Evidence map›Paper›PMID 31382163›Full record

ArticleClinical biomechanics (Bristol, Avon)2019

Anterior fall-recovery training applied to individuals with chronic stroke.

Jamie Pigman, Darcy S Reisman, Ryan T Pohlig, John J Jeka, Tamara R Wright, Benjamin C Conner, Drew A Petersen, Jeremy R Crenshaw

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical biomechanics (Bristol, Avon), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

8 authors.

Jamie PigmanDepartment of Kinesiology and Applied Physiology, University of Delaware, Newark, DE, USA. Electronic address: pigmanj@udel.edu.
Darcy S ReismanDepartment of Physical Therapy, University of Delaware, Newark, DE, USA. Electronic address: dreisman@udel.edu.
Ryan T PohligBiostatistics Core Facility, University of Delaware, Newark, DE, USA. Electronic address: rpohlig@udel.edu.
John J JekaDepartment of Kinesiology and Applied Physiology, University of Delaware, Newark, DE, USA. Electronic address: jjeka@udel.edu.
Tamara R WrightDepartment of Physical Therapy, University of Delaware, Newark, DE, USA. Electronic address: twright@udel.edu.
Benjamin C ConnerDepartment of Kinesiology and Applied Physiology, University of Delaware, Newark, DE, USA; College of Medicine - Phoenix, University of Arizona, Phoenix, AZ, USA. Electronic address: benjaminconner@email.arizona.edu.
Drew A PetersenDepartment of Kinesiology and Applied Physiology, University of Delaware, Newark, DE, USA; College of Nursing and Health Professions, Drexel University, Philadelphia, PA, USA. Electronic address: dap356@drexel.edu.
Jeremy R CrenshawDepartment of Kinesiology and Applied Physiology, University of Delaware, Newark, DE, USA. Electronic address: crenshaw@udel.edu.

Funding

Predictive Modeling & Optimal Control Framework for Model-Based Epidemic Response in DelawareP20GM103446 · NIGMS · UNIVERSITY OF DELAWARE · PI Shawn W Polson · 2012 to 2026
$67.2M
Pilot Project ProgramP30GM103333 · NIGMS · UNIVERSITY OF DELAWARE · PI BUCHANAN, THOMAS S · 2012 to 2016
$5.7M
NIGMS NIH HHS P20 GM103446NIGMS NIH HHS P30 GM103333
6 · The paper itself

Abstract

backgroundTo study the effects of the initial stepping limb on anterior fall-recovery performance and kinematics, as well as to determine the benefits of fall-recovery training on those outcomes in individuals with chronic stroke.

methodsSingle-group intervention of 15 individuals with chronic stroke who performed up to six sessions of fall-recovery training. Each session consisted of two progressions of treadmill-induced perturbations to induce anterior falls from a standing position. Progressions focused on initial steps with the paretic or non-paretic limb. Fall-recovery performance (the highest disturbance level achieved and the proportion of successful recoveries), as well as step and trunk kinematics were compared between the initial stepping limbs on the first session. Limb-specific outcomes were also compared between the first and last training sessions.

findingsThere were no between-limb differences in fall-recovery performance in the first session. With training, participants successfully recovered from a higher proportion of falls (p's = 0.01, Cohen's d's > 0.7) and progressed to larger perturbation magnitudes (p's < 0.06, d's > 0.5). Initial steps with the paretic limb were wider and shorter relative to the center of mass (p's < 0.06, d's > 0.5). With training, initial paretic-limb steps became longer relative to the CoM (p = 0.03, d = 0.7). Trunk forward rotation was reduced when first stepping with the non-paretic limb (p = 0.03, d = 0.6).

interpretationThe initial stepping limb affects relevant step kinematics during anterior fall recovery. Fall-recovery training improved performance and select kinematic outcomes in individuals with chronic stroke.

Indexed as

Postural BalanceAccidental FallsAdultAgedBiomechanical PhenomenaExercise TestExercise TherapyExtremitiesFemaleHumansMaleMiddle AgedStrokeStroke RehabilitationTorsoTreatment OutcomeBalanceFallsPerturbation trainingPostural instabilityRehabilitationStroke

Identifiers

PMID31382163
PMCPMC6823156

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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.