Evidence map›Paper›PMID 40536037›Full record

Trial reportBiomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia2026

A pilot study on the feasibility and initial outcomes of a telerehabilitation system for balance and cognitive training in older adults.

Milada Luisa Sedivcova, Karla Mothejlova, Karel Hana, Jan Kaspar, Aneta Buchtelova

Abstract readRandomized Controlled TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Milada Luisa SedivcovaInformation and Communication Technology in Medicine, Faculty of Biomedical Engineering, Czech Technical University in Prague, Prague, Czech Republic.
Karla MothejlovaDepartment of Biomedical Technology, Faculty of Biomedical Engineering, Czech Technical University in Prague, Kladno, Czech Republic.
Karel HanaInformation and Communication Technology in Medicine, Faculty of Biomedical Engineering, Czech Technical University in Prague, Prague, Czech Republic.
Jan KasparInformation and Communication Technology in Medicine, Faculty of Biomedical Engineering, Czech Technical University in Prague, Prague, Czech Republic.
Aneta BuchtelovaInformation and Communication Technology in Medicine, Faculty of Biomedical Engineering, Czech Technical University in Prague, Prague, Czech Republic.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThis randomized controlled multicentric pilot study aimed to evaluate the feasibility, safety, and preliminary clinical efficacy of a home-based telerehabilitation system for improving balance and cognitive function in older adults.

methodsThe study was conducted in two four-week phases across multiple centres. In Phase A (n=18), participants were randomized into an experimental group (n=10) using a telerehabilitation balance training module (Stability Module) and a control group (n=8) receiving standard kinesiotherapy. In Phase B (n=11), a second cohort was randomized into an experimental group (n=5) receiving combined balance and cognitive training (Stability + ActiveCOG Modules) and a control group (n=6) receiving standard therapy. Outcomes were measured using the Berg Balance Scale (BBS) and Mini Mental State Examination (MMSE). Statistical analysis included paired t-tests, Fisher's exact test, Wilcoxon rank-sum test, and effect size estimation using Cohen's d.

resultsIn Phase A, both the experimental and control groups showed significant within-group improvements in balance (BBS: P=0.004 and P=0.041, respectively), with no significant difference between groups. In Phase B, the intervention group demonstrated significant within-group improvements in both balance (BBS: P=0.009) and cognitive function (MMSE: P=0.034), while between-group differences did not reach statistical significance (P≥0.05). Effect sizes in Phase B suggested substantial clinical relevance (Cohen's d>1.0).

conclusionThe study confirmed the feasibility and safety of the telerehabilitation system and highlighted its usability in home environments. While preliminary clinical improvements were observed, particularly with combined motor-cognitive training, the small sample size limits definitive conclusions. These findings support the feasibility of larger, longer-term trials to further evaluate clinical efficacy and scalability.

Indexed as

CognitionExercise TherapyPostural BalanceTelerehabilitationAgedAged, 80 and overCognitive TrainingFeasibility StudiesFemaleHumansMaleMiddle AgedPilot ProjectsTreatment Outcomebalance trainingcognitive trainingdual-task interventionolder adultstelerehabilitation

Identifiers

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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.