Effect of constraint‐induced movement therapy on activity and participation in children with hemiplegic cerebral palsy: a systematic review with meta‐analysis
Bibliographic record
Abstract
Results: Twenty-three children (51%) achieved clinically meaningful change on AMPS motor scale, 28 (60%) on AMPS process scale, 27 (53%) on COPM performance and satisfaction scales, 15 (29%) on the AHA and 18 (36%) on the TVPS-3.Lower baseline score was the single predictor of a best response on the AMPS motor scale (odds ratio (OR) = 0.04, p = 0.001) and AMPS process scale (OR = 0.003; p < 0.001).Higher FSIQ and lower baseline scores predicted best responders on the AHA (FSIQ OR = 1.07, p = 0.03; AHA baseline OR = 0.94, p = 0.03) and TVPS (FSIQ OR = 1.15, p = 0.003; TVPS baseline score OR = 0.92, p = 0.045).No significant predictors were identified on the COPM performance or satisfaction scales.Conclusions/Significance: Our findings suggest that a wide variety of children with UCP based on age, gender, laterality of injury and baseline hand function can achieve clinically meaningful improvements following a 20 week program of Mitii.Few characteristics predicted best responders across the included measures.Children with lower baseline scores may have had greater margin for improvement on measures.The nature of goals identified on the COPM may impact changes in score rather than clinical characteristics.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.005 | 0.015 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.014 | 0.023 |
| Bibliometrics | 0.003 | 0.004 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.002 | 0.001 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".