Evidence map›Paper›PMID 31299981›Full record

ArticleJournal of neuroengineering and rehabilitation2019

Complexity based measures of postural stability provide novel evidence of functional decline in fragile X premutation carriers.

Clodagh O'Keeffe, Laura P Taboada, Niamh Feerick, Louise Gallagher, Timothy Lynch, Richard B Reilly

Abstract read
In one paragraph

Article in Journal of neuroengineering and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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.

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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Biomarkers of balance and gait deficits inFrontiers in aging neuroscience · 2025
    Review
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  5. Article
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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

6 authors.

Clodagh O'KeeffeTrinity Centre for Biomedical Engineering, Trinity College, The University of Dublin, 152 - 160 Pearse St, Dublin 2, Ireland. okeeffcl@tcd.ie.ORCID 0000-0003-4611-4188
Laura P TaboadaTrinity Centre for Biomedical Engineering, Trinity College, The University of Dublin, 152 - 160 Pearse St, Dublin 2, Ireland.
Niamh FeerickTrinity Centre for Biomedical Engineering, Trinity College, The University of Dublin, 152 - 160 Pearse St, Dublin 2, Ireland.
Louise GallagherSchool of Medicine, Trinity College, The University of Dublin, Dublin, Ireland.
Timothy LynchThe Dublin Neurological Institute at the Mater Misericordiae University Hospital, Dublin, Ireland.
Richard B ReillyTrinity Centre for Biomedical Engineering, Trinity College, The University of Dublin, 152 - 160 Pearse St, Dublin 2, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFragile X Associated Tremor/Ataxia Syndrome (FXTAS) is a neurodegenerative movement disorder characterized by tremor, ataxic gait, and balance issues resulting from a premutation of the Fragile X Mental Retardation 1 (FMR1) gene. No biomarkers have yet been identified to allow early diagnosis of FXTAS, however, recent studies have reported subtle issues in the stability of younger premutation carriers, before disease onset. This study investigates the efficacy of multiscale entropy analysis (MSE) in detecting early changes in the motor system of premutation carriers without FXTAS.

methodsSway complexity of 12 female Premutation carriers and 15 healthy Controls were measured under four conditions: eyes open, closed, and two dual-task conditions. A Sustained Attention Response Task (SART) and a working memory based N-Back task were employed to increase cognitive load while standing on the forceplate. A Complexity Index (Ci) was calculated for anterior-posterior (AP) and mediolateral (ML) sway. Independent t-tests were used to assess between-group differences and Oneway repeated measures ANOVA were used to assess within group differences with Bonferroni corrections to adjust for multiple comparisons.

resultsGroup performances were comparable with eyes open and closed conditions. The Carrier group's Ci was consistent across tasks and conditions while the Control group's AP Ci increased significantly during the cognitive dual-task (p = 0.001). There was also a strong correlation between CGG repeat length and complexity for the Carrier group (p = 0.004). SIGNIFICANCE: Increased sway complexity is believed to stem from reallocation of attention to facilitate the increased cognitive demands of dual-tasks. Carriers' complexity did not change during dual-tasks, possibly indicating capacity interference and inefficient division of attention. Lower sway complexity in carriers suggests diminished adaptive capacity under stress as well as degradation of motor functioning. Therefore, sway complexity may be a useful tool in identifying early functional decline in FMR1 premutation carriers as well as monitoring progression towards disease onset.

Indexed as

Early DiagnosisAgedAtaxiaAttentionFemaleFragile X SyndromeHumansMemory, Short-TermMiddle AgedPostural BalanceTremorBalanceCognitive-motor interferenceDual-taskFMR1 premutationFXTASMultiscale entropy

Identifiers

PMID31299981
PMCPMC6624948

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Registered trials

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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.