Evidence map›Paper›PMID 42828244›Full record

ArticlePediatrics open science2026

Comparative Efficacy RCT of 3 Intensive Infant/Toddler Therapies for Unilateral Cerebral Palsy.

Stephanie C DeLuca, Sharon Landesman Ramey, Amy R Darragh, Mark Conaway, Jill C Heathcock, Warren Lo, Andrew M Gordon, Mary Rebekah Trucks, Dory Wallace, Thais Invencao Cabral

Abstract read
In one paragraph

Article in Pediatrics open science, 2026. 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

10 authors.

Stephanie C DeLucaFralin Biomedical Research Institute, Virginia Tech, Roanoke, Virginia.
Sharon Landesman RameyFralin Biomedical Research Institute, Virginia Tech, Roanoke, Virginia.
Amy R DarraghVirginia Commonwealth University, Richmond, Virginia.
Mark ConawayThe University of Virginia, Charlottesville, Virginia.
Jill C HeathcockThe Ohio State University, Columbus, Ohio.
Warren LoThe Ohio State University, Columbus, Ohio.
Andrew M GordonColumbia University, New York, New York.
Mary Rebekah TrucksFralin Biomedical Research Institute, Virginia Tech, Roanoke, Virginia.
Dory WallaceFralin Biomedical Research Institute, Virginia Tech, Roanoke, Virginia.
Thais Invencao CabralThe Ohio State University, Columbus, Ohio.

Funding

Multisite RCT of 3 Neurorehabilitation Therapies for Infants with Asymmetrical CPR01HD074574 · NICHD · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI DELUCA, STEPHANIE C., RAMEY, SHARON LANDESMAN · 2014 to 2017
$3.0M
NICHD NIH HHS R01 HD074574
6 · The paper itself

Abstract

objectivesUnilateral cerebral palsy (UCP) can result in lifelong upper extremity (UE) neuromotor impairment. While both constraint-induced movement therapy (CIMT) and bimanual training have demonstrated efficacy for children with UCP, there was limited evidence to inform treatment decision-making in children aged between 6 and 24 months. Thus, we performed a comparative efficacy trial testing 3 high-dose therapist-delivered interventions, 2 CIMT interventions varied by constraint type to bimanual/no-constraint intervention for use in treating this age group of children with UCP. PATIENTS AND

methodsFifty-eight infants/toddlers with UCP diagnosis, aged 6 to 24 months, were enrolled and randomized. Exclusion criteria were uncontrolled seizures, fragile health, prior CIMT/bimanual therapy, and recent botulinum toxin. Participants were randomly assigned (1:1:1) to 1 of 3 treatments all delivered 3 hours/d and 5 days/wk for 4 weeks: CIMT/full-time cast, CIMT/part-time splint, or bimanual/no constraint. Anonymized assessments at baseline, end of treatment (EoT), and 6 months posttreatment included the Mini-Assisting Hand Assessment (AHA) for bimanual abilities and the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III) Fine-Motor (FM) subscale on each UE for FM abilities.

resultsFifty-three infant/toddlers completed treatment and EoT assessment (mean age, 17.2 months), and 41 completed 6-month assessment. All groups had gains from intervention: Mini-AHA scores (

conclusionThe trial confirms comparable benefits from therapist-delivered CIMT and bimanual/no-constraint interventions for infants/toddlers with UCP aged between 6 and 24 months.

Identifiers

PMID42828244
PMCPMC13631970

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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.