Evidence map›Paper›PMID 33581438›Full record

ArticleJournal of biomechanics2021

Does stroke-induced sensorimotor impairment and perturbation intensity affect gait-slip outcomes?

Shamali Dusane, Rachana Gangwani, Prakruti Patel, Tanvi Bhatt

Abstract read
In one paragraph

Article in Journal of biomechanics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Trial
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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

4 authors.

Shamali DusaneDepartment of Physical Therapy, College of Applied Health Sciences, University of Illinois, Chicago, IL 60612, USA; Ph.D. program in Rehabilitation Sciences, Department of Physical Therapy, College of Applied Health Sciences, University of Illinois, Chicago, IL 60612 USA.
Rachana GangwaniDepartment of Physical Therapy, College of Applied Health Sciences, University of Illinois, Chicago, IL 60612, USA; MS program in Rehabilitation Sciences, Department of Physical Therapy, College of Applied Health Sciences, University of Illinois, Chicago, IL 60612, USA.
Prakruti PatelDepartment of Health and Exercise Science, Colorado State University, Fort Collins, CO 80523, USA.
Tanvi BhattDepartment of Physical Therapy, College of Applied Health Sciences, University of Illinois, Chicago, IL 60612, USA. Electronic address: tbhatt6@uic.edu.

Funding

Perturbation training for enhancing stability and limb support control for fall-risk reduction among stroke survivorsR01HD088543 · NICHD · UNIVERSITY OF ILLINOIS AT CHICAGO · PI BHATT, TANVI · 2016 to 2022
$1.9M
NICHD NIH HHS R01 HD088543
6 · The paper itself

Abstract

People with chronic stroke (PwCS) demonstrate similar gait-slip fall-risk on both paretic and non-paretic side. Compensatory stepping and slipping limb control are crucial to reduce gait-slip fall-risk. Given the unpredictable intensities of real-life perturbations, this study aimed to determine whether recovery from paretic or non-paretic slips vary as a function of perturbation intensity among PwCS. Forty-four PwCS were assigned to non-paretic low intensity slip, non-paretic high intensity slip, paretic low intensity slip, or paretic high intensity slip group. Participants were subjected to a novel overground gait-slip with a distance of 24 cm (low) or 45 cm (high), under either limb. Recovery strategies, center of mass (CoM) state stability and slipping kinematics were analyzed. Both non-paretic high and low intensity groups demonstrated similar percentage of aborted and recovery stepping, however, paretic high intensity group demonstrated greater aborted stepping (p > 0.05). Both high and low intensity paretic slip groups demonstrated reduced post-slip CoM stability relative to the non-paretic slip groups (p < 0.05). Slip displacement was greater in paretic high group compared with non-paretic high group (p < 0.05). Greater slip displacement at higher intensity was noted only in paretic slip group (p < 0.05). The slip velocity was faster in paretic groups compared to non-paretic slip groups (p < 0.05). Paretic slips showed lower stability at both intensities associated with difficulty in modulating slipping kinematics and resorting to an increased aborted stepping strategy compared to non-paretic slip. These findings are suggestive of developing balance interventions for improving both compensatory non-paretic limb stepping and reactive control of slipping paretic limb for fall-risk reduction.

Indexed as

Postural BalanceStrokeAccidental FallsBiomechanical PhenomenaGaitHumansWalkingGait-slipPerturbation intensityReactive balanceStabilityStroke

Identifiers

PMID33581438
PMCPMC8278392

What OpenQuestion holds

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Registered trials

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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.