Evidence map›Paper›PMID 40118834›Full record

ReviewNPJ Parkinson's disease2025

Digital gait biomarkers in Parkinson's disease: susceptibility/risk, progression, response to exercise, and prognosis.

Martina Mancini, Mitra Afshari, Quincy Almeida, Sommer Amundsen-Huffmaster, Katherine Balfany, Richard Camicioli, Cory Christiansen, Marian L Dale, Leland E Dibble, Gammon M Earhart and 13 more

Abstract readReview
In one paragraph

Review in NPJ Parkinson's disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Physical Activity and Exercise for People with Parkinson's Disease: The Past, Present, and Future.Movement disorders : official journal of the Movement Disorder Society · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Walking as a Window to the Brain: Redefining Gait in Neurology.Medical sciences (Basel, Switzerland) · 2026
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

23 authors.

Martina ManciniDepartment of Neurology, Oregon Health & Science University, Portland, OR, USA. mancinim@ohsu.edu.ORCID http://orcid.org/0000-0002-4532-3984
Mitra AfshariDepartment of Neurology and Rehabilitation, University of Illinois at Chicago, Chicago, IL, USA.
Quincy AlmeidaCarespace Health & Wellness, Waterloo, ON, Canada.ORCID http://orcid.org/0000-0002-0806-4397
Sommer Amundsen-HuffmasterDepartment of Neurology, University of Minnesota, Minneapolis, MN, USA.ORCID http://orcid.org/0000-0001-8079-328X
Katherine BalfanyDepartment of Physical Medicine & Rehabilitation, University of Colorado, Aurora, CO, USA.
Richard CamicioliDepartment of Medicine (Neurology) and Neuroscience and Mental Health Institute, University of Alberta, Edmonton, AB, Canada.
Cory ChristiansenDepartment of Physical Medicine & Rehabilitation, University of Colorado, Aurora, CO, USA.
Marian L DaleDepartment of Neurology, Oregon Health & Science University, Portland, OR, USA.
Leland E DibbleDepartment of Physical Therapy & Athletic Training, University of Utah, Salt Lake, UT, USA.
Gammon M EarhartProgram in Physical Therapy, Washington University School of Medicine in St. Louis, St Louis, MO, USA.
Terry D EllisDepartment of Physical Therapy, Boston University, Boston, MA, USA.ORCID http://orcid.org/0000-0001-7067-4527
Garett J GriffithDepartment of Physical Therapy & Human Movement Sciences, Northwestern University, Chicago, IL, USA.
Madeleine E HackneyEmory University School of Medicine, Department of Medicine, Division of Geriatrics and Gerontology, Atlanta, GA, USA.ORCID http://orcid.org/0000-0003-1833-0051
Jammie HopkinsDepartment of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA, USA.
Fay B HorakDepartment of Neurology, Oregon Health & Science University, Portland, OR, USA.
Kelvin E JonesDepartment of Medicine, Faculty of Kinesiology, Sport, & Recreation and Neuroscience and Mental Health Institute, University of Alberta, Alberta, AB, Canada.ORCID http://orcid.org/0000-0003-4764-7031
Leah LingDepartment of Physical Therapy & Athletic Training, University of Utah, Salt Lake, UT, USA.
Joan A O'KeefeDepartments of Anatomy & Cell Biology and Neurological Sciences, Rush University Medical Center, Chicago, IL, USA.
Kimberly KweiDepartment of Rehabilitation & Regenerative Medicine (Programs in Physical Therapy), and GH Sergievsky Center, Columbia University, New York, NY, USA.
Genevieve OlivierDepartment of Physical Therapy & Athletic Training, University of Utah, Salt Lake, UT, USA.
Ashwini K RaoDepartment of Rehabilitation & Regenerative Medicine (Programs in Physical Therapy), and GH Sergievsky Center, Columbia University, New York, NY, USA.
Anjali SivaramakrishnanDepartment of Physical Therapy at the School of Health Professions at UT Health San Antonio, San Antonio, TX, USA.
Daniel M CorcosDepartment of Physical Therapy & Human Movement Sciences, Northwestern University, Chicago, IL, USA.ORCID http://orcid.org/0000-0001-7440-6458

Funding

San Antonio OAIC - Research Education Component (REC)P30AG044271 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Adam Salmon, Elena Volpi · 2015 to 2026
$14.1M
Mobility in Daily Life and Falls in Parkinson's Disease: Potential for RehabilitationR01HD100383 · NICHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI HORAK, FAY BAHLING, MANCINI, MARTINA · 2020 to 2024
$2.6M
NIA NIH HHS P30 AG044271NICHD NIH HHS R01 HD100383
6 · The paper itself

Abstract

This narrative review examines the utility of gait digital biomarkers in Parkinson's disease (PD) research and clinical trials across four contexts: disease susceptibility/risk, disease progression, response to exercise, and fall prediction. The review of the literature to date suggests that upper body characteristics of gait (e.g., arm swing, trunk motion) may indicate susceptibility/risk of PD, while pace aspects (e.g., gait speed, stride length) are informative for tracking disease progression, exercise response, and fall likelihood. Dynamic stability aspects (e.g., trunk regularity, double-support time) worsen with disease progression but can improve with exercise. Gait variability emerges as a sensitive biomarker across all 4 contexts but with low specificity. The lack of standardized gait testing protocols and the lack of a minimum set of quantified digital gait biomarkers limit data harmonization across studies. Future studies, using a commonly agreed upon protocol, could be used to demonstrate the utility of specific gait biomarkers for clinical practice.

Identifiers

PMID40118834
PMCPMC11928532

What OpenQuestion holds

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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.