Evidence map›Paper›PMID 30222769›Full record

ArticlePloS one2018

One-legged stance sway of older adults with and without falls.

Marcio R Oliveira, Edgar R Vieira, André W O Gil, Karen B P Fernandes, Denilson C Teixeira, Cesar F Amorim, Rubens A da Silva

Registry-linked trialAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06175871 (Development of a New Clinical Rehabilitation Approach for the Management of Elderly People With a Neuromusculoskeletal Disorder and a Risk of Falls), which is not on this map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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.

NCT06175871 nacompletednot on this mapstarted 2024, after this paper: background citation

Development of a New Clinical Rehabilitation Approach for the Management of Elderly People With a Neuromusculoskeletal Disorder and a Risk of Falls: a Partnership Project Between UQAC and the Specialized Geriatric Services of CIUSSS-SLSJ

TypeinterventionalSponsorUniversité du Québec à ChicoutimiRan2024 to 2025Enrolled11ConditionsMusculoskeletal Diseases, Chronic Disease, Fall Patients, Aging ProblemsArmsOTAGO exercises
3 · Its place in the literature

Who cites it

29 citing papers in PubMed.

  1. Article
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  5. Progressive sway excursion boundaries and stability thresholds during unilateral standing in adults with chronic low back pain.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
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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.

Marcio R OliveiraLaboratory of functional evaluation and human motor performance (LAFUP) - UNOPAR, Professional Master's in Physical Exercise in Health Promotion, Londrina, Paraná, Brazil.ORCID 0000-0002-8315-5117
Edgar R VieiraDepartment of Physical Therapy, Florida International University, Miami, Florida, United States of America.ORCID 0000-0002-1011-5077
André W O GilDepartment of Physical Therapy, Pitagoras Unopar, Londrina, Paraná, Brazil.
Karen B P FernandesDoctoral and Master's Program in Rehabilitation Sciences UEL/UNOPAR, Londrina, Paraná, Brazil.
Denilson C TeixeiraDepartment of Physical Education, Universidade Estadual de Londrina, Londrina, Brazil.ORCID 0000-0002-6299-0252
Cesar F AmorimPhysical Therapy Master's Program, Universidade Cidade de São Paulo (UNICID), São Paulo, Brazil.
Rubens A da SilvaLaboratory of functional evaluation and human motor performance (LAFUP) - UNOPAR, Professional Master's in Physical Exercise in Health Promotion, Londrina, Paraná, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Postural instability is a common problem among older people, and it is associated with mobility impairments, activity limitation and fear of falling. The evaluation of postural control can contribute to the early detection of balance deficits and help health professionals to manage this problem to prevent falls in older adults. The aim of this study was to identify center of pressure cut-offs to differentiate between older adults with and without falls in the past 12 months. The participants were 170 older adults (mean age 67 years, 50 fallers and 120 non-fallers). Center of pressure area and sway velocity in the anterior-posterior and medio-lateral directions were assessed using a force platform during three 30s one-legged stance trials with eyes open. The mean across trials was used for analysis. The time-limit (how long the participant was able to stay in one-legged stance, up to 30s) was also assessed. Fallers had poorer postural control than non-fallers (effect size ≥ 0.52, P <0.05). The cut-offs identified were 10.3 cm2 for Center of pressure area, 2.9 cm/s for velocity in the anterior-posterior, and 3.4 cm/s for medio-lateral velocity. The force platform parameters obtained an area under the curve of 0.72, with sensitivity of 78% and specificity of 68%. There were no significant differences between non-fallers and fallers for time-limit variable (17 seconds vs. 18 seconds). Force platform parameters during one-legged stance were associated with history of falls in older adults. The cut-offs obtained acceptable area under curve, sensitivity and specificity, with center of pressure area presenting the best performance to differentiate between fallers and non-fallers.

Indexed as

Accidental FallsAgedAged, 80 and overCase-Control StudiesFemaleHumansMaleMiddle AgedPostural BalancePredictive Value of TestsSensitivity and Specificity

Identifiers

PMID30222769
PMCPMC6141084

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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.