Evidence map›Paper›PMID 28241769›Full record

Observational studyJournal of neuroengineering and rehabilitation2017

Instrumented gait analysis: a measure of gait improvement by a wheeled walker in hospitalized geriatric patients.

Samuel Schülein, Jens Barth, Alexander Rampp, Roland Rupprecht, Björn M Eskofier, Jürgen Winkler, Karl-Günter Gaßmann, Jochen Klucken

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of neuroengineering and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 46 citations in OpenAlex.

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  14. Walking with rollator: a systematic review of gait parameters in older persons.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2019
    Review
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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

8 authors at 3 institutions in 1 country.

Samuel SchüleinGeriatrics Centre Erlangen, Waldkrankenhaus St. Marien, Erlangen, Germany.
Jens BarthDepartment of Molecular Neurology, University Hospital Erlangen, Friedrich-Alexander-Universität (FAU) Erlangen-Nürnberg, Schwabachanlage 6, 91054, Erlangen, Germany.
Alexander RamppDigital Sports Group, Pattern Recognition Lab, Department of Computer Science, FAU, Erlangen, Germany.
Roland RupprechtInstitute of Psychogerontology, FAU, Erlangen, Germany.
Björn M EskofierDigital Sports Group, Pattern Recognition Lab, Department of Computer Science, FAU, Erlangen, Germany.
Jürgen WinklerDepartment of Molecular Neurology, University Hospital Erlangen, Friedrich-Alexander-Universität (FAU) Erlangen-Nürnberg, Schwabachanlage 6, 91054, Erlangen, Germany.
Karl-Günter GaßmannGeriatrics Centre Erlangen, Waldkrankenhaus St. Marien, Erlangen, Germany.
Jochen KluckenDepartment of Molecular Neurology, University Hospital Erlangen, Friedrich-Alexander-Universität (FAU) Erlangen-Nürnberg, Schwabachanlage 6, 91054, Erlangen, Germany. jochen.klucken@uk-erlangen.de.ORCID http://orcid.org/0000-0002-5306-920X
Friedrich-Alexander-Universität Erlangen-Nürnberg · DEMalteser Waldkrankenhaus Erlangen · DEInstitut für Psychogerontologie · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn an increasing aging society, reduced mobility is one of the most important factors limiting activities of daily living and overall quality of life. The ability to walk independently contributes to the mobility, but is increasingly restricted by numerous diseases that impair gait and balance. The aim of this cross-sectional observation study was to examine whether spatio-temporal gait parameters derived from mobile instrumented gait analysis can be used to measure the gait stabilizing effects of a wheeled walker (WW) and whether these gait parameters may serve as surrogate marker in hospitalized patients with multifactorial gait and balance impairment.

methodsOne hundred six patients (ages 68-95) wearing inertial sensor equipped shoes passed an instrumented walkway with and without gait support from a WW. The walkway assessed the risk of falling associated gait parameters velocity, swing time, stride length, stride time- and double support time variability. Inertial sensor-equipped shoes measured heel strike and toe off angles, and foot clearance.

resultsThe use of a WW improved the risk of spatio-temporal parameters velocity, swing time, stride length and the sagittal plane associated parameters heel strike and toe off angles in all patients. First-time users (FTUs) showed similar gait parameter improvement patterns as frequent WW users (FUs). However, FUs with higher levels of gait impairment improved more in velocity, stride length and toe off angle compared to the FTUs.

conclusionThe impact of a WW can be quantified objectively by instrumented gait assessment. Thus, objective gait parameters may serve as surrogate markers for the use of walking aids in patients with gait and balance impairments.

Indexed as

GaitWalkersAccelerometryActivities of Daily LivingAgedAgingCross-Sectional StudiesFemaleHumansKineticsMaleNeurologic ExaminationShoesWalking4-wheeled walkerGait analysisGeriatric patientsRisk-of-falling

Identifiers

PMID28241769
PMCPMC5327552
OpenAlexW2591418059

What OpenQuestion holds

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LicenceCC BY
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.