Evidence map›Paper›PMID 36354550›Full record

ArticleBioengineering (Basel, Switzerland)2022

Gait Initiation Impairment in Patients with Parkinson's Disease and Freezing of Gait.

Chiara Palmisano, Laura Beccaria, Stefan Haufe, Jens Volkmann, Gianni Pezzoli, Ioannis U Isaias

Open access · goldAbstract read
In one paragraph

Article in Bioengineering (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
9.6field-weighted citation impact, top 2% 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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Advances in Biomechanics-Based Motion Analysis.Bioengineering (Basel, Switzerland) · 2023
    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

6 authors at 3 institutions in 2 countries.

Chiara PalmisanoDepartment of Neurology, University Hospital and Julius-Maximilian-University, 97080 Würzburg, Germany.
Laura BeccariaDepartment of Neurology, University Hospital and Julius-Maximilian-University, 97080 Würzburg, Germany.
Stefan HaufeUncertainty, Inverse Modeling and Machine Learning Group, Faculty IV Electrical Engineering and Computer Science, Technical University of Berlin, 10623 Berlin, Germany.
Jens VolkmannDepartment of Neurology, University Hospital and Julius-Maximilian-University, 97080 Würzburg, Germany.
Gianni PezzoliCentro Parkinson, ASST Gaetano Pini-CTO, 20122 Milano, Italy.
Ioannis U IsaiasDepartment of Neurology, University Hospital and Julius-Maximilian-University, 97080 Würzburg, Germany.ORCID 0000-0002-3552-5144
Universitätsklinikum Würzburg · DEIstituto Ortopedico Gaetano Pini · ITTechnische Universität Berlin · DE

Funding

Deutsche Forschungsgemeinschaft 424778381-TRR 295German Excellence Initiative NaNGrigioni Foundation for Parkinson's disease NaNNew York University School of Medicine and The Marlene and Paolo Fresco Institute for Parkin-son's and Movement Disorders NaN
6 · The paper itself

Abstract

Freezing of gait (FOG) is a sudden episodic inability to produce effective stepping despite the intention to walk. It typically occurs during gait initiation (GI) or modulation and may lead to falls. We studied the anticipatory postural adjustments (imbalance, unloading, and stepping phase) at GI in 23 patients with Parkinson's disease (PD) and FOG (PDF), 20 patients with PD and no previous history of FOG (PDNF), and 23 healthy controls (HCs). Patients performed the task when off dopaminergic medications. The center of pressure (CoP) displacement and velocity during imbalance showed significant impairment in both PDNF and PDF, more prominent in the latter patients. Several measurements were specifically impaired in PDF patients, especially the CoP displacement along the anteroposterior axis during unloading. The pattern of segmental center of mass (SCoM) movements did not show differences between groups. The standing postural profile preceding GI did not correlate with outcome measurements. We have shown impaired motor programming at GI in Parkinsonian patients. The more prominent deterioration of unloading in PDF patients might suggest impaired processing and integration of somatosensory information subserving GI. The unaltered temporal movement sequencing of SCoM might indicate some compensatory cerebellar mechanisms triggering time-locked models of body mechanics in PD.

Indexed as

anthropometric measurementbase of supportfreezing of gaitgait initiationParkinson’s diseaseposturesegmental centers of mass

Identifiers

PMID36354550
PMCPMC9687939
OpenAlexW4308775057

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.