Evidence map›Paper›PMID 25810426›Full record

Trial reportClinical rehabilitation2016

Concordance and discordance between measured and perceived balance and the effect on gait speed and falls following stroke.

Jodi Liphart, Joann Gallichio, Julie K Tilson, Qinglin Pei, Samuel S Wu, Pamela W Duncan

Abstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Clinical rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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.

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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. 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.

Jodi LiphartInstitute of Physical Therapy, University of St. Augustine for Health Sciences, St. Augustine, FL, USA jliphart@usa.edu.
Joann GallichioPhysical Therapy Department, Nova Southeastern University, Tampa, FL, USA.
Julie K TilsonDivision of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, USA.
Qinglin PeiDepartment of Biostatistics, University of Florida, Gainesville, FL, USA.
Samuel S WuDepartment of Biostatistics, University of Florida, Gainesville, FL, USA.
Pamela W DuncanDepartment of Neurology, Wake Forest University, Winston-Salem, NC, USA.

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI Peihua Qiu · 2007 to 2026
$22.8M
Locomotor Experience Applied Post-Stroke (LEAPS)R01NS050506 · NINDS · UNIVERSITY OF FLORIDA · PI DUNCAN, PAMELA W. · 2005 to 2009
$13.3M
NCATS NIH HHS UL1 TR001427NIA NIH HHS P30 AG028740NINDS NIH HHS R01 NS050506
6 · The paper itself

Abstract

objectiveTo ascertain the existence of discordance between perceived and measured balance in persons with stroke and to examine the impact on walking speed and falls.

designA secondary analysis of a phase three, multicentered randomized controlled trial examining walking recovery following stroke. SUBJECTS: A total of 352 participants from the Locomotor Experience Applied Post-Stroke (LEAPS) trial.

methodsParticipants were categorized into four groups: two concordant and two discordant groups in relation to measured and perceived balance. Number and percentage of individuals with concordance and discordance were evaluated at two and 12 months. Walking speed and fall incidence between groups were examined. MAIN MEASURES: Perceived balance was measured by the Activities-Specific Balance Confidence scale, measured balance was determined by the Berg Balance Scale and gait speed was measured by the 10-meter walk test.

resultsDiscordance was present for 35.8% of participants at two months post stroke with no statistically significant change in proportion at 12 months. Discordant participants with high perceived balance and low measured balance walked 0.09 m/s faster at two months than participants with concordant low perceived and measured balance (p < 0.05). Discordant participants with low perceived balance and high measured balance walked 0.15 m/s slower than those that were concordant with high perceived and measured balance (p ⩽ 0.0001) at 12 months. Concordant participants with high perceived and measured balance walked fastest and had fewer falls.

conclusionsDiscordance existed between perceived and measured balance in one-third of individuals at two and 12 months post-stroke. Perceived balance impacted gait speed but not fall incidence.

Indexed as

Postural BalanceSelf ConceptWalking SpeedAccidental FallsAgedFemaleHumansIncidenceMaleMiddle AgedRecovery of FunctionStrokeStroke RehabilitationbalanceBalance confidencefallsgaitstroke

Identifiers

PMID25810426
PMCPMC4976443

What OpenQuestion holds

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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.