Trial reportArchives of physical medicine and rehabilitation2015
Improving motor control in walking: a randomized clinical trial in older adults with subclinical walking difficulty.
Trial report in Archives of physical medicine and rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 26 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Comparison of Two Exercise Interventions to Improve Gait in Older Persons: The PRIME (Program to Improve Mobility in The Elderly) Study
Variable Visual Stimulus as a Novel Approach for Gait Rehabilitation
Who cites it
26 citing papers in PubMed, 45 citations in OpenAlex.
- Effects of a Physical Therapist Intervention on GPS Indicators of Community Mobility in Older Adults: A Secondary Analysis of a Randomized Controlled Trial.Physical therapy · 2023Trial
- Effect of Timing and Coordination Training on Mobility and Physical Activity Among Community-Dwelling Older Adults: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Can cognitive-motor training improve physical functioning and psychosocial wellbeing in nursing home residents? A randomized controlled feasibility study as part of the PROCARE project.Aging clinical and experimental research · 2021Trial
- Stakeholder involvement in the design of a patient-centered comparative effectiveness trial of the "On the Move" group exercise program in community-dwelling older adults.Contemporary clinical trials · 2016Trial
- Intention-driven ankle exoskeleton training acutely alters swing foot clearance distribution: a preliminary study.Frontiers in neurorobotics · 2026Article
- On the Move in the community: Protocol for a hybrid 1 trial examining effectiveness and fidelity of a community-based group exercise program for older adults.Contemporary clinical trials · 2024Article
- Role of Walking Energetics and Perceived Fatigability Differs by Gait Speed: The Study of Muscle, Mobility and Aging (SOMMA).The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Interventions to improve outdoor mobility among people living with disabilities: A systematic review.Campbell systematic reviews · 2024Review
- Prevalence and Predictors of Ambulatory Care Physicians' Documentation of Mobility Limitations in Older Adults.Archives of physical medicine and rehabilitation · 2023Article
- The Live Long Walk Strong Rehabilitation Program Study: Design and Methods.Archives of rehabilitation research and clinical translation · 2022Article
- Methodology of a home-based motor control exercise and ergonomic intervention programme for community-dwelling older people: The McHeELP study.Journal of frailty, sarcopenia and falls · 2021Article
- Article
- Acceleration Gait Measures as Proxies for Motor Skill of Walking: A Narrative Review.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2021Review
- Program to improve mobility in aging (PRIMA) study: Methods and rationale of a task-oriented motor learning exercise program.Contemporary clinical trials · 2020Article
- Article
- A 'Movement Screening Test' of Functional Control Ability in Female Recreation Golfers and Non-Golfers over the Age of 80 Years: A Reliability Study.Journal of functional morphology and kinesiology · 2018Article
- Energy Impairments in Older Adults With Low Back Pain and Radiculopathy: A Matched Case-Control Study.Archives of physical medicine and rehabilitation · 2018Article
- Randomized Controlled Trial of Exercise to Improve Walking Energetics in Older Adults.Innovation in aging · 2018Article
- Longitudinal Associations Between Walking Speed and Amount of Self-reported Time Spent Walking Over a 9-Year Period in Older Women and Men.The journals of gerontology. Series A, Biological sciences and medical sciences · 2018Article
- Pain Energy Model of Mobility Limitation in the Older Adult.Pain medicine (Malden, Mass.) · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo test the proposed mechanism of action of a task-specific motor learning intervention by examining its effect on measures of the motor control of gait.
designSingle-blinded randomized clinical trial.
settingUniversity research laboratory.
participantsAdults (N=40) aged ≥65 years with gait speed >1.0m/s and impaired motor skill (figure-of-8 walk time >8s).
interventionsThe 2 interventions included a task-oriented motor learning and a standard exercise program; both interventions included strength training. Both lasted 12 weeks, with twice-weekly, 1-hour, physical therapist-supervised sessions.
main outcome measuresTwo measures of the motor control of gait, gait variability and smoothness of walking, were assessed pre- and postintervention by assessors masked to the treatment arm.
resultsOf 40 randomized subjects, 38 completed the trial (mean age ± SD, 77.1±6.0y). The motor learning group improved more than the standard group in double-support time variability (.13m/s vs .05m/s; adjusted difference [AD]=.006, P=.03). Smoothness of walking in the anteroposterior direction improved more in the motor learning than standard group for all conditions (usual: AD=.53, P=.05; narrow: AD=.56, P=.01; dual task: AD=.57, P=.04). Smoothness of walking in the vertical direction also improved more in the motor learning than standard group for the narrow-path (AD=.71, P=.01) and dual-task (AD=.89, P=.01) conditions.
conclusionsAmong older adults with subclinical walking difficulty, there is initial evidence that task-oriented motor learning exercise results in gains in the motor control of walking, while standard exercise does not. Task-oriented motor learning exercise is a promising intervention for improving timing and coordination deficits related to mobility difficulties in older adults, and needs to be evaluated in a definitive larger trial.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.