Evidence map›Paper›PMID 29903649›Full record

ReviewMaturitas2018

Cortical activity during walking and balance tasks in older adults and in people with Parkinson's disease: A structured review.

Samuel Stuart, Rodrigo Vitorio, Rosie Morris, Douglas N Martini, Peter C Fino, Martina Mancini

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Maturitas, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 7 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

80 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  12. The classification of walking and phases of gait using EEG: a scoping review.Journal of neuroengineering and rehabilitation · 2026
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20 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

6 authors.

Samuel StuartOregon Health & Science University, Department of Neurology, Portland, OR, USA.
Rodrigo VitorioUniversidade Estadual Paulista (UNESP), Instituto de Biociências, Campus Rio Claro, Brazil.
Rosie MorrisOregon Health & Science University, Department of Neurology, Portland, OR, USA.
Douglas N MartiniOregon Health & Science University, Department of Neurology, Portland, OR, USA.
Peter C FinoOregon Health & Science University, Department of Neurology, Portland, OR, USA.
Martina ManciniOregon Health & Science University, Department of Neurology, Portland, OR, USA. Electronic address: mancinim@ohsu.edu.

Funding

Body-Worn Sensors to Characterize & Treat Freezing of Gait in Parkinson's DiseaseR00HD078492 · NICHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI MANCINI, MARTINA · 2016 to 2018
$701k
NICHD NIH HHS R00 HD078492
6 · The paper itself

Abstract

An emerging body of literature has examined cortical activity during walking and balance tasks in older adults and in people with Parkinson's disease, specifically using functional near infrared spectroscopy (fNIRS) or electroencephalography (EEG). This review provides an overview of this developing area, and examines the disease-specific mechanisms underlying walking or balance deficits. Medline, PubMed, PsychInfo and Scopus databases were searched. Articles that described cortical activity during walking and balance tasks in older adults and in those with PD were screened by the reviewers. Thirty-seven full-text articles were included for review, following an initial yield of 566 studies. This review summarizes study findings, where increased cortical activity appears to be required for older adults and further for participants with PD to perform walking and balance tasks, but specific activation patterns vary with the demands of the particular task. Studies attributed cortical activation to compensatory mechanisms for underlying age- or PD-related deficits in automatic movement control. However, a lack of standardization within the reviewed studies was evident from the wide range of study protocols, instruments, regions of interest, outcomes and interpretation of outcomes that were reported. Unstandardized data collection, processing and reporting limited the clinical relevance and interpretation of study findings. Future work to standardize approaches to the measurement of cortical activity during walking and balance tasks in older adults and people with PD with fNIRS and EEG systems is needed, which will allow direct comparison of results and ensure robust data collection/reporting. Based on the reviewed articles we provide clinical and future research recommendations.

Indexed as

AgedCerebral CortexFemaleGaitHumansMaleParkinson DiseasePostural BalanceSpectroscopy, Near-InfraredWalkingBalanceCortical activityElectroencephalography (EEG)Functional near infrared spectroscopy (fNIRS)Older adultsParkinson's diseaseWalking

Identifiers

PMID29903649
PMCPMC6448561

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.