{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:27:46Z","timestamp":1786580866166,"version":"build-2736575974"},"reference-count":35,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum D\u00fcsseldorf. Anstalt \u00f6ffentlichen Rechts"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Neurosurg Rev"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Idiopathic normal pressure hydrocephalus (iNPH) is commonly treated with ventriculoperitoneal shunt (VPS) implantation, yet accurate patient selection remains challenging because conventional diagnostic tests are variably standardized and partly subjective. We evaluated whether wearable step-count monitoring may provide an objective assessment of real-life mobility and help identify patterns of postoperative mobility improvement.\u00a0In this prospective pilot study, perioperative mobility was recorded using a wrist-worn wearable tracker (Garmin Vivofit 4). The primary endpoint was change in mean daily step count after VPS implantation. Secondary analyses included comparison between objective responders and non-responders, characterization of the postoperative time course of mobility change, association between objective and subjective clinical response, and exploratory receiver operating characteristic (ROC) analysis to identify a preoperative step-count threshold associated with postoperative mobility improvement. Clinical trial number: not applicable.\u00a0Twelve patients completed the study protocol. In the overall cohort, postoperative step count increased numerically but did not differ significantly from baseline. Objective responders (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20098) showed a significant increase in daily step count from 1656\u2009\u00b1\u2009356 to 2311\u2009\u00b1\u2009373 steps\/day (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05), whereas non-responders (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20094) showed no improvement. Responders had significantly lower preoperative daily step counts than non-responders (median 1118 [IQR 563\u20131869.5] vs. 5148 [IQR 4202.25\u20135796.5] steps\/day;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.049). In responders, mobility gains became significant from postoperative week 9 onward (F(12,84)\u2009=\u20099.75,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001), peaking at approximately 2.5-fold baseline by week 11. Objective mobility response was associated with subjective clinical improvement: 7 of 8 objective responders (87.5%) reported postoperative benefit, with a significant linear-by-linear association between objective and subjective outcome (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.033). Exploratory ROC analysis identified a preoperative step-count threshold of 1881 steps\/day (AUC\u2009=\u20090.875).\u00a0Wearable step-count monitoring may enable objective assessment of real-life mobility in iNPH and could complement perioperative evaluation after VPS implantation. Larger prospective studies are needed to validate its role in patient selection and postoperative monitoring.\n                  <\/jats:p>","DOI":"10.1007\/s10143-026-04432-5","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T23:42:56Z","timestamp":1786578176000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perioperative real-life mobility assessment using wearable step counts in idiopathic normal pressure hydrocephalus after ventriculoperitoneal shunt surgery: a prospective pilot