Evidence map›Paper›PMID 31888708›Full record

ArticleTrials2019

Combining physical therapy and cognitive behavioral therapy techniques to improve balance confidence and community participation in people with unilateral transtibial amputation who use lower limb prostheses: a study protocol for a randomized sham-control clinical trial.

McKenzie O Bourque, Kristin L Schneider, John E Calamari, Christopher Reddin, Aaron Stachowiak, Matthew J Major, Chad Duncan, Ranjini Muthukrishnan, Noah J Rosenblatt

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03411148 (Targeting Balance Confidence as a Strategy to Increase Integration and Improve Outcomes in Users of Lower-Limb Prostheses), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% 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.

NCT03411148 nacompletednot on this map

Targeting Balance Confidence as a Strategy to Increase Integration and Improve Outcomes in Users of Lower-Limb Prostheses

TypeinterventionalSponsorRosalind Franklin University of Medicine and ScienceRan2018 to 2022Enrolled22ConditionsAmputation, Physical ActivityArmsWeekly exercise sessions with physical therapist and psychologist, Home-based exercises
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Validating a fear-of-falling-related activity avoidance scale in lower limb prosthesis users.PM & R : the journal of injury, function, and rehabilitation · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. 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

9 authors at 4 institutions in 1 country.

McKenzie O BourqueDepartment of Psychology, Rosalind Franklin University of Medicine and Science, 3333 Green Bay Road, North Chicago, IL, 60064, USA.
Kristin L SchneiderDepartment of Psychology, Rosalind Franklin University of Medicine and Science, 3333 Green Bay Road, North Chicago, IL, 60064, USA.
John E CalamariDepartment of Psychology, Rosalind Franklin University of Medicine and Science, 3333 Green Bay Road, North Chicago, IL, 60064, USA.
Christopher ReddinCaptain James A Lovell Federal Health Care Center, 2450 Buckley Rd, North Chicago, IL, 60064, USA.
Aaron StachowiakCaptain James A Lovell Federal Health Care Center, 2450 Buckley Rd, North Chicago, IL, 60064, USA.
Matthew J MajorDepartment of Physical Medicine and Rehabilitation, Northwestern University, Prosthetics and Orthotics Center, 680 North Lake Shore Drive, Chicago, IL, 60611, USA.
Chad DuncanDepartment of Physical Medicine and Rehabilitation, Northwestern University, Prosthetics and Orthotics Center, 680 North Lake Shore Drive, Chicago, IL, 60611, USA.
Ranjini MuthukrishnanEdward Hines, Jr. VA Hospital, 5000 5th Ave, Hines, IL, 60141, USA.
Noah J RosenblattDr. William M. Scholl College of Podiatric Medicines' Center for Lower Extremity Ambulatory Research (CLEAR), Rosalind Franklin University of Medicine and Science, 3333 Green Bay Road, North Chicago, IL, 60064, USA. noah.rosenblatt@rosalindfranklin.edu.ORCID http://orcid.org/0000-0003-3901-7961
Rosalind Franklin University of Medicine and Science · USCaptain James A. Lovell Federal Health Care Center · USNorthwestern University · USEdward Hines, Jr. VA Hospital · US

Funding

U.S. Department of Defense W81XWH-17-1-0697
6 · The paper itself

Abstract

backgroundLow balance confidence is a prevalent yet overlooked issue among people who use lower limb prostheses (LLP) that can diminish community integration and quality of life. There is a critical need to develop rehabilitation programs that specifically target balance confidence in people who use LLP. Previous research has shown that multicomponent interventions including cognitive-behavioral therapy (CBT) techniques and exercise are feasible and effective for improving balance confidence in older adults. Therefore, a cognitive behavioral-physical therapy (CBPT) intervention was developed to target balance confidence and increase community integration in people who use LLP. METHODS/

designThis randomized control trial will recruit 60 people who use LLP with low balance confidence. Participants will be randomized to the CBPT intervention condition or control condition. DISCUSSION: The trial is designed to test the effects of the CBPT intervention on balance confidence and functional mobility in lower limb prosthesis users by examining self-reported and objective measures of community integration and quality of life. The trial will also examine the relationship between changes in balance confidence and changes in community integration following participation in CBPT intervention. Additionally, through participant feedback, researchers will identify opportunities to improve intervention efficacy.

trial registrationClinicalTrials.gov, NCT03411148. Registration date: January 26, 2018.

Indexed as

Artificial LimbsCommunity ParticipationPostural BalanceSelf ConceptAdolescentAdultAgedAged, 80 and overAmputation, SurgicalCognitive Behavioral TherapyExerciseExercise TherapyFemaleFollow-Up StudiesHealth SurveysHumansActivityAmputeeCommunity integrationFear avoidanceGamingVirtual reality

Identifiers

PMID31888708
PMCPMC6937857
OpenAlexW2996969314

What OpenQuestion holds

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LicenceCC BY
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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.