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ArticleJMIR research protocols2025

Effectiveness of Synchronous Telerehabilitation Versus Face-to-Face Physical Therapy in Older Adults Who Are Frail: Protocol for a Randomized Controlled Trial.

Igor Cigarroa, Daniel Reyes-Molina, Felipe Vargas-Rios, Gustavo López-Alarcón, Sergio Jara-Aceituno, Cristobal Riquelme-Hernández, Rafael Zapata-Lamana, María Antonia Parra-Rizo

2 registry-linked trialsAbstract readClinical Trial Protocol
In one paragraph

Article in JMIR research protocols, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this 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.

NCT06784245 nanot yet recruitingnot on this map

Effectiveness of Synchronous Telerehabilitation Versus Face-To-Face Physical Therapy on Physical Fitness, Functional Status, and Quality of Life in Frail Older Adults

TypeinterventionalSponsorMarina AlvaradoRan2025 to 2025Enrolled58ConditionsFrailty At Older AdultsArmsTeleActivate
NCT07561021 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

High-technology TeleRehabilitation for the Treatment of the FRAgile Patient

TypeinterventionalSponsorUniversity of SalernoRan2026 to 2027Enrolled70ConditionsHeart Failure, Prefrail Elderly, Frail Elderly SyndromeArmsTelerehabilitation, Caregiver-Supervised Home Exercise Program
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

8 authors.

Igor CigarroaEscuela de Kinesiología, Facultad de Ciencias de la Salud, Universidad Católica Silva Henríquez, Santiago, Chile.ORCID 0000-0003-0418-8787
Daniel Reyes-MolinaEscuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Santiago, Chile.ORCID 0000-0003-0068-2438
Felipe Vargas-RiosEscuela de Kinesiología, Facultad de Ciencias de la Salud, Universidad Católica Silva Henríquez, Santiago, Chile.ORCID 0000-0001-7561-9914
Gustavo López-AlarcónEscuela de Kinesiología, Facultad de Ciencias de la Salud, Universidad Católica Silva Henríquez, Santiago, Chile.ORCID 0009-0003-9172-5954
Sergio Jara-AceitunoEscuela de Kinesiología, Facultad de Ciencias de la Salud, Universidad Católica Silva Henríquez, Santiago, Chile.ORCID 0000-0003-4134-3993
Cristobal Riquelme-HernándezEscuela de Kinesiología, Facultad de Ciencias de la Salud, Universidad Arturo Prat, Victoria, Chile.ORCID 0000-0002-1563-7229
Rafael Zapata-LamanaEscuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Santiago, Chile.ORCID 0000-0002-4729-1680
María Antonia Parra-RizoFaculty of Health Sciences, Valencian International University, Valencia, Spain.ORCID 0000-0002-1986-1148

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlder adults who are frail face significant barriers to physical activity, and innovative solutions such as synchronous telerehabilitation (STR) may provide a viable alternative to traditional face-to-face programs. However, less is known about its effectiveness compared to a face-to-face program.

objectiveThis study aims to compare the effectiveness of an STR program versus a face-to-face physical therapy (FPT) program in the primary outcomes (lower body strength and cardiorespiratory fitness) and secondary outcomes (upper limb strength, dynamic balance, static balance, number of steps, functional status, and quality of life) in older adults who are frail.

methodsIn a randomized, blinded, parallel-group controlled trial, all older adults who are frail and aged ≥60 years of both sexes from the Los Angeles Comprehensive Center for Older Adults will be invited to participate. A total of 58 older adults who are frail (aged ≥60 years) meeting the eligibility criteria will be randomly assigned to either an STR group (n=29, 50%) or an FPT group (n=29, 50%). Participants will engage in 1-hour multicomponent exercise sessions twice weekly for 12 weeks. The telerehabilitation group will participate via videoconferencing, supervised remotely by technical staff, while the face-to-face group will attend in-person sessions. Outcomes will include lower limb strength (sit-to-stand test), cardiorespiratory fitness (2-minute step test), upper limb strength (grip strength test), balance (Timed Up and Go, and single-leg stance), quality of life (36-item brief health survey), functional status (functional independence measure), and daily steps (pedometer).

resultsRecruitment will be conducted from April to May 2025. The intervention will run from June to August 2025, follow-up assessments will be completed by September 2025, and data analysis will be finalized by December 2025. Manuscript drafting and submission are planned for March 2026. We hypothesize that STR will yield equal or superior improvements in both primary and secondary outcomes compared to FPT in older adults who are frail.

conclusionsSTR is emerging as a viable and effective alternative to in-person physical therapy for older adults with frailty. This approach has the potential to improve physical condition and functional and quality of life indicators, overcoming geographical and logistical barriers and optimizing therapeutic resources.

trial registrationClinicalTrials.gov NCT06784245; https://clinicaltrials.gov/study/NCT06784245. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/72318.

Indexed as

Frail ElderlyPhysical Therapy ModalitiesTelerehabilitationAgedAged, 80 and overCardiorespiratory FitnessFemaleHumansMaleMiddle AgedQuality of LifeRandomized Controlled Trials as TopicTreatment Outcomefragilityfunctional statusolder personphysical fitnessquality of lifetelerehabilitation

Identifiers

PMID40957013
PMCPMC12485262

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.