Evidence map›Paper›PMID 40916838›Full record

ArticleMovement disorders clinical practice2026

Minimal Clinically Important Difference of the Scale for the Assessment and Rating of Ataxia.

Gabriel Padilla, Yumeng Qi, Seonjoo Lee, Michael Spinner, Oliver Coultry, Scott Barbuto

Abstract read
In one paragraph

Article in Movement disorders clinical practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. 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.

Gabriel PadillaLake Erie College of Osteopathic Medicine- Elmira, Elmira, New York, USA.
Yumeng QiDepartment of Psychiatry and Biostatistics, College of Physicians and Surgeons, Columbia University Medical Center, New York, New York, USA.
Seonjoo LeeDepartment of Psychiatry and Biostatistics, College of Physicians and Surgeons, Columbia University Medical Center, New York, New York, USA.
Michael SpinnerDepartment of Physical Medicine and Rehabilitation, College of Physicians and Surgeons, Columbia University Medical Center, New York, New York, USA.
Oliver CoultryWebster Schroeder High School, Webster, New York, USA.
Scott BarbutoDepartment of Physical Medicine and Rehabilitation, College of Physicians and Surgeons, Columbia University Medical Center, New York, New York, USA.ORCID https://orcid.org/0000-0001-9494-9708

Funding

The Neural Effects of Balance Versus Aerobic Training in Individuals with Degenerative Cerebellar DiseasesK23NS121518 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BARBUTO, SCOTT · 2021 to 2024
$774k
NINDS NIH HHS K23 NS121518NINDS NIH HHS K23NS121518
6 · The paper itself

Abstract

backgroundThe Scale for the Assessment and Rating of Ataxia (SARA) is the most used outcome measure in clinical trials for cerebellar ataxias. The minimal clinically important difference (MCID), a parameter used to assess meaningful change, is not clearly defined.

objectiveTo help define MCID for SARA.

methodsSixty-two individuals with cerebellar ataxias participated in a home-exercise clinical trial. Participants had outcomes assessed [SARA, Timed Up and Go (TUG), Dynamic Gait Index (DGI), gait speed, Patient Global Impression of Change (PGIC)] at 0-, 6-, 9-, and 12-months. Three methods were used to determine the MCID for SARA: anchor-based method, distribution-based method, and distribution-based mapping.

resultsThe MCID for SARA using anchor-based method was 1.75. The distribution-based method and distribution-based mapping identified a median MCID score of 1.23.

conclusionSynthesizing methods, we determined an MCID of 1.5 points. An accurate MCID is critical to ensure future treatments are clinically relevant.

Indexed as

Cerebellar AtaxiaMinimal Clinically Important DifferenceOutcome Assessment, Health CareSeverity of Illness IndexAdultAgedFemaleGaitHumansMaleMiddle AgedataxiaMCIDoutcome measuresSARA

Identifiers

PMID40916838
PMCPMC12487891

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.