Evidence map›Paper›PMID 27440565›Full record

ArticleThe Journal of bone and joint surgery. American volume2016

Postural Stability in Older Adults with a Distal Radial Fracture.

Craig R Louer, Sean L Boone, Andre K Guthrie, John R Motley, Ryan P Calfee, Lindley B Wall

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The Journal of bone and joint surgery. American volume, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03380884 (Vibration Therapy as a Rehabilitation Intervention for Postural Training and Fall Prevention After Distal Radius Fracture in Elderly Patients), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
5.0field-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.

NCT03380884 nacompletednot on this mapstarted 2017, after this paper: background citation

Vibration Therapy as a Rehabilitation Intervention for Postural Training and Fall Prevention After Distal Radius Fracture in Elderly Patients: A Randomized Controlled Trial

TypeinterventionalSponsorPrince of Wales Hospital, Shatin, Hong KongRan2017 to 2023Enrolled232ConditionsDistal Radius Fracture, Fall PatientsArmsLow-magnitude high-frequency vibration (LMHFV)
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Lower grip strength and dynamic body balance in women with distal radial fractures.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019
    Article
  9. Article
  10. Article
  11. Article
  12. Distal radius fractures in the athlete.Current reviews in musculoskeletal medicine · 2017
    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 2 institutions in 1 country.

Craig R LouerDepartment of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri.
Sean L BooneDepartment of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri.
Andre K GuthrieDepartment of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri.
John R MotleySports Therapy and Rehabilitation Center, Barnes-Jewish West County Hospital, Chesterfield, Missouri.
Ryan P CalfeeDepartment of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri.
Lindley B WallDepartment of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri.
Washington University in St. Louis · USBarnes-Jewish West County Hospital · US

Funding

Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
NCATS NIH HHS UL1 TR000448
6 · The paper itself

Abstract

backgroundThe physical risk factors leading to distal radial fractures are poorly understood. The goal of this study was to compare postural stability between older adults with and without a prior distal radial fragility fracture.

methodsThis case-control evaluation was performed at a single tertiary institution. The fracture cohort comprised 23 patients treated for a low-energy distal radial fracture within 6 to 24 months prior to this study. Twenty-three age and sex-matched control participants, without a prior fragility fracture, were selected from an outpatient clinic population. All participants completed a balance assessment with a computerized balance platform device. Dynamic motion analysis (DMA) scores ranging from 0 to 1,440 points are produced, with lower scores indicating better postural stability. Participants also completed validated questionnaires for general health quality (EuroQol-5D-3L [EQ-5D-3L]) and physical activity (Physical Activity Scale for the Elderly [PASE]) and comprehensive health and demographic information including treatment for compromised balance or osteoporosis. Statistical analysis compared data between cases and controls using either the Student t test or the Mann-Whitney U test.

resultsThere were no significant differences (p > 0.05) in age, sex, body mass index, physical activity score, or EQ-5D-3L general health visual analog scale score between participants with or without prior distal radial fracture. The fracture cohort demonstrated poorer balance, with higher DMA scores at 933 points compared with 790 points for the control cohort (p = 0.008). Nineteen patients (83%) in the fracture cohort reported having dual x-ray absorptiometry (DXA) scans within 5 years prior to this study, but only 2 patients (9%) had ever been referred for balance training with physical therapy.

conclusionsOlder adults who sustain low-energy distal radial fractures demonstrate impaired postural stability compared with individuals of a similar age who have not sustained such fractures. Following a distal radial fracture, these patients may benefit from interventions to improve postural stability. LEVEL OF EVIDENCE: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.

Indexed as

AgedBody Mass IndexFemaleHealth StatusHumansMalePostural BalanceRadius Fractures

Identifiers

PMID27440565
PMCPMC4994855
OpenAlexW2484979926

What OpenQuestion holds

Textmetadata
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.