Background
Methods
Identification of studies
Inclusion and exclusion criteria
Data extraction
Assessment of methodological quality and diversity
Data analysis and synthesis
Results
Selection and characteristics of studies
Author | IA | Case demographics | Control demographics | Gait parameters investigated | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Number | Gender (F:M) | Age | Number | Gender | Age | ST | KIM | KIN | PP | EMG | ||
mean (SD) | (F:M) | mean (SD) | ||||||||||
Turner [7] | RA | 23 | 14:9 | 49.4 (10.5) | 23 | 14:9 | 49.5 (13.6) | ■ | ■ | ■ | ||
Woodburn [8] | RA | 11 | 9:2 | 59.6 (12.0) | 5 | NR | NR | ■ | ■ | |||
O’Connell [11] | RA | 10 | 8:2 | 54.0 | 7 | 5:2 | 34.0a | ■ | ■ | ■ | ■ | |
Woodburn [13] | RA | 50 | 34:16 | 54.0 (11.8) | 45 | 29:16 | 51.8 (12.4) | ■ | ||||
Turner [14] | RA | 12 (FF) | 9:3 | 7.9 (9.3) | 53 | 33:20 | 55.2 (11.7) | ■ | ■ | ■ | ||
10 (RF) | 8:2 | 53.8 (13.2) | ||||||||||
6 (COMB) | 4:2 | 64.7 (6.9) | ||||||||||
Turner [15] | RA | 74 | 58:16 | 56.4 (12.0) | 53 | 33:20 | 55.2 (11.7) | ■ | ■ | ■ | ■ | |
Turner [16] | RA | 12 | 12:0 | 46.0a | 12 | 12:0 | 47.0a | ■ | ■ | ■ | ■ | |
Weiss [17] | RA | 50 | 43:7 | 55.0 (14.0) | 37 | 22:15 | 51.0 (14.0) | ■ | ■ | ■ | ||
Khazzam [18] | RA | 22 | 20:2 | 54.0a | 25 | 12:13 | 41.0a | ■ | ■ | |||
Barn [19] | RA | 10 | 6:4 | 50.0 (9.0) | 5 | 3:2 | 47.0 (6.0) | ■ | ■ | ■ | ||
Woodburn [34] | RA | 10 | NR | 52.3a | 10 | NR | 27.9a | ■ | ||||
Bowen [36] | RA | 114 | 93:21 | 59.6 (12.0) | 49 | 37:12 | 33.2a | ■ | ||||
Dubbeldam [37] | RA | 21 | 17:4 | 46.6 (12.8) | 14 | 11:3 | 41.6 (8.5) | ■ | ■ | |||
Yavuz [38] | RA | 9 | 8:1 | 53.2 (12.3) | 14 | 9:5 | 53.6 (18.7) | ■ | ||||
Rome [39] | RA | 19 | 15:4 | 56.1 (11.1) | 21 | 12:9 | 51.0 (8.9) | ■ | ||||
Eppeland [40] | RA | 17 | 7:10 | 51.1 (6.2) | 20 | 8:12 | 50.4 (5.3) | ■ | ||||
Schmiegel [41] | RA | 21 | NR | 57.1 (10.2) | 16 | NR | 50.8 (9.4) | ■ | ||||
Schmiegel [42] | RA | 112 | NR | 55.0 (11.0) | 20 | NR | 53.2 (12.3) | ■ | ||||
Laroche [43] | RA | 9 | 6:3 | 60.0 (7.0) | 9 | 7:2 | 60.0 (7.0) | ■ | ■ | |||
Laroche [44] | RA | 9 | 6:3 | 60.6 (6.8) | 7 | 5:2 | 58.5 (7.4) | ■ | ■ | ■ | ||
Semple [45] | RA | 74 | 58:16 | 54.6 (12.0) | 53 | 33:20 | 55.2 (11.7) | ■ | ■ | |||
Rosenbaum [46] | RA | 25 | 23:2 | 55.0 (9.9) | 21 | 20:1 | 50.8 (9.3) | ■ | ||||
Tuna [47] | RA | 50 | 38:12 | 50.0 (9.0) | 50 | 39:11 | 49.8 (7.6) | ■ | ||||
Otter [48] | RA | 25 | 21:4 | 45.3 (12.7) | 25 | 22:3 | 48.0 (8.6) | ■ | ||||
Woodburn [49] | RA | 102 | 76:26 | 63.5a | 42 | 31:11 | 61.0a | ■ | ||||
Siegel [50] | RA | 4 | 3:1 | 56.5 (7.2) | 2 | 2:0 | 28.0 (11.0) | ■ | ■ | |||
Fransen [51] | RA | 113 | 76:37 | 60.0 (5.5) | 102 | 67:35 | 58.7 (5.3) | ■ | ||||
Isacson [52] | RA | 17 | 17:0 | 40.0 (5.0) | 11 | 11:0 | 29.0 (7.0) | ■ | ■ | |||
Minns [53] | RA | 124 | 104:20 | 56.6a | 67 | 32:35 | 50.2 (10.2) | ■ | ■ | |||
Simkin [54] | RA | 18 | 11:7 | 58.0a | 20 | 10:10 | 51.0a | ■ | ■ | |||
Stauffer [55] | RA | 30 | 18:12 | NR | 29 | 15:14 | NR | ■ | ■ | |||
Del Din [10] | AS | 12 | 4:8 | 49.4 (10.5) | 12 | 4:8 | 55.75 (3.2) | ■ | ■ | ■ | ||
Mangone [56] | AS | 17 | 2:15 | 47.0 (21.9) | 10 | 1:9 | 38.7 (14.5) | ■ | ■ | |||
Zebouni [57] | AS | 12 | 4:8 | 46.5a | 11 | NR | 39.5a | ■ | ■ | |||
Woodburn [21] | PsA | 42 | 25:17 | 45.3 (12.7) | 29 | 18:11 | 40.0 (10.5) | ■ | ■ | ■ | ||
Rome [12] | GT | 25 | 6:19 | 61.2 (11.7) | 25 | 6:19 | 57.3 (12.2) | ■ | ■ |
Methodological quality of studies
