Evidence map›Paper›PMID 33719037›Full record

ArticleDevelopmental medicine and child neurology2021

Microstructural changes in the spinal cord of adults with cerebral palsy.

Michael P Trevarrow, Sarah E Baker, Tony W Wilson, Max J Kurz

Open access · greenAbstract 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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 23 citations in OpenAlex.

  1. Modeling cerebral palsy in animals.Developmental medicine and child neurology · 2026
    Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Reduced brainstem volume is associated with mobility impairments in youth with cerebral palsy.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2023
    Article
  10. Inhibitory Synaptic Influences on Developmental Motor Disorders.International journal of molecular sciences · 2023
    Review
  11. Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Michael P TrevarrowInstitute for Human Neuroscience, Boys Town National Research Hospital, Boys Town, NE, USA.
Sarah E BakerInstitute for Human Neuroscience, Boys Town National Research Hospital, Boys Town, NE, USA.
Tony W WilsonInstitute for Human Neuroscience, Boys Town National Research Hospital, Boys Town, NE, USA.
Max J KurzInstitute for Human Neuroscience, Boys Town National Research Hospital, Boys Town, NE, USA.
Boys Town · US

Funding

NEUROPHYSIOLOGY OF RESPONDERS AND NON-RESPONDERS WITH CEREBRAL PALSYR01HD101833 · NICHD · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI KURZ, MAX J · 2020 to 2024
$3.2M
Sensorimotor Learning in Children with Cerebral PalsyR01HD086245 · NICHD · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI KURZ, MAX J · 2015 to 2018
$2.1M
Neurophysiology of Pain in Children with Cerebral PalsyR21HD096390 · NICHD · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI KURZ, MAX J · 2019 to 2020
$421k
NICHD NIH HHS R01 HD086245NICHD NIH HHS R01 HD101833NICHD NIH HHS R21 HD096390
6 · The paper itself

Abstract

aimTo quantify the microstructural differences in the cervical-thoracic spinal cord of adults with cerebral palsy (CP).

methodMagnetic resonance imaging of the proximal spinal cord (C6-T3) was conducted on a cohort of adults with CP (n=13; mean age=31y 11mo, standard deviation [SD] 8y 7mo; range=20y 8mo-47y 6mo; eight females, five males) and population norm adult controls (n=16; mean age=31y 4mo, SD 9y 9mo; range=19y 4mo-49y 5mo; seven females, nine males). The cross-sectional area (CSA) of the spinal cord, gray and white matter, magnetization transfer ratio (MTR), and fractional anisotropy of the cuneatus and corticospinal tracts were calculated.

resultsThe total spinal cord CSA and proportion of the spinal cord gray matter CSA were significantly decreased in the adults with CP. The corticospinal tracts' MTR was lower in the adults with CP. Individuals that had reduced gray matter also tended to have reduced MTR in their corticospinal tracts (r=0.42, p=0.029) and worse hand dexterity clinical scores (r=0.53, p=0.004).

interpretationThese results show that there are changes in the spinal cord microstructure of adults with CP. Ultimately, these microstructural changes play a role in the extent of the hand sensorimotor deficits seen in adults with CP. What this paper adds Adults with cerebral palsy (CP) have a reduced spinal cord cross-sectional area (CSA). Spinal cord gray matter is reduced in adults with CP. Spinal cord CSA is associated with hand dexterity. Magnetization transfer ratio of corticospinal tracts was lower in adults with CP.

Indexed as

AdultCerebral PalsyFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedSpinal CordWhite MatterYoung Adult

Identifiers

PMID33719037
PMCPMC8260437
OpenAlexW3137983459

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.