Evidence map›Paper›PMID 33778471›Full record

ArticleArchives of rehabilitation research and clinical translation2021

Evaluating Intrinsic Fall Risk Factors After Incomplete Spinal Cord Injury: Distinguishing Fallers From Nonfallers.

Kristin E Musselman, Tarun Arora, Katherine Chan, Mohammad Alavinia, Mackenzie Bone, Janelle Unger, Joel Lanovaz, Alison Oates

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Archives of rehabilitation research and clinical translation, 2021. 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
1.9field-weighted citation impact, top 14% 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, 16 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

8 authors at 2 institutions in 2 countries.

Kristin E MusselmanKITE, Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada.
Tarun AroraSchool of Rehabilitation Science, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Katherine ChanKITE, Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada.
Mohammad AlaviniaKITE, Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada.
Mackenzie BoneCollege of Kinesiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Janelle UngerKITE, Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada.
Joel LanovazCollege of Kinesiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Alison OatesCollege of Kinesiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
University Health Network · CAUniversity of Saskatchewan · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine whether performance on measures of lower extremity muscle strength, sensory function, postural control, gait speed, and balance self-efficacy could distinguish fallers from nonfallers among ambulatory individuals with spinal cord injury or disease (SCI/D).

designProspective cohort study.

settingCommunity.

participantsIndividuals (N=26; 6 female, aged 58.9±18.2y) with motor incomplete SCI/D (American Spinal Injury Association Impairment Scale rating C [n=5] or D [n=21]) participated. Participants were 7.5±9.1 years post injury. Seventeen participants experienced traumatic causes of spinal cord injury.

main outcome measuresParticipants completed laboratory-based and clinical measures of postural control, gait speed, balance self-efficacy, and lower extremity strength, as well as proprioception and cutaneous pressure sensitivity. Participants were then followed for up to 1 year to track falls using a survey. The survey queried the circumstances and consequences of each fall. If a participant's number of falls equaled or exceeded the median number of falls experience by all participants, they were classified a faller.

resultsMedian follow-up duration was 362 days and median time to first fall was 60.5 days. Fifteen participants were classified as fallers. Most falls occurred during the morning or afternoon (81%), at home (75%), and while walking (47%). The following laboratory-based and clinical measures distinguished fallers from nonfallers (

conclusionsThere are laboratory-based and clinical measures that can prospectively distinguish fallers from nonfallers among ambulatory individuals with spinal cord injury. These findings may assist clinicians when evaluating their patients' fall risk.

Indexed as

10MWT, 10-m walk testABC, Activities-specific Balance ConfidenceAccidental fallsAmbulationAP, anteroposteriorCOP, center of pressureEC, eyes closedEO, eyes openFallsIQR, interquartile rangeML, mediolateralRehabilitationSCI/D, spinal cord injury or diseaseSpinal cord injuriesWalking

Identifiers

PMID33778471
PMCPMC7984974
OpenAlexW3110976652

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.