Evidence map›Paper›PMID 29254103›Full record

ArticleJournal of Huntington's disease2017

Cognitive Dysfunction Contributes to Mobility Impairments in Huntington's Disease.

Anne D Kloos, Deb A Kegelmeyer, Nora E Fritz, Allison M Daley, Gregory S Young, Sandra K Kostyk

Abstract read
In one paragraph

Article in Journal of Huntington's disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 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.

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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Brain, cognitive, and physical disability correlates of decreased quality of life in patients with Huntington's disease.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Article
  7. Article
  8. Review
  9. Approach to Posture and Gait in Huntington's Disease.Frontiers in bioengineering and biotechnology · 2021
    Review
  10. Review
  11. Article
  12. Article
  13. Review
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

6 authors.

Anne D KloosDivision of Physical Therapy, College of Medicine, The Ohio State University, Columbus, OH, USA.
Deb A KegelmeyerDivision of Physical Therapy, College of Medicine, The Ohio State University, Columbus, OH, USA.
Nora E FritzDivision of Physical Therapy, College of Medicine, The Ohio State University, Columbus, OH, USA.
Allison M DaleyDepartment of Neurology, College of Medicine, The Ohio State University, Columbus, OH, USA.
Gregory S YoungCenter for Biostatistics, The Ohio State University, Columbus, OH, USA.
Sandra K KostykDepartment of Neurology, College of Medicine, The Ohio State University, Columbus, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHuntington's disease (HD) is a progressive neurodegenerative disorder that results in a gradual decline in mobility and balance. Increasing evidence has documented an important role of executive function in the safe ambulation of the elderly and people with a variety of neurological disorders. Little is known about the contribution of cognitive deficits to decline in mobility over time in HD.

objectiveThis study examined the relationships of mobility, motor and cognitive function measures at baseline, and of mobility and cognitive measures over four years.

methodsA retrospective chart review was performed on 70 patients with genetically confirmed HD (age 20-75 years old) across 121 HD clinic visits. Correlations between Unified Huntington's Disease Rating Scale - Total Motor, Tinetti Mobility Test (TMT), and cognitive measures (Letter Verbal Fluency, Symbol Digit Modalities Test (SDMT), and Stroop Test) were analyzed. Longitudinal relationships between TMT and cognitive measures were examined using mixed effect regression models.

resultsGait and balance measures representing domains of mobility (TMT scores) were significantly correlated with each of the cognitive measures with the exception of the Verbal Fluency score. Mixed effects regression modeling showed that the Stroop Interference sub-test and SDMT were significant predictors (p-values <0.01) of TMT total scores.

conclusionsImpairments in executive function measures correlate highly with measures of gait, balance and mobility in individuals with HD. Interventions designed to improve mobility and decrease fall risk should also address issues of cognitive impairments with particular consideration given to interventions that may focus on motor-cognitive dual task training.

Indexed as

Mobility LimitationAdultAgedCognitive DysfunctionFemaleFollow-Up StudiesHumansHuntington DiseaseLongitudinal StudiesMaleMiddle AgedMotor ActivityMultivariate AnalysisNeuropsychological TestsRegression AnalysisRetrospective StudiescognitionHuntington’s diseasemotor functionstroopsymbol digit modalities testTinetti mobility test

Identifiers

PMID29254103
PMCPMC5757646

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.