Evidence map›Paper›PMID 25542677›Full record

Trial reportArchives of physical medicine and rehabilitation2015

Effects of emotionally charged auditory stimulation on gait performance in the elderly: a preliminary study.

John-Ross Rizzo, Preeti Raghavan, J R McCrery, Mooyeon Oh-Park, Joe Verghese

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of physical medicine and rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 18% of its field
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

6 citing papers in PubMed, 14 citations in OpenAlex.

  1. The Effects of Real-Time Haptic Feedback on Gait and Cognitive Load in Older Adults.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2025
    Article
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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

5 authors at 3 institutions in 1 country.

John-Ross RizzoDepartment of Physical Medicine and Rehabilitation, Rusk Rehabilitation, New York University Langone Medical Center, New York, NY.
Preeti RaghavanDepartment of Physical Medicine and Rehabilitation, Rusk Rehabilitation, New York University Langone Medical Center, New York, NY.
J R McCreryDepartment of Physical Medicine and Rehabilitation, Rusk Rehabilitation, New York University Langone Medical Center, New York, NY.
Mooyeon Oh-ParkDepartment of Physical Medicine and Rehabilitation, New Jersey Medical School, Rutgers, Kessler Foundation, West Orange, NJ.
Joe VergheseDivision of Cognitive and Motor Aging, Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY. Electronic address: joe.verghese@einstein.yu.edu.
New York University · USAlbert Einstein College of Medicine · USRutgers, The State University of New Jersey · US

Funding

Core-010UL1TR001073 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, SHAMOON, HARRY · 2013 to 2017
$21.3M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025750 · NCRR · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI SHAMOON, HARRY · 2008 to 2011
$20.5M
Latent Mobility Abnormalities And FrailtyR01AG025119 · NIA · ALBERT EINSTEIN COL OF MED YESHIVA UNIV · PI VERGHESE, JOE · 2005 to 2009
$1.5M
Clinical and Translational Science Award-K12KL2RR025749 · NCRR · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI SHAMOON, HARRY · 2008 to 2011
$991k
Eye-Hand Coordination in Elderly Stroke Victims: A Visuomotor Rehab StudyR03AG042379 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI RIZZO, JOHN ROSS · 2012 to 2013
$165k
NCATS NIH HHS UL1 TR001073NCRR NIH HHS KL2 RR025749NCRR NIH HHS UL1 RR025750NIA NIH HHS R01 AG025119NIA NIH HHS R03 AG042379
6 · The paper itself

Abstract

objectivesTo evaluate the effect of a novel divided attention task-walking under auditory constraints-on gait performance in older adults and to determine whether this effect was moderated by cognitive status.

designValidation cohort.

settingGeneral community.

participantsAmbulatory older adults without dementia (N=104).

interventionsNot applicable.

main outcome measuresIn this pilot study, we evaluated walking under auditory constraints in 104 older adults who completed 3 pairs of walking trials on a gait mat under 1 of 3 randomly assigned conditions: 1 pair without auditory stimulation and 2 pairs with emotionally charged auditory stimulation with happy or sad sounds.

resultsThe mean age of subjects was 80.6±4.9 years, and 63% (n=66) were women. The mean velocity during normal walking was 97.9±20.6cm/s, and the mean cadence was 105.1±9.9 steps/min. The effect of walking under auditory constraints on gait characteristics was analyzed using a 2-factorial analysis of variance with a 1-between factor (cognitively intact and minimal cognitive impairment groups) and a 1-within factor (type of auditory stimuli). In both happy and sad auditory stimulation trials, cognitively intact older adults (n=96) showed an average increase of 2.68cm/s in gait velocity (F1.86,191.71=3.99; P=.02) and an average increase of 2.41 steps/min in cadence (F1.75,180.42=10.12; P<.001) as compared with trials without auditory stimulation. In contrast, older adults with minimal cognitive impairment (Blessed test score, 5-10; n=8) showed an average reduction of 5.45cm/s in gait velocity (F1.87,190.83=5.62; P=.005) and an average reduction of 3.88 steps/min in cadence (F1.79,183.10=8.21; P=.001) under both auditory stimulation conditions. Neither baseline fall history nor performance of activities of daily living accounted for these differences.

conclusionsOur results provide preliminary evidence of the differentiating effect of emotionally charged auditory stimuli on gait performance in older individuals with minimal cognitive impairment compared with those without minimal cognitive impairment. A divided attention task using emotionally charged auditory stimuli might be able to elicit compensatory improvement in gait performance in cognitively intact older individuals, but lead to decompensation in those with minimal cognitive impairment. Further investigation is needed to compare gait performance under this task to gait on other dual-task paradigms and to separately examine the effect of physiological aging versus cognitive impairment on gait during walking under auditory constraints.

Indexed as

AttentionCognitionEmotionsGaitWalkingAcoustic StimulationAgedAged, 80 and overAge FactorsAgingFemaleGeriatric AssessmentHappinessHumansMalePilot ProjectsAttentionCognitionGaitRehabilitation

Identifiers

PMID25542677
PMCPMC4526239
OpenAlexW1987241250

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.