Evidence map›Paper›PMID 41860683›Full record

ArticleBehavior research methods2026

Walking towards the future: Exploring OpenTUG's validity in automatic walking activity analyses and the relationship to cognition in vestibular patients.

Emilie Lacroix, Marius Grandjean, Margaux Huyberechts, Lucie Steenbergen, Seyed Abolfazl Ghasemzadeh, Christophe De Vleeschouwer, Naïma Deggouj, Martin Gareth Edwards

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Article in Behavior research methods, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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8 authors.

Emilie LacroixPsychological Sciences Research Institute (IPSY), Université Catholique de Louvain, Louvain- La-Neuve, Belgium. emile.lacroix@uclouvain.be.ORCID http://orcid.org/0000-0003-3658-3546
Marius GrandjeanPsychological Sciences Research Institute (IPSY), Université Catholique de Louvain, Louvain- La-Neuve, Belgium.
Margaux HuyberechtsPsychological Sciences Research Institute (IPSY), Université Catholique de Louvain, Louvain- La-Neuve, Belgium.
Lucie SteenbergenPsychological Sciences Research Institute (IPSY), Université Catholique de Louvain, Louvain- La-Neuve, Belgium.
Seyed Abolfazl GhasemzadehInstitute of Information and Communication Technologies, Electronics and Applied Mathematics (ICTEAM), Université Catholique de Louvain, Louvain- La-Neuve, Belgium.
Christophe De VleeschouwerInstitute of Information and Communication Technologies, Electronics and Applied Mathematics (ICTEAM), Université Catholique de Louvain, Louvain- La-Neuve, Belgium.
Naïma DeggoujInstitute of Neuroscience (IONS), Université Catholique de Louvain, Brussels, Belgium.
Martin Gareth EdwardsPsychological Sciences Research Institute (IPSY), Université Catholique de Louvain, Louvain- La-Neuve, Belgium.

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6 · The paper itself

Abstract

Vestibular disorders impair body orientation and spatial navigation, often causing cognitive and affective symptoms, reducing quality of life. Traditional assessments involve time-consuming physiological and neuropsychological evaluations. This study investigates the feasibility and validity of applying a 2D human pose estimation (OpenTUG) to automatically analyze the walking activity of patients with vestibular disorders. Forty-eight patients undergoing treatment for vestibular disorders and 26 mean age-matched controls performed the TUG at normal, slow, and fast walking speeds; neuropsychological evaluations assessing attention, and quality-of-life questionnaires. Patients required significantly more time and steps to complete the TUG than controls at normal and slow speeds (e.g., normal speed: 7319 ms vs. 5976 ms, p = .002). Automated OpenTUG and manual analyses were highly correlated (time: all r > .94, p < .001; steps: all r > .74, p < .001). Patients reported higher dizziness-related handicap (median DHI total: 30 vs. 0, p < .001) and psychological symptoms (median HADS total: 12 vs. 8, p = .005). Exploratory analyses revealed moderate correlations between TUG measures and attentional performance (Spearman's r = .30-.54, p < .05-.01), as well as postural stability indices (e.g., unstable platform with eyes open: r = .38-.57, p < .05-.01). These findings demonstrate the feasibility and validity of using OpenTUG to automatically extract clinically relevant gait parameters. The observed associations between TUG performance, attentional measures, and postural stability highlight the potential of combining simple walking tasks with pose estimation as a rapid, cost-effective preliminary assessment of vestibular patients' difficulties.

Indexed as

CognitionVestibular DiseasesWalkingAdultAgedAttentionFemaleHumansMaleMiddle AgedNeuropsychological TestsQuality of LifeReproducibility of ResultsAIAlgorithmCognitionDeep pose estimationPostureVestibular loss

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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.