study"],"prefix":"10.1007","volume":"49","author":[{"given":"D\u017eiugas","family":"Me\u0161ka","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Lost","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Haddad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanibaal","family":"Dib","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerim","family":"Beseo\u011flu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Beez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"4432_CR1","doi-asserted-by":"publisher","unstructured":"Kiefer M, Unterberg A (2012) The differential diagnosis and treatment of normal-pressure hydrocephalus. Dtsch Arztebl Int 109(1\u20132) 15\u201325; quiz 26. https:\/\/doi.org\/10.3238\/arztebl.2012.0015","DOI":"10.3238\/arztebl.2012.0015"},{"issue":"3","key":"4432_CR2","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1080\/13697137.2018.1543263","volume":"22","author":"I Milsom","year":"2019","unstructured":"Milsom I, Gyhagen M (2019) The prevalence of urinary incontinence. Climacteric 22(3):217\u2013222. https:\/\/doi.org\/10.1080\/13697137.2018.1543263","journal-title":"Climacteric"},{"key":"4432_CR3","doi-asserted-by":"publisher","unstructured":"Pais R, Ruano L, O PC, Barros H (2020) Global cognitive impairment prevalence and incidence in community dwelling older adults-a systematic review. Geriatr (Basel) 5(4). https:\/\/doi.org\/10.3390\/geriatrics5040084","DOI":"10.3390\/geriatrics5040084"},{"issue":"2","key":"4432_CR4","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1111\/j.1532-5415.2005.00580.x","volume":"54","author":"J Verghese","year":"2006","unstructured":"Verghese J, LeValley A, Hall CB, Katz MJ, Ambrose AF, Lipton RB (2006) Epidemiology of gait disorders in community-residing older adults. J Am Geriatr Soc 54(2):255\u2013261. https:\/\/doi.org\/10.1111\/j.1532-5415.2005.00580.x","journal-title":"J Am Geriatr Soc"},{"issue":"6","key":"4432_CR5","doi-asserted-by":"publisher","first-page":"982","DOI":"10.3171\/jns.1996.84.6.0982","volume":"84","author":"M Matsumae","year":"1996","unstructured":"Matsumae M, Kikinis R, M\u00f3rocz IA, Lorenzo AV, S\u00e1ndor T, Albert MS, Black PM, Jolesz FA (1996) Age-related changes in intracranial compartment volumes in normal adults assessed by magnetic resonance imaging. J Neurosurg 84(6):982\u2013991. https:\/\/doi.org\/10.3171\/jns.1996.84.6.0982","journal-title":"J Neurosurg"},{"issue":"1","key":"4432_CR6","doi-asserted-by":"publisher","first-page":"30623","DOI":"10.1038\/s41598-024-79569-8","volume":"14","author":"SG Thavarajasingam","year":"2024","unstructured":"Thavarajasingam SG, Salih A, Namireddy SR, Ringel F, Kramer A (2024) Increasing incidence of normal pressure hydrocephalus in Germany: an analysis of the Federal Statistical Office Database from 2005 to 2022. Sci Rep 14(1):30623. https:\/\/doi.org\/10.1038\/s41598-024-79569-8","journal-title":"Sci Rep"},{"issue":"2","key":"4432_CR7","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1111\/ane.13182","volume":"141","author":"V Zaccaria","year":"2020","unstructured":"Zaccaria V, Bacigalupo I, Gervasi G, Canevelli M, Corbo M, Vanacore N, Lacorte E (2020) A systematic review on the epidemiology of normal pressure hydrocephalus. Acta Neurol Scand 141(2):101\u2013114. https:\/\/doi.org\/10.1111\/ane.13182","journal-title":"Acta Neurol Scand"},{"issue":"1","key":"4432_CR8","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1111\/j.1468-1331.1997.tb00297.x","volume":"4","author":"AJ Boon","year":"1997","unstructured":"Boon AJ, Tans JT, Delwel EJ, Egeler-Peerdeman SM, Hanlo PW, Wurzer JA, Hermans J (1997) Dutch normal pressure hydrocephalus study: baseline characteristics with emphasis on clinical findings. Eur J Neurol 4(1):39\u201347. https:\/\/doi.org\/10.1111\/j.1468-1331.1997.tb00297.x","journal-title":"Eur J Neurol"},{"key":"4432_CR9","doi-asserted-by":"publisher","first-page":"111517","DOI":"10.1016\/j.jocn.2025.111517","volume":"140","author":"AS