Evidence map›Paper›PMID 33510564›Full record

ArticleJournal of prosthetics and orthotics : JPO2020

The feasibility and validity of a wearable sensor system to assess the stability of high-functioning lower-limb prosthesis users.

Kyle T Miller, Molly Russell, Terese Jenks, Kaddie Surratt, Kelly Poretti, Samantha S Eigenbrot, Jonathan S Akins, Matthew J Major

Open access · greenAbstract read
In one paragraph

Article in Journal of prosthetics and orthotics : JPO, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 36% 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, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. 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

8 authors at 3 institutions in 1 country.

Kyle T MillerNorthwestern University Prosthetics-Orthotics Center, Chicago, Illinois.
Molly RussellNorthwestern University Prosthetics-Orthotics Center, Chicago, Illinois.
Terese JenksNorthwestern University Prosthetics-Orthotics Center, Chicago, Illinois.
Kaddie SurrattNorthwestern University Prosthetics-Orthotics Center, Chicago, Illinois.
Kelly PorettiDepartment of Biomedical Engineering, Widener University, Chester, Pennsylvania.
Samantha S EigenbrotDepartment of Biomedical Engineering, Widener University, Chester, Pennsylvania.
Jonathan S AkinsDepartment of Biomedical Engineering, Widener University, Chester, Pennsylvania.
Matthew J MajorNorthwestern University Prosthetics-Orthotics Center, Chicago, Illinois.
American Academy of Arts and Sciences · USUnited States Department of Veterans Affairs · USRehabilitation Research and Development Service · US

Funding

Sensory-Motor Mechanisms Underlying Fall Risk in Transtibial AmputeesIK2RX001322 · VA · JESSE BROWN VA MEDICAL CENTER · PI MAJOR, MATTHEW J. · 2015 to 2020
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RRD VA IK2 RX001322
6 · The paper itself

Abstract

introductionLower-limb prosthesis users (LLPUs) experience increased fall risk due to gait and balance impairments. Clinical outcome measures are useful for measuring balance impairment and fall risk screening but suffer from limited resolution and ceiling effects. Recent advances in wearable sensors that can measure different components of gait stability may address these limitations. This study assessed feasibility and construct validity of a wearable sensor system (APDM Mobility Lab) to measure postural control and gait stability. MATERIALS AND

methodsLower-limb prosthesis users (n=22) and able-bodied controls (n=24) completed an Instrumented Stand-and-Walk Test (ISAW) while wearing the wearable sensors. Known-groups analysis (prosthesis versus controls) and convergence analysis (Prosthetic Limb Users Survey of Mobility [PLUS-M] and Activity-specific Balance Confidence [ABC] Scale) were performed on 20 stability-related measures.

resultsThe system was applied without complications; however missing anticipatory postural adjustment data points for nine subjects affected the analysis. Of the 20 analyzed measures output by the sensors, only three significantly differed (p≤.05) between cohorts, and two demonstrated statistically significant correlations with the self-report measures.

conclusionsThe results of this study suggest the clinical feasibility but only partial construct validity of the wearable sensor system in conjunction with the ISAW test to measure LLPU stability and balance. The sample consisted of high-functioning LLPUs, so further research should evaluate a more representative sample with additional outcome measures and tasks.

Indexed as

BalanceGaitLower-Limb ProsthesisOutcome MeasuresWearable Sensors

Identifiers

PMID33510564
PMCPMC7839069
OpenAlexW3049289923

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.