Evidence map›Paper›PMID 41785524›Full record

ArticleMolecular genetics and metabolism2026

Design of a Pediatric Low Motor Function Item Battery in leukodystrophies.

Francesco Gavazzi, Sarah Woidill, Anjana Sevagamoorthy, Abbas F Jawad, Russell D'Aiello, Jamie Bradford, Miriam Lerner, Peter Hong, Aaliyah White, Zarrin Tashnim and 6 more

Abstract read
In one paragraph

Article in Molecular genetics and metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

16 authors.

Francesco GavazziDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA; Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. Electronic address: gavazzif@chop.edu.
Sarah WoidillDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Anjana SevagamoorthyDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Abbas F JawadDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Russell D'AielloDepartment of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Jamie BradfordDepartment of Physical Therapy, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Miriam LernerDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Peter HongDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Aaliyah WhiteDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Zarrin TashnimDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Stacy V CusackDepartment of Occupational Therapy, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Allan M GlanzmanDepartment of Physical Therapy, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Ann HarringtonDepartment of Physical Therapy, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Amy T WaldmanDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA; Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Adeline VanderverDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA; Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Laura A AdangDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA; Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Funding

Validation of the GMFC-MLDU54NS115052 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI Laura Ann Adang, FLORIAN S EICHLER · 2019 to 2026
$14.3M
NINDS NIH HHS U54 NS115052
6 · The paper itself

Abstract

Leukodystrophies are rare genetic disorders that disrupt myelin formation in the central nervous system, leading to a broad range of neuromotor impairment. Standard assessment tools, including the Gross Motor Function Measure-88 (GMFM-88), were designed to favor higher-level skills, like sitting and walking, with more limited sensitivity for earlier developmental skills. In populations where advanced gross motor skills can be profoundly limited, there is a critical need for sensitive clinical outcome assessments capable of detecting motor changes across the gross motor spectrum. This study describes the development and preliminary evaluation of the Pediatric Low Motor Function Item Battery (P-LoMo), designed to extend sensitivity into the lowest ranges of ability. Items were selected from validated assessments, including the Test of Infant Motor Performance, the Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders, the Bayley Scales of Infant and Toddler Development-4th Edition, the Mullen Scales of Early Learning, and the Early Clinical Assessment of Balance, through expert consensus. The P-LoMo and the GMFM-88 were administered to 168 leukodystrophy patients. Median GMFM-88 performance was 17.5%, with a skew to low performance (52% of scores within the bottom 20%). The P-LoMo median score was 71 out of 84 potential points. There was a strong correlation between assessments (Spearman's R = 0.94, p < 0.0001) across the total cohort as well as among individuals in the lowest register of performance on the GMFM-88 (Spearman's R = 0.90, p < 0.0001). The P-LoMo has the potential to improve our capacity to capture the full range of neurologic function for children with leukodystrophies and severe motor impairment. It provides a sensitive, feasible, and caregiver-aligned clinical outcome assessment. This tool has the potential to improve trial readiness, functional quantification, and evaluation of emerging therapies in pediatric populations with low motor function.

Indexed as

Hereditary Central Nervous System Demyelinating DiseasesMotor SkillsAdolescentChildChild, PreschoolFemaleHumansInfantMaleGross motorLeukodystrophyOutcome measuresPediatric

Identifiers

PMID41785524
PMCPMC13361793

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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.