Corin","year":"2025","unstructured":"Corin AS, Semione G, Brenner LBO, Silva D, Filho AMPdeFR, Leal R, de Oliveira Ramos IZ, Santana JV, de Oliveira MFP, Ferreira CH, Bertani R (2025) Biomarkers in normal pressure hydrocephalus: A mini review. J Clin Neurosci 140:111517. https:\/\/doi.org\/10.1016\/j.jocn.2025.111517","journal-title":"J Clin Neurosci"},{"issue":"2","key":"4432_CR10","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1007\/s00701-022-05402-8","volume":"165","author":"SG Thavarajasingam","year":"2023","unstructured":"Thavarajasingam SG, El-Khatib M, Vemulapalli K, Iradukunda HAS, Borchert KSV, Russo R, S., Eide PK (2023) Radiological predictors of shunt response in the diagnosis and treatment of idiopathic normal pressure hydrocephalus: a systematic review and meta-analysis. Acta Neurochir (Wien) 165(2):369\u2013419. https:\/\/doi.org\/10.1007\/s00701-022-05402-8","journal-title":"Acta Neurochir (Wien)"},{"issue":"5","key":"4432_CR11","doi-asserted-by":"publisher","first-page":"562","DOI":"10.1136\/jnnp-2012-303314","volume":"84","author":"C Wikkels\u00f8","year":"2013","unstructured":"Wikkels\u00f8 C, Hellstr\u00f6m P, Klinge PM, Tans JT (2013) The European iNPH Multicentre Study on the predictive values of resistance to CSF outflow and the CSF Tap Test in patients with idiopathic normal pressure hydrocephalus. J Neurol Neurosurg Psychiatry 84(5):562\u2013568. https:\/\/doi.org\/10.1136\/jnnp-2012-303314","journal-title":"J Neurol Neurosurg Psychiatry"},{"issue":"2","key":"4432_CR12","doi-asserted-by":"publisher","first-page":"63","DOI":"10.2176\/nmc.st.2020-0292","volume":"61","author":"M Nakajima","year":"2021","unstructured":"Nakajima M, Yamada S, Miyajima M, Ishii K, Kuriyama N, Kazui H, Kanemoto H, Suehiro T, Yoshiyama K, Kameda M, Kajimoto Y, Mase M, Murai H, Kita D, Kimura T, Samejima N, Tokuda T, Kaijima M, Akiba C, Arai H (2021) Guidelines for management of idiopathic normal pressure hydrocephalus (Third Edition): endorsed by the japanese society of normal pressure hydrocephalus. Neurol Med Chir (Tokyo) 61(2):63\u201397. https:\/\/doi.org\/10.2176\/nmc.st.2020-0292","journal-title":"Neurol Med Chir (Tokyo)"},{"issue":"4","key":"4432_CR13","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1002\/ana.25046","volume":"82","author":"AJ Espay","year":"2017","unstructured":"Espay AJ, Da Prat GA, Dwivedi AK, Rodriguez-Porcel F, Vaughan JE, Rosso M, Devoto JL, Duker AP, Masellis M, Smith CD, Mandybur GT, Merola A, Lang AE (2017) Deconstructing normal pressure hydrocephalus: ventriculomegaly as early sign of neurodegeneration. Ann Neurol 82(4):503\u2013513. https:\/\/doi.org\/10.1002\/ana.25046","journal-title":"Ann Neurol"},{"key":"4432_CR14","doi-asserted-by":"publisher","first-page":"100247","DOI":"10.1016\/j.wnsx.2023.100247","volume":"21","author":"N Gupta","year":"2024","unstructured":"Gupta N, Kasula V, Sanmugananthan P, Panico N, Dubin AH, Sykes DA, D\u2019Amico RS (2024) SmartWear body sensors for neurological and neurosurgical patients: A review of current and future technologies. World Neurosurg X 21:100247. https:\/\/doi.org\/10.1016\/j.wnsx.2023.100247","journal-title":"World Neurosurg X"},{"issue":"1","key":"4432_CR15","doi-asserted-by":"publisher","DOI":"10.1186\/s12984-019-0612-y","volume":"16","author":"P Maceira-Elvira","year":"2019","unstructured":"Maceira-Elvira P, Popa T, Schmid AC, Hummel FC (2019) Wearable technology in stroke rehabilitation: towards improved diagnosis and treatment of upper-limb motor impairment. J Neuroeng Rehabil 16(1):142. https:\/\/doi.org\/10.1186\/s12984-019-0612-y","journal-title":"J Neuroeng