Walking on common ground: a cross-disciplinary scoping review on the clinical utility of digital mobility outcomes

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  • dc.contributor.author Polhemus, Ashley Marie
  • dc.contributor.author Delgado Ortiz, Laura
  • dc.contributor.author Cardenas, Gabriela
  • dc.contributor.author Koch, Sarah
  • dc.contributor.author Bosch de Basea i Gómez, Magda, 1982-
  • dc.contributor.author García Aymerich, Judith
  • dc.contributor.author Mobilise-D
  • dc.date.accessioned 2022-05-30T06:34:09Z
  • dc.date.available 2022-05-30T06:34:09Z
  • dc.date.issued 2021
  • dc.description.abstract Physical mobility is essential to health, and patients often rate it as a high-priority clinical outcome. Digital mobility outcomes (DMOs), such as real-world gait speed or step count, show promise as clinical measures in many medical conditions. However, current research is nascent and fragmented by discipline. This scoping review maps existing evidence on the clinical utility of DMOs, identifying commonalities across traditional disciplinary divides. In November 2019, 11 databases were searched for records investigating the validity and responsiveness of 34 DMOs in four diverse medical conditions (Parkinson's disease, multiple sclerosis, chronic obstructive pulmonary disease, hip fracture). Searches yielded 19,672 unique records. After screening, 855 records representing 775 studies were included and charted in systematic maps. Studies frequently investigated gait speed (70.4% of studies), step length (30.7%), cadence (21.4%), and daily step count (20.7%). They studied differences between healthy and pathological gait (36.4%), associations between DMOs and clinical measures (48.8%) or outcomes (4.3%), and responsiveness to interventions (26.8%). Gait speed, step length, cadence, step time and step count exhibited consistent evidence of validity and responsiveness in multiple conditions, although the evidence was inconsistent or lacking for other DMOs. If DMOs are to be adopted as mainstream tools, further work is needed to establish their predictive validity, responsiveness, and ecological validity. Cross-disciplinary efforts to align methodology and validate DMOs may facilitate their adoption into clinical practice.
  • dc.description.sponsorship The Mobilise-D project has received funding from the Innovative Medicines Initiative 2 Joint Undertaking under grant agreement no. 820820. This Joint Undertaking receives support from the European Union’s Horizon 2020 research and innovation program and the European Federation of Pharmaceutical Industries and Associations (EFPIA). This publication reflects the authors’ views and neither IMI nor the European Union, EFPIA, or any Associated Partners are responsible for any use that may be made of the information contained herein. H.D. is a postdoctoral research fellow of the FWO-Flanders. ISGlobal acknowledges support from the Spanish Ministry of Science, Innovation, and Universities through the “Centro de Excelencia Severo Ochoa 2019–2023” Program (CEX2018-000806-S), and support from the Generalitat de Catalunya through the CERCA Program.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Polhemus A, Ortiz LD, Brittain G, Chynkiamis N, Salis F, Gaßner H et al. Walking on common ground: a cross-disciplinary scoping review on the clinical utility of digital mobility outcomes. NPJ Digit Med. 2021 Oct 14;4(1):149. DOI: 10.1038/s41746-021-00513-5
  • dc.identifier.doi http://dx.doi.org/10.1038/s41746-021-00513-5
  • dc.identifier.issn 2398-6352
  • dc.identifier.uri http://hdl.handle.net/10230/53297
  • dc.language.iso eng
  • dc.publisher Nature Research
  • dc.relation.ispartof NPJ Digit Med. 2021 Oct 14;4(1):149
  • dc.relation.projectID info:eu-repo/grantAgreement/EC/H2020/820820
  • dc.rights © The Author(s) 2021. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by/4.0/
  • dc.subject.keyword Geriatrics
  • dc.subject.keyword Movement disorders
  • dc.subject.keyword Predictive markers
  • dc.subject.keyword Respiratory tract diseases
  • dc.title Walking on common ground: a cross-disciplinary scoping review on the clinical utility of digital mobility outcomes
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion

Col·leccions

Articles (Barcelona Institute for Global Health (ISGlobal) – Campus Mar)
Articles (Departament de Medicina i Ciències de la Vida)
Documents OpenAIRE (Open Access Infrastructure for Research in Europe)