Evidence map›Paper›PMID 38600478›Full record

Trial reportBMC geriatrics2024

Square-stepping exercise in older inpatients in early geriatric rehabilitation. A randomized controlled pilot study.

Katja Fränzel, Jessica Koschate, Ellen Freiberger, Ryosuke Shigematsu, Tania Zieschang, Svenja Tietgen

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07150364 (Comparison of Square Stepping Exercise and Wobble Board Exercise on Cognition, Balance and Fall Risk in Elderly Population), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
13.7field-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.

NCT07150364 narecruitingnot on this map

Comparison of Square Stepping Exercise and Wobble Board Exercise on Cognition, Balance and Fall Risk in Elderly Population

TypeinterventionalSponsorRiphah International UniversityRan2024 to 2026Enrolled38ConditionsElderly PopulationArmsSquare Stepping Exercise, Wobble Board Exercise
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

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  2. Trial
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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

6 authors at 4 institutions in 2 countries.

Katja FränzelDepartment of Geriatrics, Carl von Ossietzky Universität Oldenburg Faculty VI Medicine and Health Sciences, Department of Health Services Research, Ammerländer Heerstraße 140, Oldenburg, 26129, Germany. katja.fraenzel@uni-oldenburg.de.
Jessica KoschateDepartment of Geriatrics, Carl von Ossietzky Universität Oldenburg Faculty VI Medicine and Health Sciences, Department of Health Services Research, Ammerländer Heerstraße 140, Oldenburg, 26129, Germany.
Ellen FreibergerInstitute for Biomedicine of Ageing Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Kobergerstr. 60, 90408, Nuremberg, Germany.
Ryosuke ShigematsuSchool of Health and Sport Science, Chukyo University, 101 Tokodachi, Toyota, Aichi, 470-0393, Japan.
Tania ZieschangDepartment of Geriatrics, Carl von Ossietzky Universität Oldenburg Faculty VI Medicine and Health Sciences, Department of Health Services Research, Ammerländer Heerstraße 140, Oldenburg, 26129, Germany.
Svenja TietgenDepartment of Geriatrics, Carl von Ossietzky Universität Oldenburg Faculty VI Medicine and Health Sciences, Department of Health Services Research, Ammerländer Heerstraße 140, Oldenburg, 26129, Germany.
Carl von Ossietzky Universität Oldenburg · DEChukyo University · JPFriedrich-Alexander-Universität Erlangen-Nürnberg · DEKlinikum Bremerhaven-Reinkenheide · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreservation of mobility and fall prevention have a high priority in geriatric rehabilitation. Square-Stepping Exercise (SSE) as an evaluated and standardized program has been proven to be an effective training for older people in the community setting to reduce falls and improve subjectively perceived health status. This randomized controlled trial (RCT), for the first time, examines SSE in the context of inpatient early geriatric rehabilitation compared to conventional physiotherapy (cPT).

methodsData were collected in a general hospital in the department of acute geriatric care at admission and discharge. Fifty-eight inpatients were randomized to control (CG, n = 29) or intervention groups (IG, n = 29). CG received usual care with cPT five days per week during their hospital stay. For the IG SSE replaced cPT for at least six sessions, alternating with cPT. Physical function was measured with the Short Physical Performance Battery (SPPB) and Timed "Up & Go" (TUG). Gait speed was measured over a distance of 10 m. In a subgroup (n = 17) spatiotemporal gait parameters were analyzed via a GAITRite® system.

resultsBoth the SPPB total score improved significantly (p =  < 0.001) from baseline to discharge in both groups, as did the TUG (p < 0.001). In the SPPB Chair Rise both groups improved with a significant group difference in favor of the IG (p = 0.031). For both groups gait characteristics improved: Gait speed (p =  < 0.001), walk ratio (p = 0.011), step length (p =  < 0.001), stride length (p =  < 0.001) and double support (p = 0.009). For step length at maximum gait speed (p = 0.054) and stride length at maximum gait speed (p = 0.060) a trend in favor of the IG was visible.

conclusionsSSE in combination with a reduced number of sessions of cPT is as effective as cPT for inpatients in early geriatric rehabilitation to increase physical function and gait characteristics. In the Chair Rise test SSE appears to be superior. These results highlight that SSE is effective, and may serve as an additional component for cPT for older adults requiring geriatric acute care.

trial registrationDRKS00026191.

Indexed as

ExerciseInpatientsAgedExercise TherapyGaitHumansPilot ProjectsPostural BalanceWalkingEarly geriatric rehabilitationGait characteristicsPhysical functionSquare-Stepping Exercise

Identifiers

PMID38600478
PMCPMC11005258
OpenAlexW4394686196

What OpenQuestion holds

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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.