Evidence map›Paper›PMID 31191936›Full record

ArticleJournal of rehabilitation and assistive technologies engineering

The use of functional electrical stimulation to improve upper limb function in children with hemiplegic cerebral palsy: A feasibility study.

Luisa C Garzon, Lauren Switzer, Kristin E Musselman, Darcy Fehlings

Open access · diamondAbstract read
In one paragraph

Article in Journal of rehabilitation and assistive technologies engineering. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

10 citing papers in PubMed, 19 citations in OpenAlex.

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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

4 authors at 3 institutions in 1 country.

Luisa C GarzonRehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, Canada.ORCID 0000-0003-3600-5076
Lauren Switzer2Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, East York, Canada.
Kristin E MusselmanRehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, Canada.
Darcy FehlingsRehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, Canada.
University of Toronto · CAHolland Bloorview Kids Rehabilitation Hospital · CAUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGrasping and manipulating objects are common problems for children with hemiplegic cerebral palsy. Multichannel-functional electrical stimulation may help facilitate upper limb movements and improve function.

objectiveTo evaluate the feasibility of multichannel-functional electrical stimulation to improve grasp and upper limb function in children with hemiplegic cerebral palsy to inform the development of a clinical trial.

methodsA prospective pre-/post-test/follow-up (six months) design with three children, aged 6-13 years, was used. Multichannel-functional electrical stimulation (mFES) was applied to the hemiplegic upper limb for up to 48 sessions over 16 weeks. Feasibility indicators included recruitment of participants and adherence rates, safety, and discomfort/pain. Effectiveness was assessed using the grasp domain of the Quality of Upper Extremity Skills Test, and other secondary clinical outcome measures with "success" criteria set

resultsParticipant recruitment target was not met but adherence was high, and multichannel-functional electrical stimulation was found to be safe and comfortable. Of the three participants, two improved in grasp at post-test, whereas one child's ability deteriorated. Only one child met success criteria on most outcomes at post-test.

conclusionsFeasibility indicators met success criteria, except for participant recruitment. Treatment effectiveness was mixed. A future case comparison investigation with a larger but more selected sample is suggested.

Indexed as

assistive technologyElectric stimulation therapyhemiplegiamotor disorderspediatricstrokeupper extremity

Identifiers

PMID31191936
PMCPMC6453088
OpenAlexW2803427011

What OpenQuestion holds

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LicenceCC BY-NC
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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.