Evidence map›Paper›PMID 29284521›Full record

ArticleTrials2017

Exercise intervention for unilateral amputees with low back pain: study protocol for a randomised, controlled trial.

Joseph G Wasser, Daniel C Herman, MaryBeth Horodyski, Jason L Zaremski, Brady Tripp, Phillip Page, Kevin R Vincent, Heather K Vincent

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03300375 (Exercise Intervention for Unilateral Amputees With Low Back Pain), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 29% 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.

NCT03300375 nacompletednot on this map

Exercise Intervention for Unilateral Amputees With Low Back Pain

TypeinterventionalSponsorUniversity of FloridaRan2017 to 2020Enrolled6ConditionsLow Back PainArmsHome exercise program, Post Op instructions
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Gülhane lower extremity amputee rehabilitation protocol: A nationwide, 123-year experience.Turkish journal of physical medicine and rehabilitation · 2020
    Review
  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

8 authors at 2 institutions in 1 country.

Joseph G WasserDepartment of Orthopaedics and Rehabilitation, UF Health Orthopaedics and Sports Medicine Institute (OSMI), University of Florida, Gainesville, FL, 32611, USA. wassejg@ortho.ufl.edu.
Daniel C HermanDepartment of Orthopaedics and Rehabilitation, UF Health Orthopaedics and Sports Medicine Institute (OSMI), University of Florida, Gainesville, FL, 32611, USA.
MaryBeth HorodyskiDepartment of Orthopaedics and Rehabilitation, UF Health Orthopaedics and Sports Medicine Institute (OSMI), University of Florida, Gainesville, FL, 32611, USA.
Jason L ZaremskiDepartment of Orthopaedics and Rehabilitation, UF Health Orthopaedics and Sports Medicine Institute (OSMI), University of Florida, Gainesville, FL, 32611, USA.
Brady TrippDepartment of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL, 32608, USA.
Phillip PagePerformance Health, Baton Rouge, Louisiana, USA.
Kevin R VincentDepartment of Orthopaedics and Rehabilitation, UF Health Orthopaedics and Sports Medicine Institute (OSMI), University of Florida, Gainesville, FL, 32611, USA.
Heather K VincentDepartment of Orthopaedics and Rehabilitation, UF Health Orthopaedics and Sports Medicine Institute (OSMI), University of Florida, Gainesville, FL, 32611, USA.
University of Florida Health · USUniversity of Florida · US

Funding

Rehabilitation Medicine Scientist Training (RMST) ProgramK12HD001097 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BONINGER, MICHAEL L. · 1995 to 2016
$14.1M
NICHD NIH HHS K12 HD001097
6 · The paper itself

Abstract

backgroundAtraumatic lower limb amputation is a life-changing event for approximately 185,000 persons in the United States each year. A unilateral amputation is associated with rapid changes to the musculoskeletal system including leg and back muscle atrophy, strength loss, gait asymmetries, differential mechanical joint loading and leg length discrepancies. Even with high-quality medical care and prostheses, amputees still develop secondary musculoskeletal conditions such as chronic low back pain (LBP). Resistance training interventions that focus on core stabilization, lumbar strength and dynamic stability during loading have strong potential to reduce LBP and address amputation-related changes to the musculoskeletal system. Home-based resistance exercise programs may be attractive to patients to minimize travel and financial burdens. METHODS/

designThis study will be a single-assessor-blinded, pre-post-test randomised controlled trial involving 40 men and women aged 18-60 years with traumatic, unilateral transtibial amputation. Participants will be randomised to a home-based, resistance exercise group (HBRX) or a wait-list control group (CON). The HBRX will consist of 12 weeks of elastic resistance band and bodyweight training to improve core and lumbopelvic strength. Participants will be monitored via Skype or Facetime on a weekly basis. The primary outcome will be pain severity (11-point Numerical Pain Rating Scale; NRS DISCUSSION: The study findings will determine whether a HBRX program can decrease pain severity and positively impact several physiological and mechanical factors that contribute to back pain in unilateral transtibial amputees with chronic LBP. We will determine the relative contribution of the exercise-induced changes in these factors on pain responsiveness in this population.

trial registrationClinicalTrials.gov, ID: NCT03300375 . Registered on 2 October 2017.

Indexed as

AmputeesAdolescentAdultBiomechanical PhenomenaExercise TherapyFemaleGaitHumansLow Back PainMaleMiddle AgedMuscle, SkeletalMuscle StrengthOutcome Assessment, Health CareQuality of LifeRandomized Controlled Trials as TopicAmputeeDisabilityGaitLow back painPhysical functionRandomised controlled trial

Identifiers

PMID29284521
PMCPMC5747115
OpenAlexW2778269057

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.