Evidence map›Paper›PMID 30904789›Full record

Trial reportGait & posture2019

A single session of trip-specific training modifies trunk control following treadmill induced balance perturbations in stroke survivors.

Masood Nevisipour, Mark D Grabiner, Claire F Honeycutt

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Gait & posture, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
10.0field-weighted citation impact, top 2% 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.

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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  11. Effects of Targeted Assistance and Perturbations on the Relationship Between Pelvis Motion and Step Width in People With Chronic Stroke.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2021
    Article
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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

3 authors at 2 institutions in 1 country.

Masood NevisipourSchool for Engineering of Matter, Transport & Energy, Arizona State University, Tempe, AZ, USA. Electronic address: mnevisip@asu.edu.
Mark D GrabinerDepartment of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago, IL, USA. Electronic address: grabiner@uic.edu.
Claire F HoneycuttSchool of Biological and Health System Engineering, Arizona State University, Tempe, AZ, USA. Electronic address: cfhoneyc@asu.edu.
Arizona State University · USUniversity of Illinois Chicago · US

Funding

Mechanisms underlying impaired postural corrections following strokeR00HD073240 · NICHD · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI HONEYCUTT, CLAIRE F. · 2015 to 2017
$683k
NICHD NIH HHS R00 HD073240
6 · The paper itself

Abstract

backgroundIndividuals with stroke are at significant risk of falling. Trip-specific training is a targeted training approach that has been shown to reduce falls in older adults and amputees by enhancing the compensatory stepping response required to prevent a fall. Still, individuals with stroke have unique deficits (e.g. spasticity) which draws into question if this type of training will be effective for this population.

objectiveEvaluate if a single session of trip-specific training can modify the compensatory stepping response (trunk movement, step length/duration, reaction time) of individuals with chronic stroke.

methodsSixteen individuals with unilateral chronic stroke participated in a single session of trip-specific training consisting of 15 treadmill perturbations. A falls assessment consisting of 3 perturbations was completed before and after training. Recovery step kinematics measured during the pre- and post-test were compared using a repeated measures design. Furthermore, Fallers (those who experienced at least one fall during the pre- or post-test) were compared to Non-fallers.

resultsTrip-specific training decreased trunk movement post perturbation. Specifically following training, Trunk flexion was 48 and 19 percent smaller on the small and medium perturbations at the end of the first compensatory step. Fallers (9 out of 16 subjects) post-training resembled Non-Fallers pre-training. Specifically, Trunk flexion at the completion of the first step during small and medium perturbations was not different between Fallers post-training and Non-Fallers pre-training. Still enthusiasm was tempered because Trunk flexion at the largest perturbation (where most falls occurred) was not changed and therefore total falls were not reduced as a result of this training. SIGNIFICANCE: Our results indicate that trip-specific training modifies the dynamic falls response immediately following trip-like treadmill perturbations. However, the incidence of falls was not reduced with a single training session. Further study of the implications and length of the observed intervention effect are warranted.

Indexed as

Accidental FallsAgedBiomechanical PhenomenaExercise TestFemaleGaitHumansMaleMiddle AgedPostural BalanceStrokeStroke RehabilitationTorsoBalanceBiomechanicsDynamic fall responseStrokeTrips

Identifiers

PMID30904789
PMCPMC6508877
OpenAlexW2919969348

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.