Evidence map›Paper›PMID 33849478›Full record

ArticleBMC geriatrics2021

The relation between kinematic synergy to stabilize the center of mass during walking and future fall risks: a 1-year longitudinal study.

Momoko Yamagata, Hiroshige Tateuchi, Itsuroh Shimizu, Junya Saeki, Noriaki Ichihashi

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2021. 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
6.1field-weighted citation impact, top 4% 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, 18 citations in OpenAlex.

  1. Different kinematic strategies are adopted by AIS patients during walking depending on their Lenke type.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  2. Alterations of gait kinematics depend on the deformity type in the setting of adult spinal deformity.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022
    Article
  3. Assessment of dynamic balance during walking in patients with adult spinal deformity.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022
    Article
  4. Review
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

5 authors at 2 institutions in 1 country.

Momoko YamagataGraduate School of Human Development and Environment, Kobe University, 3-11 Tsurukabuto, Nada-ku, Kobe, Hyogo, 657-0011, Japan. myamagata@people.kobe-u.ac.jp.
Hiroshige TateuchiGraduate School of Medicine, Kyoto University, 53 Kawahara-cho, Shogoin, Sakyo, Kyoto, 606-8507, Japan.
Itsuroh ShimizuFukui General Clinic, 1-42-1 Nittazuka, Fukui-shi, Fukui, 910-0067, Japan.
Junya SaekiGraduate School of Medicine, Kyoto University, 53 Kawahara-cho, Shogoin, Sakyo, Kyoto, 606-8507, Japan.
Noriaki IchihashiGraduate School of Medicine, Kyoto University, 53 Kawahara-cho, Shogoin, Sakyo, Kyoto, 606-8507, Japan.
Kyoto University · JPKobe University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncorrect body weight shifting is a frequent cause of falls, and the control of the whole-body center of mass (CoM) by segmental coordination is essential during walking. Uncontrolled manifold (UCM) analysis is a method of examining the relation between variance in segmental coordination and CoM stability. However, no prospective cohort study has thoroughly investigated how variance in segmental configurations to stabilize the CoM relates to future falls. This study explored whether variance to stabilize the CoM was related to future falls.

methodsAt the baseline visit, 30 community-dwelling older adults walked 20 times on a 6-m walkway. Using kinematic data collected during walking by a three-dimensional motion capture system, UCM analysis was performed to investigate how segmental configuration contributes to CoM stability in the frontal plane. One year after the baseline visit, we evaluated whether the subjects experienced falls. Twelve subjects had experienced falls, and 16 had not. Comparisons of variance between older adults with and without falls were conducted by covariate analysis.

resultsNo significant differences in variance were found in the mediolateral direction, whereas in the vertical direction, older adults with fall experiences had a greater variance, reflecting an unstable CoM, than those with no fall experiences.

conclusionsWe verified that the high variance in segmental configurations that destabilize the CoM in the vertical direction was related to future falls. The variables of UCM analysis can be useful for evaluating fall risk.

Indexed as

Accidental FallsWalkingAgedBiomechanical PhenomenaGaitHumansLongitudinal StudiesPostural BalanceAgingCenter of massFallsSegmental coordinationUncontrolled manifold

Identifiers

PMID33849478
PMCPMC8045323
OpenAlexW3155420473

What OpenQuestion holds

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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.