Evidence map›Paper›PMID 37031629›Full record

ArticleGait & posture2023

Age-related differences in reactive balance control and fall-risk in people with chronic stroke.

Rudri Purohit, Shuaijie Wang, Shamali Dusane, Tanvi Bhatt

Open access · greenAbstract read
In one paragraph

Article in Gait & posture, 2023. 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
5.1field-weighted citation impact, top 5% 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, 7 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

4 authors at 2 institutions in 1 country.

Rudri PurohitDepartment of Physical Therapy, College of Applied Health Sciences, University of Illinois, Chicago, IL 60612, USA; Ph.D. program in Rehabilitation Sciences, Department of Physical Therapy, College of Applied Health Sciences, University of Illinois, Chicago, IL 60612, USA.
Shuaijie WangDepartment of Physical Therapy, College of Applied Health Sciences, University of Illinois, Chicago, IL 60612, USA.
Shamali DusaneDepartment of Physical Therapy, College of Applied Health Sciences, University of Illinois, Chicago, IL 60612, USA.
Tanvi BhattDepartment of Physical Therapy, College of Applied Health Sciences, University of Illinois, Chicago, IL 60612, USA. Electronic address: tbhatt6@uic.edu.
University of Illinois Urbana-Champaign · USUniversity of Illinois Chicago · US

Funding

Perturbation training for enhancing stability and limb support control for fall-risk reduction among stroke survivorsR01HD088543 · NICHD · UNIVERSITY OF ILLINOIS AT CHICAGO · PI BHATT, TANVI · 2016 to 2022
$1.9M
NICHD NIH HHS R01 HD088543
6 · The paper itself

Abstract

backgroundImpaired reactive responses to sudden environmental perturbations contribute to heightened fall-risk in healthy aging and neurologically impaired populations. Previous studies have demonstrated individual contributions of paretic and non-paretic sides to fall-risk in people with stroke with variable levels of motor impairment. However, the combined effect of aging and unilateral cortical lesion on reactive balance control is not clearly understood. We therefore aimed to examine age-related differences in reactive balance control and fall-risk during laboratory-induced gait-slips in people with comparable stroke-related motor impairments.

methodsThirteen younger (45.61 ± 4.61 years) and thirteen older (71.92 ± 6.50 years) adults with similar stroke-related impairment (on Fugl-Meyer Lower Extremity Assessment) were exposed to one overground gait-slip under each limb (paretic and non-paretic). Center of mass state stability and slipping kinematics (slip displacement and velocity) were computed. Clinical balance and mobility were also assessed.

resultsOn non-paretic slips, older adults with chronic stroke demonstrated greater falls and lower center of mass stability (its position and velocity) at post-slip touchdown compared to younger adults with chronic stroke (p < 0.01). This was accompanied with a greater peak slip displacement and faster peak slip velocity (p < 0.01). However, there were no such group differences noted on the paretic slips (p > 0.01).

conclusionAging may have an independent, detrimental effect on reactive balance control in people with chronic stroke. Non-paretic deficits in controlling slip intensities (slip displacement and velocity) can accentuate fall-risk in older adults with chronic stroke. Further investigation is necessary to identify additional factors attributing to heightened fall-risk in older adults with chronic stroke.

Indexed as

Postural BalanceStrokeAgedAgingBiomechanical PhenomenaGaitHumansLower ExtremityWalkingFall-riskGait slipOlder adultsPerturbationReactive balanceStabilityStroke

Identifiers

PMID37031629
PMCPMC11708832
OpenAlexW4328105100

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.