{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T04:31:14Z","timestamp":1768797074254,"version":"3.49.0"},"reference-count":37,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T00:00:00Z","timestamp":1736726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["52250610217"],"award-info":[{"award-number":["52250610217"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["movementdisorders.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Movement Disorders"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Wider step width and lower step\u2010to\u2010step variability are linked to improved gait stability and reduced fall risk. It is unclear if patients with spinocerebellar ataxia (SCA) can learn to adjust these aspects of gait to reduce fall risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aims were to examine the possibility of using wearable step width haptic biofeedback to enhance gait stability and reduce fall risk in individuals with SCA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirteen people with SCA type 3 performed step width training (single session) using real\u2010time feedback.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Step width increased post\u2010training (19.3\u2009cm, interquartile range [IQR] 16.3\u201320.2\u2009cm) and at retention (16.6\u2009cm, IQR 16.2\u201321.1\u2009cm), compared to baseline (11.0\u2009cm, IQR 5.2\u201315.2\u2009cm; <jats:italic>P\u2009&lt;<\/jats:italic>\u20090.001). Step width variability decreased during post\u2010training (19.7%, IQR 17.4%\u201326.2%) and at retention (22.3%, IQR 18.6%\u201330.2%), compared to baseline (44.5%, IQR 28.5%\u201371.2%; <jats:italic>P\u2009&lt;<\/jats:italic>\u20090.001). Crossover steps, another mark of instability, decreased after training (<jats:italic>P\u2009&lt;<\/jats:italic>\u20090.031).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These pilot results suggest that patients with SCA can use a novel, wearable biofeedback system to improve their gait stability. \u00a9 2025 International Parkinson and Movement Disorder Society.<\/jats:p><\/jats:sec>","DOI":"10.1002\/mds.30117","type":"journal-article","created":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T08:27:09Z","timestamp":1736756829000},"page":"745-751","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Step Width Haptic Feedback for Gait Stability in Spinocerebellar Ataxia: Preliminary Results"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9212-0509","authenticated-orcid":false,"given":"Hong","family":"Wang","sequence":"first","affiliation":[{"name":"School of Mechanical Engineering Shanghai Jiao Tong University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zakir","family":"Ullah","sequence":"additional","affiliation":[{"name":"School of Mechanical Engineering Shanghai Jiao Tong University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eran","family":"Gazit","sequence":"additional","affiliation":[{"name":"Center for the Study of Movement, Cognition and Mobility, Neurological Institute Tel Aviv Sourasky Medical Center  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marina","family":"Brozgol","sequence":"additional","affiliation":[{"name":"Center for the Study of Movement, Cognition and Mobility, Neurological Institute Tel Aviv Sourasky Medical Center  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey M.","family":"Hausdorff","sequence":"additional","affiliation":[{"name":"Center for the Study of Movement, Cognition and Mobility, Neurological Institute Tel Aviv Sourasky Medical Center  Tel Aviv Israel"},{"name":"Sagol School of Neuroscience and Department of Physical Therapy, Faculty of Medical and Health Sciences Tel Aviv University  Tel Aviv Israel"},{"name":"Department of Orthopedic Surgery and Rush Alzheimer's Disease Center Rush University Medical Center  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter B.","family":"Shull","sequence":"additional","affiliation":[{"name":"School of Mechanical Engineering Shanghai Jiao Tong University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Penina","family":"Ponger","sequence":"additional","affiliation":[{"name":"Department of Neurology Tel Aviv Sourasky Medical Center  Tel Aviv Israel"},{"name":"Genetics Institute and Genomics Center Tel Aviv Sourasky Medical Center  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-019-0074-3"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12311-023-01625-2"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12311-010-0155-z"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000005055"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-020-09938-6"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3181c33adf"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/gls255"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2017.11.024"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1098\/rsif.2017.0816"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12311-017-0897-y"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1364-6613(98)01223-6"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.25558"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.28740"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12311-012-0441-z"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2006.08.011"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/MRR.0000000000000295"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.29762"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.3390\/s22093512"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/acn3.699"},{"key":"e_1_2_9_21_1","first-page":"81","article-title":"Step width estimation in individuals with and without neurodegenerative disease via a novel data\u2010augmentation deep learning model and minimal wearable inertial sensors. 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