Evidence map›Paper›PMID 26673919›Full record

Trial reportPloS one2015

Interactive Cognitive-Motor Step Training Improves Cognitive Risk Factors of Falling in Older Adults - A Randomized Controlled Trial.

Daniel Schoene, Trinidad Valenzuela, Barbara Toson, Kim Delbaere, Connie Severino, Jaime Garcia, Thomas A Davies, Frances Russell, Stuart T Smith, Stephen R Lord

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06076915 (Usability and Feasibility Trial of an Exergame-based Occupational Health Intervention at Two Swiss Workforce Companies), which is not on this map. Cited by 61 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 15 pooled it
22.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

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.

2 · The registry

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.

NCT06076915 nacompletednot on this mapstarted 2021, after this paper: background citation

Usability and Feasibility Trial of an Exergame-based Occupational Health Intervention at Two Swiss Workforce Companies

TypeinterventionalSponsorSwiss Federal Institute of TechnologyRan2021 to 2021Enrolled22ConditionsHealthyArmsExergame training
3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 15 syntheses or guidelines pooled it, 149 citations in OpenAlex.

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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 3 countries.

Daniel SchoeneNeuroscience Research Australia, University of New South Wales, Sydney, Australia.
Trinidad ValenzuelaNeuroscience Research Australia, University of New South Wales, Sydney, Australia.
Barbara TosonNeuroscience Research Australia, University of New South Wales, Sydney, Australia.
Kim DelbaereNeuroscience Research Australia, University of New South Wales, Sydney, Australia.
Connie SeverinoNeuroscience Research Australia, University of New South Wales, Sydney, Australia.
Jaime GarciamHealth Laboratory, iNEXT, University of Technology Sydney, Sydney, Australia.
Thomas A DaviesNeuroscience Research Australia, University of New South Wales, Sydney, Australia.
Frances RussellRSL LifeCare Chair of Ageing, Australian Catholic University, Sydney, Australia.
Stuart T SmithNeuroscience Research Australia, University of New South Wales, Sydney, Australia.
Stephen R LordNeuroscience Research Australia, University of New South Wales, Sydney, Australia.
Neuroscience Research Australia · AUUNSW Sydney · AUAustralian Catholic University · AUFinis Terrae University · CLFriedrich-Alexander-Universität Erlangen-Nürnberg · DEUniversity of Technology Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInteractive cognitive-motor training (ICMT) requires individuals to perform both gross motor movements and complex information processing. This study investigated the effectiveness of ICMT on cognitive functions associated with falls in older adults.

methodsA single-blinded randomized controlled trial was conducted in community-dwelling older adults (N = 90, mean age 81.5±7) without major cognitive impairment. Participants in the intervention group (IG) played four stepping games that required them to divide attention, inhibit irrelevant stimuli, switch between tasks, rotate objects and make rapid decisions. The recommended minimum dose was three 20-minute sessions per week over a period of 16 weeks unsupervised at home. Participants in the control group (CG) received an evidence-based brochure on fall prevention. Measures of processing speed, attention/executive function (EF), visuo-spatial ability, concerns about falling and depression were assessed before and after the intervention.

resultsEighty-one participants (90%) attended re-assessment. There were no improvements with respect to the Stroop Stepping Test (primary outcome) in the intervention group. Compared to the CG, the IG improved significantly in measures of processing speed, visuo-spatial ability and concern about falling. Significant interactions were observed for measures of EF and divided attention, indicating group differences varied for different levels of the covariate with larger improvements in IG participants with poorer baseline performance. The interaction for depression showed no change for the IG but an increase in the CG for those with low depressive symptoms at baseline. Additionally, low and high-adherer groups differed in their baseline performance and responded differently to the intervention. Compared to high adherers, low adherers improved more in processing speed and visual scanning while high-adherers improved more in tasks related to EF.

conclusionsThis study shows that unsupervised stepping ICMT led to improvements in specific cognitive functions associated with falls in older people. Low adherers improved in less complex functions while high-adherers improved in EF.

trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12613000671763.

Indexed as

CognitionWalkingAccidental FallsAgedAged, 80 and overExercise Movement TechniquesFemaleHumansMalePsychomotor Performance

Identifiers

PMID26673919
PMCPMC4682965
OpenAlexW2217398503

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.