Evidence map›Paper›PMID 37828484›Full record

Observational studyBMC musculoskeletal disorders2023

Forward step down test - clinical rating is correlated with joint angles of the pelvis and hip: an observational study.

Smadar Peleg, Ruth Pelleg-Kallevag, Yuval Almog, Gideon Herman, Oren Nakdimon, Michal Arnon, Gali Dar

Registry-linked trialOpen access · goldAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07293039 (Effects of Isometric Gluteal Activation Plus Movement Retraining vs. Gluteal Activation Alone on the Forward Step-Down Test), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 38% 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.

NCT07293039 nacompletednot on this mapstarted 2026, after this paper: background citation

Effects of Isometric Gluteal Activation Plus Movement Retraining vs. Gluteal Activation Alone on the Forward Step-Down Test

TypeinterventionalSponsorLouisiana State University Health Sciences Center ShreveportRan2026 to 2026Enrolled38ConditionsMovement, Abnormal, Lower Extremity ProblemArmsControl HEP focusing on isometric gluteal activation, Experimental HEP focusing on isometric gluteal activation plus a movement retaining program
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 5 institutions in 2 countries.

Smadar Peleg *Levinsky-Wingate Academic College (Wingate Campus), Netanya, Israel. smadarp13@gmail.com.
Ruth Pelleg-Kallevag *Department of Physical Therapy, Zefat Academic College, Zefat, Israel.
Yuval AlmogFaculty of Medicine and Health, University of Sydney, Camperdown/Darlington, NSW, Australia.
Gideon HermanPhysical Therapy Clinic, Maccabi Healthcare Services, Modi'in, Israel.
Oren NakdimonPhysical Therapy Clinic, Maccabi Healthcare Services, Modi'in, Israel.
Michal ArnonLevinsky-Wingate Academic College (Wingate Campus), Netanya, Israel.
Gali Dar *Department of Physical Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
Levinsky-Wingate Academic CollegeMaccabi Health Care Services · ILUniversity of Sydney · AUWingate Institute · ILZefat Academic College · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical methods for assessing quality of movement and functional tests are important to clinicians. Typical deviations from normal kinematics during the clinical test of Forward Step Down Test (FSDT) are pelvic tilt and hip adduction which are associated with the risk of knee pain.

objectives(1) to examine the correlation between clinical assessment of the FSDT and joint angle measurements of pelvis, hip, knee and ankle joints in males and females; (2) to examine the differences in joint angles between individuals rated as good, fair or poor in a FSDT performance test.

methodsNinety-two healthy individuals performing FSDT were video-taped with two-dimensional digital video cameras. The clinical assessment of the FSDT was rated by two experienced physical therapists as good, fair, or poor based on a Crossley et al. (2011) validated scale. Measurements of pelvic drop, hip adduction and knee valgus were taken using Image J software.

resultsOut of 177 lower limbs, 74 (37 in each limb) were clinically rated as "good/fair" (41.80%) while 103 (52 in the dominant leg and 51 in the non-dominant leg) were rated as "poor" (58.19%). No significant differences were observed between dominant and non-dominant legs or between males and females in clinical rating of the FSDT. Pelvic drop angle was significantly higher and hip adduction angle was significantly lower for "poor" clinical rating compared to "good/fair" in both dominant and non-dominant legs (p < 0.001) in males and females. Females demonstrated higher pelvic drop, lower hip adduction and higher knee valgus angles compared with males (p < 0.05).

conclusionsThis study showed that the clinical rating of FSDT is correlated with joint angle measurements suggesting that this assessment can be utilized in clinical practice. Individuals with poor quality performance of FSDT showed higher pelvic drop and hip adduction movement. Further studies examining different populations with diverse disorders or pathologies are essential.

Indexed as

Hip JointPelvisBiomechanical PhenomenaFemaleHumansKneeKnee JointLower ExtremityMaleClinical evaluationForward Step Down TestFunctional testsSingle leg squatVisual observation

Identifiers

PMID37828484
PMCPMC10568835
OpenAlexW4387577550

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.