ArticleEuropean review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity2019
Is every-day walking in older adults more analogous to dual-task walking or to usual walking? Elucidating the gaps between gait performance in the lab and during 24/7 monitoring.
Article in European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 136 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
136 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Effectiveness of transcranial electrical stimulation combined with dual-task training in stroke, mild cognitive impairment and Parkinson's disease: a systematic review and meta-analysis of randomized controlled trials.Frontiers in human neuroscience · 2025Pooled it
- Patient-Reported Outcome Measures for Assessing Dual-Task Performance in Daily Life: A Review of Current Instruments, Use, and Measurement Properties.International journal of environmental research and public health · 2022Pooled it
- The reliability of gait parameters captured via instrumented walkways: a systematic review and meta-analysis.European journal of physical and rehabilitation medicine · 2022Pooled it
- Using wearables to assess bradykinesia and rigidity in patients with Parkinson's disease: a focused, narrative review of the literature.Journal of neural transmission (Vienna, Austria : 1996) · 2019Pooled it
- Trial
- Network-based transcranial direct current stimulation may improve gait and cognitive function in older adults: a randomized controlled crossover study.BMC geriatrics · 2025Trial
- Smartphone- and Paper-Based Delivery of Balance Intervention for Older Adults Are Equally Effective, Enjoyable, and of High Fidelity: A Randomized Controlled Trial.Sensors (Basel, Switzerland) · 2023Trial
- Treadmill training with virtual reality to enhance gait and cognitive function among people with multiple sclerosis: a randomized controlled trial.Journal of neurology · 2023Trial
- Targeted tDCS Mitigates Dual-Task Costs to Gait and Balance in Older Adults.Annals of neurology · 2021Trial
- Combining transcranial direct current stimulation with a motor-cognitive task: the impact on dual-task walking costs in older adults.Journal of neuroengineering and rehabilitation · 2021Trial
- Enhanced Gait Variability Index in Neurological and Geriatric Rehabilitation: A Scoping Review.NeuroRehabilitation · 2026Article
- Real-world walking and activity patterns in community-dwelling older adults: a cross-sectional analysis of baseline data from the SMART-AGE trial.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2026Article
- Parkinsonian gait improvement through vibratory stride parameter feedback.Journal of neuroengineering and rehabilitation · 2026Article
- Bladder Sensation and Gait: A Cross-Sectional Observational Study of Dual-Task Interference in Older Women.International urogynecology journal · 2026Observational
- Mobgap: A State-of-the-Art Python Framework for Reproducible Estimation and Algorithm Validation of Digital Mobility Outcomes from a Single Wearable Device.Sensors (Basel, Switzerland) · 2026Article
- What is new in Freezing of Gait?Journal of neurology · 2026Review
- Continuous assessment of daily-living gait using self-supervised learning of wrist-worn accelerometer data.NPJ digital medicine · 2026Article
- Effects of cognitive workload during motor-cognitive training on executive function, dual-task performance, and posture control: a RCT among middle-aged and older adults.Frontiers in aging neuroscience · 2026Article
- Indices of embodied Neuroergonomic coupling: a theory and hypothesis framework for quantifying brain-body-environment dynamics in built space.Frontiers in human neuroscience · 2026Article
- Single-task, dual-task, and community gait speeds of older adults in Singapore: their associations with frailty, cognition, and age-friendly cities.Innovation in aging · 2026Article
76 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe traditional evaluation of gait in the laboratory during structured testing has provided important insights, but is limited by its "snapshot" character and observation in an unnatural environment. Wearables enable monitoring of gait in real-world environments over a week. Initial findings show that in-lab and real-world measures differ. As a step towards better understanding these gaps, we directly compared in-lab usual-walking (UW) and dual-task walking (DTW) to daily-living measures of gait.
methodsIn-lab gait features (e.g., gait speed, step regularity, and stride regularity) derived from UW and DTW were compared to the same gait features during daily-living in 150 elderly fallers (age: 76.5 ± 6.3 years, 37.6% men). In both settings, features were extracted from a lower-back accelerometer. In the real-world setting, subjects were asked to wear the device for 1 week and pre-processing detected 30-s daily-living walking bouts. A histogram of all walking bouts was determined for each walking feature for each subject and then each subject's typical (percentile 50, median), worst (percentile 10) and the best (percentile 90) values over the week were determined for each feature. Statistics of reliability were assessed using Intra-Class correlations and Bland-Altman plots.
resultsAs expected, in-lab gait speed, step regularity, and stride regularity were worse during DTW, compared to UW. In-lab gait speed, step regularity, and stride regularity during UW were significantly higher (i.e., better) than the typical daily-living values (
conclusionsGait values measured during relatively long (30-s) daily-living walking bouts are more similar to the corresponding values obtained in the lab during dual-task walking, as compared to usual walking. Still, gait performance during most daily-living walking bouts is worse than that measured during usual and dual-tasking in the lab. The values measured in the lab do not reliably reflect daily-living measures. That is, an older adult's typical daily-living gait cannot be estimated by simply measuring walking in a structured, laboratory setting.
Indexed as
Identifiers
What OpenQuestion holds
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.