ArticleAmerican journal of physical medicine & rehabilitation2016
Gait Efficiency on an Uneven Surface Is Associated with Falls and Injury in Older Subjects with a Spectrum of Lower Limb Neuromuscular Function: A Prospective Study.
Article in American journal of physical medicine & rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- The Impact of Diabetic Neuropathy on Activities of Daily Living, Postural Balance and Risk of Falls - A Systematic Review.Journal of diabetes science and technology · 2022Pooled it
- Wearable Health Technology to Quantify the Functional Impact of Peripheral Neuropathy on Mobility in Parkinson's Disease: A Systematic Review.Sensors (Basel, Switzerland) · 2020Pooled it
- Postural Control and Gait Performance in the Diabetic Peripheral Neuropathy: A Systematic Review.BioMed research international · 2016Pooled it
- Dynamic stability and stepping strategies of young healthy adults walking on an oscillating treadmill.PloS one · 2019Trial
- Stroke patient rehabilitation: an analysis of the effects of perturbation training combined with hip unloading gait strategies.Frontiers in neurology · 2025Article
- On the clinical interpretation of overground gait stability indices in children with cerebral palsy.Scientific reports · 2024Article
- Using Video Technology and AI within Parkinson's Disease Free-Living Fall Risk Assessment.Sensors (Basel, Switzerland) · 2024Article
- Effects of Motor Rehabilitation on Balance and Functional Activities in Elderly Patients with Peripheral Neuropathy and Recurrent Falls.Life (Basel, Switzerland) · 2023Article
- Machine Learning Approach for Automated Detection of Irregular Walking Surfaces for Walkability Assessment with Wearable Sensor.Sensors (Basel, Switzerland) · 2022Article
- Kinematic Strategies for Sustainable Well-Being in Aging Adults Influenced by Footwear and Ground Surface.Healthcare (Basel, Switzerland) · 2022Article
- Osteosarcopenia School.Journal of frailty, sarcopenia and falls · 2021Article
- Wearable Inertial Gait Algorithms: Impact of Wear Location and Environment in Healthy and Parkinson's Populations.Sensors (Basel, Switzerland) · 2021Article
- A database of human gait performance on irregular and uneven surfaces collected by wearable sensors.Scientific data · 2020Article
- Walking barefoot vs. with minimalist footwear - influence on gait in younger and older adults.BMC geriatrics · 2020Article
- Changes in center of pressure velocities during obstacle crossing one year after bariatric surgery.Gait & posture · 2020Article
- Sensorimotor Peripheral Nerve Function and the Longitudinal Relationship With Endurance Walking in the Health, Aging and Body Composition Study.Archives of physical medicine and rehabilitation · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
objectiveThe objective of this study was to determine which gait measures on smooth and uneven surfaces predict falls and fall-related injuries in older subjects with diabetic peripheral neuropathy.
designTwenty-seven subjects (12 women) with a spectrum of peripheral nerve function ranging from normal to moderately severe diabetic peripheral neuropathy walked on smooth and uneven surfaces, with gait parameters determined by optoelectronic kinematic techniques. Falls and injuries were then determined prospectively over the following year.
resultsSeventeen subjects (62.9%) fell and 12 (44.4%) sustained a fall-related injury. As compared with nonfallers, the subject group reporting any fall, as well as the subject group reporting fall-related injury, demonstrated decreased speed, greater step width (SW), shorter step length (SL), and greater SW-to-SL ratio (SW:SL) on both surfaces. Uneven surface SW:SL was the strongest predictor of falls (pseudo-r = 0.65; P = 0.012) and remained so with inclusion of other relevant variables into the model. Post hoc analysis comparing injured with noninjured fallers showed no difference in any gait parameter.
conclusionSW:SL on an uneven surface is the strongest predictor of falls and injuries in older subjects with a spectrum of peripheral neurologic function. Given the relationship between SW:SL and efficiency, older neuropathic patients at increased fall risk appear to sacrifice efficiency for stability on uneven surfaces.
Indexed as
Identifiers
What OpenQuestion holds
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.