Evidence map›Paper›PMID 31778661›Full record

ArticleArchives of physical medicine and rehabilitation2020

Predictors of Walking Activity in Children and Adolescents With Myelomeningocele.

Brett Lullo, Nicole Mueske, Carmel Diamant, Alexander Van Speybroeck, Deirdre Ryan, Tishya Wren

Erratum issuedOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Brett LulloDepartment of Orthopaedic Surgery, Harbor-UCLA Medical Center, Torrance, California.
Nicole MueskeChildren's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, California.
Carmel DiamantDepartment of Medical Education, University of Southern California, Los Angeles, California.
Alexander Van SpeybroeckDepartment of Pediatrics, Children's Hospital Los Angeles, Los Angeles, California.
Deirdre RyanDepartment of Orthopaedics, University of Nevada Las Vegas School of Medicine, Las Vegas, Nevada.
Tishya WrenChildren's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, California. Electronic address: twren@chla.usc.edu.
Children's Hospital of Los Angeles · USHarbor–UCLA Medical Center · USOrthopaedic Center · USUniversity of Nevada, Las Vegas · USUniversity of Southern California · US

Funding

Risk Factors for Osteoporosis in Children & Adolescents with MyelomeningoceleR01HD059826 · NICHD · CHILDREN'S HOSPITAL OF LOS ANGELES · PI WREN, TISHYA A L · 2010 to 2014
$2.4M
NICHD NIH HHS R01 HD059826
6 · The paper itself

Abstract

objectiveTo assess the relationship between real-world walking activity in children and adolescents with myelomeningocele (MMC) and gross measures of lower extremity strength, range of motion, demographics, and medical history.

designProspective study.

settingParticipants recruited in outpatient clinics; data collected in a hospital-based motion analysis laboratory and in the community.

participantsChildren and adolescents (N=52) with daily step count data available from a larger study of ambulatory children and adolescents with MMC.

interventionsNot applicable.

main outcome measureUnivariate and multivariate regression was used to assess which participant characteristics and clinical factors were related to average number of steps per day.

resultsUnivariate analysis showed a lower number of steps per day correlated with older age, male sex, higher body mass index, higher lesion level, use of assistive devices for ambulation, history of shunt placement, more television (TV) watched per week, lower hip extension and abduction strength, knee flexion strength, and ankle dorsiflexion and plantarflexion strength, and decreased knee and hip range of motion. Only assistive device usage and hours of TV watched per week remained in the final multivariate model predicting number of steps per day.

conclusionsWalking activity in children and adolescents with MMC was best predicted by assistive device use and amount of sedentary activity. Other predictors of walking activity from univariate analysis were related to assistive device use. This information can help tailor rehabilitation efforts and educate patients and families. Interventions targeting early prevention of strength loss and contractures may be important to retain or increase walking activity in children and adolescents with MMC.

Indexed as

WalkingAdolescentAge FactorsBody Mass IndexChildFemaleHumansMaleMeningomyeloceleMonitoring, AmbulatoryMuscle StrengthProspective StudiesQuality of LifeRange of Motion, ArticularSelf-Help DevicesSex FactorsAmbulatory monitoringAssistive devicesPhysical activityRehabilitationSpina bifidaWalking

Identifiers

PMID31778661
PMCPMC7050431
OpenAlexW2991651868

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.