Evidence map›Paper›PMID 41770816›Full record

Trial reportPloS one2026

Visual perturbation training to reduce visual dependency in Parkinson's disease: A randomized controlled trial.

Remco J Baggen, Anke Van Bladel, Maarten R Prins, Jennifer Stappers, Joke Spildooren, Miet De Letter, Katie Bouche, Dirk Cambier, Leen Maes, Patrick Santens

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05690308 (A Novel Training Method to Reduce Fall Risk in People with Parkinson's Disease), which is not on this map. Not yet cited in PubMed.

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

NCT05690308 nacompletednot on this map

A Novel Training Method to Reduce Fall Risk in People with Parkinson's Disease: the Role of the Balance Organ

TypeinterventionalSponsorUniversity Hospital, GhentRan2022 to 2024Enrolled35ConditionsParkinson Disease, Vestibular Disorder, Gait, FallingArmsVisual perturbation treadmill training, Regular treadmill training
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Remco J BaggenDepartment of Rehabilitation Sciences, Ghent University, Ghent, Belgium.ORCID https://orcid.org/0000-0002-1034-8997
Anke Van BladelDepartment of Rehabilitation Sciences, Ghent University, Ghent, Belgium.
Maarten R PrinsMilitary Rehabilitation Center Aardenburg, Doorn, The Netherlands.
Jennifer StappersDepartment of Rehabilitation Sciences, Ghent University, Ghent, Belgium.
Joke SpildoorenFaculty of Rehabilitation Sciences, REVAL-Rehabilitation Research Centre, Hasselt University, Diepenbeek, Belgium.
Miet De LetterDepartment of Physical and Rehabilitation Medicine, Ghent University Hospital, Ghent, Belgium.
Katie BoucheDepartment of Rehabilitation Sciences, Ghent University, Ghent, Belgium.
Dirk CambierDepartment of Rehabilitation Sciences, Ghent University, Ghent, Belgium.
Leen MaesDepartment of Rehabilitation Sciences, Ghent University, Ghent, Belgium.
Patrick SantensResearch Group BrainComm, Ghent University, Ghent, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDecreased gait automaticity and increased visual dependency are important contributors to falls in people with Parkinson's disease. The aim of this study was to assess if visual perturbation training during treadmill walking decreases visual dependency in people with Parkinson's disease. MATERIALS AND

methodsFor this randomized controlled trial 25 early-to-mid-stage people with Parkinson's disease (age 50-67y) without regular freezing of gait were randomly assigned to a visual perturbation group or treadmill training-only control group. Both groups trained 2 times per week for 6 weeks. Visual perturbation training consisted of self-paced treadmill walking with perturbations applied as rotations around the sagittal axis and medio-lateral translations of the virtual reality environment. The primary outcome was visual dependency. Secondary outcomes included steady-state spatiotemporal gait parameters (gait speed, step time/length/width/frequency, and cadence), as well as self-reported (near) falls.

resultsGroup x time interaction effects revealed that visual perturbation training significantly decreased visual dependency (p < 0.001) and improved temporal gait characteristics such as step time (p = 0.012), stride time (p = 0.021) and cadence (p = 0.018) compared to treadmill-only controls. However, no significant effects were found for step width, step length, gait speed, and (near) falls. Improvements in visual dependency were negatively correlated to disease progression (p = 0.004). Discussion: Visual perturbation training decreases visual dependency and improves temporal gait parameters in people with Parkinson's disease. Participants in earlier disease stages appear to benefit most from visual perturbation training but additional research is needed. CLINICAL

trial registrationThis study was pre-registered at ClinicalTrials.gov (NCT05690308) on 09/01/2023.

Indexed as

Exercise TherapyParkinson DiseaseAccidental FallsAgedFemaleGaitHumansMaleMiddle AgedPostural BalanceWalking

Identifiers

PMID41770816
PMCPMC12952592

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Registered trials

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.