ReviewArchives of rehabilitation research and clinical translation2026
Effectiveness of Rehabilitation Interventions on Participation in Children and Adolescents With Unilateral Cerebral Palsy: A Systematic Review and Meta-Analysis.
Review in Archives of rehabilitation research and clinical translation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: To determine the effectiveness of rehabilitation interventions on participation outcomes in daily living, leisure, social, and educational contexts for children and adolescents with unilateral cerebral palsy (UCP), and to identify whether specific intervention categories yield superior participation improvements. Data Sources: MEDLINE via PubMed, Physiotherapy Evidence Database, Cochrane Library, CINAHL, and Scopus were searched from inception to July 31, 2025, for randomized controlled trials (RCTs), non-RCTs, and single-arm pre-post studies involving participants aged 18 months to 18 years with UCP, rehabilitation interventions, and standardized participation measures. Study Selection: After screening 417 records, 23 studies (19 RCTs and 4 pre-post designs; total N=840) met inclusion criteria. Data Extraction: Two independent reviewers extracted study characteristics and participation outcomes. Risk of bias was assessed via Risk of Bias 2.0 and Risk Of Bias In Nonrandomized Studies of Interventions-I; certainty of evidence was judged using Grading of Recommendations Assessment, Development and Evaluation. Data Synthesis: Pooled pre-post analyses using a random-effects model (Restricted Maximum Likelihood) showed a standardized mean difference of 1.44 (95% CI: 0.95-1.92), indicating strong within-group participation improvements; however, certainty of evidence was low because of methodological limitations and high heterogeneity (I Conclusions: Rehabilitation interventions yield substantial pre-post participation gains in children and adolescents with UCP; no specific modality showed clear superiority. Intervention characteristics may be key drivers. Future RCTs with active comparators and standardized, participation-focused protocols are needed.
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