Evidence map›Paper›PMID 40353643›Full record

ArticleMovement disorders clinical practice2025

Clinical and Biomechanical Factors in the Sit-to-Stand Decline in Parkinson's Disease.

Masanobu Iwai, Shigeo Tanabe, Soichiro Koyama, Kazuya Takeda, Yuichi Hirakawa, Ikuo Motoya, Yuta Okuda, Yutaka Kikuchi, Hiroaki Sakurai, Yoshikiyo Kanada and 3 more

Abstract read
In one paragraph

Article in Movement disorders clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Instrumental assessment of Sit-to-Stand in Parkinson's disease: a scoping review.Journal of neuroengineering and rehabilitation · 2026
    Article
  2. 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

13 authors.

Masanobu IwaiGraduate School of Health Sciences, Kio University, Nara, Japan.
Shigeo TanabeFaculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake, Japan.
Soichiro KoyamaFaculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake, Japan.
Kazuya TakedaFaculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake, Japan.
Yuichi HirakawaDepartment of Rehabilitation, Kawamura Hospital, Gifu, Japan.
Ikuo MotoyaDepartment of Rehabilitation, Kawamura Hospital, Gifu, Japan.
Yuta OkudaDepartment of Rehabilitation for Intractable Neurological Disorders, Institute of Brain and Blood Vessels, Mihara Memorial Hospital, Isesaki, Japan.
Yutaka KikuchiDepartment of Rehabilitation for Intractable Neurological Disorders, Institute of Brain and Blood Vessels, Mihara Memorial Hospital, Isesaki, Japan.
Hiroaki SakuraiFaculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake, Japan.
Yoshikiyo KanadaFaculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake, Japan.
Mami KawamuraDepartment of Neurology, Kawamura Hospital, Gifu, Japan.
Nobutoshi KawamuraDepartment of Neurology, Kawamura Hospital, Gifu, Japan.
Yohei OkadaGraduate School of Health Sciences, Kio University, Nara, Japan.ORCID https://orcid.org/0000-0001-7860-3440

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with Parkinson's disease (PwPDs) experience a progressive decline in their sit-to-stand (STS) ability, including a prolonged STS time, rising failure, and seat-off failure. The clinical and biomechanical factors contributing to this decline are unclear.

objectivesWe investigated clinical and biomechanical factors associated with the different stages of STS decline in PwPDs.

methodsThis cross-sectional study included 23 healthy controls (HCs) plus 40 PwPDs who we categorized by STS ability: 18 successful STS (SS), 12 failure-to-rise (FR), and 10 failure-to-seat-off (FS). Clinical assessments included motor symptoms (Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale), balance (Mini-Balance Evaluation Systems Test), and lower-limb strength. Biomechanical parameters measured using force plates included repetitive movements, slope of first-peak loading, and amplitude and temporal parameters. We conducted group comparisons and determined the age-adjusted area under the receiver operating characteristic curve (AAUC) and Spearman's correlations with the STS time (P < 0.05).

resultsIn the SS group, prolonged STS time was significantly correlated with amplitude and temporal parameters (rs = -0.849 to 0.986), for example, first-peak feet loading and its slope, reflecting impaired weight shifting from the buttocks onto the soles. These parameters effectively differentiated FR from SS (AAUC = 0.778-0.884) and FS from FR (AAUC = 0.758-0.992). Lower-limb bradykinesia differentiated FR from SS (AAUC = 0.870). All balance-related measures also strongly distinguished FS from FR (AAUC = 0.817-0.925).

conclusionsThese findings highlight that weight-shifting impairments, along with bradykinesia in the earlier stages and balance deficits in the later stages, play pivotal roles in the progressive STS decline in PwPDs. Interventions targeting weight shifting, as well as bradykinesia, and postural control, could potentially help mitigate this decline.

Indexed as

Parkinson DiseasePostural BalanceSitting PositionStanding PositionAgedBiomechanical PhenomenaCross-Sectional StudiesFemaleHumansMaleMiddle AgedMuscle Strengthbalance abilitybiomechanical analysismotor symptomParkinson's diseasesit to stand

Identifiers

PMID40353643
PMCPMC12999043

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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.