Evidence map›Paper›PMID 38700122›Full record

Trial reportAdvanced biology2025

Effects of Dalcroze Eurhythmics Exercise Versus Multicomponent Exercise on Physical and Cognitive Function, and Falls in Older Adults: The EPHYCOS Randomized Controlled Trial.

Mélany Hars, Natalia Fernandez, François Herrmann, René Rizzoli, Serge Ferrari, Christophe Graf, Patrik Vuilleumier, Andrea Trombetti

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Advanced biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Trial
  2. Review
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

8 authors.

Mélany HarsDivision of Bone Diseases, Department of Medicine, Geneva University Hospitals and Faculty of Medicine, Geneva, 1205, Switzerland.
Natalia FernandezLaboratory for Behavioral Neurology and Imaging of Cognition, Department of Neuroscience, Faculty of Medicine, University of Geneva, Geneva, 1205, Switzerland.
François HerrmannDivision of Geriatrics and Rehabilitation, Department of Rehabilitation and Geriatrics, Geneva University Hospitals and Faculty of Medicine, Geneva, 1226, Switzerland.
René RizzoliDivision of Bone Diseases, Department of Medicine, Geneva University Hospitals and Faculty of Medicine, Geneva, 1205, Switzerland.
Serge FerrariDivision of Bone Diseases, Department of Medicine, Geneva University Hospitals and Faculty of Medicine, Geneva, 1205, Switzerland.
Christophe GrafDivision of Geriatrics and Rehabilitation, Department of Rehabilitation and Geriatrics, Geneva University Hospitals and Faculty of Medicine, Geneva, 1226, Switzerland.
Patrik VuilleumierLaboratory for Behavioral Neurology and Imaging of Cognition, Department of Neuroscience, Faculty of Medicine, University of Geneva, Geneva, 1205, Switzerland.
Andrea TrombettiDivision of Bone Diseases, Department of Medicine, Geneva University Hospitals and Faculty of Medicine, Geneva, 1205, Switzerland.ORCID https://orcid.org/0000-0002-0540-7024

Funding

FROMO FoundationHôpitaux Universitaires de Genève PRD 18-I-2012Panacée FoundationSchweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung #32003B_166690
6 · The paper itself

Abstract

Currently, robust evidence is lacking to support one exercise type over another in the prevention of physical and cognitive decline and falls among older adults, primarily because of the lack of comparative trials of proven interventions. Therefore, a 12-month randomized, single-blind, comparative effectiveness trial is conducted, in which 142 older adults at high risk for falls are randomized (1:1) to receive an evidence-based Dalcroze Eurhythmics (DE) exercise program (once weekly, group-based) or an evidence-based multicomponent (MULTI) exercise program incorporating balance, functional, and strength training activities (twice weekly, group- and home-based), for 12 months. The primary outcome is gait variability under dual-task at 12 months. At 12 months, the DE group has significant improvements compared with MULTI group on gait under both dual-task (adjusted β for stride variability: -2.3, 95%CI, -3.1 to -1.4; p < 0.001) and single-task, and on a variety of secondary physical and cognitive/executive function outcomes. The adjusted hazard ratio for falls is 0.58 (95%CI, 0.37 to 0.93) for the DE group compared with MULTI group. In conclusion, DE exercise is more effective than MULTI exercise in improving physical and cognitive function and reducing falls in older adults. The mechanisms underlying DE exercise-induced benefits remain to be fully elucidated.

Indexed as

Accidental FallsCognitionExerciseExercise TherapyAgedAged, 80 and overFemaleGaitHumansMalePostural BalanceSingle-Blind Methodagingcognitive functionexercisefallsphysical function

Identifiers

PMID38700122
PMCPMC12175750

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Registered trials

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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.