Evidence map›Paper›PMID 41430600›Full record

Trial reportBMC musculoskeletal disorders2025

Effects of visual real-time feedback during decline walking on gait parameters: a crossover randomized trial.

Klaus Widhalm, Sebastian Durstberger, Peter Putz

Registry-linked trialAbstract readRandomized Controlled 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 NCT04763850 (Effects of Real-time Feedback During Decline Walking on Kinematic and Kinetic Gait Parameters), which is not on this map. Not yet cited in PubMed.

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

NCT04763850 nacompletednot on this map

Effects of Real-time Feedback During Decline Walking on Kinematic and Kinetic Gait Parameters (Up & Down)

TypeinterventionalSponsorKlaus WidhalmRan2021 to 2021Enrolled30ConditionsHealthyArmsDecline Walking with real-time Feedback
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Klaus WidhalmDepartment Health Sciences, University of Applied Sciences Campus Vienna, Favoritenstrasse 232, Vienna, Austria. klaus.widhalm@hcw.ac.at.
Sebastian DurstbergerDepartment Health Sciences, University of Applied Sciences Campus Vienna, Favoritenstrasse 232, Vienna, Austria.
Peter PutzDepartment Health Sciences, University of Applied Sciences Campus Vienna, Favoritenstrasse 232, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDeveloping osteoarthritis is influenced by the control of dynamic functional leg alignment and biomechanical load. While research on level walking with load-related feedback has sparked treatment innovations, there is limited knowledge about the effects of feedback during downhill walking on gait kinematics and kinetics. The potential of external feedback for neuromuscular knee control is unexplored. We examined if real-time feedback affects frontal knee range of motion and load ratio during downhill walking on a treadmill compared to self-paced and matched speed walking.

methodsTwenty-eight healthy participants aged 18 to 35 years performed gait trials with 10° declination on an instrumented treadmill under four conditions: (a) self-paced walking, (b) self-paced walking with an internal focus of attention, (c) self-paced walking with real-time feedback, and (d) speed-matched C without feedback. Main outcomes were compared by repeated-measure ANOVA with predefined contrasts.

resultsSignificant differences were found for the left frontal knee range of motion and both side load ratios, with moderate to large effect sizes. Predefined contrasts revealed that any feedback improved left knee stabilization when compared to no feedback at self-paced walking. Real-time feedback reduced load ratio even more than in the internal focus of attention.

conclusionInterventions that facilitate internal focus of attention and/or real-time feedback may improve frontal knee range of motion and load ratio, indicating an enhanced stabilization of frontal leg alignment. Real-time feedback is preferable to internal focus for decreasing load ratio. Future studies should explore these findings for populations with low physical activity and mild osteoarthritis.

trial registrationClinicalTrials.gov NCT04763850. Prospectively registered on 21 February 2021. https://www. CLINICALTRIALS: gov/ct2/show/NCT04763850 .

Indexed as

Feedback, SensoryGaitKnee JointWalkingAdolescentAdultBiomechanical PhenomenaCross-Over StudiesExercise TestFemaleHumansMaleRange of Motion, ArticularYoung AdultDecline walkingFeedbackKinematicKineticLeg alignmentTreadmill

Identifiers

PMID41430600
PMCPMC12838476

What OpenQuestion holds

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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.