Evidence map›Paper›PMID 34741754›Full record

ArticleSpine deformity2022

Associations between potentially modifiable clinical factors and sagittal balance of the spine in older adults from the general population.

Larry Cohen, Evangelos Pappas, Kathryn Refshauge, Sarah Dennis, Milena Simic

Abstract read
PubMed Publisher
In one paragraph

Article in Spine deformity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Observational
  2. Article
  3. 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 1 institution in 1 country.

Larry CohenFaculty of Medicine and Health, Discipline of Physiotherapy, The University of Sydney, Camperdown, NSW, 2006, Australia. lcoh0894@uni.sydney.edu.au.ORCID 0000-0003-4391-7292
Evangelos PappasFaculty of Medicine and Health, Discipline of Physiotherapy, The University of Sydney, Camperdown, NSW, 2006, Australia.
Kathryn RefshaugeFaculty of Medicine and Health, Discipline of Physiotherapy, The University of Sydney, Camperdown, NSW, 2006, Australia.
Sarah DennisFaculty of Medicine and Health, Discipline of Physiotherapy, The University of Sydney, Camperdown, NSW, 2006, Australia.
Milena SimicFaculty of Medicine and Health, Discipline of Physiotherapy, The University of Sydney, Camperdown, NSW, 2006, Australia.
The University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSpinal sagittal balance is associated with back pain and quality of life. Enhancing understanding of the clinical factors associated with sagittal balance is essential for guiding the development of effective non-operative treatment. We aimed to evaluate the associations between spinal sagittal balance and potentially modifiable clinical factors and interactions between current back pain and the evaluated clinical factors.

methodsWe conducted a cross-sectional study where sagittal alignment, measured radiographically by EOS, was defined by sagittal vertical axis (SVA). The clinical factors included non-radiographic (NR) lumbar lordosis angle, balance (Berg balance scale), hip and back extension range of motion (ROM) and extensor strength, and back pain. Pearson's correlation coefficients and multivariable regression analyses were conducted in 63 adult participants (70% female, mean age 73 (SD 8.6) years) from the general population.

resultsWe identified correlations between SVA and age (r = 0.4, p < 0.001), body mass index (BMI) (r = 0.3, p = 0.008), balance (r = - 0.5, p < 0.001) and NR lumbar lordosis angle (r = - 0.5, p < 0.001). The final model (R

conclusionReduced NR lumbar lordosis magnitude and ROM, balance and hip strength are associated with SVA; however, it is unclear if these factors are compensatory, contributing, or modifiable. Hence, future longitudinal studies are needed.

Indexed as

LordosisQuality of LifeAgedCross-Sectional StudiesFemaleHumansMaleRange of Motion, ArticularSpineLordosisPostureRange of motionSagittal alignmentStrengthSurface topography

Identifiers

PMID34741754
OpenAlexW3213301975

What OpenQuestion holds

Textmetadata
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.