Evidence map›Paper›PMID 24679710›Full record

ArticleJournal of biomechanics2014

Dynamic stability of individuals with transtibial amputation walking in destabilizing environments.

Rainer Beurskens, Jason M Wilken, Jonathan B Dingwell

Abstract read
In one paragraph

Article in Journal of biomechanics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
13.5field-weighted citation impact, top 2% 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

25 citing papers in PubMed, 47 citations in OpenAlex.

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  5. Development of a multidimensional military readiness assessment.Frontiers in rehabilitation sciences · 2024
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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

3 authors at 2 institutions in 1 country.

Rainer BeurskensDepartment of Kinesiology & Health Education, University of Texas, Austin, TX 78712, USA.
Jason M WilkenMilitary Performance Lab, Department of Orthopaedics and Rehabilitation, Brooke Army Medical Center, Ft. Sam Houston, TX 78234, USA.
Jonathan B DingwellDepartment of Kinesiology & Health Education, University of Texas, Austin, TX 78712, USA. Electronic address: jdingwell@austin.utexas.edu.
Texas Health and Science University · USBrooke Army Medical Center · US

Funding

Improving Dynamic Walking Stability in Traumatic AmputeesR01HD059844 · NICHD · UNIVERSITY OF TEXAS AT AUSTIN · PI DINGWELL, JONATHAN B · 2010 to 2014
$1.3M
NICHD NIH HHS 1-R01-HD059844NICHD NIH HHS R01 HD059844
6 · The paper itself

Abstract

Lower limb amputation substantially disrupts motor and proprioceptive function. People with lower limb amputation experience considerable impairments in walking ability, including increased fall risk. Understanding the biomechanical aspects of the gait of these patients is crucial in improving their gait function and their quality of life. In the present study, 9 persons with unilateral transtibial amputation and 13 able-bodied controls walked on a large treadmill in a Computer Assisted Rehabilitation Environment (CAREN). While walking, subjects were either not perturbed, or were perturbed either by continuous mediolateral platform movements or by continuous mediolateral movements of the visual scene. Means and standard deviations of both step lengths and step widths increased significantly during both perturbation conditions (all p<0.001) for both groups. Measures of variability, local and orbital dynamic stability of trunk movements likewise exhibited large and highly significant increases during both perturbation conditions (all p<0.001) for both groups. Patients with amputation exhibited greater step width variability (p=0.01) and greater trunk movement variability (p=0.04) during platform perturbations, but did not exhibit greater local or orbital instability than healthy controls for either perturbation conditions. Our findings suggest that, in the absence of other co-morbidities, patients with unilateral transtibial amputation appear to retain sufficient sensory and motor function to maintain overall upper body stability during walking, even when substantially challenged. Additionally, these patients did not appear to rely more heavily on visual feedback to maintain trunk stability during these walking tasks.

Indexed as

AdolescentAdultAmputation, SurgicalEnvironmentFeedback, SensoryFemaleHumansMaleMiddle AgedMovementPostural BalanceTibiaTorsoWalkingYoung AdultAmputationDynamic stabilityGaitPerturbationsVirtual reality

Identifiers

PMID24679710
PMCPMC4043395
OpenAlexW1969362373

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.