Evidence map›Paper›PMID 29274726›Full record

ArticleArchives of physical medicine and rehabilitation2018

Dynamic Balance Is Related to Physiological Impairments in Persons With Multiple Sclerosis.

Alexander T Peebles, Adam P Bruetsch, Sharon G Lynch, Jessie M Huisinga

Registry-linked trialAbstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05937971 (Examination of the Implications of Plantar Sensitivity Training and Aerobic Exercise Training on Balance, Functional Capacity, Gait and Proprioception in Patients With Multiple Sclerosis), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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.

NCT05937971 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Examination of the Implications of Plantar Sensitivity Training and Aerobic Exercise Training on Balance, Functional Capacity, Gait and Proprioception in Patients With Multiple Sclerosis

TypeinterventionalSponsorIstanbul Arel UniversityRan2023 to 2024Enrolled30ConditionsMultiple SclerosisArmsplantar sensitivity training, aerobic exercise training
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
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  12. Review
  13. Increased ankle muscle coactivation in the early stages of multiple sclerosis.Multiple sclerosis journal - experimental, translational and clinical
    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

4 authors.

Alexander T PeeblesLandon Center on Aging, University of Kansas Medical Center, Kansas City, KS; Bioengineering Graduate Program, University of Kansas, Lawrence, KS.
Adam P BruetschLandon Center on Aging, University of Kansas Medical Center, Kansas City, KS.
Sharon G LynchDepartment of Neurology, University of Kansas Medical Center, Kansas City, KS.
Jessie M HuisingaLandon Center on Aging, University of Kansas Medical Center, Kansas City, KS; Bioengineering Graduate Program, University of Kansas, Lawrence, KS; Department of Physical Therapy and Rehabilitation Sciences, University of Kansas Medical Center, Kansas City, KS. Electronic address: jhuisinga@kumc.edu.

Funding

NICHD NIH HHS L30 HD070256
6 · The paper itself

Abstract

objectivesTo compare physiological impairments between persons with multiple sclerosis (MS) with a history of falls and persons with MS without a history of falls, and to investigate the association between physiological impairments and dynamic balance.

designCross-sectional study.

settingUniversity motion analysis laboratory.

participantsPersons with MS (N=55; 27 recurrent fallers and 28 nonfallers). Participants were classified as fallers if they self-reported ≥2 falls in the previous 6 months.

interventionsNone.

main outcome measuresPhysiological impairment was assessed with sensorimotor delays, spasticity, plantar cutaneous sensation, and the sensory, cerebellar, and pyramidal subscales of the Expanded Disability Status Scale (EDSS). Dynamic balance was assessed using the average and variability of margin of stability and variability of trunk accelerations.

resultsCompared with nonfallers, fallers had lower plantar sensation, longer sensorimotor delays, more spasticity, and more impairment in the pyramidal and cerebellar subscales of the EDSS. Additionally, these impairments were all moderately to strongly correlated with worse dynamic balance.

conclusionsThis study highlights the multifactorial nature of instability in persons with MS. A better understanding of the physiological mechanisms of dynamic instability in persons with MS can be used to improve methods of monitoring disease progression, identifying which impairments to target through interventions, and appropriately evaluating intervention efficacy.

Indexed as

Disability EvaluationPostural BalanceAccidental FallsAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedMultiple SclerosisMuscle SpasticityRisk FactorsAccidental fallsMultiple sclerosisRehabilitationWalking

Identifiers

PMID29274726
PMCPMC6014868

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Registered trials

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.