ArticleEuropean journal of medical research2025
A cross-sectional study of evaluating cervical spondylotic myelopathy based on gait and plantar pressures.
Article in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Gait analysis methods in people with spinal cord injury: a systematic review.Journal of neuroengineering and rehabilitation · 2026Pooled it
- Mapping the genetically predicted associations between lower-extremity muscle traits and spinal diseases.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Article
- Standardization and optimization of force platform testing for balance assessment in cervical spondylotic myelopathy.Frontiers in neuroscience · 2026Article
- Effect of diabetes mellitus on plantar pressure improvement after anterior cervical spine surgery in patients with cervical spondylotic myelopathy.Journal of orthopaedic surgery and research · 2025Article
- Short-term and long-term effects of anterior and posterior surgical approaches on plantar pressure distribution in patients with cervical spondylotic myelopathy.European journal of medical research · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designThis is a cross-sectional study.
objectiveTo examine the differences in gait patterns between cervical spondylotic myelopathy (CSM) patients and normal controls using visual recognition-based gait analysis and plantar pressure techniques, and to further analyze the differences in gait between different levels of disease severity as well as between gender groups. The development and progression of CSM symptoms are gradual and obscure. Although previous studies have objectively assessed CSM-specific gait patterns using motion cameras as well as mechanical platforms, these methods have limitations such as limited metrics that can be analyzed or inconvenience for simple screening. Therefore, there is a need to develop effective screening methods.
methodsA total of 154 asymptomatic volunteers and 147 patients with CSM were recruited. Gait parameters were obtained by capturing video of the patient while walking via a smartphone-based computer vision algorithm (using the OpenPose framework), and plantar pressure distributions were measured using wireless sensor-equipped insoles (sampling rate 50-100 Hz). Gender, age, and body mass index were employed as matching variables, resulting in 102 matched pairs. An independent-samples t-test was used to analyze between-group differences, and analysis of variance was utilized for comparisons among three or more groups. Receiver operating characteristic (ROC) curve analysis, area under the curve (AUC), and the Youden index were employed to determine cut-off values for gait-related indicators.
resultsAt a self-selected step speed, the CSM group exhibited significantly slower step speed and stride speed, shorter step length and stride length, a prolonged gait period, and an increased proportion of stance and double-support phases alongside a reduced swing phase. Multiple kinematic and kinetic parameters-such as hip flexion angle and ankle dorsiflexion angle-were markedly reduced. Medial plantar pressure was higher, whereas lateral plantar pressure was lower (P < 0.05). The stance phase demonstrated the highest diagnostic accuracy (AUC = 0.944, sensitivity = 88.9%, specificity = 89.2%), suggesting its potential as a principal screening variable. The optimal threshold for the stance phase was 64.75 (%).
conclusionCSM patients differed significantly from normal subjects in terms of gait speed, stride speed, step length, stride length, gait period, hip flexion angle, ankle dorsiflexion angle, and medial and lateral plantar pressure. The percentage of stance phase in the entire gait period was greater than 64.75%, which can be used as the main gait parameter to assist in the diagnosis of CSM.
Indexed as
Identifiers
What OpenQuestion holds
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.