Evidence map›Paper›PMID 33713194›Full record

ArticleJournal of neurology2021

Fall prediction in neurological gait disorders: differential contributions from clinical assessment, gait analysis, and daily-life mobility monitoring.

Roman Schniepp, Anna Huppert, Julian Decker, Fabian Schenkel, Cornelia Schlick, Atal Rasoul, Marianne Dieterich, Thomas Brandt, Klaus Jahn, Max Wuehr

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
20.1field-weighted citation impact, top 1% 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

26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Accidental Falls in Patients with Hyperkinetic Movement Disorders: A Systematic Review.Tremor and other hyperkinetic movements (New York, N.Y.) · 2022
    Pooled it
  5. Trial
  6. Article
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  11. Review
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  13. Biomarkers in Spinocerebellar Ataxias.Cerebellum (London, England) · 2025
    Review
  14. Article
  15. Article
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  18. Article
  19. Accuracy validation of a wearable IMU-based gait analysis in healthy female.BMC sports science, medicine & rehabilitation · 2024
    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

10 authors at 2 institutions in 1 country.

Roman SchnieppDepartment of Neurology, Ludwig-Maximilians University of Munich, Marchioninistrasse 15, 81377, Munich, Germany. roman.schniepp@med.uni-muenchen.de.
Anna HuppertGerman Center for Vertigo and Balance Disorders, Ludwig-Maximilians University of Munich, Munich, Germany.
Julian DeckerGerman Center for Vertigo and Balance Disorders, Ludwig-Maximilians University of Munich, Munich, Germany.
Fabian SchenkelGerman Center for Vertigo and Balance Disorders, Ludwig-Maximilians University of Munich, Munich, Germany.
Cornelia SchlickGerman Center for Vertigo and Balance Disorders, Ludwig-Maximilians University of Munich, Munich, Germany.
Atal RasoulGerman Center for Vertigo and Balance Disorders, Ludwig-Maximilians University of Munich, Munich, Germany.
Marianne DieterichDepartment of Neurology, Ludwig-Maximilians University of Munich, Marchioninistrasse 15, 81377, Munich, Germany.
Thomas BrandtGerman Center for Vertigo and Balance Disorders, Ludwig-Maximilians University of Munich, Munich, Germany.
Klaus JahnGerman Center for Vertigo and Balance Disorders, Ludwig-Maximilians University of Munich, Munich, Germany.
Max WuehrGerman Center for Vertigo and Balance Disorders, Ludwig-Maximilians University of Munich, Munich, Germany.
Ludwig-Maximilians-Universität München · DESchön Klinik Bad Aibling · DE

Funding

Bundesministerium für Bildung und Forschung IFB 01EO1401Else Kröner-Fresenius-Stiftung 80766157
6 · The paper itself

Abstract

objectiveTo evaluate the predictive validity of multimodal clinical assessment outcomes and quantitative measures of in- and off-laboratory mobility for fall-risk estimation in patients with different forms of neurological gait disorders.

methodsThe occurrence, severity, and consequences of falls were prospectively assessed for 6 months in 333 patients with early stage gait disorders due to vestibular, cerebellar, hypokinetic, vascular, functional, or other neurological diseases and 63 healthy controls. At inclusion, participants completed a comprehensive multimodal clinical and functional fall-risk assessment, an in-laboratory gait examination, and an inertial-sensor-based daily mobility monitoring for 14 days. Multivariate logistic regression analyses were performed to identify explanatory characteristics for predicting the (1) the fall status (non-faller vs. faller), (2) the fall frequency (occasional vs. frequent falls), and (3) the fall severity (benign vs. injurious fall) of patients.

results40% of patients experienced one or frequent falls and 21% severe fall-related injuries during prospective fall assessment. Fall status and frequency could be reliably predicted (accuracy of 78 and 91%, respectively) primarily based on patients' retrospective fall status. Instrumented-based gait and mobility measures further improved prediction and provided independent, unique information for predicting the severity of fall-related consequences.

interpretationFalls- and fall-related injuries are a relevant health problem already in early stage neurological gait disorders. Multivariate regression analysis encourages a stepwise approach for fall assessment in these patients: fall history taking readily informs the clinician about patients' general fall risk. In patients at risk of falling, instrument-based measures of gait and mobility provide critical information on the likelihood of severe fall-related injuries.

Indexed as

Accidental FallsGait AnalysisAgedGaitGeriatric AssessmentHumansProspective StudiesRetrospective StudiesRisk AssessmentFall predictionFall riskGait analysisMobility assessmentNeurological gait disorder

Identifiers

PMID33713194
PMCPMC8357767
OpenAlexW3134082386

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.