Evidence map›Paper›PMID 32267394›Full record

ArticleClinics (Sao Paulo, Brazil)2020

Posturographic measures did not improve the predictive power to identify recurrent falls in community-dwelling elderly fallers.

Kelem de Negreiros Cabral, Guilherme Carlos Brech, Angelica Castilho Alonso, Aline Thomaz Soares, Davi Camara Opaleye, Julia Maria D'Andrea Greve, Wilson Jacob-Filho

Open access · goldAbstract read
In one paragraph

Article in Clinics (Sao Paulo, Brazil), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.5field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
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  6. Nationwide Utilization of Computerized Dynamic Posturography in an Era of Deimplementation.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2023
    Article
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  9. Review
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

7 authors at 3 institutions in 2 countries.

Kelem de Negreiros CabralLaboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia, Faculdade de Medicina (FMUSP), Universidade de Sao Paulo, Sao Paulo, SP, BR.ORCID 0000-0001-5955-7012
Guilherme Carlos BrechLaboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia, Faculdade de Medicina (FMUSP), Universidade de Sao Paulo, Sao Paulo, SP, BR.ORCID 0000-0002-0403-0632
Angelica Castilho AlonsoLaboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia, Faculdade de Medicina (FMUSP), Universidade de Sao Paulo, Sao Paulo, SP, BR.ORCID 0000-0002-9644-5068
Aline Thomaz SoaresDivisao de Geriatria, Faculdade de Medicina (FMUSP), Universidade de Sao Paulo, Sao Paulo, SP, BR.ORCID 0000-0002-0499-2305
Davi Camara OpaleyeLondon School of Hygiene and Tropical Medicine, London, England.ORCID 0000-0002-7087-2125
Julia Maria D'Andrea GreveLaboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia, Faculdade de Medicina (FMUSP), Universidade de Sao Paulo, Sao Paulo, SP, BR.ORCID 0000-0003-1778-0448
Wilson Jacob-FilhoDivisao de Geriatria, Faculdade de Medicina (FMUSP), Universidade de Sao Paulo, Sao Paulo, SP, BR.ORCID 0000-0003-2290-4492
Universidade de São Paulo · BRHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRLondon School of Hygiene & Tropical Medicine · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to evaluate if posturography can be considered a recurrent fall predictor in elderly individuals.

methodsThis was a cross-sectional study. A total of 124 subjects aged 60 to 88 years were evaluated and divided into two groups-the recurrent fallers (89) and single fallers (35) groups. Patients' sociodemographic characteristics were assessed, and clinical testing was performed. The functional test assessment instruments used were timed up and go test (TUGT), Berg Balance Scale (BBS), five times sit-to-stand test, and Falls Efficacy Scale (to measure fear of falling). Static posturography was performed in a force platform in the following three different situations-eyes open (EO), eyes closed (EC), and EO dual task.

resultsThere were significant differences between the single and recurrent fallers groups regarding the fear of falling, the Geriatric Depression Scale score, the mean speed calculated from the total displacement of the center point of pressure (COP) in all directions with EO, and the root mean square of the displacement from the COP in the mediolateral axis with EC. Based on the hierarchical logistic regression model, none of the studied posturographic variables was capable of significantly increasing the power of differentiation between the recurrent and single fallers groups. Only TUGT with a cognitive distractor (p<0.05) and the BBS (p<0.01) presented with significant independent predictive power.

conclusionTUGT with a cognitive distractor and the BBS were considered recurrent fall predictors in elderly fallers.

Indexed as

Accidental FallsIndependent LivingActivities of Daily LivingAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleMiddle AgedPostural BalancePosturePredictive Value of TestsRecurrenceSensitivity and SpecificityTime and Motion Studies

Identifiers

PMID32267394
PMCPMC7100920
OpenAlexW3013725535

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.