Effect of peripheral field loss on gait performance: a systematic review and meta-analysis

BackgroundThe peripheral visual field provides essential environmental information for safe locomotion. Deficits in peripheral field can adversely affect gait performance and safety. This review aimed to consolidate current knowledge on the impact of peripheral field loss on gait and to identify the...

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Main Authors: Shuwen Jia, Umar Muhammad Bello, Mei Zhao, Anqi Lyu, Ginny H. T. Wong, Benjamin Thompson, Allen Ming Yan Cheong
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2025.1612793/full
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author Shuwen Jia
Umar Muhammad Bello
Umar Muhammad Bello
Mei Zhao
Anqi Lyu
Ginny H. T. Wong
Benjamin Thompson
Benjamin Thompson
Allen Ming Yan Cheong
Allen Ming Yan Cheong
Allen Ming Yan Cheong
author_facet Shuwen Jia
Umar Muhammad Bello
Umar Muhammad Bello
Mei Zhao
Anqi Lyu
Ginny H. T. Wong
Benjamin Thompson
Benjamin Thompson
Allen Ming Yan Cheong
Allen Ming Yan Cheong
Allen Ming Yan Cheong
author_sort Shuwen Jia
collection DOAJ
description BackgroundThe peripheral visual field provides essential environmental information for safe locomotion. Deficits in peripheral field can adversely affect gait performance and safety. This review aimed to consolidate current knowledge on the impact of peripheral field loss on gait and to identify the key parameters for gait assessment.MethodsA comprehensive systematic search was conducted across AMED, CINAHL, PubMed, Scopus, and Web of Science databases, supplemented by a manual search on Google Scholar, covering the period up to November 2023. Eligible studies examining the relationship between peripheral field loss and gait performance were summarized and methodologically assessed using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) quality rating tool. Meta-analysis was conducted using the Comprehensive Meta-analysis (CMA) software.ResultsThe review included 23 studies with a total of 3,085 participants. The average STROBE score was 19, ranging from 15 to 21. Walking speed was the most frequently assessed gait parameter, with peripheral field loss significantly associated with reduced walking speed (r = 0.40, p < 0.001). In addition, peripheral field loss correlated with an increased number of collisions, indicating compromised mobility safety. Moreover, alterations in spatiotemporal gait parameters, such as stride length and cadence, were also linked to peripheral field loss.ConclusionPeripheral field loss is significantly associated with reduced walking speeds, altered gait characteristics, and impaired mobility safety during locomotion. Future research should adopt a standardized set of gait and mobility metrics to enhance cross-study comparisons among diverse patient populations.Systematic Review RegistrationCRD42022297071.
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spelling doaj-art-0f94e40b0c6b4d42859fc9675f4b12552025-08-20T02:31:27ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2025-06-011910.3389/fnins.2025.16127931612793Effect of peripheral field loss on gait performance: a systematic review and meta-analysisShuwen Jia0Umar Muhammad Bello1Umar Muhammad Bello2Mei Zhao3Anqi Lyu4Ginny H. T. Wong5Benjamin Thompson6Benjamin Thompson7Allen Ming Yan Cheong8Allen Ming Yan Cheong9Allen Ming Yan Cheong10School of Optometry, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, ChinaInnoHK, Centre for Eye and Vision Research Limited, Hong Kong Science Park, Hong Kong, Hong Kong SAR, ChinaDepartment of Physiotherapy and Paramedicine, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, United KingdomSchool of Optometry, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, ChinaSchool of Optometry, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, ChinaInnoHK, Centre for Eye and Vision Research Limited, Hong Kong Science Park, Hong Kong, Hong Kong SAR, ChinaInnoHK, Centre for Eye and Vision Research Limited, Hong Kong Science Park, Hong Kong, Hong Kong SAR, ChinaSchool of Optometry and Vision Science, University of Waterloo, Waterloo, ON, CanadaSchool of Optometry, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, ChinaInnoHK, Centre for Eye and Vision Research Limited, Hong Kong Science Park, Hong Kong, Hong Kong SAR, ChinaResearch Centre for SHARP Vision, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, ChinaBackgroundThe peripheral visual field provides essential environmental information for safe locomotion. Deficits in peripheral field can adversely affect gait performance and safety. This review aimed to consolidate current knowledge on the impact of peripheral field loss on gait and to identify the key parameters for gait assessment.MethodsA comprehensive systematic search was conducted across AMED, CINAHL, PubMed, Scopus, and Web of Science databases, supplemented by a manual search on Google Scholar, covering the period up to November 2023. Eligible studies examining the relationship between peripheral field loss and gait performance were summarized and methodologically assessed using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) quality rating tool. Meta-analysis was conducted using the Comprehensive Meta-analysis (CMA) software.ResultsThe review included 23 studies with a total of 3,085 participants. The average STROBE score was 19, ranging from 15 to 21. Walking speed was the most frequently assessed gait parameter, with peripheral field loss significantly associated with reduced walking speed (r = 0.40, p < 0.001). In addition, peripheral field loss correlated with an increased number of collisions, indicating compromised mobility safety. Moreover, alterations in spatiotemporal gait parameters, such as stride length and cadence, were also linked to peripheral field loss.ConclusionPeripheral field loss is significantly associated with reduced walking speeds, altered gait characteristics, and impaired mobility safety during locomotion. Future research should adopt a standardized set of gait and mobility metrics to enhance cross-study comparisons among diverse patient populations.Systematic Review RegistrationCRD42022297071.https://www.frontiersin.org/articles/10.3389/fnins.2025.1612793/fullmobilitywalking speedgait performancesafetyvisual fieldperipheral vision loss
spellingShingle Shuwen Jia
Umar Muhammad Bello
Umar Muhammad Bello
Mei Zhao
Anqi Lyu
Ginny H. T. Wong
Benjamin Thompson
Benjamin Thompson
Allen Ming Yan Cheong
Allen Ming Yan Cheong
Allen Ming Yan Cheong
Effect of peripheral field loss on gait performance: a systematic review and meta-analysis
Frontiers in Neuroscience
mobility
walking speed
gait performance
safety
visual field
peripheral vision loss
title Effect of peripheral field loss on gait performance: a systematic review and meta-analysis
title_full Effect of peripheral field loss on gait performance: a systematic review and meta-analysis
title_fullStr Effect of peripheral field loss on gait performance: a systematic review and meta-analysis
title_full_unstemmed Effect of peripheral field loss on gait performance: a systematic review and meta-analysis
title_short Effect of peripheral field loss on gait performance: a systematic review and meta-analysis
title_sort effect of peripheral field loss on gait performance a systematic review and meta analysis
topic mobility
walking speed
gait performance
safety
visual field
peripheral vision loss
url https://www.frontiersin.org/articles/10.3389/fnins.2025.1612793/full
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