Publication | Reporting | External validity | Internal validity bias | Internal validity confounding | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1. Hypothesis clearly described? | 2. Main outcomes clearly described? | 3. Characteristics of the patients included clearly described? | 5. Distribution of principle confounder of each group clearly described? | 6. Main findings clearly described? | 7. Estimates of random variability provided for the main outcomes? | 10. Actual probability values reported for main outcomes? | 11. Were the subjects asked to participate representative of the entire population? | 12. Were the subjects who were prepared to participate representative of the entire population? | 16. Was it clear if the results were based on “data dredging” | 18. Were the statistical tests appropriate? | 20. Were the main outcome measures valid and reliable? | 21. Were all patients and controls recruited from the same population? | 22. Were all patients and controls recruited over the same time period? | Quality Index score total (%) | |
Turner [7] | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 8 (53) |
Woodburn [8] | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 5 (33) |
Del Din [10] | 1 | 1 | 1 | 2 | 1 | 1 | 1 | 1 | 0 | 1 | 1 | 1 | 1 | 0 | 13 (87) |
O’Connell [11] | 1 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 4 (27) |
Rome [12] | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 11 (73) |
Woodburn [13] | 1 | 1 | 1 | 2 | 1 | 1 | 1 | 0 | 0 | 1 | 1 | 1 | 0 | 0 | 11 (73) |
Turner [14] | 1 | 1 | 1 | 2 | 1 | 1 | 1 | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 12 (80) |
Turner [15] | 1 | 1 | 1 | 2 | 1 | 1 | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 0 | 10 (67) |
Turner [16] | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 1 | 1 | 1 | 0 | 1 | 1 | 0 | 10 (67) |
Weiss [17] | 1 | 1 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 10 (67) |
Khazzam [18] | 1 | 1 | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 11 (73) |
Barn [19] | 1 | 1 | 1 | 2 | 1 | 1 | 1 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 11 (73) |
Woodburn [21] | 1 | 1 | 1 | 2 | 1 | 1 | 1 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 10 (67) |
Woodburn [34] | 1 | 1 | 1 | 2 | 1 | 0 | 0 | 1 | 0 | 1 | 1 | 1 | 1 | 0 | 11 (73) |
Bowen [36] | 1 | 1 | 1 | 2 | 1 | 1 | 1 | 0 | 0 | 1 | 1 | 1 | 0 | 1 | 12 (80) |
Dubbeldam [37] | 1 | 1 | 1 | 1 | 0 | 1 | 1 | 0 | 0 | 1 | 1 | 1 | 0 | 0 | 9 (60) |
Yavuz [38] | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 5 (33) |
Rome [39] | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 9 (60) |
Eppeland [40] | 1 | 1 | 1 | 2 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 1 | 0 | 13 (87) |
Schmiegel [41] | 1 | 1 | 1 | 2 | 1 | 1 | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 0 | 10 (67) |
Schmiegel [42] | 1 | 1 | 1 | 2 | 1 | 1 | 0 | 1 | 1 | 1 | 1 | 0 | 1 | 0 | 12 (80) |
Laroche [43] | 1 | 1 | 1 | 0 | 1 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 6 (40) |
Laroche [44] | 1 | 1 | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 11 (73) |
Semple [45] | 1 | 1 | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 11 (73) |
Rosenbaum [46] | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 1 | 1 | 1 | 0 | 0 | 10 (67) |
Tuna [47] | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 8 (53) |
Otter [48] | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 0 | 1 | 1 | 0 | 1 | 0 | 8 (53) |
Woodburn [49] | 1 | 1 | 1 | 2 | 1 | 1 | 1 | 0 | 0 | 1 | 1 | 1 | 0 | 0 | 11 (73) |
Siegel [50] | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 3 (20) |
Fransen [51] | 1 | 1 | 1 | 2 | 1 | 1 | 1 | 0 | 1 | 1 | 1 | 0 | 1 | 0 | 12 (80) |
Isacson [52] | 1 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 1 | 0 | 6 (40) |
Minns [53] | 0 | 0 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 4 (27) |
Simkin [54] | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 3 (20) |
Stauffer [55] | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 1 | 8 (53) |
Mangone [56] | 1 | 1 | 1 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 7 (47) |
Zebouni [57] | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 4 (27) |
Median | 10 (67) |