Evidence map›Paper›PMID 33653370›Full record

ArticleJournal of neuroengineering and rehabilitation2021

Meaningful measurements of maneuvers: People with incomplete spinal cord injury 'step up' to the challenges of altered stability requirements.

Wendy L Ochs, Jane Woodward, Tara Cornwell, Keith E Gordon

Open access · goldAbstract read
In one paragraph

Article in Journal of neuroengineering and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
5.3field-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, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

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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 at 2 institutions in 1 country.

Wendy L OchsDepartment of Physical Therapy and Human Movement Sciences, Northwestern University, 645 N Michigan Ave, Chicago, IL, 60611, USA. wendy.boehm@northwestern.edu.ORCID 0000-0002-3179-7898
Jane WoodwardShirley Ryan AbilityLab, 355 E Erie St, Chicago, IL, 60611, USA.
Tara CornwellDepartment of Physical Therapy and Human Movement Sciences, Northwestern University, 645 N Michigan Ave, Chicago, IL, 60611, USA.
Keith E GordonDepartment of Physical Therapy and Human Movement Sciences, Northwestern University, 645 N Michigan Ave, Chicago, IL, 60611, USA.
Northwestern University · USShirley Ryan AbilityLab · US

Funding

PATHOPHYSIOLOGY AND REHABILITATION OF NEURAL DYSFUNCTIONT32HD007418 · NICHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Levi John Hargrove · 1992 to 2026
$6.5M
Maneuverability Enhancement Following Spinal Cord InjuryI01RX001979 · VA · EDWARD HINES JR VA HOSPITAL · PI GORDON, KEITH EDWARD · 2016 to 2020
–
National Center for Medical Rehabilitation Research T32 4T32HD007418-25NICHD NIH HHS T32 HD007418RRD VA I01 RX001979U.S. Department of Veterans Affairs I01RX001979
6 · The paper itself

Abstract

backgroundMany people with incomplete spinal cord injury (iSCI) have the ability to maneuver while walking. However, neuromuscular impairments create challenges to maintain stability. How people with iSCI maintain stability during walking maneuvers is poorly understood. Thus, this study compares maneuver performance in varying external conditions between persons with and without iSCI to better understand maneuver stabilization strategies in people with iSCI.

methodsParticipants with and without iSCI walked on a wide treadmill and were prompted to perform lateral maneuvers between bouts of straight walking. Lateral force fields applied to the participants' center of mass amplified or attenuated the participants' movements, thereby increasing the capability of the study to capture behavior at varied levels of challenge to stability.

resultsBy examining metrics of stability, step width, and center of mass dynamics, distinct strategies emerged following iSCI. The minimum margin of stability (MOS

conclusionsThe different force fields were successful in identifying relatively subtle strategy differences between persons with and without iSCI. Specifically, persons with iSCI adopted increased step width and reduction in center of mass excursion to increase maneuver stability in the amplified field. The amplified field may provoke practice of stable and efficient initiation and arrest of walking maneuvers. Overall, this work allows better framing of the stability mechanisms used following iSCI to perform walking maneuvers.

Indexed as

Adaptation, PhysiologicalAdultAgedBiomechanical PhenomenaFemaleHumansMaleMiddle AgedPostural BalanceSpinal Cord InjuriesWalkingBalanceForce fieldsManeuversMargin of stabilitySpinal cord injuryStabilityWalking

Identifiers

PMID33653370
PMCPMC7927389
OpenAlexW3109570139

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.