Evidence map›Paper›PMID 31524338›Full record

ArticleAnnals of clinical and translational neurology2019

Minor gait impairment despite white matter damage in pure small vessel disease.

Sofia Finsterwalder, Max Wuehr, Benno Gesierich, Anna Dietze, Marek J Konieczny, Reinhold Schmidt, Roman Schniepp, Marco Duering

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 12% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  11. Gait in Cerebral Amyloid Angiopathy.Journal of the American Heart Association · 2022
    Article
  12. Longitudinal Relation Between Structural Network Efficiency, Cognition, and Gait in Cerebral Small Vessel Disease.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022
    Article
  13. Review
  14. Late-life depression accentuates cognitive weaknesses in older adults with small vessel disease.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2022
    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

8 authors at 3 institutions in 2 countries.

Sofia FinsterwalderInstitute for Stroke and Dementia Research, University Hospital, LMU Munich, Munich, Germany.ORCID 0000-0003-1372-5310
Max WuehrGerman Center for Vertigo and Balance Disorders DSGZ, Department of Neurology, University Hospital, LMU Munich, Munich, Germany.
Benno GesierichInstitute for Stroke and Dementia Research, University Hospital, LMU Munich, Munich, Germany.
Anna DietzeGerman Center for Vertigo and Balance Disorders DSGZ, Department of Neurology, University Hospital, LMU Munich, Munich, Germany.
Marek J KoniecznyInstitute for Stroke and Dementia Research, University Hospital, LMU Munich, Munich, Germany.
Reinhold SchmidtDepartment of Neurology, Medical University of Graz, Graz, Austria.
Roman SchnieppGerman Center for Vertigo and Balance Disorders DSGZ, Department of Neurology, University Hospital, LMU Munich, Munich, Germany.
Marco DueringInstitute for Stroke and Dementia Research, University Hospital, LMU Munich, Munich, Germany.
LMU Klinikum · DEGerman Center for Lung Research · DEMedical University of Graz · AT

Funding

Austrian Science Fund FWF I 2889
6 · The paper itself

Abstract

objectiveGait impairment is common in patients with cerebral small vessel disease (SVD). However, gait studies in elderly SVD patients might be confounded by age-related comorbidities, such as polyneuropathy or sarcopenia. We therefore studied young patients with the genetically defined SVD CADASIL. Our aim was to examine the effects of pure SVD on single and dual task gait, and to investigate associations of gait performance with cognitive deficits and white matter alterations.

methodsWe investigated single task walking and calculatory, semantic, or motoric dual task costs in 39 CADASIL patients (mean age 50 ± 8) using a computerized walkway. We obtained 3.0T MRI and neuropsychological data on processing speed, the main cognitive deficit in CADASIL. Spatiotemporal gait parameters were standardized based on data from 192 healthy controls. Associations between white matter integrity, assessed by diffusion tensor imaging, and gait were analyzed using both a global marker and voxel-wise analysis.

resultsCompared to controls, CADASIL patients showed only mild single task gait impairment, and only in the rhythm domain. The semantic dual task additionally uncovered mild deficits in the pace domain. Processing speed was not associated with gait. White matter alterations were related to single task stride length but not to dual task performance.

interpretationDespite severe disease burden, gait performance in patients with pure small vessel disease was relatively preserved in single and dual tasks. Results suggest that age-related pathologies other than small vessel disease might play a role for gait impairment in elderly SVD patients.

Indexed as

AdultCADASILCognitive DysfunctionDiffusion Tensor ImagingExecutive FunctionFemaleGait Disorders, NeurologicHumansMaleMiddle AgedProspective StudiesPsychomotor PerformanceWhite Matter

Identifiers

PMID31524338
PMCPMC6801180
OpenAlexW2973263994

What OpenQuestion holds

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LicenceCC BY
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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.