Evidence map›Paper›PMID 37000039›Full record

SynthesisAge and ageing2023

Gait and falls in cerebral small vessel disease: a systematic review and meta-analysis.

Breni Sharma, Meng Wang, Cheryl R McCreary, Richard Camicioli, Eric E Smith

Registry-linked trialOpen access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Age and ageing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07372937 (Investigating Neural Correlates of Gait Abnormalities in Patients With Cerebral Small Vessel Disease), which is not on this map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
11.4field-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.

NCT07372937 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Investigating Neural Correlates of Gait Abnormalities in Patients With Cerebral Small Vessel Disease

TypeobservationalSponsorAin Shams UniversityRan2026 to 2027Enrolled40ConditionsCerebral Small Vessel DiseaseArmsNo Intervention: Observational
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
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  3. A cardiovascular-motor axis framework for perfusion-mediated motor impairment.International journal of cardiology. Heart & vasculature · 2026
    Review
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  5. Observational
  6. Turning as a single and dual task-associations with Alzheimer's and vascular pathologies in cognitively healthy older people.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  7. Observational
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  16. Review
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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

5 authors at 2 institutions in 1 country.

Breni SharmaCumming School of Medicine, University of Calgary, Calgary, AB, Canada.ORCID 0000-0001-8560-9664
Meng WangDepartment of Clinical Neurosciences, University of Calgary, Calgary, AB, Canada.
Cheryl R McCrearyHotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada.
Richard CamicioliDepartment of Medicine (Neurology), University of Alberta, Edmonton, AB, Canada.
Eric E SmithCumming School of Medicine, University of Calgary, Calgary, AB, Canada.
University of Calgary · CAUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGait impairment contributes to falls and frailty. Some studies suggest that cerebral small vessel disease (CSVD) is associated with gait impairment in the general population. We systematically reviewed and meta-analysed the literature on associations of CSVD with gait impairment and falls.

methodsThe protocol was published in PROSPERO (CRD42021246009). Searches of Medline, Cochrane and Embase databases were conducted on 30 March 2022. Cross-sectional and longitudinal studies of community-dwelling adults were included, reporting relationships between diagnosis or neuroimaging markers of CSVD and outcomes related to gait or falls. Partial correlation coefficients were calculated and pooled using a random-effects model for meta-analysis.

resultsThe search retrieved 73 studies (53 cross-sectional; 20 longitudinal). Most studies reported an association between CSVD and gait impairments or falls risk: 7/7 studies on CSVD score or diagnosis, 53/67 studies on white matter hyperintensities (WMHs), 11/21 studies on lacunar infarcts, 6/15 studies on cerebral microbleeds and 1/5 studies on perivascular spaces. Meta-analysis of 13 studies found that higher WMH volume was mildly correlated with lower gait speed, in all studies (r = -0.23, 95% confidence interval: -0.33 to -0.14, P < 0.0001). However, there was significant heterogeneity between studies (I2 = 82.95%; tau2 = 0.02; Q = 79.37, P < 0.0001), which was unexplained by variation in age, sex, study quality or if the study adjusted for age.

conclusionsFindings suggest that CSVD severity is associated with gait impairment, history of falls and risk of future falls. Prevention of CSVD should be part of a comprehensive public health strategy to improve mobility and reduce risk of falls in later life.

Indexed as

Cerebral Small Vessel DiseasesCross-Sectional StudiesGaitHumansLongitudinal StudiesMagnetic Resonance ImagingNeuroimagingcerebral small vessel diseasefallsgaitneuroimagingolder peoplesystematic review

Identifiers

PMID37000039
PMCPMC10064981
OpenAlexW4362456759

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.