Evidence map›Paper›PMID 39177188›Full record

ArticleNeurorehabilitation and neural repair2024

Disability Moderates Dual Task Walking Performance and Neural Efficiency in Older Adults With Multiple Sclerosis.

Manuel E Hernandez, Robert W Motl, Frederick W Foley, Mary Ann Picone, Meltem Izzetoglu, Michael L Lipton, Mark Wagshul, Roee Holtzer

Abstract read
In one paragraph

Article in Neurorehabilitation and neural repair, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. 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

8 authors.

Manuel E HernandezDepartment of Biomedical and Translational Sciences, Carle Illinois College of Medicine, University of Illinois Urbana-Champaign, Urbana, IL, USA.ORCID 0000-0002-3501-9508
Robert W MotlDepartment of Kinesiology and Nutrition, College of Applied Health Sciences, University of Illinois Chicago, Chicago, IL, USA.
Frederick W FoleyFerkauf Graduate School of Psychology, Yeshiva University, Bronx, NY, USA.
Mary Ann PiconeMultiple Sclerosis Center, Holy Name Medical Center, Teaneck, NJ, USA.
Meltem IzzetogluElectrical and Computer Engineering, Villanova University, Villanova, PA, USA.
Michael L LiptonDepartment of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.
Mark WagshulDepartment of Radiology, Gruss Magnetic Resonance Research Center, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.ORCID 0000-0002-0656-4048
Roee HoltzerFerkauf Graduate School of Psychology, Yeshiva University, Bronx, NY, USA.ORCID 0000-0001-6639-0724

Funding

Brain Predictors of Mobility and Falls in Older Adults with Multiple SclerosisR01NS109023 · NINDS · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI HOLTZER, ROEE · 2019 to 2023
$3.4M
NINDS NIH HHS R01 NS109023
6 · The paper itself

Abstract

backgroundMobility and cognitive impairment are prevalent and co-occurring in older adults with multiple sclerosis (OAMS), yet there is limited research concerning the role of disability status in the cognitive control of gait among OAMS.

objectiveWe investigated the levels of prefrontal cortex (PFC) activation, using oxygenated hemoglobin (HbO

methodsWe gathered data from OAMS with lower (n = 51, age = 65 ± 4 years) or higher disability (n = 48, age = 65 ± 5 years), using a cutoff of 3 or more, in the Patient Determined Disease Steps, for higher disability, under 3 different conditions (single-task walk, Single-Task-Alpha, and Dual-Task-Walk [DTW]) administered over 3 counterbalanced, repeated trials.

resultsOAMS who had a lower disability level exhibited decreased PFC activation levels during Single-Task-Walk (STW) and larger increases in PFC activation levels, when going from STW to a cognitively-demanding task, such as a DTW, than those with higher disability. OAMS with a lower disability level exhibited greater declines in PFC activation levels with additional within session practice than those with a higher disability level.

conclusionsThese findings suggest that disability moderates brain adaptability to cognitively-demanding tasks and demonstrate the potential for fNIRS-derived outcome measures to complement neurorehabilitation outcomes.

Indexed as

Multiple SclerosisPrefrontal CortexSpectroscopy, Near-InfraredWalkingAgedDisability EvaluationFemaleHumansMaleMiddle AgedPsychomotor Performancecognitiondisabilityfunctional-near-infrared-spectroscopymultiple sclerosiswalking

Identifiers

PMID39177188
PMCPMC11970354

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Registered trials

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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.