Evidence map›Paper›PMID 34407619›Full record

SynthesisClinical rehabilitation2022

Effect of muscle strength training in children and adolescents with spastic cerebral palsy: A systematic review and meta-analysis.

Javier Merino-Andrés, Agustín García de Mateos-López, Diane L Damiano, Alberto Sánchez-Sierra

3 registry-linked trialsOpen access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 38 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 6 pooled it
8.9field-weighted citation impact, top 1% 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.

NCT05787210 nacompletednot on this mapstarted 2023, after this paper: background citation

Effects of Quadriceps Strength Training on Gait Parameters and Energy Expenditure in Children With Spastic Cerebral Palsy

TypeinterventionalSponsorRiphah International UniversityRan2023 to 2023Enrolled22ConditionsCerebral PalsyArmsConventiional Physiotherapy, Quadriceps Strength Training
NCT06004271 nacompletednot on this mapstarted 2023, after this paper: background citation

The Effect of Kinesio Taping on q Angle and Pes Planus in Children With Cerebral Palsy

TypeinterventionalSponsorUskudar UniversityRan2023 to 2023Enrolled45ConditionsCerebral Palsy, Pes PlanusArmsexercise, exercise and taping, placebo
NCT06493344 nacompletednot on this map

The Influence of Applying Additional Weight on Crouch Gait in Children With Spastic Cerebral Palsy. Assessment of the Kinematics, Balance and Functional Level

TypeinterventionalSponsorUniversity of ThessalyRan2021 to 2022Enrolled2ConditionsCerebral Palsy, Gait, Spastic, Motor Disorders, Functional Neurological DisorderArmsApplying additional weight
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 6 syntheses or guidelines pooled it, 89 citations in OpenAlex.

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  4. Effects of various exercise interventions on motor function in cerebral palsy patients: a systematic review and network meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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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 2 countries.

Javier Merino-AndrésPedPT Research Lab, Toledo, Spain.ORCID https://orcid.org/0000-0002-7647-0258
Agustín García de Mateos-LópezSanus Fisioterapia, Ciudad Real, Spain.ORCID https://orcid.org/0000-0003-4991-7293
Diane L DamianoRehabilitation Medicine Department, National Institutes of Health, Bethesda, MD, USA.
Alberto Sánchez-SierraFaculty of Physiotherapy and Nursing, Universidad de Castilla-La Mancha, Toledo, Spain.
Camilo José Cela University · ESNational Institutes of Health · USUniversity of Castilla-La Mancha · ES

Funding

Intramural NIH HHS Z99 CL999999
6 · The paper itself

Abstract

objectiveThis systematic review and meta-analysis investigates the effects of strength training program in children and adolescents with cerebral palsy to improve function, activity, and participation. DATA SOURCES: Five electronic databases (MEDLINE-Pubmed, Cochrane Library, PEDro, CINAHL, and SPORTDiscus) were systematically searched for full-text articles published from inception to 30 June 2021. REVIEW

methodsRandomized controlled trials were included, who compared: (i) child population with spastic cerebral palsy population between 0 and 22 years; (ii) studies in which a muscle strength training program was performed and included dosing information; (iii) studies comparing strength training with other physical therapy technique(s) or untreated control group. Studies with similar outcomes were pooled by calculating standardized mean differences. Risk of bias was assessed with Cochrane Collaboration's tool for assessing the risk of bias and PROSPERO's registration number ID: CRD42020193535.

resultsTwenty-seven studies, comprising 847 participants with spastic cerebral palsy. The meta-analyses demonstrated significant standardized mean differences in favor of strength training program compared to other physical therapy technique(s) or untreated control group(s) for muscle strength at the knee flexors, at the knee extensor, at the plantarflexors, maximum resistance, balance, gait speed, GMFM (global, D and E dimension) and spasticity.

conclusionA strength training program has positive functional and activity effects on muscle strength, balance, gait speed, or gross motor function without increasing spasticity for children and adolescents with cerebral palsy in Gross Motor Function Classification System levels I, II, and III when adequate dosage and specific principles are utilized.

Indexed as

Cerebral PalsyResistance TrainingAdolescentChildHumansMusclesMuscle StrengthWalking SpeedCerebral palsymeta-analysispediatricstrengtheningsystematic review

Identifiers

PMID34407619
PMCPMC9639012
OpenAlexW3194282746

What OpenQuestion holds

Textmetadata
LicenceTDM
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.