Evidence map›Paper›PMID 40891191›Full record

ArticleMovement disorders clinical practice2025

Effects of Levodopa on Gait in People With Parkinson's Disease With and Without a History of Falls.

Vrutangkumar V Shah, Patricia Carlson-Kuhta, John G Nutt, Fay B Horak, Martina Mancini

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. Article
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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

5 authors.

Vrutangkumar V ShahDepartment of Neurology, Oregon Health & Science University, Portland, Oregon, USA.ORCID https://orcid.org/0000-0002-8626-1089
Patricia Carlson-KuhtaDepartment of Neurology, Oregon Health & Science University, Portland, Oregon, USA.
John G NuttDepartment of Neurology, Oregon Health & Science University, Portland, Oregon, USA.ORCID https://orcid.org/0000-0003-2759-1106
Fay B HorakDepartment of Neurology, Oregon Health & Science University, Portland, Oregon, USA.
Martina ManciniDepartment of Neurology, Oregon Health & Science University, Portland, Oregon, USA.ORCID https://orcid.org/0000-0002-4532-3984

Funding

Oregon Clinical and Translational Research Institute - The National COVID Cohort Collaborative (N3C)UL1TR002369 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI Cynthia D Morris, Christopher G. Slatore · 2017 to 2026
$78.4M
Mobility Life: Monitoring Mobility in Daily Lives of People with Neurological DiseaseR44AG055388 · NIA · APDM, INC. · PI EL-GOHARY, MAHMOUD, HORAK, FAY BAHLING · 2016 to 2019
$2.9M
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
NCATS NIH HHS UL1 TR002369NCATS NIH HHS UL1TR002369NIA NIH HHS R44 AG055388NIA NIH HHS R44AG055388NICHD NIH HHS R01 HD100383
6 · The paper itself

Abstract

backgroundThe impact of levodopa on gait in individuals with Parkinson's disease (PD), particularly in those with and without a history of falls, remains unclear.

objectiveThis study examines whether levodopa alters digital gait characteristics in fallers and non-fallers with PD to those observed in healthy controls (HC) and identifies key gait and turning measures most influenced by levodopa.

methodsWe recruited 33 individuals with PD (17 fallers, 16 non-fallers) and 17 HC. Participants wore six inertial sensors on both wrists, feet, lumbar region (L5), and sternum while performing a walking test in Off and On levodopa states. Seventeen digital gait measures were extracted, and responsiveness to levodopa was assessed using standardized response means (SRM).

resultsFallers exhibited greater turning impairments Off levodopa than non-fallers. Levodopa significantly improved nearly all gait measures in both groups, normalizing them to HC levels. It had a strong effect on gait (fallers: highest |SRM| = 1.32; non-fallers: highest |SRM| = 0.94). In fallers, turn velocity, toe-off angle, gait speed, and stride length showed the most improvement (|SRM| >1). Non-fallers showed the greatest improvements in trunk coronal range of motion (ROM), arm swing velocity, arm ROM, and turn velocity (|SRM| >0.8). Fallers had worse patient-reported outcomes and balance test scores, but no significant differences in UPDRS Part III, and Hoehn and Yahr scores.

conclusionsThese findings suggest that impaired turning and gait shuffling in PD may be associated with falls and that dopamine replacement therapy, as well as rehabilitation, focused on improving turning and gait shuffling may reduce fall risk.

Indexed as

Accidental FallsAntiparkinson AgentsGaitGait Disorders, NeurologicLevodopaParkinson DiseaseAgedFemaleHumansMaleMiddle AgedAntiparkinson AgentsLevodopafallersgait disorderslevodopanon‐fallersParkinson's disease

Identifiers

PMID40891191
PMCPMC12715336

What OpenQuestion holds

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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.