Evidence map›Paper›PMID 38689288›Full record

ArticleJournal of neuroengineering and rehabilitation2024

The impact of anxiety on gait impairments in Parkinson's disease: insights from sensor-based gait analysis.

Xiaodan Zhang, Yulan Jin, Mateng Wang, Chengcheng Ji, Zhaoying Chen, Weinv Fan, Timothy Hudson Rainer, Qiongfeng Guan, Qianyun Li

Abstract read
In one paragraph

Article in Journal of neuroengineering and rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Smart assistive technologies for neurodisorders: A review on AI, IoT, and wearable systems for enhanced patient care.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
  5. Article
  6. Article
  7. Behavioral disorders in Parkinson disease: current view.Journal of neural transmission (Vienna, Austria : 1996) · 2025
    Review
  8. Article
  9. Article
  10. 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.

Xiaodan Zhang *Department of Neurology, Ningbo NO.2 Hospital, Ningbo, Zhejiang Province, China.
Yulan Jin *Department of Clinical Laboratory, Ningbo NO.2 Hospital, Ningbo, Zhejiang Province, China.
Mateng WangDepartment of General Surgery, Yinzhou NO.2 Hospital, Ningbo, Zhejiang Province, China.
Chengcheng JiSchool of Medicine, Shaoxing University, Shaoxing, Zhejiang Province, China.
Zhaoying ChenDepartment of Neurology, Ningbo NO.2 Hospital, Ningbo, Zhejiang Province, China.
Weinv FanDepartment of Neurology, Ningbo NO.2 Hospital, Ningbo, Zhejiang Province, China.
Timothy Hudson RainerDepartment of Emergency Medicine, University of Hong Kong, Hong Kong SAR, China.
Qiongfeng GuanDepartment of Neurology, Ningbo NO.2 Hospital, Ningbo, Zhejiang Province, China. guanqiongfeng@163.com.
Qianyun LiDepartment of Neurology, Ningbo NO.2 Hospital, Ningbo, Zhejiang Province, China. u3008308@connect.hku.hk.

Funding

Hwa Mei Foundation 2019HMKY27Medical Scientific Research Foundation of Zhejiang Province 2023KY271Ningbo Medical Key Discipline 2022-B12Zhejiang Provincial Public Service and Application Research Foundation LGF20H090007Zhejiang Provincial Public Service and Application Research Foundation LGF21H090009
6 · The paper itself

Abstract

backgroundSensor-based gait analysis provides a robust quantitative tool for assessing gait impairments and their associated factors in Parkinson's disease (PD). Anxiety is observed to interfere with gait clinically, but this has been poorly investigated. Our purpose is to utilize gait analysis to uncover the effect of anxiety on gait in patients with PD.

methodsWe enrolled 38 and 106 PD patients with and without anxiety, respectively. Gait parameters were quantitively examined and compared between two groups both in single-task (ST) and dual-task (DT) walking tests. Multiple linear regression was applied to evaluate whether anxiety independently contributed to gait impairments.

resultsDuring ST, PD patients with anxiety presented significantly shorter stride length, lower gait velocity, longer stride time and stance time, longer stance phase, smaller toe-off (TO) and heel-strike (HS) angles than those without anxiety. While under DT status, the differences were diminished. Multiple linear regression analysis demonstrated that anxiety was an independent factor to a serials of gait parameters, particularly ST-TO (B = -2.599, (-4.82, -0.38)), ST-HS (B = -2.532, (-4.71, -0.35)), ST-TO-CV (B = 4.627, (1.71, 7.64)), ST-HS-CV(B = 4.597, (1.66, 7.53)), ST stance phase (B = 1.4, (0.22, 2.58)), and DT stance phase (B = 1.749, (0.56, 2.94)).

conclusionOur study discovered that anxiety has a significant impact on gait impairments in PD patients, especially exacerbating shuffling steps and prolonging stance phase. These findings highlight the importance of addressing anxiety in PD precision therapy to achieve better treatment outcomes.

Indexed as

AnxietyGait AnalysisGait Disorders, NeurologicParkinson DiseaseAgedBiomechanical PhenomenaFemaleGaitHumansMaleMiddle AgedAnxietyGait analysisParkinson’s diseaseTreatmentWearable sensors

Identifiers

PMID38689288
PMCPMC11059709

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.