Evidence map›Paper›PMID 38652262›Full record

ArticleJournal of neurology2024

Gait asymmetry and symptom laterality in Parkinson's disease: two of a kind?

Jana Seuthe, Helen Hermanns, Femke Hulzinga, Nicholas D'Cruz, Günther Deuschl, Pieter Ginis, Alice Nieuwboer, Christian Schlenstedt

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 3% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

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  9. Pallidothalamic Circuit-Selective Manipulation Ameliorates Motor Symptoms in a Rat Model of Parkinsonian.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
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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 2 institutions in 2 countries.

Jana Seuthe *Institute of Interdisciplinary Exercise Science and Sports Medicine, Medical School Hamburg, Hamburg, Germany. jana.seuthe@medicalschool-hamburg.de.ORCID http://orcid.org/0000-0002-2294-0584
Helen Hermanns *Department of Neurology, Christian-Albrechts-University Kiel, University Hospital Schleswig-Holstein, Kiel, Germany.
Femke HulzingaNeuromotor Rehabilitation Research Group, Department of Rehabilitation Sciences, KU Leuven, Louvain, Belgium.
Nicholas D'CruzNeuromotor Rehabilitation Research Group, Department of Rehabilitation Sciences, KU Leuven, Louvain, Belgium.
Günther DeuschlDepartment of Neurology, Christian-Albrechts-University Kiel, University Hospital Schleswig-Holstein, Kiel, Germany.
Pieter GinisNeuromotor Rehabilitation Research Group, Department of Rehabilitation Sciences, KU Leuven, Louvain, Belgium.
Alice NieuwboerNeuromotor Rehabilitation Research Group, Department of Rehabilitation Sciences, KU Leuven, Louvain, Belgium.
Christian SchlenstedtInstitute of Interdisciplinary Exercise Science and Sports Medicine, Medical School Hamburg, Hamburg, Germany.
Christian-Albrechts-Universität zu Kiel · DEKU Leuven · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe laterality of motor symptoms is considered a key feature of Parkinson's disease (PD). Here, we investigated whether gait and turning asymmetry coincided with symptom laterality as determined by the MDS-UPRDS part III and whether it was increased compared to healthy controls (HC).

methodsWe analyzed the asymmetry of gait and turning with and without a cognitive dual task (DT) using motion capture systems and wearable sensors in 97 PD patients mostly from Hoehn & Yahr stage II and III and 36 age-matched HC. We also assessed motor symptom asymmetry using the bilateral sub-items of the MDS-UPDRS-III. Finally, we examined the strength of the association between gait asymmetry and symptom laterality.

resultsParticipants with PD had increased gait but not more turning asymmetry compared to HC (p < 0.05). Only 53.7% of patients had a shorter step length on the more affected body side as determined by the MDS-UPDRS-III. Also, 54% took more time and 29% more steps during turns toward the more affected side. The degree of asymmetry in the different domains did not correlate with each other and was not influenced by DT-load.

conclusionsWe found a striking mismatch between the side and the degree of asymmetry in different motor domains, i.e., in gait, turning, and distal symptom severity in individuals with PD. We speculate that motor execution in different body parts relies on different neural control mechanisms. Our findings warrant further investigation to understand the complexity of gait asymmetry in PD.

Indexed as

Functional LateralityGait Disorders, NeurologicParkinson DiseaseAgedFemaleGaitHumansMaleMiddle AgedSeverity of Illness IndexAsymmetryGaitLateralizationParkinson’s diseaseTurning

Identifiers

PMID38652262
PMCPMC11233399
OpenAlexW4395033601

What OpenQuestion holds

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LicenceCC BY
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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.