Evidence map›Paper›PMID 28377110›Full record

ArticleArchives of physical medicine and rehabilitation2017

Association of Neuromuscular Attributes With Performance-Based Mobility Among Community-Dwelling Older Adults With Symptomatic Lumbar Spinal Stenosis.

Catherine T Schmidt, Rachel E Ward, Pradeep Suri, Dan K Kiely, Pengsheng Ni, Dennis E Anderson, Jonathan F Bean

Abstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

7 authors at 6 institutions in 1 country.

Catherine T SchmidtCenter for Interprofessional Studies and Innovation, Massachusetts General Hospital Institute of Health Professions, Boston, MA. Electronic address: cschmidt@mghihp.edu.
Rachel E WardNew England Geriatric Research Education and Clinical Center, Veterans Administration Boston Healthcare System, Boston, MA; Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA.
Pradeep SuriDivision of Rehabilitation Care Services, VA Puget Sound Health Care System, Seattle, WA; Seattle Epidemiologic Research and Information Center, VA Puget Sound Health Care System, Seattle, WA; Department of Rehabilitation Medicine, University of Washington, Seattle, WA.
Dan K KielySpaulding Rehabilitation Hospital, Cambridge, MA.
Pengsheng NiHealth and Disability Research Institute, Boston University, Boston, MA.
Dennis E AndersonCenter for Advanced Orthopaedic Studies, Beth Israel Deaconess Medical Center, Boston, MA; Department of Orthopedic Surgery, Harvard Medical School, Boston, MA.
Jonathan F BeanNew England Geriatric Research Education and Clinical Center, Veterans Administration Boston Healthcare System, Boston, MA; Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA; Spaulding Rehabilitation Hospital, Cambridge, MA.
Harvard University · USBoston University · USGeriatric Research Education and Clinical Center · USMGH Institute of Health Professions · USSpaulding Rehabilitation Hospital · USUniversity of Washington · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Translational Researchin Aging Trainnig ProgramT32AG023480 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS · 2004 to 2024
$7.6M
Developing Rehabilitative Strategies for Disability Prevention in Primary CareR01AG032052 · NIA · SPAULDING REHABILITATION HOSPITAL · PI BEAN, JONATHAN F · 2009 to 2013
$3.2M
A Research Mentoring Program in the Rehabilitative Care of Older AdultsK24HD070966 · NICHD · SPAULDING REHABILITATION HOSPITAL · PI BEAN, JONATHAN F · 2012 to 2016
$793k
NCRR NIH HHS UL1 RR025758NIA NIH HHS R01 AG032052NIA NIH HHS T32 AG023480NICHD NIH HHS K24 HD070966
6 · The paper itself

Abstract

objectivesTo identify differences in health factors, neuromuscular attributes, and performance-based mobility among community-dwelling older adults with symptomatic lumbar spinal stenosis; and to determine which neuromuscular attributes are associated with performance-based measures of mobility.

designCross-sectional; secondary data analysis of a cohort study.

settingOutpatient rehabilitation center.

participantsCommunity-dwelling adults aged ≥65 years with self-reported mobility limitations and symptomatic lumbar spinal stenosis (N=54).

interventionsNot applicable.

main outcome measuresShort Physical Performance Battery score, habitual gait speed, and chair stand test.

resultsSymptomatic lumbar spinal stenosis was classified using self-reported symptoms of neurogenic claudication and imaging. Among 430 community-dwelling older adults, 54 (13%) met criteria for symptomatic lumbar spinal stenosis. Compared with participants without symptomatic lumbar spinal stenosis, those with symptomatic lumbar spinal stenosis had more comorbidities, higher body mass index, greater pain, and less balance confidence. Participants with symptomatic lumbar spinal stenosis had greater impairment in trunk extensor muscle endurance, leg strength, leg strength asymmetry, knee flexion range of motion (ROM), knee extension ROM, and ankle ROM compared with participants without symptomatic lumbar spinal stenosis. Five neuromuscular attributes were associated with performance-based mobility among participants with symptomatic lumbar spinal stenosis: trunk extensor muscle endurance, leg strength, leg strength asymmetry, knee flexion ROM, and knee extension ROM asymmetry.

conclusionsCommunity-dwelling older adults with self-reported mobility limitations and symptomatic lumbar spinal stenosis exhibit poorer health characteristics, greater neuromuscular impairment, and worse mobility when compared with those without symptomatic lumbar spinal stenosis. Poorer trunk extensor muscle endurance, leg strength, leg strength asymmetry, knee flexion ROM, and knee extension ROM asymmetry were associated with performance-based mobility among participants with symptomatic lumbar spinal stenosis.

Indexed as

Physical Therapy ModalitiesAgedAged, 80 and overCross-Sectional StudiesDisability EvaluationFemaleHealth StatusHumansLower ExtremityLumbar VertebraeMaleMobility LimitationMuscle, SkeletalMuscle StrengthPostural BalanceRange of Motion, ArticularAgedMobility limitationRehabilitationSpinal stenosis

Identifiers

PMID28377110
PMCPMC5501102
OpenAlexW2603543738

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.