Evidence map›Paper›PMID 34355532›Full record

ArticleAnnals of clinical and translational neurology2021

Digital endpoints for self-administered home-based functional assessment in pediatric Friedreich's ataxia.

Arne Mueller, Elaine Paterson, Avery McIntosh, Jens Praestgaard, Mary Bylo, Holger Hoefling, McKenzie Wells, David R Lynch, Christian Rummey, Michelle L Krishnan and 2 more

Abstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
–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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Progressive scoliosis in a pediatric patient with cerebellar ataxia: surgical challenges and literature review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Remote Monitoring in Myasthenia Gravis: Exploring Symptom Variability.Annals of clinical and translational neurology · 2026
    Trial
  5. Digital Outcomes of Upper Limb Ataxia Capture Meaningful Longitudinal Change and Treatment Response.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  6. Article
  7. Wearable sensors in paediatric neurology.Developmental medicine and child neurology · 2025
    Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. SARANPJ digital medicine · 2023
    Article
  16. Review
  17. Article
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.

Arne MuellerTranslational Medicine, Novartis Institutes for BioMedical Research, Basel, Switzerland.ORCID 0000-0001-6551-2283
Elaine PatersonTranslational Medicine, Novartis Institutes for BioMedical Research, Cambridge, Massachusetts, USA.
Avery McIntoshNovartis Development, Cambridge, Massachusetts, USA.
Jens PraestgaardNovartis Development, Cambridge, Massachusetts, USA.
Mary ByloTranslational Medicine, Novartis Institutes for BioMedical Research, Cambridge, Massachusetts, USA.
Holger HoeflingNIBR Informatics, Novartis Institute of Biomedical Research, Basel, Switzerland.ORCID 0000-0003-1209-8634
McKenzie WellsDivision of Neurology, Departments of Neurology and Pediatrics, Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.
David R LynchDivision of Neurology, Departments of Neurology and Pediatrics, Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-7168-214X
Christian RummeyClinical Data Science GmbH, Basel, Switzerland.ORCID 0000-0003-4911-911X
Michelle L KrishnanTranslational Medicine, Novartis Institutes for BioMedical Research, Basel, Switzerland.
Meredith SchultzTranslational Medicine, Novartis Institutes for BioMedical Research, Cambridge, Massachusetts, USA.
C J MalangaTranslational Medicine, Novartis Institutes for BioMedical Research, Cambridge, Massachusetts, USA.ORCID 0000-0003-4808-3995

Funding

Novartis Pharma AG
6 · The paper itself

Abstract

backgroundFriedreich's ataxia is an inherited, progressive, neurodegenerative disease that typically begins in childhood. Disease severity is commonly assessed with rating scales, such as the modified Friedreich's Ataxia Rating Scale, which are usually administered in the clinic by a neurology specialist.

objectiveThis study evaluated the utility of home-based, self-administered digital endpoints in children with Friedreich's ataxia and unaffected controls and their relationship to standard clinical rating scales.

methodsIn a cross-sectional study with 25 participants (13 with Friedreich's ataxia and 12 unaffected controls, aged 6-15 years), home-based digital endpoints that reflect activities of daily living were recorded over 1 week. Domains analyzed were hand motor function with a digitized drawing, automated analysis of speech with a recorded oral diadochokinesis test, and gait and balance with wearable sensors.

resultsHand-drawing and speech tests were easy to conduct and generated high-quality data. The sensor-based gait and balance tests suffered from technical limitations in this study setup. Several parameters discriminated between groups or correlated strongly with modified Friedreich's Ataxia Rating Scale total score and activities of daily living total score in the Friedreich's ataxia group. Hand-drawing parameters also strongly correlated with standard 9-hole peg test scores.

interpretationDeploying digital endpoints in home settings is feasible in this population, results in meaningful and robust data collection, and may allow for frequent sampling over longer periods of time to track disease progression. Care must be taken when training participants, and investigators should consider the complexity of the tasks and equipment used.

Indexed as

Activities of Daily LivingSeverity of Illness IndexAdolescentChildCross-Sectional StudiesDiagnostic Techniques, NeurologicalDisease ProgressionFeasibility StudiesFemaleFriedreich AtaxiaHumansMale

Identifiers

PMID34355532
PMCPMC8419399

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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.