Evidence map›Paper›PMID 35948887›Full record

ArticleBMC geriatrics2022

Lower extremity joint compensatory effects during the first recovery step following slipping and stumbling perturbations in young and older subjects.

Xiping Ren, Christoph Lutter, Maeruan Kebbach, Sven Bruhn, Rainer Bader, Thomas Tischer

Abstract read
In one paragraph

Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

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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

8 citing papers in PubMed.

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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

6 authors.

Xiping RenCollege of Physical Education and Health Sciences, Zhejiang Normal University, 688 Yingbin Road, Jinhua, 321000, China. renxiping@zjnu.cn.
Christoph LutterBiomechanics and Implant Technology Research Laboratory, Department of Orthopaedics, Rostock University Medical Centre, Doberaner Strasse 142, 18057, Rostock, Germany.
Maeruan KebbachBiomechanics and Implant Technology Research Laboratory, Department of Orthopaedics, Rostock University Medical Centre, Doberaner Strasse 142, 18057, Rostock, Germany.
Sven BruhnInstitute of Sport Science, University of Rostock, 18051, Rostock, Germany.
Rainer BaderBiomechanics and Implant Technology Research Laboratory, Department of Orthopaedics, Rostock University Medical Centre, Doberaner Strasse 142, 18057, Rostock, Germany.
Thomas TischerBiomechanics and Implant Technology Research Laboratory, Department of Orthopaedics, Rostock University Medical Centre, Doberaner Strasse 142, 18057, Rostock, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe lower extremity may play a crucial role in compensating for gait perturbations. The study aimed to explore the mechanism of perturbation compensation by investigating the gait characteristics and lower extremity joint moment effects in young (YS) and older subjects (OS) during the first recovery gait following slipping (slipping_Rec1) and stumbling (stumbling_Rec1).

methodAn automatic perturbation-triggered program was developed using D-Flow software based on the Gait Real-time Analysis Interactive Lab to induce the two aforementioned perturbations. Marker trajectories and ground reaction forces were recorded from 15 healthy YS (age: 26.53 ± 3.04 years; body height: 1.73 ± 0.07 m; body mass: 66.81 ± 11.44 kg) and 15 healthy OS (age: 68.33 ± 3.29 years; body height: 1.76 ± 0.10 m; body mass: 81.13 ± 13.99 kg). The Human Body Model was used to compute the variables of interest. One-way analysis of variance and independent samples t-test statistical analyses were performed.

resultsIn slipping_Rec1 and stumbling_Rec1, the change in gait pattern was mainly reflected in a significant increase in step width, no alterations in step length and stance/swing ratio were revealed. Based on perturbed task specificity, lower extremity joint moments increased or decreased at specific phases of the gait cycle in both YS and OS in slipping_Rec1 and stumbling_Rec1 compared to normal gait. The two perturbed gaits reflected the respective compensatory requirements for the lower extremity joints, with both sagittal and frontal joint moments producing compensatory effects. The aging effect was not reflected in the gait pattern, but rather in the hip extension moment during the initial stance of slipping_Rec1.

conclusionsSlipping appears to be more demanding for gait recovery than stumbling. Gait perturbation compensatory mechanisms for OS should concentrate on ankle strategy in the frontal plane and counter-rotation strategy around the hip.

Indexed as

Hip JointKnee JointAgedAnkle JointGaitHumansLower ExtremityWalkingAgingFirst recovery stepJoint dynamicsSpatiotemporal parametersTreadmill perturbation

Identifiers

PMID35948887
PMCPMC9367084

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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.