Evidence map›Paper›PMID 31161336›Full record

ReviewZeitschrift fur Gerontologie und Geriatrie2019

Balance and mobility in geriatric patients : Assessment and treatment of neurological aspects.

Klaus Jahn, Ellen Freiberger, Bjoern M Eskofier, Cornelius Bollheimer, Jochen Klucken

Abstract readReview
PubMed Publisher
In one paragraph

Review in Zeitschrift fur Gerontologie und Geriatrie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Wearable Technologies Using Peripheral Neuromodulation to Enhance Mobility and Gait Function in Older Adults-A Narrative Review.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. [Screening for bilateral vestibulopathy in outpatients with unsteadiness].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2021
    Article
  12. Article
  13. Review
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 at 4 institutions in 1 country.

Klaus JahnDepartment of Neurology and German Center for Vertigo and Balance Disorders, Ludwig-Maximilians University of Munich, Schoen Clinic Bad Aibling, Kolbermoorer Str. 72, 83043, Bad Aibling, Germany. klaus.jahn@med.uni-muenchen.de.
Ellen FreibergerInstitute for Biomedicine of Ageing, Friedrich-Alexander-University, Erlangen, Germany.
Bjoern M EskofierMachine Learning and Data Analytics Lab, Friedrich-Alexander-University, Erlangen, Germany.
Cornelius BollheimerDepartment of Geriatrics, RWTH Aachen University, Aachen, Germany.
Jochen KluckenMolecular Neurology, University Hospital, Erlangen, Germany.
Fraunhofer Institute for Integrated Circuits · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DERWTH Aachen University · DESchön Klinik Bad Aibling · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPersonal autonomy in advanced age critically depends on mobility in the environment. Geriatric patients are often not able to walk safely with sufficient velocity. In many cases, multiple factors contribute to the deficit. Diagnostic identification of single components enables a specific treatment.

objectiveThis article describes the most common neurological causes of imbalance and impaired gait that are relevant for a pragmatic approach for the assessment of deficits in clinical and natural environments taking into account the physiology of balance and gait control, typical morbidities in older people and the potential of innovative assessment technologies. MATERIAL AND

methodsExpert opinion based on a narrative review of the literature and with reference to selected research topics. RESULTS AND DISCUSSION: Common neurological causes of impaired balance and mobility are sensory deficits (reduced vision, peripheral neuropathy, vestibulopathy), neurodegeneration in disorders with an impact on movement control and motoric functions (Parkinsonian syndromes, cerebellar ataxia, vascular encephalopathy) and functional (psychogenic) disorders, particularly a fear of falling. Clinical tests and scores in laboratory environments are complemented by the assessment in the natural environment. Wearable sensors, mobile smartphone-based assessment of symptoms and functions and adopted strategies for analysis are currently emerging. Use of these data enables a personalized treatment. Furthermore, sensor-based assessment ensures that effects are measured objectively.

Indexed as

Postural BalanceAccidental FallsAgedAged, 80 and overDizzinessGaitGait Disorders, NeurologicGeriatric AssessmentHumansNervous System DiseasesWalkingDizzinessFallsGait disorderPostural controlVertigo

Identifiers

PMID31161336
OpenAlexW2948190747

What OpenQuestion holds

Textmetadata
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.