Evidence map›Paper›PMID 41188710›Full record

Trial reportBMC geriatrics2025

Neither uni- nor multi-modal exercise interventions improved single- and dual-task gait performance in physically active healthy elderly - a pilot study.

Constantin W Freitag, Martin Behrens, Robert Bielitzki, Tom Behrendt, Khaldoon O Al-Nosairy, Francie H Stolle, Gokulraj T Prabhakaran, Rosalie Beyer, Cynthia Moffack Djuloun, Hagen Thieme and 2 more

Erratum issuedAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Constantin W FreitagDepartment of Sport Science, Institute III, Otto von Guericke University Magdeburg, Zschokkestraße 32, Magdeburg, 39104, Germany.
Martin BehrensUniversity of Applied Sciences for Sport and Management Potsdam, Olympischer Weg 7, Potsdam, 14471, Germany.
Robert BielitzkiDepartment of Sport Science, Institute III, Otto von Guericke University Magdeburg, Zschokkestraße 32, Magdeburg, 39104, Germany.
Tom BehrendtDepartment of Sport Science, Institute III, Otto von Guericke University Magdeburg, Zschokkestraße 32, Magdeburg, 39104, Germany.
Khaldoon O Al-NosairyOphthalmic Department, Section for Clinical and Experimental Sensory Physiology, University Hospital Magdeburg, Leipziger Str. 44, Magdeburg, 39120, Germany.
Francie H StolleOphthalmic Department, Section for Clinical and Experimental Sensory Physiology, University Hospital Magdeburg, Leipziger Str. 44, Magdeburg, 39120, Germany.
Gokulraj T PrabhakaranOphthalmic Department, Section for Clinical and Experimental Sensory Physiology, University Hospital Magdeburg, Leipziger Str. 44, Magdeburg, 39120, Germany.
Rosalie BeyerOphthalmic Department, Section for Clinical and Experimental Sensory Physiology, University Hospital Magdeburg, Leipziger Str. 44, Magdeburg, 39120, Germany.
Cynthia Moffack DjulounOphthalmic Department, Section for Clinical and Experimental Sensory Physiology, University Hospital Magdeburg, Leipziger Str. 44, Magdeburg, 39120, Germany.
Hagen ThiemeOphthalmic Department, Section for Clinical and Experimental Sensory Physiology, University Hospital Magdeburg, Leipziger Str. 44, Magdeburg, 39120, Germany.
Michael B Hoffmann *Ophthalmic Department, Section for Clinical and Experimental Sensory Physiology, University Hospital Magdeburg, Leipziger Str. 44, Magdeburg, 39120, Germany.
Lutz Schega *Department of Sport Science, Institute III, Otto von Guericke University Magdeburg, Zschokkestraße 32, Magdeburg, 39104, Germany. lutz.schega@ovgu.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAging is an inevitable process leading, inter alia, to the loss of muscle mass as well as the decrease in physical and cognitive function. These age-related impairments translate into a reduced gait performance and an increased risk of falls, which can be tackled with resistance training, Unimodal intervention (UMI). However, Multimodal intervention (MMI), i.e. combined motor-cognitive and resistance training, might be a more promising approach to increase physical and cognitive function in old adults. Therefore, this pilot study aimed to investigate the effects of MMI, compared to UMI, on gait and cognitive performance in elderly participants. We hypothesized that MMI will increase gait and cognitive performance to a larger extent than UMI.

methodsIn this two-arm randomized controlled pilot study, 24 healthy active elderly participants completed the MMI (12 participants, 72.6 ± 5.4 years) and the UMI (12 participants, 70.4 ± 5.3 years). Both groups trained for 12 weeks, two times a week for 60 min, respectively. MMI consisted of motor-cognitive training directly followed by resistance training, while UMI consisted of a stand-alone resistance training. Three weeks before and after the interventions, gait performance (e.g., stride length, velocity, minimum toe clearance) was assessed during single- and dual-task walking trials using inertial measurement units. During dual-task walking, participants walked and concurrently performed different cognitive tasks in a random order: (i) reaction time task, (ii) N-back-task, and (iii) letter fluency task with two difficulty levels, respectively. Data were analyzed with repeated measures analyses of covariance (Time×Intervention×Condition).

resultsAlthough the analyses of the progression of the external load used during resistance training showed a significant increase over the training period (e.g. leg press p < 0.001,[Formula: see text]=0.678), there was no improvement of gait or cognitive performance in active old adults after neither MMI nor UMI.

conclusionAgainst our hypothesis, the present pilot study indicated that neither a 12-week MMI nor UMI seems to have a sizable impact on gait parameters and cognitive performance in physically active healthy adults. Still, a significant increase in the external load used during resistance training was observed, implying neuromuscular adaptations, which, however, did not translate into a higher gait and/or cognitive performance. CLINICAL TRIAL NUMBER: German Clinical Trial Register ID: DRKS00022519/05.08.2020

Indexed as

ExerciseExercise TherapyGaitPsychomotor PerformanceResistance TrainingAgedCognitionCognitive TrainingDual-Task TestsFemaleHumansMalePilot ProjectsAgingGaitMotor-cognitive trainingOverground walkingResistance training

Identifiers

PMID41188710
PMCPMC12584342

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.