Evidence map›Paper›PMID 24174581›Full record

ArticleNeurology2013

Clinically meaningful performance benchmarks in MS: timed 25-foot walk and the real world.

Myla D Goldman, Robert W Motl, John Scagnelli, John H Pula, Jacob J Sosnoff, Diego Cadavid

Registry-linked trialAbstract readComparative StudyValidation Study
In one paragraph

Article in Neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05496881 (Evaluating Task-Oriented Exercise Effects on Walking Function and the Central Nervous System in People With Multiple Sclerosis), which is not on this map. Cited by 70 papers.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed
–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.

NCT05496881 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Evaluating Task-Oriented Exercise Effects on Walking Function and the Central Nervous System in People With Multiple Sclerosis

TypeinterventionalSponsorUniversity of ReginaRan2022 to 2025Enrolled69ConditionsMultiple Sclerosis, Primary Progressive, Multiple Sclerosis, Relapsing-Remitting, Multiple Sclerosis, Secondary Progressive, Multiple Sclerosis, Chronic ProgressiveArmsExercise Group 1, Exercise Group 2, Exercise Group 3
3 · Its place in the literature

Who cites it

70 citing papers in PubMed.

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10 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

6 authors.

Myla D GoldmanFrom the Department of Neurology (M.D.G.), University of Virginia, Charlottesville, VA; University of Illinois (R.W.M., J.J.S.), Urbana, IL; Raleigh Neurology Associates (J.S.), Raleigh, NC; University of Illinois College of Medicine at Peoria (J.H.P.), IL; and Biogen Idec (D.C.), Cambridge, MA.
Robert W Motl
John Scagnelli
John H Pula
Jacob J Sosnoff
Diego Cadavid

Funding

NRSA Training CoreTL1TR002368 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Jennifer Lynn Goldman, NICOLE L NOLLEN · 2017 to 2026
$4.0M
NCATS NIH HHS TL1 TR002368
6 · The paper itself

Abstract

objectiveIdentify and validate clinically meaningful Timed 25-Foot Walk (T25FW) performance benchmarks in individuals living with multiple sclerosis (MS).

methodsCross-sectional study of 159 MS patients first identified candidate T25FW benchmarks. To characterize the clinical meaningfulness of T25FW benchmarks, we ascertained their relationships to real-life anchors, functional independence, and physiologic measurements of gait and disease progression. Candidate T25FW benchmarks were then prospectively validated in 95 subjects using 13 measures of ambulation and cognition, patient-reported outcomes, and optical coherence tomography.

resultsT25FW of 6 to 7.99 seconds was associated with a change in occupation due to MS, occupational disability, walking with a cane, and needing "some help" with instrumental activities of daily living; T25FW ≥8 seconds was associated with collecting Supplemental Security Income and government health care, walking with a walker, and inability to do instrumental activities of daily living. During prospective benchmark validation, we trichotomized data by T25FW benchmarks (<6 seconds, 6-7.99 seconds, and ≥8 seconds) and found group main effects on 12 of 13 objective and subjective measures (p < 0.05).

conclusionsUsing a cross-sectional design, we identified 2 clinically meaningful T25FW benchmarks of ≥6 seconds (6-7.99) and ≥8 seconds. Longitudinal and larger studies are needed to confirm the clinical utility and relevance of these proposed T25FW benchmarks and to parse out whether there are additional benchmarks in the lower (<6 seconds) and higher (>10 seconds) ranges of performance.

Indexed as

Activities of Daily LivingAdultAgedCross-Sectional StudiesDisability EvaluationEmploymentExercise TestFemaleHumansMaleMiddle AgedMultiple SclerosisPredictive Value of TestsProspective StudiesSeverity of Illness IndexTime Factors

Identifiers

PMID24174581
PMCPMC3821712

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.