Evidence map›Paper›PMID 25921552›Full record

SynthesisClinical biomechanics (Bristol, Avon)2015

Gait behaviors as an objective surgical outcome in low back disorders: A systematic review.

Nima Toosizadeh, Tzu Chuan Yen, Carol Howe, Michael Dohm, Jane Mohler, Bijan Najafi

3 registry-linked trialsOpen access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Clinical biomechanics (Bristol, Avon), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.1field-weighted citation impact, top 9% 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.

NCT02761265 naunknown statusnot on this mapstarted 2016, after this paper: background citation

The Effect of Thoracolumbar Spinal Deformity and Its Surgical Correction on Gait and Balance in Adults

TypeinterventionalSponsorTexas Back InstituteRan2016 to 2018Enrolled100ConditionsSpinal CurvaturesArmsSurgical intervention, None (Asymptomatic group)
NCT03572855 naunknown statusnot on this mapstarted 2018, after this paper: background citation

The Effect of Peak Scoliosis Spinal Bracing System on Gait and Pain Level in Adult Scoliosis Patients

TypeinterventionalSponsorTexas Back InstituteRan2018 to 2019Enrolled30ConditionsScoliosisArmsScoliosis Brace
NCT04409548 nacompletednot on this mapstarted 2016, after this paper: background citation

Preoperative and Postoperative Spatiotemporal Gait Parameters and Gait Asymmetry in Patients With Lumbar Disc Herniation: a Prospective, Cross-sectional Study

TypeinterventionalSponsorMarmara UniversityRan2016 to 2017Enrolled208ConditionsLumbar Disc Herniation, PainArmsAll of the spatial and Temporal Gait parameters
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Branding a New Technological Outlook for Future Orthopaedics.Bioengineering (Basel, Switzerland) · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Estimating Movement Smoothness From Inertial Measurement Units.Frontiers in bioengineering and biotechnology · 2020
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Observational
  18. Article
  19. 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.

Nima Toosizadehinterdisciplinary Consortium on Advanced Motion Performance (iCAMP) and Southern Arizona Limb Salvage Alliance (SALSA), Department of Surgery, College of Medicine, University of Arizona, Tucson, USA.
Tzu Chuan YenDepartment of Physiology, College of Medicine, University of Arizona, Tucson, USA.
Carol HoweArizona Health Sciences Library, University of Arizona, Tucson, USA.
Michael DohmDepartment of Orthopaedic Surgery, College of Medicine, University of Arizona, Tucson, USA.
Jane Mohlerinterdisciplinary Consortium on Advanced Motion Performance (iCAMP) and Southern Arizona Limb Salvage Alliance (SALSA), Department of Surgery, College of Medicine, University of Arizona, Tucson, USA; Arizona Center on Aging, University of Arizona, Tucson, USA.
Bijan Najafiinterdisciplinary Consortium on Advanced Motion Performance (iCAMP) and Southern Arizona Limb Salvage Alliance (SALSA), Department of Surgery, College of Medicine, University of Arizona, Tucson, USA; Arizona Center on Aging, University of Arizona, Tucson, USA. Electronic address: bnajafi@surgery.arizona.edu.
University of Arizona · US

Funding

Phase II STTR: Portable Device for Telecare Monitoring of Elderly PeopleR42AG032748 · NIA · BIOSENSICS, LLC · PI GWIN, JOSEPH T, MOHLER, MARTHA JANE · 2012 to 2016
$2.7M
NIA NIH HHS 2R42AG032748NIA NIH HHS R42 AG032748
6 · The paper itself

Abstract

backgroundObjective motor performance measures, especially gait assessment, could improve evaluation of low back disorder surgeries. However, no study has compared the relative effectiveness of gait parameters for assessing motor performance in low back disorders after surgery. The purpose of the current review was to determine the sensitive gait parameters that address physical improvements in each specific spinal disorder after surgical intervention.

methodsArticles were searched with the following inclusion criteria: 1) population studied consisted of individuals with low back disorders requiring surgery; 2) low back disorder was measured objectively using gait assessment tests pre- and post-surgery. The quality of the selected studies was assessed using Delphi consensus, and meta-analysis was performed to compare pre- and post-surgical changes.

findingsThirteen articles met inclusion criteria, which, almost exclusively, addressed two types of spinal disorders/interventions: 1) scoliosis/spinal fusion; and 2) stenosis/decompression. For patients with scoliosis, improvements in hip and shoulder motion (effect size=0.32-1.58), energy expenditure (effect size=0.59-1.18), and activity symmetry of upper-body muscles during gait were present after spinal fusion. For patients with spinal stenosis, increases in gait speed, stride length, cadence, symmetry, walking smoothness, and walking endurance (effect size=0.60-2.50), and decrease in gait variability (effect size=1.45) were observed after decompression surgery.

interpretationFor patients with scoliosis, gait improvements can be better assessed by measuring upper-body motion and EMG rather than the lower extremities. For patients with spinal stenosis, motor performance improvements can be captured by measuring walking spatio-temporal parameters, gait patterns, and walking endurance.

Indexed as

Decompression, SurgicalElectromyographyGaitHipHumansLower ExtremityMovementScoliosisShoulderSpinal FusionSpinal StenosisTreatment OutcomeWalkingBack painEvidenceFunctional disorderOperationOutcomePhysical impairment

Identifiers

PMID25921552
PMCPMC4714541
OpenAlexW2035122435

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.