Evidence map›Paper›PMID 25768068›Full record

Trial reportAmerican journal of physical medicine & rehabilitation2015

Intensive Gait Training for Older Adults with Symptomatic Knee Osteoarthritis.

Neil A Segal, Natalie A Glass, Patricia Teran-Yengle, Bhupinder Singh, Robert B Wallace, H John Yack

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of physical medicine & rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03663790 (Comparison of the Effects of Gait Modification Strategies on Knee Adduction Moment in Patients With Medial Knee Osteoarthritis), which is not on this map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
4.6field-weighted citation impact, top 5% 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.

NCT03663790 narecruitingnot on this mapstarted 2018, after this paper: background citation

Comparison of the Effects of Gait Modification Strategies on Knee Adduction Moment in Patients With Medial Knee Osteoarthritis: Randomized Controlled Trial

TypeinterventionalSponsorGeorge Mason UniversityRan2018 to 2026Enrolled51ConditionsKnee OsteoarthritisArmsFoot Progression, Trunk Lean
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Could the Evaluation of Muscle Strength Imbalances Be Used as a Predictor of Total Hip Arthroplasty?International journal of environmental research and public health · 2021
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

6 authors at 1 institution in 1 country.

Neil A SegalFrom the Department of Rehabilitation Medicine, University of Kansas, Kansas City, Kansas (NAS); and Department of Orthopaedics and Rehabilitation (NAG), Department of Physical Therapy and Rehabilitation Science (PT-Y, BS, HJY), and Department of Epidemiology (NAS, RBW), University of Iowa, Iowa City, Iowa.
Natalie A Glass
Patricia Teran-Yengle
Bhupinder Singh
Robert B Wallace
H John Yack
University of Iowa · US

Funding

Optimizing Mobility in Elders with Knee Osteoarthritis: Gait and Power TrainingK23AG030945 · NIA · UNIVERSITY OF IOWA · PI SEGAL, NEIL A · 2007 to 2011
$862k
NIA NIH HHS K23 AG030945NIA NIH HHS K23AG030945
6 · The paper itself

Abstract

objectiveThe objective of this study was to determine whether individualized gait training is more effective than usual care for reducing mobility disability and pain in individuals with symptomatic knee osteoarthritis.

designAdults aged 60 yrs or older with symptomatic knee osteoarthritis and mobility limitations were randomized to physical therapist-directed gait training on an instrumented treadmill, with biofeedback individualized to optimize knee movements, biweekly for 3 mos or usual care (control). Mobility disability was defined using Late Life Function and Disability Index Basic Lower Limb Function score (primary); mobility limitations, using timed 400-m walk, chair-stand, and stair-climb tests; and symptoms, using the Knee Injury/Osteoarthritis Outcome Score at baseline, as well as at 3, 6, and 12 mos. The analyses used longitudinal mixed models.

resultsThere were no significant intergroup differences between the 35 gait-training (74.3% women; age, 69.7 ± 8.2 yrs) and 21 control (57.1% women; age, 68.9 ± 6.5 yrs) participants at baseline. At 3 mos, the gait-training participants had greater improvement in mobility disability (4.3 ± 1.7; P = 0.0162) and symptoms (8.6 ± 4.1; P = 0.0420). However, there were no intergroup differences detected for pain, 400-m walk, chair-stand, or stair-climb times at 3 mos or for any outcomes at 6 or 12 mos.

conclusionsCompared with usual care, individualized gait training resulted in immediate improvements in mobility disability knee symptoms in adults with symptomatic knee osteoarthritis, but these effects were not sustained.

Indexed as

Feedback, PhysiologicalGaitAgedExercise TherapyFemaleHumansMaleMiddle AgedOsteoarthritis, KneeSelf CareTreatment Outcome

Identifiers

PMID25768068
PMCPMC4567520
OpenAlexW2070956947

What OpenQuestion holds

Textmetadata
LicenceTDM
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.