Evidence map›Paper›PMID 28066520›Full record

ArticleTechnology and innovation2016

Gait Training Interventions for Lower Extremity Amputees:

M Jason Highsmith, Casey R Andrews, Claire Millman, Ashley Fuller, Jason T Kahle, Tyler D Klenow, Katherine L Lewis, Rachel C Bradley, John J Orriola

Open access · greenAbstract read
In one paragraph

Article in Technology and innovation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 17% 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.

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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

9 authors at 5 institutions in 3 countries.

M Jason HighsmithSchool of Physical Therapy & Rehabilitation Sciences, University of South Florida, Tampa, FL, USA; Extremity Trauma & Amputation Center of Excellence (EACE), U.S. Department of Veterans Affairs, Tampa, FL, USA; 319 Minimal Care Detachment, U.S. Army Reserves, Pinellas Park, FL, USA.
Casey R AndrewsSchool of Physical Therapy & Rehabilitation Sciences, University of South Florida, Tampa, FL, USA; Physical Medicine & Rehabilitation Service, James A. Haley Veterans' Hospital, Tampa, FL, USA.
Claire MillmanSchool of Physical Therapy & Rehabilitation Sciences, University of South Florida, Tampa, FL, USA.
Ashley FullerSchool of Physical Therapy & Rehabilitation Sciences, University of South Florida, Tampa, FL, USA.
Jason T KahleOP Solutions, Tampa, FL, USA; Prosthetic Design + Research, Tampa, FL, USA.
Tyler D KlenowProsthetics and Sensory Aids Service, James A. Haley Veterans' Hospital, Tampa, FL, USA.
Katherine L LewisSchool of Physical Therapy & Rehabilitation Sciences, University of South Florida, Tampa, FL, USA.
Rachel C BradleyPhysical Medicine & Rehabilitation Service, James A. Haley Veterans' Hospital, Tampa, FL, USA.
John J OrriolaShimberg Health Sciences Library, University of South Florida, Tampa, FL, USA.
James A. Haley Veterans' Hospital · USUniversity of South Florida · USProsthetic Design + Research (United States) · USUnited States Army Reserve · USUniversity of Bamberg · DE

Funding

USF Scholars in Patient-Oriented Research (SPOR)K30RR022270 · NCRR · UNIVERSITY OF SOUTH FLORIDA · PI ZUCKERMAN, KENNETH S. · 2005 to 2009
$1.5M
NCRR NIH HHS K30 RR022270
6 · The paper itself

Abstract

Lower extremity (LE) amputation patients who use prostheses have gait asymmetries and altered limb loading and movement strategies when ambulating. Subsequent secondary conditions are believed to be associated with gait deviations and lead to long-term complications that impact function and quality of life as a result. The purpose of this study was to systematically review the literature to determine the strength of evidence supporting gait training interventions and to formulate evidence statements to guide practice and research related to therapeutic gait training for lower extremity amputees. A systematic review of three databases was conducted followed by evaluation of evidence and synthesis of empirical evidence statements (EES). Eighteen manuscripts were included in the review, which covered two areas of gait training interventions: 1) overground and 2) treadmill-based. Eight EESs were synthesized. Four addressed overground gait training, one covered treadmill training, and three statements addressed both forms of therapy. Due to the gait asymmetries, altered biomechanics, and related secondary consequences associated with LE amputation, gait training interventions are needed along with study of their efficacy. Overground training with verbal or other auditory, manual, and psychological awareness interventions was found to be effective at improving gait. Similarly, treadmill-based training was found to be effective: 1) as a supplement to overground training; 2) independently when augmented with visual feedback and/or body weight support; or 3) as part of a home exercise plan. Gait training approaches studied improved multiple areas of gait, including sagittal and coronal biomechanics, spatiotemporal measures, and distance walked.

Indexed as

AmputeePhysical therapyProsthesisRehabilitationTherapeutic exerciseTrans-femoralTranstibialTreadmill

Identifiers

PMID28066520
PMCPMC5218520
OpenAlexW2523818403

What OpenQuestion holds

Textmetadata
LicenceTDM
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.