Evidence map›Paper›PMID 37545259›Full record

ArticleJournal of Parkinson's disease2023

Can Digital Mobility Assessment Enhance the Clinical Assessment of Disease Severity in Parkinson's Disease?

Cameron Kirk, Rana Zia Ur Rehman, Brook Galna, Lisa Alcock, Saverio Ranciati, Luca Palmerini, Judith Garcia-Aymerich, Clint Hansen, Eva Schaeffer, Daniela Berg and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of Parkinson's disease, 2023. 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
4.5field-weighted citation impact, top 5% 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. Digital Technologies for Symptom Monitoring in Parkinson Disease.Current neurology and neuroscience reports · 2026
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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

14 authors at 10 institutions in 5 countries.

Cameron KirkTranslational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
Rana Zia Ur RehmanTranslational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
Brook GalnaSchool of Allied Health (Exercise Science) / Health Futures Institute, Murdoch University, Perth, Australia.
Lisa AlcockTranslational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
Saverio RanciatiDepartment of Statistical Science "Paolo Fortunati", University of Bologna, Bologna, Italy.
Luca PalmeriniDepartment of Electrical, Electronic and Information Engineering, "Guglielmo Marconi", University of Bologna, Bologna, Italy.
Judith Garcia-AymerichISGlobal, Barcelona, Spain.
Clint HansenDepartment of Neurology, Christian-Albrecht-University Kiel, Kiel, Germany.
Eva SchaefferDepartment of Neurology, Christian-Albrecht-University Kiel, Kiel, Germany.
Daniela BergDepartment of Neurology, Christian-Albrecht-University Kiel, Kiel, Germany.
Walter MaetzlerDepartment of Neurology, Christian-Albrecht-University Kiel, Kiel, Germany.
Lynn RochesterTranslational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
Silvia Del DinTranslational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
Alison J YarnallTranslational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
Christian-Albrechts-Universität zu Kiel · DENewcastle upon Tyne Hospital · GBNIHR Newcastle Biomedical Research Centre · GBGerman Center for Neurodegenerative Diseases · DEJanssen (United Kingdom) · GBMarconi University · ITMurdoch University · AUNewcastle University · GBUniversitat Pompeu Fabra · ESUniversity of Bologna · IT

Funding

Department of HealthParkinson's UK G-1301Parkinson's UK J-0802
6 · The paper itself

Abstract

backgroundReal-world walking speed (RWS) measured using wearable devices has the potential to complement the Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS III) for motor assessment in Parkinson's disease (PD).

objectiveExplore cross-sectional and longitudinal differences in RWS between PD and older adults (OAs), and whether RWS was related to motor disease severity cross-sectionally, and if MDS-UPDRS III was related to RWS, longitudinally.

methods88 PD and 111 OA participants from ICICLE-GAIT (UK) were included. RWS was evaluated using an accelerometer at four time points. RWS was aggregated within walking bout (WB) duration thresholds. Between-group-comparisons in RWS between PD and OAs were conducted cross-sectionally, and longitudinally with mixed effects models (MEMs). Cross-sectional association between RWS and MDS-UPDRS III was explored using linear regression, and longitudinal association explored with MEMs.

resultsRWS was significantly lower in PD (1.04 m/s) in comparison to OAs (1.10 m/s) cross-sectionally. RWS significantly decreased over time for both cohorts and decline was more rapid in PD by 0.02 m/s per year. Significant negative relationship between RWS and the MDS-UPDRS III only existed at a specific WB threshold (30 to 60 s, β= - 3.94 points, p = 0.047). MDS-UPDRS III increased significantly by 1.84 points per year, which was not related to change in RWS.

conclusionDigital mobility assessment of gait may add unique information to quantify disease progression remotely, but further validation in research and clinical settings is needed.

Indexed as

Parkinson DiseaseAgedCross-Sectional StudiesHumansLinear ModelsPatient AcuitySeverity of Illness Indexclinical importancedigital technologymotor severityParkinson’s diseaseReal-world gait analysiswalking speed

Identifiers

PMID37545259
PMCPMC10578274
OpenAlexW4385446638

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.