Evidence map›Paper›PMID 29946955›Full record

ArticleMedical & biological engineering & computing2018

Gait stability in response to platform, belt, and sensory perturbations in young and older adults.

S Roeles, P J Rowe, S M Bruijn, C R Childs, G D Tarfali, F Steenbrink, M Pijnappels

Abstract read
In one paragraph

Article in Medical & biological engineering & computing, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
–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.

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

39 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. The Effect of Human Settlement Pedestrian Environment on Gait of Older People: An Umbrella Review.International journal of environmental research and public health · 2023
    Pooled it
  3. Pooled it
  4. Trial
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  11. Review
  12. Article
  13. Gait Kinematic Dependent Plantar Stimulation.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Depth-Imaging for Gait Analysis on a Treadmill in Older Adults at Risk of Falling.IEEE journal of translational engineering in health and medicine · 2023
    Article
  20. 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.

S RoelesDepartment of Biomedical Engineering, University of Strathclyde, 106 Rottenrow East, G4 0NW, Glasgow, UK. sanne.roeles@strath.ac.uk.
P J RoweDepartment of Biomedical Engineering, University of Strathclyde, 106 Rottenrow East, G4 0NW, Glasgow, UK.
S M BruijnDepartment of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit, Amsterdam Movement Sciences, De Boelelaan 1105, 1081 HV, Amsterdam, The Netherlands.
C R ChildsDepartment of Biomedical Engineering, University of Strathclyde, 106 Rottenrow East, G4 0NW, Glasgow, UK.
G D TarfaliDepartment of Biomedical Engineering, University of Strathclyde, 106 Rottenrow East, G4 0NW, Glasgow, UK.
F SteenbrinkDepartment of Clinical Applications & Research, Motek BV, Hogehilweg 18-C, 1101 CD, Amsterdam, The Netherlands.
M PijnappelsDepartment of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit, Amsterdam Movement Sciences, De Boelelaan 1105, 1081 HV, Amsterdam, The Netherlands.

Funding

Nederlandse Organisatie voor Wetenschappelijk Onderzoek 451-12-041Nederlandse Organisatie voor Wetenschappelijk Onderzoek 917-14-344
6 · The paper itself

Abstract

Perturbation-based gait assessment has been used to quantify gait stability in older adults. However, knowledge on which perturbation type is most suitable to identify poor gait stability is lacking. We evaluated the effects of ipsi- and contra-lateral sway, belt acceleration and deceleration, and visual and auditory perturbations on medio-lateral (ML) and anterior-posterior (AP) margins of stability (MoS) in young and older adults. We aimed to evaluate (1) which perturbation type disturbed the gait pattern substantially, (2) how participants recovered, and (3) whether recovery responses could discriminate between young and older adults. Nine young (25.1 ± 3.4 years) and nine older (70.1 ± 7.6 years) adults walked on the CAREN Extended (Motek BV, The Netherlands). The perturbation effect was quantified by deviation in MoS over six post-perturbation steps compared to baseline walking. Contra-lateral sway and deceleration perturbations resulted in the largest ML (1.9-4 times larger than other types) and AP (1.6-5.6 times larger than other types) perturbation effects, respectively. After both perturbation types, participants increased MoS by taking wider, shorter, and faster steps. No differences between young and older adults were found. We suggest to evaluate the potential of using contra-lateral sway and deceleration perturbations for fall risk identification by including both healthy and frail older adults. Graphical abstract Margins of stability during steady state (left) and perturbed (right) gait to quantify reactive gait stability in response to various perturbation types in young and older adults.

Indexed as

Accidental FallsAgedExercise TestFemaleGaitHumansMaleMiddle AgedPostural BalanceSpatio-Temporal AnalysisWalkingAccidental fallsAgeingGait perturbationsMargins of stabilityTreadmill

Identifiers

PMID29946955
PMCPMC6245003

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Registered trials

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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.