Evidence map›Paper›PMID 41081865›Full record

Trial reportEuropean journal of applied physiology2026

Reactive turning during walking improves in healthy older adults with a novel task-switching step exercise.

Takahito Nakamura, Takahiro Higuchi

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of applied physiology, 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. 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

2 authors.

Takahito NakamuraDepartment of Physical Therapy, School of Health and Social Services, Saitama Prefectural University, 820 San-Nomiya, Koshigaya-shi, Saitama, 343-8540, Japan. nakamura-takahito@spu.ac.jp.ORCID http://orcid.org/0000-0003-2361-2416
Takahiro HiguchiDepartment of Health Promotion Science, Tokyo Metropolitan University, Tokyo, Japan.

Funding

Japan Society for the Promotion of Science JP23K10406Saitama Prefectural University Research Grant A 23005
6 · The paper itself

Abstract

purposeOlder adults often experience difficulty maintaining balance during reactive turning while walking, which can occur unpredictably. These challenges become more pronounced when the turning direction suddenly switches from the pre-planned side to the opposite side, a phenomenon known as task-switching. This study examined whether Task-Switching Step Exercise (TSSE) designed to enhance reactive turning without requiring turning and even walking-could improve reactive turning performance under a task-switching paradigm in healthy older adults.

methods60 healthy older adults (69.9 ± 4.0 years) were pseudo-randomly assigned to one of three groups. The TSSE group prepared a step with the foot indicated by an illuminated arrow and switched feet when the arrow direction changed alongside an auditory cue. The Single-Task Step Exercise (STSE) group performed pre-planned steps as quickly as possible without task-switching. The Task-Switching Control Exercise (TSCE) group pushed a button while seated, following the task-switching paradigm. All participants completed a single 20-min exercise session. Pre- and post-tests involved 90-degree reactive turning while walking under the task-switching paradigm.

resultsFor center of mass (COM) acceleration peak, TSSE showed a greater reduction than STSE (Bonferroni-adjusted p = 0.014), but not than TSCE. A within-TSSE pre-post decrease was also observed (p = 0.025). Correlation suggested some TSSE participants executed COM movement more smoothly and safely at post-test (r = - 0.56, p = 0.01).

conclusionAlthough the effect of TSSE was modest, the exercise may contribute to improved reactive turning performance in healthy older adults by supporting COM control, even without walking or turning practice.

Indexed as

ExercisePostural BalancePsychomotor PerformanceWalkingAgedFemaleHumansMaleMiddle AgedCenter of massExerciseReactive turningStepTask-switching paradigm

Identifiers

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.