Evidence map›Paper›PMID 36940179›Full record

ArticleEuropean journal of physical and rehabilitation medicine2023

Deficits in dynamic balance were the motor impairments that best explained limitations in community ambulation after stroke.

Maria T Alvarenga, Patrick R Avelino, Kênia K DE Menezes, Luci F Texeira-Salmela, Christina D Faria, Aline A Scianni

Open access · diamondAbstract read
In one paragraph

Article in European journal of physical and rehabilitation medicine, 2023. 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
0.6field-weighted citation impact, top 33% 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, 4 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

6 authors at 1 institution in 1 country.

Maria T AlvarengaDepartment of Physiotherapy, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Patrick R AvelinoDepartment of Physiotherapy, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Kênia K DE MenezesDepartment of Physiotherapy, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Luci F Texeira-SalmelaDepartment of Physiotherapy, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Christina D FariaDepartment of Physiotherapy, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Aline A ScianniDepartment of Physiotherapy, Federal University of Minas Gerais, Belo Horizonte, Brazil - ascianni@task.com.br.
Universidade Federal de Minas Gerais · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImproving walking capacity, in order to achieve community ambulation, is an important goal for both patients and rehabilitation professionals. However, only about 7 to 27% of the stroke survivors will be able to walk in the community.

aimThe aim of this study was to determine which measures of motor impairments would impair community ambulation in 90 individuals with chronic stroke.

designCross-sectional study.

settingResearch laboratory at Federal University of Minas Gerais. POPULATION: Chronic stroke patients.

methodsFor this exploratory study, the dependent variable, community ambulation, was determined by the distance covered during the 6-Minute Walking Test (6MWT). Participants, who covered ≥288 meters during the 6MWT, were classified as unlimited-community ambulators, whereas those who covered <288 meters were considered limited-community ambulators. Logistic regression analysis was carried-out to investigate which measures of motor impairments (deficits in strength of the knee extensor muscles, dynamic balance, and lower-limb motor coordination, as well as increased tonus of the ankle plantarflexor muscles) would explain the variance in community ambulation, i.e., the distance covered during the 6MWT.

resultsOut of the 90 participants, 51 were unlimited and 39 were limited-community ambulators. Only the measure of dynamic balance (OR=0.81, 95% CI: 0.72-0.91) reached significance and was kept in the logistic regression model.

conclusionsDeficits in dynamic balance best explained limitations in community ambulation in individuals with chronic stroke. Future studies are needed to determine whether rehabilitation interventions aiming at improving dynamic balance would lead to unlimited-community ambulation. CLINICAL REHABILITATION IMPACT: Amongst common motor impairments observed after stroke, such as increased tonus of the ankle plantarflexor muscles and deficits in strength of the knee extensor muscles and lower-limb motor coordination, dynamic balance, was the only variable that explained limitations in community ambulation after stroke. Future studies aiming at investigating community ambulation after stroke could take into account measures of dynamic balance.

Indexed as

Motor DisordersStrokeStroke RehabilitationCross-Sectional StudiesHumansLower ExtremityWalking

Identifiers

PMID36940179
PMCPMC10171360
OpenAlexW4327894649

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.