Evidence map›Paper›PMID 41745766›Full record

Observational studyToxins2026

The Relationship Between the Gross Motor Function Classification System, Functional Mobility Scale, Observational Gait Scale, and the Amsterdam Gait Classification in Children with Cerebral Palsy During Long-Term Treatment with Botulinum Toxin Injections and Combined Integrated, Intensive Rehabilitation.

Weronika Pyrzanowska, Magdalena Chrościńska-Krawczyk, Nigar Dursun, Marcin Bonikowski

Abstract readObservational Study
In one paragraph

Observational study in Toxins, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Weronika PyrzanowskaHealth Sciences Department, The Maria Grzegorzewska University, 02-353 Warsaw, Poland.
Magdalena Chrościńska-KrawczykDepartment of Children's Neurology, University Children's Hospital, 20-093 Lublin, Poland.
Nigar DursunDepartment of Physical Medicine and Rehabilitation, Faculty of Medicine, Kocaeli University, 41001 Kocaeli, Turkey.
Marcin BonikowskiHealth Sciences Department, The Maria Grzegorzewska University, 02-353 Warsaw, Poland.ORCID 0000-0002-2028-7024

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with cerebral palsy (CP) experience complex gait disorders that change with age, leading to reduced activity and social participation. This study aimed to analyse how gait patterns developed over five years and to examine the relationships between the Observational Gait Scale (OGS), Amsterdam Gait Classification (AGC), Gross Motor Function Classification System (GMFCS), and the Functional Mobility Scale (FMS) at 5 and 50 m (FMS 5/50) during treatment. This retrospective, single-centre observational study involved annual assessments over a five-year period, which were analysed. Patients underwent a rehabilitation programme including physiotherapy, orthotics, multilevel botulinum toxin type A injections (BoNT-A), and serial casting. Data regarding BoNT-A treatment, casting, physiotherapy, orthoses, GMFCS levels, and FMS 5/50 scores were obtained from medical records. OGS and AGC were evaluated through two-plane clinical video recordings conducted in the same gait laboratory for all children. A cohort of 200 pediatric subjects (120 boys and 80 girls) diagnosed with bilateral cerebral palsy, predominantly classified as GMFCS II (48%) and III (36%), was analyzed. The average initial age was 32.23 months (±6.96), and GMFCS levels improved in 33. 5% of children and worsened in 2% (

Indexed as

Botulinum Toxins, Type ACerebral PalsyGaitNeuromuscular AgentsChildChild, PreschoolFemaleHumansMalePhysical Therapy ModalitiesRetrospective StudiesTreatment OutcomeBotulinum Toxins, Type ANeuromuscular Agentsbotulinum toxincerebral palsygait patternintegrated rehabilitationintensivemobility

Identifiers

PMID41745766
PMCPMC12945035

What OpenQuestion holds

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LicenceCC BY
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.