Evidence map›Paper›PMID 41558837›Full record

ArticleJournal of movement disorders2026

Endurance and Efficiency of Cycling and Manual Wheelchairs in Late-Stage Parkinson's Disease: A Preliminary Study.

Mayura Konzo, Masaru Narita, Masaki Naito, Ayumi Ide, Taiyo Kai, Dai Wakabayashi, Wataru Fujita, Tomohiro Shibata, Yohei Okada

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Article in Journal of movement disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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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

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

9 authors.

Mayura KonzoGraduate School of Health Sciences, Kio University, Nara, Japan.
Masaru NaritaNeurorehabilitation Center for Intractable Neurological Diseases, Hokkaido Neurological Hospital, Hokkaido, Japan.
Masaki NaitoDepartment of Rehabilitation, Tsurumaki-Onsen Hospital, Kanagawa, Japan.
Ayumi IdeDepartment of Rehabilitation, Tsurumaki-Onsen Hospital, Kanagawa, Japan.
Taiyo KaiDepartment of Rehabilitation, Nishiyamato Rehabilitation Hospital, Nara, Japan.
Dai WakabayashiDepartment of Rehabilitation, Nishiyamato Rehabilitation Hospital, Nara, Japan.
Wataru FujitaGraduate School of Life Science & Systems Engineering, Kyushu Institute of Technology, Fukuoka, Japan.
Tomohiro ShibataGraduate School of Life Science & Systems Engineering, Kyushu Institute of Technology, Fukuoka, Japan.
Yohei OkadaGraduate School of Health Sciences, Kio University, Nara, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn late-stage Parkinson's disease (PD), wheelchair mobility becomes essential, yet little is known about the endurance and efficiency of wheelchairs. For individuals who struggle with manual wheelchair (MW) propulsion, a cycling wheelchair (CW) may provide an alternative. In this study, endurance and efficiency were compared between MWs and CWs during continuous driving, including turning tasks, in late-stage PD.

methodsNine participants with late-stage PD performed the 6-minute push test using both MWs and CWs. Total distance, average speed, and the Physiological Cost Index (PCI) were measured. The PCI was calculated from the pre- and post-driving heart rates.

resultsCompared with the use of MWs, the use of CWs resulted in a significantly greater total distance and a lower PCI, and similar patterns were observed among participants at Hoehn and Yahr stage V (n=6).

conclusionCompared with MW use, CW use may enable more enduring and efficient mobility in late-stage PD. Further studies are needed to validate these preliminary findings.

Indexed as

6-Minute push testCycling wheelchairLate stageManual wheelchairParkinson’s disease

Identifiers

PMID41558837
PMCPMC13175736

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