Evidence map›Paper›PMID 30828632›Full record

ReviewLaryngoscope investigative otolaryngology2019

Balance and gait in the elderly: A contemporary review.

Muyinat Y Osoba, Ashwini K Rao, Sunil K Agrawal, Anil K Lalwani

3 registry-linked trialsAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Laryngoscope investigative otolaryngology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 203 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
203citing papers in PubMed, 11 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.

NCT04771169 nacompletednot on this mapstarted 2021, after this paper: background citation

Comparison of Vestibular Rehabilitation With Virtual Reality on Dizziness, Balance and Gait in Subacute Stroke Patients

TypeinterventionalSponsorRiphah International UniversityRan2021 to 2021Enrolled34ConditionsVestibular RehabilitationArmsvestibular Training Group, Virtual Reality Group
NCT05649436 completednot on this mapstarted 2022, after this paper: background citation

Assessment of Developmental Status and Locomotor Balance in Healthy Children. A Normative Study.

TypeobservationalSponsorRiphah International UniversityRan2022 to 2023Enrolled500ConditionsDevelopment, Child
NCT05716165 nacompletednot on this mapstarted 2023, after this paper: background citation

Effect of Proprioceptive Knee Braces on the Performance and Endurance of Recreational Soccer Players Aged 60-80 Years

TypeinterventionalSponsorThuasneRan2023 to 2024Enrolled43ConditionsHealthy VolunteersArmsproprioceptive knee braces, No knee brace
3 · Its place in the literature

Who cites it

203 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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143 more citing papers are in PubMed but not listed here.

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.

Muyinat Y OsobaColumbia University Vagelos College of Physicians and Surgeons New York New York.ORCID https://orcid.org/0000-0003-1882-8511
Ashwini K RaoDepartment of Rehabilitation and Regenerative Medicine Columbia University Vagelos College of Physicians and Surgeons New York New York.
Sunil K AgrawalDepartment of Mechanical Engineering Columbia University New York New York.
Anil K LalwaniDepartment of Rehabilitation and Regenerative Medicine Columbia University Vagelos College of Physicians and Surgeons New York New York.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of balance and gait deficits increases with age and is associated with the increased incidence of falls seen in the elderly population; these falls are associated with significant morbidity and mortality.

objectivesTo review changes in gait and balance associated with aging and the effect of visual perturbations on gait and balance in the elderly to provide a basis for future research.

methodsPubMed and Cochrane Library were searched for articles from 1980 to present pertaining to gait and balance in older adults (>60) and younger adults (<60). Search terms included balance, posture, gait, locomotion, gait variability, gait disorders, gait disturbance, elderly, aging, falls, vision, visual, vestibular, and virtual reality. The references section of queried articles was also used to find relevant studies. Studies were excluded if subjects had a diagnosed gait or balance disorder.

resultsElderly adults show age-related decline in sensory systems and reduced ability to adapt to changes in their environment to maintain balance. Elderly adults are particularly dependent on vision to maintain postural stability. Distinct changes in spatiotemporal gait parameters are associated with aging, such as slower gait and increased gait variability, which are amplified with exposure to visual perturbations. Increased gait variability, specifically with mediolateral perturbations, poses a particular challenge for elderly adults and is linked to increased falls risk. Virtual reality training has shown promising effects on balance and gait.

conclusionElderly adults show age-related decline in balance and gait with increased gait variability and an associated increased risk of falls. LEVEL OF EVIDENCE: 5.

Indexed as

balanceelderlyGaitspatiotemporalvirtual realityvisual perturbations

Identifiers

PMID30828632
PMCPMC6383322

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.