Evidence map›Paper›PMID 39192343›Full record

ArticlePilot and feasibility studies2024

Real-time auditory feedback for improving gait and walking in people with Parkinson's disease: a pilot and feasibility trial.

Nancy E Mayo, Kedar K V Mate, Lesley K Fellows, José A Morais, Madeleine Sharp, Anne-Louise Lafontaine, Edward Ted Hill, Helen Dawes, Ahmed-Abou Sharkh

Abstract read
In one paragraph

Article in Pilot and feasibility studies, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Foundations and Strategic Vision of the Canadian Translational Geroscience Network.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  6. Article
  7. A review of concurrent sonified biofeedback in balance and gait training.Journal of neuroengineering and rehabilitation · 2025
    Review
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.

Nancy E MayoDepartment of Medicine, School of Physical and Occupational Therapy, Faculty of Medicine, McGill University, Center for Outcomes Research and Evaluation (CORE), Research Institute of McGill University Health Center (MUHC), Montreal, QC, Canada. nancy.mayo@mcgill.ca.ORCID http://orcid.org/0000-0003-2066-7120
Kedar K V MatePhysioBiometrics Inc. Montreal, Quebec, Canada.
Lesley K FellowsFaculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
José A MoraisDepartment of Medicine, Division of Geriatric Medicine, McGill University, Montreal, QC, Canada.
Madeleine SharpDepartment of Neurology and Neurosurgery, McGill University, Montreal, QC, Canada.
Anne-Louise LafontaineDepartment of Neurology and Neurosurgery, McGill University, Montreal, QC, Canada.
Edward Ted HillPhysioBiometrics Inc. Montreal, Quebec, Canada.
Helen DawesPhysioBiometrics Inc. Montreal, Quebec, Canada.
Ahmed-Abou SharkhPhysioBiometrics Inc. Montreal, Quebec, Canada.

Funding

HBHL Project A56
6 · The paper itself

Abstract

backgroundTechnology is poised to bridge the gap between demand for therapies to improve gait in people with Parkinson's and available resources. A wearable sensor, Heel2Toe™, a small device that attaches to the side of the shoe and gives a sound each time the person starts their step with a strong heel strike, has been developed and pre-tested by a team at McGill University. The objective of this study was to estimate feasibility and efficacy potential of the Heel2Toe™ sensor in changing walking capacity and gait pattern in people with Parkinson's.

methodsA pilot study was carried out involving 27 people with Parkinson's randomized 2:1 to train with the Heel2Toe[TM] sensor and or to train with recommendations from a gait-related workbook.

resultsA total of 21 completed the 3-month evaluation, 14 trained with the Heel2Toe[TM] sensor, and 7 trained with the workbook. Thirteen of 14 people in the Heel2Toe group improved over measurement error on the primary outcome, the 6-Minute Walk Test, (mean change 66.4 m) and 0 of the 7 in the Workbook group (mean change - 19.4 m): 4 of 14 in the Heel2Toe group made reliable change and 0 of 7 in the Workbook group. Improvements in walking distance were accompanied by improvements in gait quality. Forty percent of participants in the intervention group were strongly satisfied with their technology experience and an additional 37% were satisfied.

conclusionsDespite some technological difficulties, feasibility and efficacy potential of the Heel2Toe sensor in improving gait in people with Parkinson's was supported.

Indexed as

FeedbackGaitParkinson’s diseasePilot studyWearable

Identifiers

PMID39192343
PMCPMC11348556

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.