Evidence map›Paper›PMID 40183408›Full record

Trial reportNeuroRehabilitation2025

Hand Functions Following Prone-weight Bearing on Upper Limb with Active Elbow Extension Versus Modified Constraint Induced Movement Therapy in Children with Unilateral Cerebral Palsy - A Randomised Clinical Trial.

Amitesh Narayan, Ruth Bavighar, Shyam Krishnan, Abdulaziz Alammari, Shreekanth D Karnad, Deepalaxmi Paresh Poojari

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in NeuroRehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Amitesh NarayanDepartment of Physiotherapy, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, 576 104, India.ORCID 0000-0001-7587-8414
Ruth BavigharDepartment of Physiotherapy, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, 576 104, India.ORCID 0009-0006-5656-5790
Shyam KrishnanDepartment of Physiotherapy, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, 576 104, India.ORCID 0000-0001-7046-8619
Abdulaziz AlammariDepartment of Rehabilitation, King Fahad Armed Forces Hospital, Jeddah, Kingdom of Saudi Arabia.ORCID 0000-0002-7235-353X
Shreekanth D KarnadDepartment of Physiotherapy, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, 576 104, India.ORCID 0000-0002-7943-2644
Deepalaxmi Paresh PoojariDepartment of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Karnataka, Manipal, 576 104, India.ORCID 0000-0003-0035-8478

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundThe atypical upper limb (UL) flexion pattern in children with unilateral cerebral palsy (UCP) debilitates their ability to experience natural weight bearing through arms and hands, leading to restricted mobility and reduced hand functions. The recommended therapeutic strategies to improve hand functions are not standardized, i.e., (varied protocols, treatment schedules, and frequency), though the benefits of UL weight-bearing on hand-opening and prehension skills are well-documented.ObjectiveTo study the efficacy of Static weight bearing (SWB) in Prone on UL with active elbow extension versus modified-constrained induced movement therapy (m-CIMT) on hand functions in children with UCP.MethodsRandomized clinical trial. Subjects (N = 38) were randomized equally (group- 1, SWB, n = 19; and group- 2, m-CIMT, n = 19). Outcome measure- Fine Motor of PDMS-2 (FM_PDMS-2) pre-and post-interventions after 2 weeks.ResultsThe percentage change (post-intervention) for the Grasping and VMI subtests in the SWB group were 37.67% and 14.11%, while for the m-CIMT group were 12.78% and 4.88%, respectively. These changes were highly significant (p 0.000).ConclusionBoth groups, i.e., SWB and m-CIMT, showed significant differences in the percentage change post-intervention. However, the SWB group demonstrated augmented changes over the m-CIMT on both subtests of FM_PDMS-2, hence greater improvement in hand functions following SWB exercises.

Indexed as

Cerebral PalsyExercise TherapyHandUpper ExtremityWeight-BearingAdolescentChildConstraint Induced Movement TherapyElbowFemaleHumansMaleTreatment Outcomedisability and health (ICF) frameworkinternational classification of functioningm-CIMTstatic weight bearingunilateral cerebral palsy

Identifiers

PMID40183408
PMCPMC12394761

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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.