Evidence map›Paper›PMID 28942120›Full record

ArticleBone2017

Immobilization-induced osteolysis and recovery in neuropathic foot impairments.

David R Sinacore, Mary K Hastings, Kathryn L Bohnert, Michael J Strube, David J Gutekunst, Jeffrey E Johnson

Open access · greenAbstract read
In one paragraph

Article in Bone, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 42% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

6 authors at 2 institutions in 1 country.

David R SinacoreProgram in Physical Therapy, Campus Box 8502, Applied Kinesiology Laboratory, Washington University School of Medicine, Saint Louis, MO, United States. Electronic address: sinacored@wustl.edu.
Mary K HastingsProgram in Physical Therapy, Campus Box 8502, Applied Kinesiology Laboratory, Washington University School of Medicine, Saint Louis, MO, United States. Electronic address: hastingsmk@wustl.edu.
Kathryn L BohnertProgram in Physical Therapy, Campus Box 8502, Applied Kinesiology Laboratory, Washington University School of Medicine, Saint Louis, MO, United States. Electronic address: bohnertk@wustl.edu.
Michael J StrubeDept of Psychology, Campus Box 1125, Washington University, Saint Louis, MO, United States. Electronic address: mjstrube@wustl.edu.
David J GutekunstMusculoskeletal Biomechanics Laboratory, Program in Physical Therapy, Doisy College of Health Sciences, Saint Louis University, St. Louis, MO, United States. Electronic address: djgutekunst@slu.edu.
Jeffrey E JohnsonDept Orthopaedic Surgery, Campus Box 8233, Foot & Ankle Service, Washington University School of Medicine, Saint Louis, MO, United States. Electronic address: johnsonj@wudosis.wustl.edu.
Washington University in St. Louis · USSaint Louis University · US

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
WU P&FP30DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI Irfan J Lodhi · 2013 to 2026
$27.1M
MULTICENTER CAREER DEVELOPMENT PROGRAM FOR PHYSICAL AND OCCUPATIONAL THERAPYK12HD055931 · NICHD · WASHINGTON UNIVERSITY · PI HAYES, MARCIE HARRIS · 2007 to 2021
$12.7M
OPTIMAL OFF-LOADING THERAPY FOR HEALING DIABETIC ULCERSR01DK059224 · NIDDK · WASHINGTON UNIVERSITY · PI SINACORE, DAVID RUSSELL · 2001 to 2004
$859k
NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR002345NCRR NIH HHS UL1 RR024992NICHD NIH HHS K12 HD055931NIDDK NIH HHS P30 DK020579NIDDK NIH HHS R01 DK059224
6 · The paper itself

Abstract

backgroundNeuropathic foot impairments treated with immobilization and off-loading result in osteolysis. In order to prescribe and optimize rehabilitation programs after immobilization we need to understand the magnitude of pedal osteolysis after immobilization and the time course for recovery.

objectiveTo determine differences in a) foot skin temperature; b) calcaneal bone mineral density (BMD) after immobilization; c) calcaneal BMD after 33-53weeks of recovery; and d) percent of feet classified as osteopenic or osteoporotic after recovery in participants with neuropathic plantar ulcers (NPU) compared to Charcot neuroarthropathy (CNA).

methodsFifty-five participants with peripheral neuropathy were studied. Twenty-eight participants had NPU and 27 participants had CNA. Bilateral foot skin temperature was assessed before immobilization and bilateral calcaneal BMD was assessed before immobilization, after immobilization and after recovery using quantitative ultrasonometry.

resultsBefore immobilization, skin temperature differences in CNA between their index and contralateral foot were markedly higher than NPU feet (3.0 degree C versus 0.7 degree C, respectively, p<0.01); BMD in NPU immobilized feet averaged 486±136mg/cm

conclusionsThere was a greater osteolysis after immobilization with an attenuated recovery in CNA feet compared to NPU feet. The attenuated recovery of pedal BMD in CNA feet resulted in a greater percentage of feet classified as osteoporotic and osteopenic.

Indexed as

ImmobilizationBone DensityCalcaneusFemaleFootHumansMaleMiddle AgedOsteolysisPeripheral Nervous System DiseasesPressureShoesSkin TemperatureBone lossNeuropathic (Charcot) osteoarthropathyNeuropathic plantar ulcersQuantitative ultrasonometryTotal contact casting

Identifiers

PMID28942120
PMCPMC5650927
OpenAlexW2754402499

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.