Evidence map›Paper›PMID 29773512›Full record

ArticleParkinsonism & related disorders2018

Increased foot strike variability in Parkinson's disease patients with freezing of gait.

Jesal Shah, Lakshmi Pillai, David K Williams, Shannon M Doerhoff, Linda Larson-Prior, Edgar Garcia-Rill, Tuhin Virmani

Registry-linked trialAbstract read
In one paragraph

Article in Parkinsonism & related disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05107531 (Investigation of Gait, Foot Pressure Distribution and Balance in Parkinson's Patients With Motor Freezing), which is not on this map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–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.

NCT05107531 completednot on this mapstarted 2021, after this paper: background citation

Investigation of Gait, Foot Pressure Distribution and Balance in Parkinson's Patients With Motor Freezing

TypeobservationalSponsorHacettepe UniversityRan2021 to 2022Enrolled30ConditionsIdiopathic Parkinson's Disease
3 · Its place in the literature

Who cites it

29 citing papers in PubMed.

  1. Trial
  2. Effect of freezing phenomenon on gait parameters and pedobarographic pressure distribution in patients with Parkinson's disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  3. Sixty hertz STN-DBS and L-Dopa reduces gait variability in parkinson's disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  4. Article
  5. Gait-Guard: Turn-aware Freezing of Gait Detection for Non-intrusive Intervention Systems....IEEE...International Conference on Connected Health: Applications, Systems and Engineering Technologies. IEEE International Conference on Connected Health: Applications, Systems and Engineering Technologies · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. FoG-Finder: Real-time Freezing of Gait Detection and Treatment....IEEE...International Conference on Connected Health: Applications, Systems and Engineering Technologies. IEEE International Conference on Connected Health: Applications, Systems and Engineering Technologies · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Atypical Gait Cycles in Parkinson's Disease.Sensors (Basel, Switzerland) · 2021
    Article
  17. Article
  18. Article
  19. Observational
  20. Article
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.

Jesal ShahCollege of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Lakshmi PillaiDepartment of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
David K WilliamsDepartment of Biostatistics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Shannon M DoerhoffDepartment of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Linda Larson-PriorDepartment of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Department of Neurobiology & Developmental Sciences, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Edgar Garcia-RillDepartment of Neurobiology & Developmental Sciences, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Tuhin VirmaniDepartment of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR, USA. Electronic address: TVirmani@uams.edu.

Funding

Telemedicine CoreP30GM110702 · NIGMS · UNIV OF ARKANSAS FOR MED SCIS · PI GARCIA-RILL, EDGAR E. · 2014 to 2018
$6.1M
Pediatric Head Models for Improved Imaging of Neurological DevelopmentR44MH106421 · NIMH · ELECTRICAL GEODESICS, INC. · PI TUROVETS, SERGEI · 2014 to 2016
$1.7M
NIGMS NIH HHS P30 GM110702NIMH NIH HHS R44 MH106421
6 · The paper itself

Abstract

introductionFreezing of gait (FOG) is a debilitating, late motor complication of Parkinson's disease (PD) that occurs in 50-80% of patients. Gait freezing significantly worsens quality of life by decreasing mobility and increasing falls. Studies have shown that patients with episodic freezing episodes also have deficits in continuous gait. We evaluated whether there was an objective gait correlate to the increased stumbling reported by many patients with gait freezing.

methodsPD subjects and healthy controls (HC) were enrolled after IRB approval. Subjects with more than 1 fall/day or a Montreal Cognitive Assessment score <10 were excluded. Subjects walked at their normal pace, 8 lengths of a 20 × 4 foot pressure-sensor mat. Data was collected and analyzed using PKMAS software (Protokinetics) and statistical analysis performed using SPSS 22 (IBM).

results72 age matched subjects (22 PD FOG, 27 PD no-FOG, and 23 HC) were enrolled. Disease duration and Hoehn & Yahr scores were not significantly different between the PD groups. Mean dimensions of foot strike were not significantly different between groups, but PD FOG subjects had increased step-to-step variability in foot strike as measured by the percent coefficient of variation (%CV) in foot strike length compared to PD no-FOG and HC, independent of stride velocity. In PD no-FOG subjects, fallers also had higher variability in foot strike length compared to non-fallers.

conclusionPD subjects with FOG had increased variability in foot strike suggesting that in addition to stride length variability, foot strike variability could contribute to imbalance leading to falls.

Indexed as

Accidental FallsAgedBiomechanical PhenomenaFemaleFootGait Disorders, NeurologicHumansMaleMiddle AgedParkinson DiseaseSeverity of Illness IndexFallsFreezing of gaitParkinson's disease

Identifiers

PMID29773512
PMCPMC6648699

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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.