Rehabil"},{"issue":"1","key":"4432_CR16","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1186\/s12938-022-01050-2","volume":"21","author":"F Cheng","year":"2022","unstructured":"Cheng F, Duan Y, Jiang H, Zeng Y, Chen X, Qin L, Zhao L, Yi F, Tang Y, Liu C (2022) Identifying and distinguishing of essential tremor and Parkinson\u2019s disease with grouped stability analysis based on searchlight-based MVPA. Biomed Eng Online 21(1):81. https:\/\/doi.org\/10.1186\/s12938-022-01050-2","journal-title":"Biomed Eng Online"},{"issue":"4","key":"4432_CR17","doi-asserted-by":"publisher","first-page":"424","DOI":"10.1002\/epi4.12076","volume":"2","author":"J van Andel","year":"2017","unstructured":"van Andel J, Ungureanu C, Arends J, Tan F, Van Dijk J, Petkov G, Kalitzin S, Gutter T, de Weerd A, Vledder B, Thijs R, van Thiel G, Roes K, Leijten F (2017) Multimodal, automated detection of nocturnal motor seizures at home: is a reliable seizure detector feasible? Epilepsia Open 2(4):424\u2013431. https:\/\/doi.org\/10.1002\/epi4.12076","journal-title":"Epilepsia Open"},{"issue":"1","key":"4432_CR18","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1186\/s12984-020-00775-2","volume":"17","author":"A Noamani","year":"2020","unstructured":"Noamani A, Lemay JF, Musselman KE, Rouhani H (2020) Postural control strategy after incomplete spinal cord injury: effect of sensory inputs on trunk-leg movement coordination. J Neuroeng Rehabil 17(1):141. https:\/\/doi.org\/10.1186\/s12984-020-00775-2","journal-title":"J Neuroeng Rehabil"},{"issue":"4","key":"4432_CR19","doi-asserted-by":"publisher","DOI":"10.3171\/2022.1.Focus21732","volume":"52","author":"HS Ahmad","year":"2022","unstructured":"Ahmad HS, Singh S, Jiao K, Basil GW, Yang AI, Wang MY, Welch WC, Yoon JW (2022) Data-driven phenotyping of preoperative functional decline patterns in patients undergoing lumbar decompression and lumbar fusion using smartphone accelerometry. Neurosurg Focus 52(4):E4. https:\/\/doi.org\/10.3171\/2022.1.Focus21732","journal-title":"Neurosurg Focus"},{"issue":"11","key":"4432_CR20","doi-asserted-by":"publisher","first-page":"1855","DOI":"10.1007\/s00586-010-1324-y","volume":"19","author":"TL Schulte","year":"2010","unstructured":"Schulte TL, Schubert T, Winter C, Brandes M, Hackenberg L, Wassmann H, Liem D, Rosenbaum D, Bullmann V (2010) Step activity monitoring in lumbar stenosis patients undergoing decompressive surgery. Eur Spine J 19(11):1855\u20131864. https:\/\/doi.org\/10.1007\/s00586-010-1324-y","journal-title":"Eur Spine J"},{"issue":"4","key":"4432_CR21","doi-asserted-by":"publisher","first-page":"792","DOI":"10.21037\/jss.2018.12.02","volume":"4","author":"RJ Mobbs","year":"2018","unstructured":"Mobbs RJ, Katsinas CJ, Choy WJ, Rooke K, Maharaj M (2018) Objective monitoring of activity and Gait Velocity using wearable accelerometer following lumbar microdiscectomy to detect recurrent disc herniation. J Spine Surg 4(4):792\u2013797. https:\/\/doi.org\/10.21037\/jss.2018.12.02","journal-title":"J Spine Surg"},{"key":"4432_CR22","doi-asserted-by":"publisher","first-page":"3280","DOI":"10.1109\/embc.2018.8512896","volume":"2018","author":"Y Wang","year":"2018","unstructured":"Wang Y, Zhou H, Yang Z, Samuel OW, Liu W, Cao Y, Li G (2018) An intelligent wearable device for human\u2019s cervical vertebra posture monitoring. Annu Int Conf IEEE Eng Med Biol Soc 2018:3280\u20133283. https:\/\/doi.org\/10.1109\/embc.2018.8512896","journal-title":"Annu Int Conf IEEE Eng Med Biol Soc"},{"issue":"6","key":"4432_CR23","doi-asserted-by":"publisher","first-page":"1434","DOI":"10.1016\/j.brs.2021.09.002","volume":"14","author":"S Cernera","year":"2021","unstructured":"Cernera S, Alcantara JD, Opri E, Cagle JN, Eisinger RS, Boogaart Z, Pramanik L, Kelberman M, Patel