Evidence map›Paper›PMID 30016948›Full record

Trial reportBMC geriatrics2018

The effectiveness of functional task exercise and physical therapy as prevention of functional decline in community dwelling older people with complex health problems.

Petra C Siemonsma, Jeanet W Blom, Hedwig Hofstetter, Ariëtte T H van Hespen, Jacobijn Gussekloo, Yvonne M Drewes, Nico L U van Meeteren

Open access · goldAbstract readObservational StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 5 pooled it
1.9field-weighted citation impact, top 16% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 5 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  6. Article
  7. Is functional training functional? a systematic review of its effects in community-dwelling older adults.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2024
    Review
  8. Article
  9. Article
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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

7 authors at 3 institutions in 1 country.

Petra C SiemonsmaTNO Healthy Living, Leiden, Schipholweg 77-89, 2316, ZL, Leiden, The Netherlands.
Jeanet W BlomDepartment of Public Health and Primary Care (V0-P), Leiden University Medical Center, Postbox 9600, 2300, RC, Leiden, The Netherlands. J.W.Blom@lumc.nl.
Hedwig HofstetterTNO Healthy Living, Leiden, Schipholweg 77-89, 2316, ZL, Leiden, The Netherlands.
Ariëtte T H van HespenTNO Healthy Living, Leiden, Schipholweg 77-89, 2316, ZL, Leiden, The Netherlands.
Jacobijn GusseklooDepartment of Gerontology and Geriatrics, Leiden University Medical Center, Leiden, The Netherlands.
Yvonne M DrewesDepartment of Gerontology and Geriatrics, Leiden University Medical Center, Leiden, The Netherlands.
Nico L U van MeeterenTNO Healthy Living, Leiden, Schipholweg 77-89, 2316, ZL, Leiden, The Netherlands.
Leiden University Medical Center · NLNetherlands Consortium for Healthy Ageing · NLHealth Holland · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA physically active lifestyle in older people contributes to the preservation of good health. We assessed the influence of physiotherapy on daily functioning among community dwelling older people (75+) with complex health problems identified with screening, versus usual care. We also compared functional task exercise (FTE), with problems prioritized by older people, trained in the home environment, versus usual preventive physical therapy (PPT).

methodsDesign: FTE and PPT were compared in a randomized controlled trial (RCT). Both interventions were compared with daily functioning in an observational study: control group. SETTING/

participantsCommunity-dwelling persons aged ≥75 years with daily activity limitations enlisted in 83 general practices (n = 155).

interventionsBoth intervention groups (FTE, n = 76 and PPT, n = 79) received individual, 30 min treatments. The control group (n = 228) did not get any experimental intervention offered. MEASUREMENTS: Groningen Activities of Daily Living Restriction Scale (GARS). STATISTICAL ANALYSES: Linear Mixed Model analysis, correcting for age, sex, baseline scores and clustering by physiotherapist were used to compare the different groups.

resultsAt baseline, 74% percent of the intervention trial group was female vs 79% in the control group. Median ages were 83.9 and 84.7 respectively. The median baseline GARS-score for the control group was 41.0 (25 and 75 percentile): 35.0; 48.0) and 40.0 (25 and 75 percentile: 32.3; 46.0) for the intervention group (FTE + PPT). The mean change over time was 3.3 (2.5; 4.1) for the control group. Mean difference in change over time between the intervention (FTE + PPT) and the control group was - 2.5 (- 4.3; - 0.6) (p = .009). Between FTE and PPT the difference in change was - 0.4 (95% CI: -2.3; 3.0, p = 0.795).

conclusionAn exercise intervention led by physiotherapists may slow down decline in self-reported daily functioning in older persons with daily activity limitations, identified by pro-active case finding.

trial registrationNetherlands trial register ( NTR2407 ). Registered 6th of July 2010.

Indexed as

Health StatusActivities of Daily LivingAgedAged, 80 and overExerciseExercise TherapyFemaleHumansIndependent LivingMaleNetherlandsPhysical Therapy ModalitiesPsychomotor PerformanceTreatment OutcomeExerciseFunctional trainingOlder people

Identifiers

PMID30016948
PMCPMC6050649
OpenAlexW2884245825

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.