Evidence map›Paper›PMID 33395957›Full record

ArticleNeuroImage. Clinical2020

Brain networks associated with anticipatory postural adjustments in Parkinson's disease patients with freezing of gait.

Andrea C de Lima-Pardini, Daniel B Coelho, Mariana P Nucci, Catarina C Boffino, Alana X Batista, Raymundo M de Azevedo Neto, Carla Silva-Batista, Egberto R Barbosa, Rajal G Cohen, Fay B Horak and 2 more

Open access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 6% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  4. Freezing of Gait: A Tribute to Nir Giladi.The European journal of neuroscience · 2026
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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

12 authors at 5 institutions in 3 countries.

Andrea C de Lima-PardiniLaboratory of Integrative Motor Behaviour, Centre for Neuroscience Studies, Queen's University, Ontario, Canada. Electronic address: acdl1@queensu.ca.
Daniel B CoelhoBiomedical Engineering, Federal University of ABC, São Bernardo do Campo, São Paulo, Brazil; Human Motor Systems Laboratory, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil. Electronic address: daniel.boari@ufabc.edu.br.
Mariana P NucciDepartment of Radiology, Faculty of Medicine, University of Sao Paulo, Sao Paulo, SP, Brazil.
Catarina C BoffinoDivision of Physical Therapy, University of São Paulo, SP, Brazil.
Alana X BatistaDepartment of Radiology, Faculty of Medicine, University of Sao Paulo, Sao Paulo, SP, Brazil.
Raymundo M de Azevedo NetoBrain Institute, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Carla Silva-BatistaExercise Neuroscience Research Group, University of São Paulo, SP, Brazil.
Egberto R BarbosaDepartment of Neurology, University of São Paulo, São Paulo, Brazil.
Rajal G CohenDepartment of Psychology & Communication, University of Idaho, Moscow, ID, United States.
Fay B HorakDepartment of Neurology, Oregon Health & Science University, Portland, OR, United States.
Luis A TeixeiraHuman Motor Systems Laboratory, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil.
Edson AmaroDepartment of Radiology, Faculty of Medicine, University of Sao Paulo, Sao Paulo, SP, Brazil.
Universidade de São Paulo · BRHospital Israelita Albert Einstein · BROregon Health & Science University · USQueen's University · CAUniversity of Idaho · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Specific impairments of anticipatory postural adjustment (APA) during step initiation have been reported in patients with Parkinson's disease (PD) and freezing of gait (FoG). Although APA disruption has been associated with FoG, there is scarce knowledge about its neural correlates. We sought to better understand the neural networks involved with APA in patients with FoG by assessing the level of hemodynamic response of specific brain regions and the functional connectivity during the leg lifting task. In the current investigation, APAs of patients with PD, with and without (nFoG) freezing were assessed during a leg lifting task in an event-related, functional magnetic resonance imaging (er-fMRI) protocol. Results identified a high hemodynamic response in the right anterior insula (AI) and supplementary motor area (SMA) in the FoG group when an APA was required. The nFoG had stronger connectivity between the right and left insulae than the FoG group. The strength of this connectivity was negatively correlated with the severity of FoG. Both groups showed different brain network organizations comprising the SMA and the bilateral AI. The SMA was found to be a hub in patients with FoG when an APA was required for the task. Our findings suggest that both groups used compensatory mechanism comprising the insulae during APA. Neither group used the entire network comprised of the insulae and SMA to accomplish the task. The FoG group relied more on SMA as a hub than as part of a broader network to exchange information during the APA.

Indexed as

Gait Disorders, NeurologicParkinson DiseaseBrainGaitHumansMagnetic Resonance ImagingAnterior insulafMRIMovement disordersSupplementary motor area

Identifiers

PMID33395957
PMCPMC7575874
OpenAlexW3092374747

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.