Professionals actively engaged in clinical trials involving patients with neurological damage must applaud researchers/clinicians who are willing to test popular clinical practices of equivocal or undetermined evidence. Kerr et al.'s study (p 870) is a major undertaking with sound scientific methodology. It is the fourth study published in DMCN in recent years that has failed to demonstrate the efficacy of neuromuscular electrical stimulation (NMES) in enhancing muscle force generation or improved functional ability of children with cerebral palsy (CP).