Evidence map›Paper›PMID 41942682›Full record

SynthesisScientific reports2026

Gait asymmetry in Parkinson's disease - a systematic review and meta-analysis (AsymmGait-Parkinson study).

Aline Prieto Silveira-Ciola, Jana Seuthe, Daniel Boari Coelho, Murilo Henrique Faria, Felipe Balistieri Santinelli, Christian Schlenstedt, Fabio Augusto Barbieri

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Scientific reports, 2026. 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
  2. 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

7 authors.

Aline Prieto Silveira-CiolaHuman Movement Research Laboratory (MOVI-LAB), Department of Physical Education, School of Sciences, São Paulo State University (UNESP), Bauru, Brazil.ORCID http://orcid.org/0000-0001-7318-8911
Jana SeutheInstitute of Interdisciplinary Exercise Science and Sports Medicine, MSH Medical School Hamburg, Hamburg, Germany.ORCID http://orcid.org/0000-0002-2294-0584
Daniel Boari CoelhoBiomedical Engineering, Federal University of ABC, São Bernardo do Campo, São Paulo, Brazil.ORCID http://orcid.org/0000-0001-8758-6507
Murilo Henrique FariaHuman Movement Research Laboratory (MOVI-LAB), Department of Physical Education, School of Sciences, São Paulo State University (UNESP), Bauru, Brazil.ORCID http://orcid.org/0000-0002-2375-9330
Felipe Balistieri SantinelliREVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Hasselt, Belgium.ORCID http://orcid.org/0000-0002-1164-4018
Christian SchlenstedtInstitute of Interdisciplinary Exercise Science and Sports Medicine, MSH Medical School Hamburg, Hamburg, Germany.ORCID http://orcid.org/0000-0002-3838-6848
Fabio Augusto BarbieriHuman Movement Research Laboratory (MOVI-LAB), Department of Physical Education, School of Sciences, São Paulo State University (UNESP), Bauru, Brazil. fabio.barbieri@unesp.br.ORCID http://orcid.org/0000-0002-3678-8456

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico #88881.800232/2022-01Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 001Fundação de Amparo à Pesquisa do Estado de São Paulo #2022/02971-2
6 · The paper itself

Abstract

Gait asymmetry (GA) in people with Parkinson’s disease (pwPD) has been inconsistently reported, leading to uncertainty about its prevalence and clinical significance. GA may relate to motor symptoms’ lateralization and the effects of dopaminergic medication. The aim of this study was to systematically summarize the current literature and perform a meta-analysis to investigate the differences between GA in pwPD compared to healthy individuals and to evaluate the effect of dopaminergic medication on GA. The review was registered in PROSPERO database (ID: CRD42021285067). The searching was conducted in the PubMed, Cochrane Library, Lilacs, PEDro and Scopus databases. The primary search resulted in 551 studies. After removing the duplicates, 451 studies remained for the analysis. After checking the full text, 42 studies with 2111 pwPD were included in this review. The meta-analysis showed that pwPD exhibited greater asymmetry in step length, step time, and swing time, particularly in the OFF state, with moderate effect sizes. Dopaminergic medication was associated with reduced swing time asymmetry. Temporal aspects of GA, particularly swing time asymmetry, was most sensitive to detect differences in GA between pwPD and healthy controls and to indicate an effect of dopaminergic medication. The inconsistent findings across studies highlight the need for standardization in GA measurement. Understanding the neural mechanisms underlying GA may improve targeted therapies. Further research should explore GA in more challenging walking conditions and in free-living environments to enhance the clinical understanding of gait disturbances in PD.

Indexed as

GaitGait Disorders, NeurologicParkinson DiseaseDopamine AgentsHumansDopamine Agents

Identifiers

PMID41942682
PMCPMC13062001

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.