Evidence map›Paper›PMID 36725698›Full record

Trial reportJournal of neurology2023

Wearable sensor-based gait analysis to discriminate early Parkinson's disease from essential tremor.

Shinuan Lin, Chao Gao, Hongxia Li, Pei Huang, Yun Ling, Zhonglue Chen, Kang Ren, Shengdi Chen

Open access · hybridFull text readClinical Trial
In one paragraph

Trial report in Journal of neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
12.6field-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

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
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  10. Discriminating vascular parkinsonism from early-stage postural instability gait difficulty subtype dominant Parkinson's disease: a dual-task gait analysis using wearable sensors.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  11. Machine Learning for Differentiating Essential Tremor: A Scoping Review.Tremor and other hyperkinetic movements (New York, N.Y.) · 2026
    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

8 authors at 3 institutions in 2 countries.

Shinuan Lin *GYENNO SCIENCE CO., LTD., Shenzhen, 518000, China.
Chao Gao *Department of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Ruijin Er Road, Shanghai, 200025, China.
Hongxia Li *Department of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Ruijin Er Road, Shanghai, 200025, China.
Pei HuangDepartment of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Ruijin Er Road, Shanghai, 200025, China.
Yun LingGYENNO SCIENCE CO., LTD., Shenzhen, 518000, China.
Zhonglue ChenGYENNO SCIENCE CO., LTD., Shenzhen, 518000, China.
Kang RenGYENNO SCIENCE CO., LTD., Shenzhen, 518000, China.
Shengdi ChenDepartment of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Ruijin Er Road, Shanghai, 200025, China. chensd@rjh.com.cn.
Shanghai Jiao Tong University · CNIntelligent Health (United Kingdom) · GBDigital China Health (China) · CN

Funding

National Natural Science Foundation of China 81971187Shanghai Municipal Science and Technology Major Project 2018SHZDZX05
6 · The paper itself

Abstract

backgroundDifferentiating early-stage Parkinson's disease (PD) from essential tremor (ET) is challenging since they have some overlapping clinical features. Since early-stage PD may present with slight gait impairment and ET generally does not, gait analysis could be used to differentiate PD from ET using machine learning.

objectiveTo differentiate early-stage PD from ET via machine learning using gait and postural transition parameters calculated using the raw kinematic signal captured from inertial measurement unit (IMU) sensors.

methodsGait and postural transition parameters were collected from 84 early-stage PD and 80 ET subjects during the Time Up and Go (TUG) test. We randomly split our data into training and test data. Within the training data, we separated the TUG test into four components: standing, straight walk, turning, and sitting to build weighted average ensemble classification models. The four components' weight indices were trained using logistic regression. Several ensemble models' leave-one-out cross-validation (LOOCV) performances were compared. Independent test data were used to evaluate the model with the best LOOCV performance.

resultsThe best weighted average ensemble classification model LOOCV results included an accuracy of 84%, Kappa of 0.68, sensitivity of 85.9%, specificity of 82.1%, and AUC of 0.912. Thirty-three gait and postural transition parameters, such as Arm-Symbolic Symmetry Index and 180° Turn-Max Angular Velocity, were included in Feature Group III. The independent test data achieved a 75.8% accuracy.

conclusionsOur findings suggest that gait and postural transition parameters obtained from wearable sensors combined with machine learning had the potential to distinguish between early-stage PD and ET.

Indexed as

Essential TremorParkinson DiseaseWearable Electronic DevicesGaitGait AnalysisHumansPostural BalanceEssential tremorGaitMachine learningParkinson’s diseaseWearable sensor

Identifiers

PMID36725698
PMCPMC10025195
OpenAlexW4318763271

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read32
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.