Goalkeeper Game: A New Assessment Tool for Prediction of Gait Performance Under Complex Condition in People With Parkinson's Disease


People with Parkinsons disease (PD) display poorer gait performance when walking under complex conditions than under simple conditions. Screening tests that evaluate gait performance changes under complex walking conditions may be valuable tools for early intervention, especially if allowing for massive data collection. To investigate the use of the Goalkeeper Game (GG) to predict impairment in gait performance under complex conditions in people with Parkinsons disease (PPD) and compare its predictive power with the one of the Montreal Cognitive Assessment (MoCA) test. 74 PPD (HY stages: 23 in stage 1; 31 in stage 2; 20 in stage 3), without dementia (MoCA cut-off 21), tested in ON period with dopaminergic medication were submitted to single individual cognitive/motor evaluation sessions. MoCA and GG were used to assess cognition, and the dynamic gait index (DGI) test was used to assess gait performance under complex condition. GG test resulted in 9 measures extracted via a statistical model. The predictive power of the GG measures and the MoCA score with respect to gait performance, as assessed by DGI, were compared. The predictive models based on GG obtained a better score of prediction (65%) then MoCA (56%) for DGI scores (at a 50% specificity). GG is a novel tool for noninvasive screening that showed a superior predictive power in assessing gait performance under complex condition in people with PD than the well-established MoCa test.

In Frontiers in Aging Neuroscience
Rafael B. Stern
Rafael B. Stern
Professor of Statistics

I am an Assistant Professor at the University of São Paulo. I have a B.A. in Statistics from the University of São Paulo, a B.A. in Law from Pontifícia Universidade Católica in São Paulo, and a Ph.D. in Statistics from Carnegie Mellon University. I am currently a member of the Scientific Council of the Brazilian Association of Jurimetrics, an associate investigator at NeuroMat and a member of the Order of Attorneys of Brazil.