Evidence map›Paper›PMID 39934800›Full record

Trial reportBMC musculoskeletal disorders2025

A secondary analysis of gait after a 4-week postural intervention for older adults with hyperkyphosis.

L C Hughes, A L Ellis, H L Rogers, M Hadley, R V Galloway

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04114331 (Feasibility of a Post-Hospitalization PT Intervention in Patients With Pneumonia), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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.

NCT04114331 nacompletednot on this map

Feasibility of a Post-Hospitalization PT Intervention in Patients With Pneumonia

TypeinterventionalSponsorThe University of Texas Medical Branch, GalvestonRan2018 to 2019Enrolled24ConditionsPneumonia, COPD, Hyperkyphosis, Postural, Thoracic KyphosisArmsManual therapy and exercise
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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.

L C HughesDepartment of Physical Therapy, University of Texas Medical Branch (UTMB), 301 University Blvd, Galveston, TX, 77555, USA. lyhughes@utmb.edu.
A L EllisDepartment of Physical Therapy, University of Texas Medical Branch (UTMB), 301 University Blvd, Galveston, TX, 77555, USA.
H L RogersDepartment of Physical Therapy, University of Texas Medical Branch (UTMB), 301 University Blvd, Galveston, TX, 77555, USA.
M HadleyPresent address: Classic Rehabilitation, 2008 L Don Dodson Dr., Bedford, TX, 76021, USA.
R V GallowayDepartment of Physical Therapy, University of Texas Medical Branch (UTMB), 301 University Blvd, Galveston, TX, 77555, USA.

Funding

UTMB OAIC Research Education Component (REC)P30AG024832 · NIA · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI JAMES S. GOODWIN, MD, MELISSA M. MORROW · 2005 to 2026
$26.7M
Claude D. Pepper Pilot OAIC Grant #P30-AG024832NIA NIH HHS P30 AG024832
6 · The paper itself

Abstract

backgroundThoracic hyperkyphosis (HK), common in older adults, has been linked to impairments in physical function, mobility, balance, gait, and falls. Our pilot study used a novel 4-week manual therapy and exercise intervention for HK and showed improved posture and function. This secondary analysis aims to explore 1) the changes in gait parameters after a novel intervention for HK, 2) the correlations between posture and gait variables at baseline, and 3) pre- to post intervention.

methodsThis secondary analysis uses data from a quasi-experimental, single group pilot study. Participants with HK underwent pre- and post intervention measurements in posture, function, and unique to this secondary analysis, gait parametrics of velocity (V), step length (SL), double limb support (DLS), and step width (SW) using the GAITRite® electronic walkway. Paired t-tests compared pre- and post intervention gait parameters. Pearson correlation coefficients were utilized to investigate correlations between all variables at baseline and in pre- and post intervention change values.

resultsFourteen women and 8 men (aged 65.9 years ±9.2; range 52 - 90) completed 12 treatments (3 times/week for 4-weeks). Statistically significant improvement (p≤.001) occurred pre- to post for postural measures: height (M=0.73cm ±0.54), Kyphotic index (-2.41 ±2.96), Block (-1.17cm ±1.22), Acromion to table (ATT) (-1.85cm ±1.42), and 3 gait measures: V (M=0.087m/s ±0.09), SL (2.34cm ±2.55), and DLS (- 0.031sec ±0.04). SW improvement was not statistically significant. Block and ATT measures were moderately correlated with V, SL, SW (Block only), and DLS (ATT only) at baseline. Strong correlations were found among V, SL, and DLS at baseline and in pre- to post change scores, but no correlation between change scores of posture and gait.

conclusionsThis study shows that a clinically practical 4-week PT intervention may benefit older adults with HK by demonstrating improved posture and gait parameters. Further research is warranted.

trial registrationThis study was retrospectively registered on 16/09/2019 under ClinicalTrials.gov Identifier: NCT04114331.

Indexed as

Exercise TherapyGaitKyphosisMusculoskeletal ManipulationsPostureAgedAged, 80 and overFeasibility StudiesFemaleGait AnalysisHumansMaleMiddle AgedPilot ProjectsPostural BalanceTreatment OutcomeAgingGaitGait analysisKyphosisPostureWalking speed

Identifiers

PMID39934800
PMCPMC11816522

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.