Evidence map›Paper›PMID 34379777›Full record

ArticlePhysical therapy2021

Error-Manipulation Gait Training for Veterans With Nontraumatic Lower Limb Amputation: A Randomized Controlled Trial Protocol.

Paul W Kline, Noel So, Thomas Fields, Elizabeth Juarez-Colunga, Cory L Christiansen

Open access · hybridAbstract readClinical Trial Protocol
In one paragraph

Article in Physical therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 92% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. High intensity interval training for older adults - from the laboratory towards a home setting: a co-creation study.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2026
    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

5 authors at 2 institutions in 1 country.

Paul W KlineDepartment of Physical Medicine and Rehabilitation, University of Colorado, Aurora, Colorado, USA.ORCID 0000-0002-3567-4748
Noel SoDepartment of Physical Medicine and Rehabilitation, Rocky Mountain Regional VA Medical Center, Aurora, Colorado, USA.
Thomas FieldsDepartment of Physical Medicine and Rehabilitation, Rocky Mountain Regional VA Medical Center, Aurora, Colorado, USA.
Elizabeth Juarez-ColungaVA Eastern Colorado Geriatric Research, Education, and Clinical Center, Rocky Mountain Regional VA Medical Center, Aurora, Colorado, USA.
Cory L ChristiansenDepartment of Physical Medicine and Rehabilitation, University of Colorado, Aurora, Colorado, USA.
Geriatric Research Education and Clinical Center · USHigh Point University · US

Funding

Optimizing Gait Rehabilitation for Veterans with Non-Traumatic Lower Limb AmputationI01RX003237 · VA · VA EASTERN COLORADO HEALTH CARE SYSTEM · PI CHRISTIANSEN, CORY L · 2020 to 2025
–
RRD VA I01 RX003237
6 · The paper itself

Abstract

objectivehe purpose of this study will be to determine the efficacy of error-manipulation gait training (error-augmentation or error-correction) to improve step length symmetry and secondary health outcomes in veterans with unilateral nontraumatic transtibial amputation (TTA).

methodsThis will be a 3-arm, parallel, assessor-blinded, randomized controlled trial, with baseline, postintervention, and 3-month follow-up assessments in a VA Geriatric Research Education and Clinical Center. Participants are 54 US military veterans ranging in age from 50 to 85 years with a unilateral transtibial nontraumatic amputation. Participants will be randomized into 1 of 3 groups: error-augmentation training (EAT), error-correction training (ECT), or supervised walking (CTL). Each group will complete 8 split-belt treadmill walking training sessions of 25 minutes each over 4 weeks. The EAT group will walk with belts moving at asymmetrical speeds. The ECT group will walk to the cadence of a metronome and the split belts moving at symmetrical speeds. The CTL group will walk with symmetrical belt speeds and without feedback. Step length symmetry is the primary outcome and will be assessed using an asymmetry index during overground walking. Secondary outcomes include lower extremity joint work during treadmill walking, 6-Minute Walk Test performance, daily step count, participant-perceived disability, and residual-limb integumentary health. Outcomes will be assessed at preintervention, 1-week postintervention (primary endpoint), and 13 weeks postintervention. IMPACT: This study protocol focuses on an understudied area of rehabilitation for patients with nontraumatic unilateral TTA who have high levels of spatiotemporal gait asymmetry and mobility impairment. The results of this study will inform future implementation of clinical gait training interventions to improve spatiotemporal gait symmetry and long-term health and disability outcomes in patients with nontraumatic unilateral TTA.

Indexed as

VeteransAgedAged, 80 and overAmputeesBiomechanical PhenomenaExercise TherapyGaitHumansLower ExtremityMiddle AgedRandomized Controlled Trials as TopicRecovery of FunctionSingle-Blind MethodUnited StatesWalkingWalk TestAmputationErrorMotor Control and Motor LearningSpatiotemporalSymmetryTranstibial

Identifiers

PMID34379777
PMCPMC8639646
OpenAlexW3188767630

What OpenQuestion holds

Textmetadata
LicenceTDM
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.