Evidence map›Paper›PMID 26916339›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2016

Continuous Monitoring of Turning Mobility and Its Association to Falls and Cognitive Function: A Pilot Study.

Martina Mancini, Heather Schlueter, Mahmoud El-Gohary, Nora Mattek, Colette Duncan, Jeffrey Kaye, Fay B Horak

Open access · bronzeAbstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 3 pooled it
29.2field-weighted citation impact, top 1% 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

92 citing papers in PubMed, 3 syntheses or guidelines pooled it, 157 citations in OpenAlex.

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  12. Turning as a single and dual task-associations with Alzheimer's and vascular pathologies in cognitively healthy older people.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
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  20. Continuous Monitoring of Head Turns: Compliance, Kinematics, and Reliability of Wearable Sensing.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2025
    Article

32 more citing papers are in PubMed but not listed here.

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

7 authors at 1 institution in 1 country.

Martina ManciniDepartment of Neurology, School of Medicine, Oregon Health & Science University, Portland. VA Portland Health Care System (VAPORHCS), Portland, Oregon. mancinim@ohsu.edu.
Heather SchlueterDepartment of Neurology, School of Medicine, Oregon Health & Science University, Portland.
Mahmoud El-GoharyAPDM, Portland, Oregon.
Nora MattekOregon Center for Aging and Technology, Oregon Health & Science University, Portland.
Colette DuncanOregon Center for Aging and Technology, Oregon Health & Science University, Portland.
Jeffrey KayeDepartment of Neurology, School of Medicine, Oregon Health & Science University, Portland. VA Portland Health Care System (VAPORHCS), Portland, Oregon. Oregon Center for Aging and Technology, Oregon Health & Science University, Portland.
Fay B HorakDepartment of Neurology, School of Medicine, Oregon Health & Science University, Portland. VA Portland Health Care System (VAPORHCS), Portland, Oregon. APDM, Portland, Oregon.
Oregon Health & Science University · US

Funding

Outreach, Recruitment and Education CoreP30AG008017 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI BOISE, LINDA · 1990 to 2019
$27.7M
Pilot CoreP30AG024978 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI KAYE, JEFFREY A · 2004 to 2023
$9.0M
Intelligent Systems for Detection of Aging ChangesR01AG024059 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI KAYE, JEFFREY A · 2006 to 2010
$6.7M
Body-Worn Sensors to Characterize & Treat Freezing of Gait in Parkinson's DiseaseK99HD078492 · NICHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI MANCINI, MARTINA · 2014 to 2015
$278k
NIA NIH HHS P30 AG008017NIA NIH HHS P30 AG024978NIA NIH HHS R01 AG024059NICHD NIH HHS K99 HD078492
6 · The paper itself

Abstract

backgroundDifficulty turning is a major contributor to mobility disability, falls, and reduced quality of life in older people because it requires dynamic balance control that worsens with age. However, no study has quantified the quality and quantity of turning during normal daily activities in older people. The objective of this pilot study was to determine if quality of turning during daily activities is associated with falls and/or cognitive function.

methodsThirty-five elderly participants (85 ± 8 years) wore three Opal inertial sensors. Turning and activity rate were measured. Based on retrospective falls, participants were grouped into nonfallers (N = 16), single fallers (N = 12), and recurrent fallers (N = 7). We also determined which turning characteristic predicted falls in the 6 months following the week of monitoring.

resultsQuality of turning was significantly compromised in recurrent fallers compared with nonfallers (p < .05). In contrast, activity rate and mean number of turns per hour were similar across the three groups. Also, quality of turning during a prescribed test was similar across the three groups. Visuospatial and memory functions and the Tinetti Balance Scores were associated with quality of turning. Future falls were related to an increased variability of number of steps to turn.

conclusionsContinuous monitoring of turning characteristics, while walking during daily activities, is feasible in older people. Turning characteristics during daily life appear to be more sensitive to fall risk than prescribed turning tasks. These findings suggest a slower, less variable, cautious turning strategy in elderly volunteers with a history of falls.

Indexed as

Accidental FallsCognitionPostural BalanceQuality of LifeWalkingAgedAged, 80 and overBiosensing TechniquesBody Mass IndexBody WeightFemaleGaitHumansMaleMonitoring, AmbulatoryPilot ProjectsCognitionContinuous monitoringFall

Identifiers

PMID26916339
PMCPMC5007616
OpenAlexW2286190554

What OpenQuestion holds

Textmetadata
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.