B, Foote KD, Okun MS, Gunduz A (2021) Wearable sensor-driven responsive deep brain stimulation for essential tremor. Brain Stimul 14(6):1434\u20131443. https:\/\/doi.org\/10.1016\/j.brs.2021.09.002","journal-title":"Brain Stimul"},{"key":"4432_CR24","doi-asserted-by":"publisher","DOI":"10.3390\/s20226590","author":"T Takahashi","year":"2020","unstructured":"Takahashi T, Fujiwara S, Igarashi S, Ando T, Chida K, Kobayashi M, Yoshida K, Koji T, Kubo Y, Ogasawara K (2020) Comparison of subjective and objective assessments on improvement in gait function after carotid endarterectomy. Sensors (Basel). https:\/\/doi.org\/10.3390\/s20226590","journal-title":"Sensors (Basel)"},{"issue":"2","key":"4432_CR25","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1007\/s11102-019-00946-y","volume":"22","author":"TS Cole","year":"2019","unstructured":"Cole TS, Jahnke H, Godzik J, Morgan CD, Nakaji P, Little AS (2019) Use of a wrist-mounted device for continuous outpatient physiologic monitoring after transsphenoidal surgery: a pilot study. Pituitary 22(2):156\u2013162. https:\/\/doi.org\/10.1007\/s11102-019-00946-y","journal-title":"Pituitary"},{"issue":"7624","key":"4432_CR26","doi-asserted-by":"publisher","first-page":"806","DOI":"10.1136\/bmj.39335.541782.AD","volume":"335","author":"E von Elm","year":"2007","unstructured":"von Elm E, Altman DG, Egger M, Pocock SJ, G\u00f8tzsche PC, Vandenbroucke JP (2007) Strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ 335(7624):806\u2013808. https:\/\/doi.org\/10.1136\/bmj.39335.541782.AD","journal-title":"BMJ"},{"issue":"2","key":"4432_CR27","volume":"12","author":"A Zampogna","year":"2025","unstructured":"Zampogna A, Patera M, Falletti M, Pinola G, Asci F, Suppa A (2025) Technological advances for gait and balance in normal pressure hydrocephalus: a systematic review. Bioengineering (Basel, Switzerland) 12(2):135","journal-title":"Bioengineering (Basel, Switzerland)"},{"issue":"11","key":"4432_CR28","doi-asserted-by":"publisher","first-page":"e382","DOI":"10.7759\/cureus.382","volume":"7","author":"S Gaglani","year":"2015","unstructured":"Gaglani S, Moore J, Haynes MR, Hoffberger JB, Rigamonti D (2015) Using commercial activity monitors to measure gait in patients with suspected inph: implications for ambulatory monitoring. Cureus 7(11):e382. https:\/\/doi.org\/10.7759\/cureus.382","journal-title":"Cureus"},{"key":"4432_CR29","doi-asserted-by":"publisher","DOI":"10.1088\/2057-1976\/ad2a1a","author":"E Atbas","year":"2024","unstructured":"Atbas E, Gaydecki P, Callaghan MJ (2024) A wearable gait-analysis device for idiopathic normal-pressure hydrocephalus (INPH) monitoring. Biomed Phys Eng Express. https:\/\/doi.org\/10.1088\/2057-1976\/ad2a1a","journal-title":"Biomed Phys Eng Express"},{"issue":"2","key":"4432_CR30","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0317901","volume":"20","author":"J Rydja","year":"2025","unstructured":"Rydja J, Pohl P, Eleftheriou A, Lundin F (2025) Gait characteristics in idiopathic normal pressure hydrocephalus: a controlled study using an inertial sensor system. PLoS One 20(2):e0317901. https:\/\/doi.org\/10.1371\/journal.pone.0317901","journal-title":"PLoS One"},{"issue":"8","key":"4432_CR31","doi-asserted-by":"publisher","first-page":"2246","DOI":"10.1161\/strokeaha.110.611095","volume":"42","author":"BH Dobkin","year":"2011","unstructured":"Dobkin BH, Xu X, Batalin M, Thomas S, Kaiser W (2011) Reliability and validity of bilateral ankle accelerometer algorithms for activity recognition and walking speed after stroke. Stroke 42(8):2246\u20132250. https:\/\/doi.org\/10.1161\/strokeaha.110.611095","journal-title":"Stroke"},{"issue":"1","key":"4432_CR32","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1177\/1545968310374189","volume":"25","author":"SK