Evidence map›Paper›PMID 20939866›Full record

ArticleBMC musculoskeletal disorders2010

Walking ability during daily life in patients with osteoarthritis of the knee or the hip and lumbar spinal stenosis: a cross sectional study.

Corinna C Winter, Mirko Brandes, Carsten Müller, Tim Schubert, Michael Ringling, Axel Hillmann, Dieter Rosenbaum, Tobias L Schulte

2 registry-linked trialsAbstract readComparative Study
In one paragraph

Article in BMC musculoskeletal disorders, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 71 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 7 pooled it
–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.

NCT02154191 naunknown statusnot on this mapstarted 2014, after this paper: background citation

Level of Activity in Lumbar Spinal Stenosis Patients Pre- and Post-surgery: a Non-randomized Controlled Before-after Trial

TypeinterventionalSponsorUniversity of ManitobaRan2014Enrolled24ConditionsSpinal StenosisArmsSurgical Intervention
NCT02592642 nacompletednot on this mapstarted 2014, after this paper: background citation

Self-Management to Improve Walking Ability in Degenerative Lumbar Spinal Stenosis: the Evaluation of Four Novel Strategies.

TypeinterventionalSponsorMount Sinai Hospital, CanadaRan2014 to 2017Enrolled104ConditionsDegenerative Lumbar Spinal StenosisArmsSelf-management Program, Workbook, Video, Pedometer, Instructional Workbook, Video, and Pedometer, Para-spinal TENS, Para-spinal Placebo TENS, Prototype Spinal Stenosis Belt
3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Correlation between the Oswestry Disability Index and objective measurements of walking capacity and performance in patients with lumbar spinal stenosis: a systematic literature review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018
    Pooled it
  3. The clinical course of pain and disability following surgery for spinal stenosis: a systematic review and meta-analysis of cohort studies.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2017
    Pooled it
  4. Pooled it
  5. Pooled it
  6. What interventions improve walking ability in neurogenic claudication with lumbar spinal stenosis? A systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2014
    Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Effect of progressive high-impact exercise on femoral neck structural strength in postmenopausal women with mild knee osteoarthritis: a 12-month RCT.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Trial
  13. Article
  14. Article
  15. Review
  16. Methods matter- construct validity of steps per day in patients with lumbar spinal stenosis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Observational
  17. Review
  18. Article
  19. The Relationship Between Radiographic Osteoarthritis, Step Counts, and Pain Levels in Patients Undergoing Hip and Knee Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
    Article
  20. Review

11 more citing papers are in PubMed but not listed here.

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

8 authors.

Corinna C WinterDepartment of Orthopedics and Tumor Orthopedics, University Hospital Muenster, Albert-Schweitzer-Str, 33, 48149 Münster, Germany. winterco@uni-muenster.de
Mirko Brandes
Carsten Müller
Tim Schubert
Michael Ringling
Axel Hillmann
Dieter Rosenbaum
Tobias L Schulte

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDegenerative musculoskeletal disorders are among the most frequent diseases occurring in adulthood, often impairing patients' functional mobility and physical activity. The aim of the present study was to investigate and compare the impact of three frequent degenerative musculoskeletal disorders--knee osteoarthritis (knee OA), hip osteoarthritis (hip OA) and lumbar spinal stenosis (LSS)--on patients' walking ability.

methodsThe study included 120 participants, with 30 in each patient group and 30 healthy control individuals. A uniaxial accelerometer, the StepWatch™ Activity Monitor (Orthocare Innovations, Seattle, Washington, USA), was used to determine the volume (number of gait cycles per day) and intensity (gait cycles per minute) of walking ability. Non-parametric testing was used for all statistical analyses.

resultsBoth the volume and the intensity of walking ability were significantly lower among the patients in comparison with the healthy control individuals (p < 0.001). Patients with LSS spent 0.4 (IQR 2.8) min/day doing moderately intense walking (>50 gait cycles/min), which was significantly lower in comparison with patients with knee and hip OA at 2.5 (IQR 4.4) and 3.4 (IQR 16.1) min/day, respectively (p < 0.001). No correlations between demographic or anthropometric data and walking ability were found. No technical problems or measuring errors occurred with any of the measurements.

conclusionsPatients with degenerative musculoskeletal disorders suffer limitations in their walking ability. Objective assessment of walking ability appeared to be an easy and feasible tool for measuring such limitations as it provides baseline data and objective information that are more precise than the patients' own subjective estimates. In everyday practice, objective activity assessment can provide feedback for clinicians regarding patients' performance during everyday life and the extent to which this confirms the results of clinical investigations. The method can also be used as a way of encouraging patients to develop a more active lifestyle.

Indexed as

Disability EvaluationMobility LimitationAgedComorbidityCross-Sectional StudiesFemaleGait Disorders, NeurologicHumansMaleMiddle AgedOsteoarthritis, HipOsteoarthritis, KneeSpinal Stenosis

Identifiers

PMID20939866
PMCPMC2958990

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Registered trials

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.