Evidence map›Paper›PMID 41490402›Full record

Trial reportPloS one2026

Effects of Square-Stepping Exercise on cognitive function in early geriatric rehabilitation: A randomized controlled explorative study.

Katja Fränzel, Jessica Koschate-Storm, Ellen Freiberger, Ryosuke Shigematsu, Tania Zieschang, Svenja Tietgen

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Katja FränzelDepartment of Geriatrics, General Hospital Bremerhaven Reinkenheide gGmbH, Bremerhaven, Germany.
Jessica Koschate-StormDepartment of Health Services Research, Faculty VI Medicine and Health Sciences, Carl von Ossietzky Universität Oldenburg, Oldenburg, Germany.ORCID https://orcid.org/0000-0002-4178-2550
Ellen FreibergerInstitute for Biomedicine of Ageing, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Nürnberg, Germany.
Ryosuke ShigematsuSchool of Health and Sport Science, Chukyo University, Toyota, Aichi, Japan.
Tania ZieschangDepartment of Health Services Research, Faculty VI Medicine and Health Sciences, Carl von Ossietzky Universität Oldenburg, Oldenburg, Germany.ORCID https://orcid.org/0000-0001-6858-4282
Svenja TietgenDepartment of Geriatrics, General Hospital Bremerhaven Reinkenheide gGmbH, Bremerhaven, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of the explorative study was to evaluate the effect of Square-Stepping Exercise (SSE) on cognitive function compared to conventional physiotherapy (cPT) in early geriatric rehabilitation. A training effect of SSE on cognitive function particularly on executive functions was expected.

methodsThis explorative study was conducted in the department of early geriatric rehabilitation in a general hospital. Fifty-eight inpatients (27 female), with a median age of 79.1 (range: 63-90) were randomized to the control group (CG, n = 29) or the intervention group (IG, n = 29). CG received cPT five days per week during their hospital stay. For the IG, SSE replaced cPT for at least six sessions throughout the hospital stay, alternating with cPT. Executive function was assessed via the test battery for attentional performance (TAP), memory function was evaluated using the digit span test.

resultsBoth groups improved in the divided attention task (total pre 9.9 missing items; total post 7.5 missing items, p = 0.011), and in the flexibility task (total pre 2034.49 ms; total post 1680.60 ms, p = 0.004). There was no specific training effect of SSE on executive functions measured with the TAP. No improvement in memory function was noted in either group.

conclusionInpatients receiving SSE combined with cPT improved similarly in cognitive domains during early geriatric rehabilitation compared with inpatients offered cPT alone. SSE can be used as an additional component in early geriatric rehabilitation, which due to its playful characteristics might be more motivational or intriguing for some inpatients.

trial registrationClinicalTrials.gov DRKS00026191.

Indexed as

CognitionExerciseExercise TherapyAgedAged, 80 and overAttentionExecutive FunctionFemaleHumansMaleMiddle Aged

Identifiers

PMID41490402
PMCPMC12768348

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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.