Evidence map›Paper›PMID 41682198›Full record

ArticleHealthcare (Basel, Switzerland)2026

High-Intensity Functional Training for Older Adults with Mobility Disabilities: A Feasibility Pilot Study.

Lyndsie M Koon, Joseph E Donnelly, Jacob J Sosnoff, Abbas Tabatabaei, Joseph R Sherman, Anna M Rice, Morgan Means, Reed Handlery, Kaci Handlery

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 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

9 authors.

Lyndsie M KoonLife Span Institute, University of Kansas, Lawrence, KS 66045, USA.ORCID 0000-0002-4362-1398
Joseph E DonnellyDivision of Physical Activity and Weight Management, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS 66160, USA.
Jacob J SosnoffDepartment of Physical Therapy, Rehabilitation Science, and Athletic Training, Landon Center on Aging, University of Kansas Medical Center, Kansas City, KS 66160, USA.
Abbas TabatabaeiSchool of Physical Therapy and Rehabilitation Sciences, Morsani College of Medicine, University of South Florida, Tampa, FL 33612, USA.ORCID 0000-0003-4640-0862
Joseph R ShermanDivision of Physical Activity and Weight Management, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS 66160, USA.
Anna M RiceDivision of Physical Activity and Weight Management, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS 66160, USA.ORCID 0009-0005-4973-7390
Morgan MeansLife Span Institute, University of Kansas, Lawrence, KS 66045, USA.
Reed HandleryArkansas Colleges of Health Education, School of Physical Therapy, Fort Smith, AR 72916, USA.ORCID 0000-0003-0064-6808
Kaci HandleryArkansas Colleges of Health Education, School of Physical Therapy, Fort Smith, AR 72916, USA.ORCID 0000-0002-7362-5939

Funding

Landon Center on Aging Pilot Projects, University of Kansas Medical Center GR 17636
6 · The paper itself

Abstract

BACKGROUND/

objectivesThere is limited empirical evidence on the feasibility of inclusive, community-based exercise programs for older adults with long-term mobility disabilities. This pilot study investigated the feasibility and preliminary effectiveness of a community-based high-intensity functional training (HIFT) intervention.

methodsThis single-group pre-post feasibility trial was delivered across four community-based HIFT facilities. Thirteen participants enrolled, and 10 (mean age 69.8 ± 6.7 years; 60% female) completed baseline assessments, two onboarding sessions, and thrice-weekly group-based workouts across 16 weeks. Physical function was assessed using the Canadian Occupational Performance Measure (COPM), Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function, Modified Falls Efficacy Scale (MFES), and standardized tests of mobility, balance, and strength. Exploratory outcomes included body mass index (BMI), waist circumference, work capacity, and quality of life (QOL).

resultsRecruitment, retention, and attendance rates were 38%, 77%, and 58% (80% including make-up sessions), respectively. The intervention was safe and well-tolerated, with one fall-related adverse event. Self-reported functional outcomes demonstrated small to large effects, with large improvements in participant-identified functional activities (

conclusionsA community-based HIFT program is feasible and acceptable for older adults with mobility disabilities.

Indexed as

adaptive exercisecommunity-based interventionfeasibilityhigh-intensity functional trainingmobility disabilityolder adultsphysical function

Identifiers

PMID41682198
PMCPMC12896604

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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.