Evidence map›Paper›PMID 27584137›Full record

Trial reportAmerican journal of physical medicine & rehabilitation2017

Step Activity and 6-Minute Walk Test Outcomes When Wearing Low-Activity or High-Activity Prosthetic Feet.

Shane R Wurdeman, Kendra K Schmid, Sara A Myers, Adam L Jacobsen, Nicholas Stergiou

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of physical medicine & rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Technology for monitoring everyday prosthesis use: a systematic review.Journal of neuroengineering and rehabilitation · 2020
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Boyd Amputation Using the Tension Band Technique.Strategies in trauma and limb reconstruction
    Article
  7. 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

5 authors.

Shane R WurdemanFrom the Hanger Clinics, Houston, Texas (SRW); Department of Biostatistics, University of Nebraska Medical Center, Omaha, Nebraska (KKS); Biomechanics Research Building, University of Nebraska at Omaha, Omaha, Nebraska (SAM, NS); Prosthetics and Sensory Aids, Veterans Affairs Medical Center, Omaha, Nebraska (ALJ); and College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska (NS).
Kendra K Schmid
Sara A Myers
Adam L Jacobsen
Nicholas Stergiou

Funding

Visual control of locomotion in people with Parkinsons diseaseP20GM109090 · NIGMS · UNIVERSITY OF NEBRASKA OMAHA · PI MANGALAM, MADHUR · 2014 to 2023
$20.5M
Promotion of PDT Induced phototoxicity by bile acidsR01CA092618 · NCI · WAYNE STATE UNIVERSITY · PI KESSEL, DAVID · 2001 to 2003
$953k
NCI NIH HHS R01 CA092618NIGMS NIH HHS P20 GM109090
6 · The paper itself

Abstract

objectiveTo determine changes in average daily step count (ADSC) and 6-minute walk test (6MWT) due to use of low-activity feet (LA) and high-activity energy-storage-and-return (ESAR) feet, and examine the sensitivity of these measures to properly classify different prosthetic feet.

designIndividuals with transtibial amputations (n = 28) participated in a 6-week, randomized crossover study. During separate 3-week periods, participants wore either a LA foot (eg, solid-ankle-cushioned-heel) or an ESAR foot. Differences in 6MWT and ADSC at the end of the 3-week period were recorded.

resultsSubjects performed similarly in the 6MWT with the LA and ESAR foot (P = 0.871) and ADSC (P = 0.076). The correct classification of ESAR is only 51.9% and 61.5% with 6MWT and ADSC, respectively. For the LA foot, correct classification is less than 50% for both tests.

conclusionsNeither ADSC or 6MWT are responsive to changes in prosthetic feet. The pitfalls and shortcomings of these instruments with regard to their ability to detect differences in prosthetic feet are outlined. Based on these results, it is not recommended that the 6MWT and ADSC are used as a means to assess outcomes for different prosthetic feet.

Indexed as

Artificial LimbsProsthesis DesignWalk TestAmputeesCross-Over StudiesFootHumansMiddle Aged

Identifiers

PMID27584137
PMCPMC5332338

What OpenQuestion holds

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Read underepoch 390

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.