Evidence map›Paper›PMID 40861893›Full record

SynthesisFrontiers in physiology2025

Effects of different neuromuscular training modalities on balance performance in older adults: a systematic review and network meta-analysis.

Yuanji Zhong, Pengwei Chen, Wenhao Guo, Yongshun Wang, Yang Xue, Penghong Chen, Jingjin Liu

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in physiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. 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

7 authors.

Yuanji ZhongSchool of Physical Education and Arts, Jiangxi University of Science and Technology, Ganzhou, China.
Pengwei ChenSchool of Physical Education and Arts, Jiangxi University of Science and Technology, Ganzhou, China.
Wenhao GuoSchool of Recreational Sports and Tourism, Beijing Sport University, Beijing, China.
Yongshun WangCollege of Physical Education, Huaqiao University, Quanzhou, China.
Yang XueSchool of Physical Education and Arts, Jiangxi University of Science and Technology, Ganzhou, China.
Penghong ChenSchool of Physical Education, Zhengzhou Normal University, Zhengzhou, China.
Jingjin LiuDepartment of Cardiology, Shenzhen People's Hospital, The First Affiliated Hospital of Southern University of Science and Technology, The Second Clinical Medical College, Jinan University, Shenzhen, Guangdong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Neuromuscular training (NMT) is widely utilized to enhance balance and reduce fall risk in older adults, yet comparative effectiveness across various modalities remains unclear. This study aimed to systematically assess and rank the effects of sensorimotor training (ST), whole-body vibration training (WBVT), neurofunctional training (NT), and balance training (BT) on balance performance in older adults. Methods: A systematic review and network meta-analysis was conducted following PRISMA guidelines, including 49 randomized controlled trials with a total of 3,028 older adults. Intervention efficacy was assessed through dynamic balance (Timed Up and Go Test [TUGT], Walk Test [WT]) and static balance (Berg Balance Scale [BBS]) outcomes. Results: Significant improvements in dynamic balance (TUGT) were observed with ST (SMD = -0.92; 95% CI: -1.66, -0.18) and NT (SMD = -0.92; 95% CI: -1.44, -0.40), which ranked highest in efficacy (NT: 85.9%, ST: 83.4%). WBVT (SMD = -0.35; 95% CI: -0.69, -0.02) and BT (SMD = -0.33; 95% CI: -0.64, -0.01) also showed statistically significant, but modest effects on dynamic balance. In contrast, the effects of all interventions on static balance, as measured by the BBS, were not statistically significant, suggesting limited and inconclusive evidence regarding their impact on postural stability. Although ST ranked highest in WT (73.7%) and BT showed a favorable SUCRA value in BBS (60.2%), these rankings should be interpreted with caution. Conclusion: The corresponding effect sizes were small and not statistically significant, indicating that SUCRA reflects relative ranking probability rather than actual clinical efficacy. Therefore, the potential benefits for improving static balance and walking speed remain limited and inconclusive. ST and NT were identified as the most effective NMT modalities for significantly enhancing dynamic balance in older adults, indicating their suitability for targeted interventions in fall prevention strategies. Systematic Review Registration: https://inplasy.com/inplasy-2025-4-0015/, identifier INPLASY202540015.

Indexed as

balance performancefall preventionnetwork meta-analysisneuromuscular trainingolder adults

Identifiers

PMID40861893
PMCPMC12370742

What OpenQuestion holds

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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.