Evidence map›Paper›PMID 33618669›Full record

Trial reportBMC geriatrics2021

Secondary analysis of change in physical function after exercise intervention in older adults with hyperkyphosis and low physical function.

Amy Gladin, Wendy B Katzman, Yoshimi Fukuoka, Neeta Parimi, Shirley Wong, Nancy E Lane

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01766674 (Specialized Centers of Research), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 19% 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.

NCT01766674 nacompletednot on this map

Specialized Centers of Research (SCOR) Kyphosis Study

TypeinterventionalSponsorUniversity of California, San FranciscoRan2013 to 2016Enrolled112ConditionsKyphosisArmsKyphosis spinal strengthening exercises
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. 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

6 authors at 5 institutions in 1 country.

Amy GladinChronic Pain Management, San Francisco Kaiser Permanente Medical Center, 4141 Geary Blvd, Suite 212, San Francisco, CA, 94118, USA.
Wendy B KatzmanDepartment of Physical Therapy and Rehabilitation Science, University of California, San Francisco, 1500 Owens Street, Suite 400, San Francisco, CA, 94143, USA. Wendy.katzman@ucsf.edu.
Yoshimi FukuokaDepartment of Physiological Nursing, School of Nursing, University of California, San Francisco, 2 Koret Way, San Francisco, CA, 94143, USA.
Neeta ParimiCalifornia Pacific Medical Center, Research Institute, San Francisco, CA, USA.
Shirley WongDepartment of Physical Therapy and Rehabilitation Science, University of California, San Francisco, 1500 Owens Street, Suite 400, San Francisco, CA, 94143, USA.
Nancy E LaneCenter for Musculoskeletal Health, University of California at Davis School of Medicine, 4625 2nd Ave, Suite 200, Davis, CA, 95817, USA.
University of California, San Francisco · USAmerican Physical Therapy Association · USCalifornia Pacific Medical Center · USKaiser Permanente San Francisco Medical Center · USUniversity of California, Davis · US

Funding

Mentoring and research in applying digital technologies to prevent chronic IllnessesK24NR015812 · NINR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FUKUOKA, YOSHIMI · 2015 to 2020
$930k
NINR NIH HHS K24 NR015812
6 · The paper itself

Abstract

backgroundHyperkyphosis is common in older adults and associated with low physical function and reduced health related quality of life (HrQol). Improved kyphosis has been previously established in kyphosis-targeted interventions in randomized controlled trials in older adults with hyperkyphosis; however, evidence for improved physical function is conflicting. Few studies have investigated change in physical function after a targeted kyphosis intervention in older adults with low physical function. The primary aim in this descriptive study was to explore change in physical function after a progressive high-intensity 3-month targeted kyphosis exercise and posture training intervention in older adults with low physical function and hyperkyphosis. Secondary aims were to explore change in HrQol, spinal strength and spinal curvature, and adherence and safety of the intervention.

methodsIn this secondary analysis of the Specialized Center of Research (SCOR) Kyphosis randomized trial, 101 community dwelling older men and women with hyperkyphosis who completed the intervention were divided into a low function group (LFG) and high function group (HFG). Baseline characteristics were compared between LFG and HFG. Physical function, HrQol, spinal strength and spinal curvature (kyphosis and lordosis) pre/post intervention change scores were explored within and between groups. Adherence and adverse events were examined in the LFG and HFG.

resultsTwenty-six (26%) older adults were LFG, mean Short Phyiscal Performance Battery (SPPB) 9.62 (SD = 1.17) points. At baseline, the LFG was older than HFG (p = 0.005), experienced more pain, (p = 0.060), had worse physical function and HrQol (p ≤ 0.001), and comparable kyphosis (p = 0.640). SPPB changed 0.62 (95% CI: - 0.20 to 1.44) points in the LFG and - 0.04 (95%CI: - 0.28 to 0.19) points in the HFG, p = 0.020. Gait speed changed 0.04 (95% CI: - 0.02 to 0.10) m/s in the LFG. Kyphosis improved equally in both groups. Adherence to the intervention was 83% in the LFG and 79% in the HFG. There were no adverse events in either group.

conclusionsOlder adults with low physical function and hyperkyphosis may improve physical function after a kyphosis targeted intervention. Older adults with low physical function may safely participate in targeted high-intensity kyphosis exercise and posture training. This observation needs to be confirmed in larger adequately powered studies.

trial registrationClinicaltrials.gov identifier: NCT01766674 .

Indexed as

KyphosisQuality of LifeAgedExerciseExercise TherapyFemaleHumansIndependent LivingMaleHealth related quality of lifeHyperkyphosisOlder adultsPhysical function

Identifiers

PMID33618669
PMCPMC7901174
OpenAlexW3130518140

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.