Evidence map›Paper›PMID 25316182›Full record

Trial reportArchives of physical medicine and rehabilitation2015

Callosal hyperintensities and gait speed gain from two types of mobility interventions in older adults.

Neelesh K Nadkarni, Subashan Perera, Stephanie A Studenski, Caterina Rosano, Howard J Aizenstein, Jessie M VanSwearingen

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of physical medicine and rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Observational
  2. Review
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 at 1 institution in 1 country.

Neelesh K NadkarniDivision of Geriatric Medicine and Gerontology, Department of Medicine, University of Pittsburgh, Pittsburgh, PA. Electronic address: nkn3@pitt.edu.
Subashan PereraDivision of Geriatric Medicine and Gerontology, Department of Medicine, University of Pittsburgh, Pittsburgh, PA.
Stephanie A StudenskiDivision of Geriatric Medicine and Gerontology, Department of Medicine, University of Pittsburgh, Pittsburgh, PA.
Caterina RosanoDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, PA.
Howard J AizensteinDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA.
Jessie M VanSwearingenDepartment of Physical Therapy, University of Pittsburgh, Pittsburgh, PA.
University of Pittsburgh · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
NCATS NIH HHS UL1 TR000005NIA NIH HHS P30 AG024827
6 · The paper itself

Abstract

objectiveTo assess whether the volume of callosal hyperintensities in the genu and splenium of older adults with mobility impairment is differentially associated with the degree of gain in gait speed after 2 types of gait interventions.

designSingle-blind randomized controlled trial of 2 types of gait exercises in older adults.

settingResearch center in an academic institution.

participantsAmbulatory adults (N=44) aged ≥65 years with a slow and variable gait.

interventionTwelve-week physical therapist-guided trial of a conventional walking, endurance, balance, and strength (WEBS) intervention (n=20) versus a timing and coordination of gait (TC) intervention (n=22).

main outcome measureGain in gait speed after the intervention and its relation to callosal hyperintensities in the genu and splenium of the corpus callosum.

resultsGait speed improved in both the WEBS group (mean change, 0.16m/s) and the TC group (mean change, 0.21m/s; both P<.05). The volume of white matter hypertintensities (WMHs) in the genu was differentially associated with gait speed gain (group × genual WMH interaction, P=.05). Greater genual WMH volume was related to a smaller gait speed gain in the WEBS group (P=.01) but not in the TC (P=.10) group. Splenial WMH volume was not differentially associated with gait speed gain (interaction, P=.90).

conclusionsCallosal hyperintensities differentially influence gait speed gain by the type of gait rehabilitation. Mobility impaired older adults with genual hyperintensities may benefit from a rehabilitation program focused on motor skill learning rather than on strength and endurance training.

Indexed as

Magnetic Resonance ImagingMobility LimitationPhysical Therapy ModalitiesAgedCorpus CallosumFemaleGaitHumansMaleMuscle StrengthPhysical EndurancePostural BalanceSingle-Blind MethodWalkingCerebral small-vessel diseaseCognitionCorpus callosumExerciseInterventionMobilityRehabilitation

Identifiers

PMID25316182
PMCPMC4394027
OpenAlexW2035446765

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.