An Overview About Figure-of-Eight Walk Test in Neurological Disorders: A Scoping Review.

IF 3 Q2 CLINICAL NEUROLOGY

Neurology International Pub Date : 2025-07-21 DOI:10.3390/neurolint17070112

Gabriele Triolo, Roberta Lombardo, Daniela Ivaldi, Angelo Quartarone, Viviana Lo Buono

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Abstract

Introduction: The figure-of-eight walk test (F8WT) assesses gait on a curved path, reflecting everyday walking complexity. Despite recognized validity among elderly individuals, its application in neurological disorders remains inadequately explored. This scoping review summarizes evidence regarding F8WT use, validity, and clinical applicability among individuals with neurological disorders.

Methods: A systematic literature search was conducted in the PubMed, Scopus, Embase, and Web of Science databases. After reading the full text of the selected studies and applying predefined inclusion criteria, seven studies, involving participants with multiple sclerosis (n = 3 studies), Parkinson's disease (n = 2 studies), and stroke (n = 2 studies), were included based on pertinence and relevance to the topic.

Results: F8WT demonstrated strong reliability and validity across various neurological populations and correlated significantly with established measures of gait, balance, and disease severity. Preliminary evidence supports its ability to discriminate individuals at increased fall risk and detect subtle motor performance changes.

Discussion: The F8WT emerges as a valuable tool, capturing multifaceted gait impairments often missed by linear walking assessments. Sensitive to subtle functional changes, it is suitable for tracking disease progression and intervention efficacy.

Conclusions: F8WT is reliable and clinically relevant, effectively identifying subtle, complex walking impairments in neurological disorders.

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八字形行走测试在神经系统疾病中的研究综述：范围综述。

八字形步行测试（F8WT）评估在弯曲路径上的步态，反映日常步行的复杂性。尽管在老年个体中公认有效，但其在神经系统疾病中的应用仍未充分探索。本综述总结了F8WT在神经系统疾病患者中的使用、有效性和临床适用性的证据。方法：系统检索PubMed、Scopus、Embase和Web of Science数据库的文献。在阅读选定研究的全文并应用预定义的纳入标准后，根据与主题的针对性和相关性，纳入了7项研究，涉及多发性硬化症（n = 3项研究）、帕金森病（n = 2项研究）和中风（n = 2项研究）。结果：F8WT在各种神经学人群中表现出很强的信度和效度，并与步态、平衡和疾病严重程度的既定指标显著相关。初步证据表明，该系统能够区分跌倒风险增加的个体，并检测细微的运动表现变化。讨论：F8WT作为一种有价值的工具出现，捕捉了线性步行评估经常遗漏的多方面步态障碍。对细微的功能变化敏感，适合追踪疾病进展和干预效果。结论：F8WT可靠且具有临床相关性，可有效识别神经系统疾病中细微、复杂的行走障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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