Evidence map›Paper›PMID 40855061›Full record

ArticleNPJ Parkinson's disease2025

Supplementary motor area microstructure defines the extent of gait impairment in Parkinson's disease.

Paweł P Wróbel, Annika Peter, Maja Kirsten, Alessandro Gulberti, Maxim Bester, Einar Goebell, Bastian Cheng, Yogesh Rathi, Ofer Pasternak, Tim Magnus and 5 more

Abstract read
In one paragraph

Article 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Freezing of Gait: A Tribute to Nir Giladi.The European journal of neuroscience · 2026
    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

15 authors.

Paweł P WróbelDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. p.wrobel@uke.de.
Annika PeterDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Maja KirstenDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Alessandro GulbertiDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Maxim BesterDepartment of Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Einar GoebellDepartment of Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Bastian ChengDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Yogesh RathiPsychiatry Neuroimaging Laboratory, Brigham and Women's Hospital, Harvard Medical School, Boston, USA.
Ofer PasternakPsychiatry Neuroimaging Laboratory, Brigham and Women's Hospital, Harvard Medical School, Boston, USA.
Tim MagnusDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Götz ThomallaDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Fanny QuandtDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Robert SchulzDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Focko L Higgen *Department of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Monika Pötter-Nerger *Department of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. m.poetter-nerger@uke.de.

Funding

Deutsche Forschungsgemeinschaft SFB 936-178316478-C8Deutsche Forschungsgemeinschaft TRR-169/A3
6 · The paper itself

Abstract

Gait disorders and freezing of gait are challenging symptoms in Parkinson's disease. Cortical gait centers as the supplementary motor area appear to be relevant in gait control. We hypothesize that diffusion-MRI microstructural markers in this area are associated with quantitative gait performance in participants with Parkinson's Disease. Retrospective clinical data showed that lower fractional anisotropy in the right supplementary motor cortex was associated with better performance in various bilateral quantitative gait parameters at normal speed, maximal velocity, and especially during cognitively demanding conditions as dual-tasking. Gait performance did not correlate with cortical thickness. In contrast, the correlation between gait and microstructure in the supplementary motor area could indicate that diffusion-MRI might function as a clinical biomarker. The added value might support the clinical prognosis and aid in the development of new interventions, such as localized and personalized stimulation techniques.

Identifiers

PMID40855061
PMCPMC12379217

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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.