Evidence map›Paper›PMID 21636073›Full record

Trial reportArchives of physical medicine and rehabilitation2011

Increased trunk extension endurance is associated with meaningful improvement in balance among older adults with mobility problems.

Pradeep Suri, Dan K Kiely, Suzanne G Leveille, Walter R Frontera, Jonathan F Bean

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of physical medicine and rehabilitation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% of its field
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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Back strength predicts walking improvement in obese, older adults with chronic low back pain.PM & R : the journal of injury, function, and rehabilitation · 2014
    Trial
  5. Trial
  6. Clinical Characterization of Hip Subgroups in Geriatric Chronic Low Back Pain.Archives of physical medicine and rehabilitation · 2025
    Article
  7. Article
  8. Article
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  11. Article
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  15. Review
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  17. The Relationship Among Neuromuscular Impairments, Chronic Back Pain, and Mobility in Older Adults.PM & R : the journal of injury, function, and rehabilitation · 2016
    Article
  18. Article
  19. Article
  20. Article
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

5 authors at 4 institutions in 2 countries.

Pradeep SuriDepartment of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, USA. psuri@caregroup.harvard.edu
Dan K Kiely
Suzanne G Leveille
Walter R Frontera
Jonathan F Bean
Harvard University · USBeth Israel Deaconess Medical Center · USHebrew SeniorLife · USUniversity of Puerto Rico System · PR

Funding

Rehabilitation Medicine Scientist Training (RMST) ProgramK12HD001097 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BONINGER, MICHAEL L. · 1995 to 2016
$14.1M
Ameliorating Disability through Power TrainingK23AG019663 · NIA · SPAULDING REHABILITATION HOSPITAL · PI BEAN, JONATHAN F · 2003 to 2006
$627k
NIA NIH HHS K23 AG019663NIA NIH HHS K23AG019663-01A2NICHD NIH HHS K12 HD001097NICHD NIH HHS K12 HD 01097
6 · The paper itself

Abstract

objectiveTo determine whether trunk extension endurance changes with training are associated with clinically meaningful improvements in balance among mobility-limited older adults.

designLongitudinal data from a randomized controlled trial.

settingOutpatient rehabilitation research center.

participantsCommunity-dwelling older adults (N=64; mean age, 75.9y) with mobility limitations as defined by a score of 4 to 10 on the Short Physical Performance Battery.

interventionsSixteen weeks of progressive resistance training.

main outcome measuresOutcomes were the Berg Balance Scale (BBS) and the Unipedal Stance Time (UST). Predictors included leg strength, leg power, trunk extension endurance, and the product of heart rate and blood pressure (RPP) at the final stage of an exercise tolerance test. We performed an analysis of data from participants who completed 16 weeks of training by using binary outcomes defined by a clinically meaningful change (CMC) from baseline to completion of the intervention (BBS=4 units; UST=5s). The association of predictor variables with balance outcomes was examined separately and together in multivariate adjusted logistic regression models.

resultsTrunk extension endurance in seconds (1.04 [1.00-1.09]) was independently associated with CMC on the BBS. Trunk extension endurance (1.02 [1.00-1.03]) was independently associated with CMC on the UST. Other physical attributes were not associated with meaningful change in balance.

conclusionsImprovements in trunk extension endurance were independently associated with CMCs in balance in older adults. Leg strength, leg power, and RPP were not associated with CMC in balance. Poor trunk extension endurance may be a rehabilitative impairment worthy of further study as a modifiable factor linked to balance among older adults.

Indexed as

Resistance TrainingAbdominal MusclesAgedAged, 80 and overBackExercise ToleranceFemaleHumansLegLogistic ModelsLongitudinal StudiesMaleMobility LimitationMovementMuscle, SkeletalMuscle Strength

Identifiers

PMID21636073
PMCPMC3124606
OpenAlexW2016138023

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.