ArticleArchives of physical medicine and rehabilitation2013
Home-based treadmill training to improve gait performance in persons with a chronic transfemoral amputation.
Article in Archives of physical medicine and rehabilitation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04612478 (Use of a Self-Directed Exercise Program), which is not on this map. Cited by 19 papers.
What it found
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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.
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.
Use of a Self-Directed Exercise Program (SDEP) Following Selected Lower Extremity Fractures
Who cites it
19 citing papers in PubMed, 56 citations in OpenAlex.
- Simulated gait training improves joint loading symmetry in unilateral transfemoral bone-anchored limb users.Journal of biomechanics · 2026Article
- Effect of luggage type on gait parameters using in-shoe motion sensors.Scientific reports · 2025Article
- Limb-specific blood flow regulation during cycling exercise in traumatic single lower limb amputees.European journal of applied physiology · 2025Article
- Virtual Assessment of Functional Mobility in Lower Extremity Prosthesis Clients: An Exploratory Study.Archives of rehabilitation research and clinical translation · 2024Article
- Development and evaluation of an anteriorly mounted microprocessor-controlled powered hip joint prosthesis.Canadian prosthetics & orthotics journal · 2024Article
- Walking asymmetry and its relation to patient-reported and performance-based outcome measures in individuals with unilateral lower limb loss.International biomechanics · 2022Article
- Robot-mediated overground gait training for transfemoral amputees with a powered bilateral hip orthosis: a pilot study.Journal of neuroengineering and rehabilitation · 2021Article
- Effect of electrical stimulation of receptive fields in people with lower limb amputation on variables of gait.IBRO reports · 2020Article
- Patients' preferences for occupational therapy after upper extremity fractures: a discrete choice experiment.BMJ open · 2020Article
- Rhythmic neural activity is comodulated with short-term gait modifications during first-time use of a dummy prosthesis: a pilot study.Journal of neuroengineering and rehabilitation · 2020Article
- Effects of extended powered knee prosthesis stance time via visual feedback on gait symmetry of individuals with unilateral amputation: a preliminary study.Journal of neuroengineering and rehabilitation · 2019Article
- The Relationship Between Gait Symmetry and Metabolic Demand in Individuals With Unilateral Transfemoral Amputation: A Preliminary Study.Military medicine · 2019Article
- Does formal vs home-based physical therapy predict outcomes after ankle fracture or ankle fracture-dislocation?OTA international : the open access journal of orthopaedic trauma · 2019Article
- Energy storing and return prosthetic feet improve step length symmetry while preserving margins of stability in persons with transtibial amputation.Journal of neuroengineering and rehabilitation · 2018Article
- Exercise intervention for unilateral amputees with low back pain: study protocol for a randomised, controlled trial.Trials · 2017Article
- Considering passive mechanical properties and patient user motor performance in lower limb prosthesis design optimization to enhance rehabilitation outcomes.Physical therapy reviews : PTR · 2017Article
- Gait Training Interventions for Lower Extremity Amputees:Technology and innovation · 2016Article
- Explaining modified 2-min walk test outcomes in male Veterans with traumatic or nontraumatic lower-limb amputation.Journal of rehabilitation research and development · 2016Article
- Functional Outcomes After the Prosthetic Training Phase of Rehabilitation After Dysvascular Lower Extremity Amputation.PM & R : the journal of injury, function, and rehabilitation · 2015Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo investigate the effectiveness of a home-based multiple-speed treadmill training program to improve gait performance in persons with a transfemoral amputation (TFA).
designRepeated measures.
settingResearch laboratory.
participantsIndividuals with a TFA (N=8) who had undergone a unilateral amputation at least 3 years prior as a result of limb trauma or cancer.
interventionHome-based treadmill walking for a total of 30 minutes a day, 3 days per week for 8 weeks. Each 30-minute training session involved 5 cycles of walking for 2 minutes at 3 speeds.
main outcome measuresParticipants were tested pretraining and after 4 and 8 weeks of training. The primary measures were temporal-spatial gait performance (symmetry ratios for stance phase duration and step length), physiological gait performance (energy expenditure and energy cost), and functional gait performance (self-selected walking speed [SSWS], maximum walking speed [MWS], and 2-minute walk test [2MWT]).
resultsEight weeks of home-based training improved temporal-spatial gait symmetry at SSWS but not at MWS. A relative interlimb increase in stance duration for the prosthetic limb and proportionally greater increases in step length for the limb taking shorter steps produced the improved symmetry. The training effect was significant for the step length symmetry ratio within the first 4 weeks of the program. Energy expenditure decreased progressively during the training with nearly 10% improvement observed across the range of walking speeds. SSWS, MWS, and 2MWT all increased by 16% to 20%.
conclusionsHome-based treadmill walking is an effective method to improve gait performance in persons with TFA. The results support the application of training interventions beyond the initial rehabilitation phase, even in individuals considered highly functional.
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What OpenQuestion holds
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.