Evidence map›Paper›PMID 40824690›Full record

SynthesisJMIR mHealth and uHealth2025

Use of Wearable Sensors to Assess Fall Risk in Neurological Disorders: Systematic Review.

Mirjam Bonanno, Augusto Ielo, Paolo De Pasquale, Antonio Celesti, Alessandro Marco De Nunzio, Angelo Quartarone, Rocco Salvatore Calabrò

Abstract readSystematic Review
In one paragraph

Synthesis in JMIR mHealth and uHealth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Walking as a Window to the Brain: Redefining Gait in Neurology.Medical sciences (Basel, Switzerland) · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
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  10. Review
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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

7 authors.

Mirjam BonannoIRCCS Centro Neurolesi Bonino-Pulejo, Messina, Italy.ORCID 0000-0002-3284-9741
Augusto IeloIRCCS Centro Neurolesi Bonino-Pulejo, Messina, Italy.ORCID 0000-0001-9661-9681
Paolo De PasqualeIRCCS Centro Neurolesi Bonino-Pulejo, Messina, Italy.ORCID 0000-0003-1688-2151
Antonio CelestiDepartment of Mathematics, Computer Science, Physics and Earth Science, University of Messina, Messina, Italy.ORCID 0000-0001-9003-6194
Alessandro Marco De NunzioDepartment of Health, LUNEX University of Applied Sciences, Differdange, Luxembourg.ORCID 0000-0003-4862-6742
Angelo QuartaroneIRCCS Centro Neurolesi Bonino-Pulejo, Messina, Italy.ORCID 0000-0003-1485-6590
Rocco Salvatore CalabròIRCCS Centro Neurolesi Bonino-Pulejo, Messina, Italy.ORCID 0000-0002-8566-3166

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAssessing fall risk, especially in individuals with neurological disorders, is essential to prevent hospitalization, hypomobility, and reduced functional independence. Wearable sensors are increasingly used in neurorehabilitation, as they enable unsupervised fall risk assessment by providing continuous monitoring during daily functional tasks, thereby offering a reflection of the individual's real-world fall risk.

objectiveWe systematically reviewed the literature on reliable biomechanical gait parameters detected with wearable sensors to assess fall risk in neurological disorders, focusing on patients with Parkinson disease, multiple sclerosis, stroke, or Alzheimer disease. In addition, we examined the latest advancements in wearable sensor technology, including best practices for device placement as well as data processing and analysis.

methodsWe conducted a comprehensive systematic search for relevant peer-reviewed articles published up to April 18, 2025, using PubMed, Web of Science, Embase, and IEEE Xplore, which are the most used databases in the fields of health and bioengineering.

resultsThe 19 included studies involved 2630 patients with neurological disorders, including 226 (8.59%) with multiple sclerosis (n=7, 37% studies), 2305 (87.64%) with Parkinson disease (n=8, 53% studies), 51 (1.94%) with stroke (n=3, 16% studies), and 48 (1.83%) with Alzheimer disease or cognitive impairment (n=1, 5% study).

conclusionsThis review highlights the role of wearable technologies in assessing fall risk in patients with neurological disorders. Although the included studies showed variation in methods and a focus on technology over clinical context, the lack of standardization reflects ongoing advancements, which may be seen as a strength.

trial registrationPROSPERO CRD42023463944; https://www.crd.york.ac.uk/PROSPERO/view/CRD42023463944.

Indexed as

Accidental FallsNervous System DiseasesWearable Electronic DevicesHumansRisk AssessmentAIartificial intelligencefall risk assessmentneurological disordersneurorehabilitationwearable sensors

Identifiers

PMID40824690
PMCPMC12402735

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.