Evidence map›Paper›PMID 40219654›Full record

Trial reportJournal of diabetes investigation2025

Effectiveness of tele-guidance for physiotherapy in older patients with type 2 diabetes: A randomized controlled trial.

Hiroaki Kataoka, Takuo Nomura, Hiroyuki Oka, Yukio Ikeda

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

Trial report in Journal of diabetes investigation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
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

4 authors.

Hiroaki KataokaDepartment of Physical Therapy, Faculty of Health Sciences, Okayama Healthcare Professional University, Okayama, Japan.ORCID https://orcid.org/0000-0002-4686-4678
Takuo NomuraDepartment of Physical Therapy, Faculty of Rehabilitation, Kansai Medical University, Osaka, Japan.ORCID https://orcid.org/0000-0001-8781-2877
Hiroyuki OkaDivision of Musculoskeletal AI System Development, Faculty of Medicine, The University of Tokyo, Tokyo, Japan.
Yukio IkedaDiabetes Center, Kochi Memorial Hospital, Kochi, Japan.

Funding

KAKENHI 15K01440KAKENHI 23K24692
6 · The paper itself

Abstract

AIMS/

introductionWhether regular intervention via modern communication tools is effective in older patients with type 2 diabetes is unclear. We aimed to determine the effects of tele-guidance for physiotherapy on muscle strength in such patients. MATERIALS AND

methodsThis randomized controlled trial was conducted at seven hospitals across Japan. The study participants were 74 older patients with type 2 diabetes randomly assigned to either the tele-guidance for physiotherapy group, which received weekly telephone interventions, or the non-intervention group. Both groups performed a combined aerobic and resistance exercise program. The intervention period was 6 months, during which the tele-guidance for physiotherapy and non-intervention groups received remote physiotherapy instruction once weekly and at the 3-month mark, respectively.

resultsKnee extension force was significantly increased in the tele-guidance for physiotherapy group (from 1.25 ± 0.52 to 1.34 ± 0.54 Nm/kg) but significantly decreased in the non-intervention group (from 1.28 ± 0.46 to 1.22 ± 0.43 Nm/kg). Hemoglobin A1c levels improved significantly in the tele-guidance for physiotherapy and non-intervention groups (from 9.5 ± 2.6 to 7.4 ± 1.6% and from 10.2 ± 2.5 to 7.6 ± 2.0%, respectively). Adherence to the physiotherapy program was significantly higher in the tele-guidance for physiotherapy group than in the non-intervention group (71.8% vs 48.6%).

conclusionsWeekly tele-guidance for physiotherapy proved effective in improving knee extension force and increasing physiotherapy adherence in older patients with type 2 diabetes. Tele-guidance may be a valuable intervention to improve muscle strength in such patients, offering a cost-effective, accessible solution for healthcare management.

Indexed as

Diabetes Mellitus, Type 2Exercise TherapyPhysical Therapy ModalitiesAgedAged, 80 and overFemaleGlycated HemoglobinHumansJapanMaleMiddle AgedMuscle StrengthTelemedicineTreatment OutcomeGlycated HemoglobinKnee extension forceOlder patients with type 2 diabetesTele‐guidance for physiotherapy

Identifiers

PMID40219654
PMCPMC12209514

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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.