Evidence map›Paper›PMID 36015700›Full record

ArticleSensors (Basel, Switzerland)2022

Fall Prediction Based on Instrumented Measures of Gait and Turning in Daily Life in People with Multiple Sclerosis.

Ishu Arpan, Vrutangkumar V Shah, James McNames, Graham Harker, Patricia Carlson-Kuhta, Rebecca Spain, Mahmoud El-Gohary, Martina Mancini, Fay B Horak

Open access · goldAbstract read
In one paragraph

Article in Sensors (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Sensors in Multiple Sclerosis.Current neurology and neuroscience reports · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Assessing fall risk in multiple sclerosis using patient-reported outcomes and wearable gait metrics.Multiple sclerosis journal - experimental, translational and clinical
    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

9 authors at 2 institutions in 1 country.

Ishu ArpanDepartment of Neurology, Oregon Health & Science University, Portland, OR 97239, USA.
Vrutangkumar V ShahDepartment of Neurology, Oregon Health & Science University, Portland, OR 97239, USA.ORCID 0000-0002-8626-1089
James McNamesAPDM Wearable Technologies-A Clario Company, 2828 S Corbett Ave, Ste 135, Portland, OR 97201, USA.
Graham HarkerDepartment of Neurology, Oregon Health & Science University, Portland, OR 97239, USA.
Patricia Carlson-KuhtaDepartment of Neurology, Oregon Health & Science University, Portland, OR 97239, USA.ORCID 0000-0002-5794-4155
Rebecca SpainDepartment of Neurology, Oregon Health & Science University, Portland, OR 97239, USA.
Mahmoud El-GoharyAPDM Wearable Technologies-A Clario Company, 2828 S Corbett Ave, Ste 135, Portland, OR 97201, USA.
Martina ManciniDepartment of Neurology, Oregon Health & Science University, Portland, OR 97239, USA.
Fay B HorakDepartment of Neurology, Oregon Health & Science University, Portland, OR 97239, USA.ORCID 0000-0001-7704-5459
Oregon Health & Science University · USPortland State University · US

Funding

Mobility Life: Monitoring Mobility in Daily Lives of People with Neurological DiseaseR44AG055388 · NIA · APDM, INC. · PI EL-GOHARY, MAHMOUD, HORAK, FAY BAHLING · 2016 to 2019
$2.9M
Monitoring Balance and Gait Disorders in Parkinson???s Disease with the Home ObjeR43AG044863 · NIA · APDM, INC. · PI EL-GOHARY, MAHMOUD, HORAK, FAY BAHLING · 2013 to 2014
$699k
National Institute of Health #R44AG055388,#R43AG044863NIA NIH HHS R43 AG044863NIA NIH HHS R44 AG055388United States Department of Defense # W81XWH-18-1-0425
6 · The paper itself

Abstract

This study investigates the potential of passive monitoring of gait and turning in daily life in people with multiple sclerosis (PwMS) to identify those at future risk of falls. Seven days of passive monitoring of gait and turning were carried out in a pilot study of 26 PwMS in home settings using wearable inertial sensors. The retrospective fall history was collected at the baseline. After gait and turning data collection in daily life, PwMS were followed biweekly for a year and were classified as fallers if they experienced >1 fall. The ability of short-term passive monitoring of gait and turning, as well as retrospective fall history to predict future falls were compared using receiver operator curves and regression analysis. The history of retrospective falls was not identified as a significant predictor of future falls in this cohort (AUC = 0.62, p = 0.32). Among quantitative monitoring measures of gait and turning, the pitch at toe-off was the best predictor of falls (AUC = 0.86, p < 0.01). Fallers had a smaller pitch of their feet at toe-off, reflecting less plantarflexion during the push-off phase of walking, which can impact forward propulsion and swing initiation and can result in poor foot clearance and an increased metabolic cost of walking. In conclusion, our cohort of PwMS showed that objective monitoring of gait and turning in daily life can identify those at future risk of falls, and the pitch at toe-off was the single most influential predictor of future falls. Therefore, interventions aimed at improving the strength of plantarflexion muscles, range of motion, and increased proprioceptive input may benefit PwMS at future fall risk.

Indexed as

Multiple SclerosisGaitHumansPilot ProjectsPostural BalanceRetrospective StudiesWalkinghome monitoringinstrumented gait and turning analysismultiple sclerosispitch at toe-offprospective fallsretrospective fall history

Identifiers

PMID36015700
PMCPMC9415310
OpenAlexW4293677871

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.