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June 19, 2026Current Opinion in NeurologyOpen Access

Multimodal mapping of balance dysfunction in Parkinson's disease: a consensus roadmap for research and intervention

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Authors

ASAasef G. ShaikhCAChrystalina AntoniadesQAQadeer Arshad

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Overview

Consensus roadmap aims to enhance balance research outcomes in Parkinson's disease through multimodal assessment.

Key Points

  • The aim is to create a consensus framework to advance balance research and intervention in Parkinson's disease.
  • Conducted a comprehensive literature review and a modified Delphi process with ≥80% agreement.
  • Utilized virtual meetings, surveys, and an in-person consensus session for stakeholder input.
  • Identified key assessment domains: video-oculography/vHIT, VEMPs, posturography, and perceptual paradigms.
  • Video-oculography/vHIT demonstrated largely preserved aVOR but is affected by Parkinson's disease-specific artifacts.
  • VEMPs are useful but limited by EMG-dependent confounds and relate to brainstem and non-motor features.
  • Posturography showed impaired multisensory integration and favored reactive-capacity measures over sway alone.

Cite This Study

Shaikh et al. (2026) studied this question.

synapsesocial.com/papers/6a34dfcd65a5b0777af2edcchttps://doi.org/10.1097/wco.0000000000001502
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