Evidence map›Paper›PMID 22424781›Full record

ArticleClinical biomechanics (Bristol, Avon)2012

Symmetry of foot alignment and ankle flexibility in paediatric Charcot-Marie-Tooth disease.

Joshua Burns, Robert Ouvrier, Tim Estilow, Rosemary Shy, Matilde Laurá, Kate Eichinger, Francesco Muntoni, Mary M Reilly, Davide Pareyson, Gyula Acsadi and 2 more

Open access · greenAbstract readComparative Study
In one paragraph

Article in Clinical biomechanics (Bristol, Avon), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.6field-weighted citation impact, top 37% 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

7 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. An observational study of asymmetry in CMT1A.Journal of neurology, neurosurgery, and psychiatry · 2015
    Observational
  6. Article
  7. 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

12 authors at 11 institutions in 4 countries.

Joshua BurnsThe Children's Hospital at Westmead, Sydney, NSW, Australia. joshua.burns@health.nsw.gov.au
Robert Ouvrier
Tim Estilow
Rosemary Shy
Matilde Laurá
Kate Eichinger
Francesco Muntoni
Mary M Reilly
Davide Pareyson
Gyula Acsadi
Michael E Shy
Richard S Finkel
MRC Prion Unit · GBChildren's Hospital at Westmead · AUChildren's Hospital of Michigan · USChildren's Hospital of Philadelphia · USConnecticut Children's Medical Center · USFondazione IRCCS Istituto Neurologico Carlo Besta · ITUniversity College London · GBUniversity of Pennsylvania · USUniversity of Rochester · USUniversity of Sydney · AUWayne State University · US

Funding

trainingU54NS065712 · NINDS · WAYNE STATE UNIVERSITY · PI SHY, MICHAEL E. · 2009 to 2023
$19.6M
Medical Research Council G0601943NINDS NIH HHS U54 NS065712NINDS NIH HHS U54NS065712
6 · The paper itself

Abstract

backgroundCharcot-Marie-Tooth disease is the most common inherited nerve disorder and typically presents with pes cavus foot deformity and ankle equinus during childhood. Level in the variation of symmetry of musculoskeletal lower limb involvement across the clinical population is unknown, despite early reports describing gross asymmetry.

methodsWe measured foot alignment and ankle flexibility of the left and right limbs using accurate and reliable standardised paediatric outcome measures in 172 patients aged 3-20 years with a variety of disease subtypes recruited from the United States, United Kingdom, Italy and Australia.

findingsWhile a large range of differences existed between left and right feet for a small proportion of children, there was no overall significant difference between limbs.

interpretationThere are two important implications of these findings. Children with Charcot-Marie-Tooth disease generally exhibit symmetrical foot alignment and ankle flexibility between limbs. As such, analysing one limb only for biomechanical-related research is appropriate and satisfies the independence requirements for statistical analysis. However, because there are large differences between feet for a small proportion of children, an individualised limb-focused approach to clinical care is required.

Indexed as

AdolescentAnkle JointCharcot-Marie-Tooth DiseaseChildChild, PreschoolFemaleFootHumansRange of Motion, ArticularYoung Adult

Identifiers

PMID22424781
PMCPMC3389135
OpenAlexW2111978946

What OpenQuestion holds

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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.