Evidence map›Paper›PMID 29259237›Full record

ArticleScientific reports2017

Adaptation of Stability during Perturbed Walking in Parkinson's Disease.

Dario Martelli, Lan Luo, Jiyeon Kang, Un Jung Kang, Stanley Fahn, Sunil K Agrawal

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
8.5field-weighted citation impact, top 3% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Perturbation-Based Balance Exercise Using a Wearable Device to Improve Reactive Postural Control.IEEE journal of translational engineering in health and medicine · 2023
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  12. Gait alterations in patients with adult spinal deformity.North American Spine Society journal · 2024
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  15. Age affects the dynamic interaction between kinematics and gait stability.Frontiers in bioengineering and biotechnology · 2024
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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

6 authors at 1 institution in 1 country.

Dario MartelliDepartment of Mechanical Engineering, Columbia University, New York, NY, USA. dm3042@columbia.edu.
Lan LuoDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Jiyeon KangDepartment of Mechanical Engineering, Columbia University, New York, NY, USA.
Un Jung KangDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Stanley FahnDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Sunil K AgrawalDepartment of Mechanical Engineering, Columbia University, New York, NY, USA. sunil.agrawal@columbia.edu.
Columbia University · US

Funding

NEUROEPIDEMIOLOGY TRAINING PROGRAMT32NS007153 · NINDS · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI GU, YIAN, WILLEY, JOSHUA ZEBADIAH · 1987 to 2023
$6.2M
NINDS NIH HHS T32 NS007153
6 · The paper itself

Abstract

Gait and balance disorders are major problems that contribute to falls among subjects with Parkinson's disease (PD). Strengthening the compensatory responses through the use of balance perturbations may improve balance in PD. To date, it is unclear how PD affects the ability to react and adapt to perturbations delivered while walking. This study aims to investigate how PD affects the ability to walk, respond to balance perturbations, and produce acute short-term effects to improve compensatory reactions and gait stability. A cable-driven robot was used to train nine patients with PD and nine age-matched controls with multidirectional waist-pull perturbations while walking on a treadmill. Margin of stability and base of support were evaluated while walking without cables and reacting to the perturbations. PD was associated with a reduced stability in the forward direction and the inability to produce proactive anticipatory adjustments. Both groups were able to improve the response to the disturbances and produce short-term aftereffects of increased gait stability once the cables were removed. A single session of perturbation-based balance training produced acute effects that ameliorated gait instability in PD. This result is encouraging for designing new therapeutic interventions that remediate falls risk.

Indexed as

Accidental FallsAdaptation, PhysiologicalExercise TestExercise TherapyFemaleGaitGait Disorders, NeurologicHumansMaleMiddle AgedParkinson DiseasePostural BalanceWalking

Identifiers

PMID29259237
PMCPMC5736588
OpenAlexW2772148848

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.