Prajapati","year":"2011","unstructured":"Prajapati SK, Gage WH, Brooks D, Black SE, McIlroy WE (2011) A novel approach to ambulatory monitoring: investigation into the quantity and control of everyday walking in patients with subacute stroke. Neurorehabil Neural Repair 25(1):6\u201314. https:\/\/doi.org\/10.1177\/1545968310374189","journal-title":"Neurorehabil Neural Repair"},{"issue":"4","key":"4432_CR33","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1016\/j.gaitpost.2011.11.026","volume":"35","author":"RI Spain","year":"2012","unstructured":"Spain RI, St George RJ, Salarian A, Mancini M, Wagner JM, Horak FB, Bourdette D (2012) Body-worn motion sensors detect balance and gait deficits in people with multiple sclerosis who have normal walking speed. Gait Posture 35(4):573\u2013578. https:\/\/doi.org\/10.1016\/j.gaitpost.2011.11.026","journal-title":"Gait Posture"},{"issue":"9","key":"4432_CR34","doi-asserted-by":"publisher","first-page":"810","DOI":"10.1177\/1545968311424869","volume":"25","author":"A Weiss","year":"2011","unstructured":"Weiss A, Sharifi S, Plotnik M, van Vugt JP, Giladi N, Hausdorff JM (2011) Toward automated, at-home assessment of mobility among patients with Parkinson disease, using a body-worn accelerometer. Neurorehabil Neural Repair 25(9):810\u2013818. https:\/\/doi.org\/10.1177\/1545968311424869","journal-title":"Neurorehabil Neural Repair"},{"key":"4432_CR35","doi-asserted-by":"publisher","first-page":"90","DOI":"10.3389\/fphys.2020.00090","volume":"11","author":"D Renggli","year":"2020","unstructured":"Renggli D, Graf C, Tachatos N, Singh N, Meboldt M, Taylor WR, Stieglitz L, Daners S, M (2020) Wearable inertial measurement units for assessing gait in real-world environments. Front Physiol 11:90. https:\/\/doi.org\/10.3389\/fphys.2020.00090","journal-title":"Front Physiol"}],"container-title":["Neurosurgical Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10143-026-04432-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10143-026-04432-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10143-026-04432-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T23:42:57Z","timestamp":1786578177000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10143-026-04432-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,13]]},"references-count":35,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["4432"],"URL":"https:\/\/doi.org\/10.1007\/s10143-026-04432-5","relation":{},"ISSN":["1437-2320"],"issn-type":[{"value":"1437-2320","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,13]]},"assertion":[{"value":"18 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 June 2026","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 July 2026","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 August 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study was performed in line with the principles of the Declaration of Helsinki and its later amendments. Approval was granted by the institutional ethics committee of Heinrich Heine University D\u00fcsseldorf (registration number: 2018064730). Clinical trial number: not applicable.","order":1,"name":"Ethics","label":"Ethics approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Written informed consent was obtained from all individual participants or their legally authorized representatives prior to inclusion in the study.","order":2,"name":"Ethics","label":"Consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The manuscript does not contain identifiable individual participant data.","order":3,"name":"Ethics","label":"Consent to publish","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"521"}}