Evidence map›Paper›PMID 37430565›Full record

ArticleSensors (Basel, Switzerland)2023

Combination of Clinical and Gait Measures to Classify Fallers and Non-Fallers in Parkinson's Disease.

Hayslenne A G O Araújo, Suhaila M Smaili, Rosie Morris, Lisa Graham, Julia Das, Claire McDonald, Richard Walker, Samuel Stuart, Rodrigo Vitório

Open access · goldAbstract read
In one paragraph

Article in Sensors (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Parkinsonian gait improvement through vibratory stride parameter feedback.Journal of neuroengineering and rehabilitation · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. The validation of a Japanese version of the New Freezing of Gait Questionnaire (NFOG-Q).Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    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 5 institutions in 3 countries.

Hayslenne A G O AraújoDepartment of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle upon Tyne NE1 8ST, UK.
Suhaila M SmailiDepartment of Physical Therapy, State University of Londrina, Londrina 86057-970, Brazil.ORCID 0000-0002-9048-9799
Rosie MorrisDepartment of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle upon Tyne NE1 8ST, UK.
Lisa GrahamDepartment of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle upon Tyne NE1 8ST, UK.
Julia DasDepartment of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle upon Tyne NE1 8ST, UK.ORCID 0000-0001-7006-6695
Claire McDonaldGateshead Health NHS Foundation Trust, Gateshead NE8 2PJ, UK.
Richard WalkerNorthumbria Healthcare NHS Foundation Trust, North Tyneside General Hospital, Newcastle upon Tyne NE29 8NH, UK.ORCID 0000-0003-3155-122X
Samuel StuartDepartment of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle upon Tyne NE1 8ST, UK.
Rodrigo VitórioDepartment of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle upon Tyne NE1 8ST, UK.ORCID 0000-0001-7128-9452
North Tyneside General Hospital · GBNorthumbria University · GBUniversidade Estadual de Londrina · BRGateshead Health NHS Foundation Trust · GBOregon Health & Science University · US

Funding

Coordenação de Aperfeicoamento de Pessoal de Nível Superior Financial Code 001Parkinson's Foundation PF-CRA-2073Parkinson's Foundation PF-FBS-1898-18-21
6 · The paper itself

Abstract

Although the multifactorial nature of falls in Parkinson's disease (PD) is well described, optimal assessment for the identification of fallers remains unclear. Thus, we aimed to identify clinical and objective gait measures that best discriminate fallers from non-fallers in PD, with suggestions of optimal cutoff scores.

methodsIndividuals with mild-to-moderate PD were classified as fallers (n = 31) or non-fallers (n = 96) based on the previous 12 months' falls. Clinical measures (demographic, motor, cognitive and patient-reported outcomes) were assessed with standard scales/tests, and gait parameters were derived from wearable inertial sensors (Mobility Lab v2); participants walked overground, at a self-selected speed, for 2 min under single and dual-task walking conditions (maximum forward digit span). Receiver operating characteristic curve analysis identified measures (separately and in combination) that best discriminate fallers from non-fallers; we calculated the area under the curve (AUC) and identified optimal cutoff scores (i.e., point closest-to-(0,1) corner).

resultsSingle gait and clinical measures that best classified fallers were foot strike angle (AUC = 0.728; cutoff = 14.07°) and the Falls Efficacy Scale International (FES-I; AUC = 0.716, cutoff = 25.5), respectively. Combinations of clinical + gait measures had higher AUCs than combinations of clinical-only or gait-only measures. The best performing combination included the FES-I score, New Freezing of Gait Questionnaire score, foot strike angle and trunk transverse range of motion (AUC = 0.85).

conclusionMultiple clinical and gait aspects must be considered for the classification of fallers and non-fallers in PD.

Indexed as

Gait Disorders, NeurologicParkinson DiseaseGaitHumansLower ExtremityWalkingfallsgaitParkinson

Identifiers

PMID37430565
PMCPMC10221461
OpenAlexW4381425893

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.