Evidence map›Paper›PMID 37769931›Full record

Observational studyArchives of physical medicine and rehabilitation2024

Defining Clinically Meaningful Cut Points for Leg Power Impairment Using Physical Performance in Older Adults: A Secondary Analysis From Boston RISE.

Hye Chang Rhim, Rachel E Ward, Thomas G Travison, Nancy Latham, Jonathan F Bean

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Archives of physical medicine and rehabilitation, 2024. 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
2.9field-weighted citation impact, top 9% 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.

  1. Author response to OSIN-D-26-00532: self-paced stair climb and handrail use may mask links to injurious falls.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
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  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 2 institutions in 1 country.

Hye Chang RhimDepartment of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA 02115; Spaulding Rehabilitation Hospital, Charlestown, MA.
Rachel E WardDepartment of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA 02115; New England Geriatric Research Education and Clinical Center, VA Boston Healthcare System, Boston, MA; Massachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston, MA.
Thomas G TravisonCenter for Analytic Sciences in Aging, Marcus Institute for Aging Research, Hebrew SeniorLife, Harvard Medical School, Boston, MA.
Nancy LathamDepartment of Medicine, Brigham and Women's Hospital, Boston, MA.
Jonathan F BeanDepartment of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA 02115; Spaulding Rehabilitation Hospital, Charlestown, MA; New England Geriatric Research Education and Clinical Center, VA Boston Healthcare System, Boston, MA. Electronic address: Jonathan.Bean4@va.gov.
Harvard University · USBrigham and Women's Hospital · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Developing Rehabilitative Strategies for Disability Prevention in Primary CareR01AG032052 · NIA · SPAULDING REHABILITATION HOSPITAL · PI BEAN, JONATHAN F · 2009 to 2013
$3.2M
A Research Mentoring Program in the Rehabilitative Care of Older AdultsK24HD070966 · NICHD · SPAULDING REHABILITATION HOSPITAL · PI BEAN, JONATHAN F · 2012 to 2016
$793k
A Research Mentoring Program in Geriatric Rehabilitative CareK24AG069176 · NIA · HARVARD MEDICAL SCHOOL · PI BEAN, JONATHAN F · 2020 to 2024
$661k
The Live Long Walk Strong rehabilitation program: What features improve mobility skills?I01RX003095 · VA · VA BOSTON HEALTH CARE SYSTEM · PI BEAN, JONATHAN F · 2020 to 2025
–
REhabilitation Promoting Prevention And Improved Resilience (REPPAIR)I50RX003430 · VA · VA BOSTON HEALTH CARE SYSTEM · PI JONATHAN F BEAN, Erica Rose Checko (Scioli) · 2021 to 2026
–
NCRR NIH HHS UL1 RR025758NIA NIH HHS K24 AG069176NIA NIH HHS R01 AG032052NICHD NIH HHS K24 HD070966RRD VA I01 RX003095RRD VA I50 RX003430
6 · The paper itself

Abstract

objectiveTo identify clinically meaningful thresholds of leg power impairment identified by the stair climb power test (SCPT).

designCross-sectional analysis using the baseline data from an observational cohort study.

settingThe Boston Rehabilitative Impairment Study of the Elderly.

participantsCommunity-dwelling older adults (N=413).

main outcome measuresSCPT and the Short Physical Performance Battery (SPPB).

resultsUsing the receiver operating characteristic curves and Youden's J statistics, the optimal threshold for the SCPT associated with mobility limitation as defined by an SPPB score ≤9 was 3.07 Watts/kg for men with a sensitivity of 74%, a specificity of 73% and, an area under the curve (AUC) value of 0.78. For women, the optimal threshold was 2.59 Watts/kg with a sensitivity of 83%, a specificity of 69%, and an AUC value of 0.81. The classification and regression tree sensitivity analysis demonstrated similar thresholds, 2.88 Watts/kg and 2.53 Watts/kg for men and women, respectively.

conclusionsThe study identified clinically meaningful thresholds of impairment for the SCPT for mobility limited older primary care patients. These thresholds may be used to inform rehabilitation care to improve functional mobility of older adults and should be validated in larger more representative clinical trials.

Indexed as

LegMuscle StrengthAgedBostonCross-Sectional StudiesFemaleHumansMaleMobility LimitationPhysical Functional PerformanceMobility limitationRehabilitationShort physical performance batteryStair climb power test

Identifiers

PMID37769931
PMCPMC10965500
OpenAlexW4387036562

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.