threshold ( P < .001; P = .001). Children with UCP ipsilateral pattern of motor representation demonstrated greater mean differences between hands than children with contralateral pattern of motor representation ( P < .001). All results were adjusted for age and sex.

conclusionsThe less-affected hand in children with UCP underperformed the dominant hand of CTD. Limitations were greater in children with UCP ipsilateral motor pattern. Rehabilitation in the less-affected hand may be warranted. Bilateral hand function in future studies may help identify the optimal rehabilitation and neuromodulatory intervention.

Indexed as

Cerebral PalsyAdolescentChildCross-Sectional StudiesEvoked Potentials, MotorFemaleFunctional LateralityHandHand StrengthHumansMaleMotor CortexMotor SkillsTranscranial Magnetic Stimulationcerebral palsychildrenneuroplasticitynoninvasive brain stimulationrehabilitationstroke

Identifiers

PMID29130382
PMCPMC5729110

What OpenQuestion holds

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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.