Evidence map›Paper›PMID 30143726›Full record

ArticleScientific reports2018

Assessment of the ability of open- and closed-loop cueing to improve turning and freezing in people with Parkinson's disease.

Martina Mancini, Katrijn Smulders, Graham Harker, Samuel Stuart, John G Nutt

Registry-linked trialAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06174948 (The Use of the CUE1/CUE1+ Device in People With Idiopathic Parkinson's Disease and Related Disorders), which is not on this map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 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.

NCT06174948 narecruitingnot on this mapstarted 2024, after this paper: background citation

The Use of the CUE1/CUE1+ Device in People With Idiopathic Parkinson's Disease and Related Disorders: A Feasibility Study

TypeinterventionalSponsorQueen Mary University of LondonRan2024 to 2025Enrolled70ConditionsParkinson's Disease and Parkinsonism, Progressive Supranuclear Palsy, Different Types of Tremor Including Essential Tremor, DystoniaArmsCUE1 non-invasive device, CUE1+ device active vs sham CUE1+ device
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

5 authors.

Martina ManciniDepartment of Neurology, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, OP-32, 97239, Portland, OR, USA. mancinim@ohsu.edu.
Katrijn SmuldersSint Maartenskliniek, Research Department, PO Box 9011, 6500 GM, Nijmegen, The Netherlands.
Graham HarkerDepartment of Neurology, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, OP-32, 97239, Portland, OR, USA.
Samuel StuartDepartment of Neurology, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, OP-32, 97239, Portland, OR, USA.
John G NuttDepartment of Neurology, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, OP-32, 97239, Portland, OR, USA.

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
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
NICHD NIH HHS K99 HD078492NICHD NIH HHS R00 HD078492
6 · The paper itself

Abstract

Turning impairments are common in Parkinson's disease (PD) and can elicit freezing of gait (FoG). Extensive examination of open-loop cueing interventions has demonstrated that they can ameliorate gait deficits in PD; less is known about efficacy to improve turning. Here, we investigate the immediate effectiveness of open- and closed-loop cueing in improving turning characteristics in people with PD. Twenty-five subjects with and 18 subjects without FoG participated in the study. Subjects turned in place for one minute under single- and dual-task for 3 randomized conditions: (i) Baseline; (ii) Turning to the beat of a metronome (open-loop); and (iii) Turning with phase-dependent tactile biofeedback (closed-loop). Objective measures of freezing, such as % time spent freezing and FoG-ratio, significantly improved when turning with both open-loop and closed-loop cueing compared to baseline. Dual-tasking did not worsen FoG in freezers, but significantly slowed down turns in both groups. Both cueing modalities significantly improved turning smoothness in both groups, but reduced turning velocity and number of turns compared to baseline. Both open and closed-loop cueing markedly improved turning in people with PD. These preliminary observations warrant further exploration of vibrotactile closed-loop cueing to improve mobility in everyday life.

Indexed as

CuesAgedFemaleGaitHumansMaleParkinson Disease

Identifiers

PMID30143726
PMCPMC6109152

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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.