Evidence map›Paper›PMID 34043678›Full record

ArticlePloS one2021

Abnormal center of mass feedback responses during balance: A potential biomarker of falls in Parkinson's disease.

J Lucas McKay, Kimberly C Lang, Sistania M Bong, Madeleine E Hackney, Stewart A Factor, Lena H Ting

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
12.3field-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

17 citing papers in PubMed, 33 citations in OpenAlex.

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  8. Imbalance and gait impairment in Parkinson's disease: discussing postural instability and ataxia.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Review
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  11. Assisting walking balance using a bio-inspired exoskeleton controller.Journal of neuroengineering and rehabilitation · 2023
    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 at 2 institutions in 1 country.

J Lucas McKayDepartment of Biomedical Informatics, Emory University School of Medicine, Atlanta, Georgia, United States of America.ORCID 0000-0002-8361-8943
Kimberly C LangGraduate Division of Biological and Biomedical Sciences, Emory University, Atlanta, Georgia, United States of America.
Sistania M BongWallace H. Coulter Department of Biomedical Engineering, Emory University and Georgia Tech, Atlanta, Georgia, United States of America.
Madeleine E HackneyDepartment of Medicine, Division of General Medicine and Geriatrics, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Stewart A FactorJean & Paul Amos PD & Movement Disorders Program, Department of Neurology, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Lena H TingDepartment of Biomedical Informatics, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Emory University · USThe Wallace H. Coulter Department of Biomedical Engineering · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Neuromechanical Modeling of Postural Responses:Mechanisms of Balance Impairments in Parkinson's DiseaseR01HD046922 · NICHD · GEORGIA INSTITUTE OF TECHNOLOGY · PI Michael Robert Borich, Lena H Ting · 2004 to 2026
$7.7M
Neural mechanisms of balance deficits, falls, and freezing of gait in Parkinson's diseaseK25HD086276 · NICHD · EMORY UNIVERSITY · PI MCKAY, JOHNATHAN LUCAS · 2016 to 2019
$509k
Mechanisms of improvement in neurorehabilitation of Parkinson's diseaseR21HD075612 · NICHD · EMORY UNIVERSITY · PI TING, LENA H · 2013 to 2014
$348k
NCATS NIH HHS UL1 TR000454NCATS NIH HHS UL1 TR002378NICHD NIH HHS K25 HD086276NICHD NIH HHS R01 HD046922NICHD NIH HHS R21 HD075612
6 · The paper itself

Abstract

Although Parkinson disease (PD) causes profound balance impairments, we know very little about how PD impacts the sensorimotor networks we rely on for automatically maintaining balance control. In young healthy people and animals, muscles are activated in a precise temporal and spatial organization when the center of body mass (CoM) is unexpectedly moved that is largely automatic and determined by feedback of CoM motion. Here, we show that PD alters the sensitivity of the sensorimotor feedback transformation. Importantly, sensorimotor feedback transformations for balance in PD remain temporally precise, but become spatially diffuse by recruiting additional muscle activity in antagonist muscles during balance responses. The abnormal antagonist muscle activity remains precisely time-locked to sensorimotor feedback signals encoding undesirable motion of the body in space. Further, among people with PD, the sensitivity of abnormal antagonist muscle activity to CoM motion varies directly with the number of recent falls. Our work shows that in people with PD, sensorimotor feedback transformations for balance are intact but disinhibited in antagonist muscles, likely contributing to balance deficits and falls.

Indexed as

Postural BalanceAgedBiomarkersFemaleHumansMaleMiddle AgedParkinson DiseaseBiomarkers

Identifiers

PMID34043678
PMCPMC8158870
OpenAlexW3164911316

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.