Evidence map›Paper›PMID 30285233›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2019

Neuromuscular Attributes Associated With Lower Extremity Mobility Among Community-Dwelling Older Adults.

Mini E Jacob, Thomas G Travison, Rachel E Ward, Nancy K Latham, Suzanne G Leveille, Alan M Jette, Jonathan F Bean

Abstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. The Live Long Walk Strong Rehabilitation Program Study: Design and Methods.Archives of rehabilitation research and clinical translation · 2022
    Article
  6. Article
  7. Article
  8. Peripheral Nerve Impairment and Recurrent Falls Among Women: Results From the Study of Women's Health Across the Nation.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020
    Article
  9. Article
  10. 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.

Mini E JacobSpaulding Rehabilitation Hospital, Boston, Massachusetts.
Thomas G TravisonInstitute for Aging Research, Hebrew Senior Life, Boston, Massachusetts.
Rachel E WardDepartment of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts.
Nancy K LathamDepartment of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Suzanne G LeveilleCollege of Nursing and Health Sciences, University of Massachusetts, Boston.
Alan M JetteDepartment of Physical Therapy, MGH Institute of Health Professions, Boston, Massachusetts.
Jonathan F BeanSpaulding Rehabilitation Hospital, Boston, Massachusetts.

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Developing Rehabilitative Strategies for Disability Prevention in Primary CareR01AG032052 · NIA · SPAULDING REHABILITATION HOSPITAL · PI BEAN, JONATHAN F · 2009 to 2013
$3.2M
A Research Mentoring Program in the Rehabilitative Care of Older AdultsK24HD070966 · NICHD · SPAULDING REHABILITATION HOSPITAL · PI BEAN, JONATHAN F · 2012 to 2016
$793k
NCRR NIH HHS UL1 RR025758NIA NIH HHS R01 AG032052NICHD NIH HHS K24 HD070966
6 · The paper itself

Abstract

backgroundThe Short Physical Performance Battery (SPPB) is advocated as a screening tool in geriatric care for predicting future disability. We aimed to identify the leg neuromuscular attributes to be targeted in rehabilitative care among older adults with poor SPPB scores.

methodsBoston Rehabilitative Impairment Study of the Elderly (Boston RISE) participants (n = 430) underwent assessment of neuromuscular attributes (leg strength, leg velocity, trunk extensor endurance, knee flexion range of motion [ROM], ankle ROM, and foot sensation). Linear regression models examined association between each neuromuscular attribute and SPPB, adjusting for age, race, gender, comorbidity, body mass index, depression, cognition, and other neuromuscular attributes.

resultsParticipants with 1 SD unit higher leg strength, leg velocity, and trunk extensor endurance had 0.52, 0.30, and 0.52 points higher SPPB total score. Participants with ankle ROM impairment and foot sensory loss had 0.43 and 0.57 lower SPPB total score compared with those without these. Leg strength and trunk extensor endurance were associated with balance; leg velocity, trunk extensor endurance, and ankle ROM were associated with gait speed; and strength, trunk extensor endurance, knee ROM, and feet sensation were associated with chair stand score. Neuromuscular attributes, along with covariates, explained 40.4% of the variance in the total SPPB score, a substantial increase over the 22.7% variance explained by covariates alone.

conclusionsNeuromuscular attributes affect mobility performance in older patients as measured by the SPPB. Specific impairments are associated with poor performance in specific component scores. Assessment of the SPPB components and rehabilitation of associated impairments may help improve the functional performance among older adults.

Indexed as

Geriatric AssessmentMobility LimitationAgedAnkle JointCross-Sectional StudiesFemaleGaitHumansIndependent LivingKnee JointLower ExtremityMaleMuscle StrengthPostural BalanceRange of Motion, ArticularBalanceDisablement processFunctional performanceGaitRehabilitation

Identifiers

PMID30285233
PMCPMC6417482

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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.