Evidence map›Paper›PMID 33411352›Full record

ArticleDevelopmental medicine and child neurology2021

Gait features of dystonia in cerebral palsy.

Bhooma R Aravamuthan, Keisuke Ueda, Hanyang Miao, Laura Gilbert, Sarah E Smith, Toni S Pearson

Open access · bronzeAbstract read
In one paragraph

Article in Developmental medicine and child neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 20 citations in OpenAlex.

  1. Modeling cerebral palsy in animals.Developmental medicine and child neurology · 2026
    Review
  2. Characteristics of Cerebral Palsy in the Midwestern US.Annals of clinical and translational neurology · 2026
    Article
  3. Tasks for assessing dystonia in young people with cerebral palsy.medRxiv : the preprint server for health sciences · 2025
    Article
  4. Using expert-cited features to detect leg dystonia in cerebral palsy.medRxiv : the preprint server for health sciences · 2025
    Article
  5. Article
  6. Article
  7. Caregiver descriptions of dystonia in cerebral palsy.Annals of clinical and translational neurology · 2024
    Article
  8. Article
  9. Determinants of gait dystonia severity in cerebral palsy.Developmental medicine and child neurology · 2023
    Article
  10. Neurophysiology of cerebellar ataxias and gait disorders.Clinical neurophysiology practice · 2023
    Review
  11. Article
  12. 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

6 authors at 1 institution in 1 country.

Bhooma R AravamuthanDivision of Pediatric Neurology, Department of Neurology, Washington University School of Medicine and St. Louis Children's Hospital, St. Louis, MO, USA.ORCID 0000-0003-0205-2149
Keisuke UedaDivision of Pediatric Neurology, Department of Neurology, Washington University School of Medicine and St. Louis Children's Hospital, St. Louis, MO, USA.
Hanyang MiaoDivision of Pediatric Neurology, Department of Neurology, Washington University School of Medicine and St. Louis Children's Hospital, St. Louis, MO, USA.
Laura GilbertDivision of Pediatric Neurology, Department of Neurology, Washington University School of Medicine and St. Louis Children's Hospital, St. Louis, MO, USA.
Sarah E SmithDivision of Pediatric Neurology, Department of Neurology, Washington University School of Medicine and St. Louis Children's Hospital, St. Louis, MO, USA.
Toni S PearsonDivision of Pediatric Neurology, Department of Neurology, Washington University School of Medicine and St. Louis Children's Hospital, St. Louis, MO, USA.
St. Louis Children's Hospital · US

Funding

Child Neurologist Career Development Program (CNCDP)K12NS098482 · NINDS · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI SCHLAGGAR, BRADLEY L · 2016 to 2025
$26.2M
Modulation of striatal cholinergic interneuron activity to prevent dystonic cerebral palsyK08NS117850 · NINDS · WASHINGTON UNIVERSITY · PI ARAVAMUTHAN, BHOOMA · 2021 to 2025
$927k
NINDS NIH HHS K08 NS117850NINDS NIH HHS K12 NS098482
6 · The paper itself

Abstract

aimTo determine the features cited by motor phenotyping experts when identifying dystonia in people with cerebral palsy (CP).

methodDystonia identification in CP, particularly when comorbid with spasticity, can be difficult. The dystonia diagnostic criterion standard remains subjective visual identification by expert consensus. For this qualitative study, we conducted an inductive thematic analysis of consensus-building discussions between three pediatric movement disorder physicians as they identified the presence or absence of dystonia in gait videos of 40 participants with spastic CP and periventricular leukomalacia.

resultsUnanimous consensus about the presence or absence of dystonia was achieved for 34 out of 40 videos. Two main themes were present during consensus-building discussions as videos were evaluated for dystonia: (1) unilateral leg or foot adduction that was variable over time, and (2) difficulty in identifying dystonia. Codes contributing to the first theme were more likely to be cited by a discussant when they felt dystonia was present (as opposed to absent) in a video (χ DISCUSSION: These results describe the gait features cited by experts during consensus-building discussion as they identify dystonia in ambulatory people with CP. Qualitative thematic analysis of these discussions could help codify the subjective process of dystonia diagnosis.

Indexed as

AdolescentCerebral PalsyChildChild, PreschoolDystoniaFemaleGaitHumansLeukomalacia, PeriventricularMaleMuscle SpasticityYoung Adult

Identifiers

PMID33411352
PMCPMC9665896
OpenAlexW3119695552

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.