Evidence map›Paper›PMID 24496099›Full record

ArticleJournal of Parkinson's disease2014

Inhibition, executive function, and freezing of gait.

Rajal G Cohen, Krystal A Klein, Mariko Nomura, Michael Fleming, Martina Mancini, Nir Giladi, John G Nutt, Fay B Horak

Registry-linked trialAbstract read
In one paragraph

Article in Journal of Parkinson's disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07024875 (Precision Neuroimaging of Parkinson's Disease), which is not on this map. Cited by 54 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 3 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.

NCT07024875 recruitingnot on this mapstarted 2025, after this paper: background citation

Precision Neuroimaging of Parkinson's Disease

Typeobservational_patient_registrySponsorWashington University School of MedicineRan2025 to 2031Enrolled120ConditionsParkinsons Disease (PD)
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  6. A Randomized, Controlled Trial of Exercise for Parkinsonian Individuals With Freezing of Gait.Movement disorders : official journal of the Movement Disorder Society · 2020
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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

8 authors.

Rajal G CohenDepartment of Psychology and Communication Studies, University of Idaho, Moscow, ID, USA.
Krystal A KleinDepartment of Medical Informatics & Clinical Epidemiology, Oregon Health & Science University, Portland, OR, USA.
Mariko NomuraDepartment of Neurology, Oregon Health & Science University, Portland, OR, USA.
Michael FlemingDepartment of Neurology, Oregon Health & Science University, Portland, OR, USA.
Martina ManciniDepartment of Neurology, Oregon Health & Science University, Portland, OR, USA.
Nir GiladiDepartment of Neurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
John G NuttDepartment of Neurology, Oregon Health & Science University, Portland, OR, USA.
Fay B HorakDepartment of Neurology, Oregon Health & Science University, Portland, OR, USA.

Funding

Oregon Clinical and Translational Research InstituteUL1TR000128 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI ELLISON, DAVID H · 2012 to 2015
$28.7M
TRAINING PROGRAM IN HEALTH INFORMATICST15LM007088 · NLM · OREGON HEALTH & SCIENCE UNIVERSITY · PI WILLIAM R HERSH, Vishnu Mohan · 1992 to 2026
$23.4M
Udall Center Director's meeting poster awardP50NS062684 · NINDS · UNIVERSITY OF WASHINGTON · PI MONTINE, THOMAS J · 2009 to 2020
$18.3M
PERIPHERAL AND CENTRAL POSTURAL DISORDERS IN THE ELDERLYR01AG006457 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI HORAK, FAY BAHLING · 1986 to 2018
$5.2M
Peripheral and central Postural Disorders in the ElderlyR37AG006457 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI HORAK, FAY BAHLING · 2004 to 2013
$4.5M
Frontal Cortex and Gait Freezing in Parkinson's Disease: Rehabilitation ImpactI01RX001075 · VA · PORTLAND VA MEDICAL CENTER · PI HORAK, FAY BAHLING · 2015 to 2017
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NCATS NIH HHS UL1 TR000128NCATS NIH HHS UL1TR000128NIA NIH HHS AG006457NIA NIH HHS R01 AG006457NIA NIH HHS R37 AG006457NINDS NIH HHS P50 NS062684NLM NIH HHS T15 LM007088RRD VA I01 RX001075
6 · The paper itself

Abstract

backgroundStudies suggest that freezing of gait (FoG) in people with Parkinson's disease (PD) is associated with declines in executive function (EF). However, EF is multi-faceted, including three dissociable components: inhibiting prepotent responses, switching between task sets, and updating working memory.

objectiveThis study investigated which aspect of EF is most strongly associated with FoG in PD.

methodThree groups were studied: adults with PD (with and without FoG) and age-matched, healthy adults. All participants completed a battery of cognitive tasks previously shown to discriminate among the three EF components. Participants also completed a turning-in-place task that was scored for FoG by neurologists blind to subjects' self-reported FoG.

resultsCompared to both other groups, participants with FoG showed significant performance deficits in tasks associated with inhibitory control, even after accounting for differences in disease severity, but no significant deficits in task-switching or updating working memory. Surprisingly, the strongest effect was an intermittent tendency of participants with FoG to hesitate, and thus miss the response window, on go trials in the Go-Nogo task. The FoG group also made slower responses in the conflict condition of the Stroop task. Physician-rated FoG scores were correlated both with failures to respond on go trials and with failures to inhibit responses on nogo trials in the Go-Nogo task.

conclusionThese results suggest that FoG is associated with a specific inability to appropriately engage and release inhibition, rather than with a general executive deficit.

Indexed as

Executive FunctionGaitInhibition, PsychologicalAgedFemaleHumansMaleNeuropsychological TestsParkinson DiseaseStroop Testconflict resolutionexecutive functionfreezing of gaitinhibitionParkinson's disease

Identifiers

PMID24496099
PMCPMC4028962

What OpenQuestion holds

Textmetadata
LicenceTDM
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.