Evidence map›Paper›PMID 31955871›Full record

ArticleJournal of biomechanics2020

Effect of investigator observation on gait parameters in individuals with stroke.

Marzieh M Ardestani, T George Hornby

Open access · greenAbstract read
In one paragraph

Article in Journal of biomechanics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 5% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Laboratory Environments Mask Gait Differences Between Healthy Participants and Patients With Anterior Cruciate Ligament Reconstruction.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2026
    Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Measuring Gait Parameters from Structural Vibrations.Measurement : journal of the International Measurement Confederation · 2022
    Article
  8. Field Study of Postural Characteristics of Standing and Seated Smartphone Use.International journal of environmental research and public health · 2022
    Article
  9. Article
  10. 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

2 authors at 2 institutions in 1 country.

Marzieh M ArdestaniIndiana University School of Medicine, Department of Physical Medicine and Rehabilitation, Indianapolis, IN, USA; Rehabilitation Hospital of Indiana, Indianapolis, IN, USA.
T George HornbyIndiana University School of Medicine, Department of Physical Medicine and Rehabilitation, Indianapolis, IN, USA; Rehabilitation Hospital of Indiana, Indianapolis, IN, USA. Electronic address: tghornby@iu.edu.
Indiana University School of MedicineRehabilitation Hospital of Indiana · US

Funding

Locomotor Recovery and Compensation Post-strokeR01NS118009 · NINDS · INDIANA UNIVERSITY INDIANAPOLIS · PI Thomas George Hornby · 2021 to 2026
$2.0M
Sympathetic-somatomotor coupling in human SCIR01NS079751 · NINDS · MARQUETTE UNIVERSITY · PI HORNBY, THOMAS GEORGE, SCHMIT, BRIAN D · 2013 to 2017
$1.6M
NINDS NIH HHS R01 NS079751NINDS NIH HHS R01 NS118009
6 · The paper itself

Abstract

Improvements in gait speed following various training paradigms applied to patients post-stroke does not always lead to changes in walking performance, defined as gains in daily stepping activity. We hypothesized that testing conditions, specifically the presence of an observer, influences patient behaviors and resultant outcomes may overestimate their true walking capacity. This potential Hawthorne effect on spatiotemporal and biomechanical measures of locomotor function in individuals post-stroke has not been assessed previously. Fifteen ambulatory individuals with chronic stroke wore instrumented insoles and performed two separate normal-pace walking assessments, including unobserved conditions during which participants were unattended and unaware of data collection, and observed conditions with an investigator present. Gait analysis was conducted outside of a laboratory setting using instrumented insoles equipped with a 3D accelerometer and pressure sensors which captured the spatiotemporal kinematics, vertical ground reaction forces and foot acceleration. Data were compared using paired comparisons, with subsequent correlation and stepwise regression analyses to explore potential associations between Hawthorne-induced changes in walking strategies, gait speed and locomotor performance (daily stepping). Except for cadence, other measures of spatiotemporal parameters and swing kinematics (acceleration) were not significantly different between observed vs unobserved conditions. However, analyses of ground reaction forces revealed significantly greater paretic limb loading (Δ1

Indexed as

Gait AnalysisActivities of Daily LivingBiomechanical PhenomenaFemaleFootHumansLaboratoriesMaleMiddle AgedShoesStrokeStroke RehabilitationWalking SpeedWeight-BearingGaitPlantar pressureSpatiotemporalSteppingStroke

Identifiers

PMID31955871
PMCPMC8597205
OpenAlexW2998370891

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.