Evidence map›Paper›PMID 40635076›Full record

SynthesisJournal of orthopaedic surgery and research2025

Pelvic, trunk and upper limb biomechanics during walking in individuals with spinal deformities: a systematic review and meta-analysis.

Fateme Khorramroo, Reza Rajabi, Seyed Hamed Mousavi

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–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.

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, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Chronic Ankle Instability and Low Back Pain: A Narrative Review With a Conceptual Framework Linking Distal and Proximal Sensorimotor Dysfunction.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
    Review
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

3 authors.

Fateme KhorramrooDepartment of Sport Injuries and Biomechanics, Faculty of Sport Sciences and Health, University of Tehran, Tehran, Iran.
Reza RajabiDepartment of Sport Injuries and Biomechanics, Faculty of Sport Sciences and Health, University of Tehran, Tehran, Iran.
Seyed Hamed MousaviDepartment of Sport Injuries and Biomechanics, Faculty of Sport Sciences and Health, University of Tehran, Tehran, Iran. musavihamed@ut.ac.ir.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpinal deformities represent a major public health concern, characterized by abnormal curvature and alignment of the spine. We aimed to investigate the alterations in pelvic, trunk, and upper limb biomechanics during walking in individuals with spinal deformities compared to healthy controls.

methodsWe searched four databases including PubMed, Web of Science, Scopus and Embase from their inception through 2nd january 2025. Two authors screened studies and separately extracted data from included studies. The Newcastle-Ottawa Scale was applied to assess quality of included studies. GRADE was employed to assess the overall quality of the evidence in the meta-analysis. Subgroup and sensitivity analyses were performed to address potential heterogeneity. Mean differences and 95% confidence intervals (CI) were calculated with random effects model in RevMan version 5.4.

resultsSeventeen studies with a total of 893 participants were included in the systematic review. In scoliosis, meta-analysis showed strong evidence of increased thorax-pelvis sagittal ROM, strong evidence of non-significant increase in SVA, moderate evidence of increased pelvic frontal ROM, sagittal thoracic curve ROM, CVA, and moderate evidence of non-significant change in 3-dimensional thorax movement, sagittal lumbar ROM, thorax-pelvis frontal and transverse ROM compared to controls during walking. The meta-analysis for other variables related to scoliosis indicated moderate evidence of non-significant changes. Meta-analysis showed moderate evidence of increased sagittal pelvic ROM in sagittal trunk malalignment, and moderate evidence of non-significant increase in pelvic ROM in adult spinal deformities compared to controls during walking.

conclusionThis review highlights the complexity of pelvic, trunk and upper limb biomechanics in individuals with spinal deformities. Understanding these alterations is essential for creating targeted interventions and improving clinical outcomes.

trial registrationThe protocol was registered with PROSPERO (CRD42024602489).

Indexed as

PelvisScoliosisThoraxTorsoUpper ExtremityWalkingBiomechanical PhenomenaHumansRange of Motion, ArticularGaitKinematicsKineticsLumbarScoliosisThoracolumbarThorax

Identifiers

PMID40635076
PMCPMC12243263

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.