ArticleJournal of Alzheimer's disease : JAD2026
Feasibility, safety, and effects of a step training program in community-dwelling older adults with mild-to-moderate dementia: A feasibility wait-list controlled trial.
Article in Journal of Alzheimer's disease : JAD, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BackgroundStepping performance is a strong determinant of falls in older adults. Step training has been shown to be effective in improving fall-related outcomes in healthy older adults. However, step training has not been investigated in older adults with dementia.ObjectiveThis study evaluates the feasibility, safety, and effects of a step training program in community-dwelling older adults with mild-to-moderate dementia.MethodsParticipants were assigned to either a step training group or a wait-list control group. The step training group performed two 40-min exercise sessions per week, each consisting of a 5-min warm-up, 30 min of stepping exercises, and a 5-min cool-down, for 12 weeks. The control group received usual care during this time. The training involved repeatedly stepping onto specific targets on a plastic mat. The exercise intensity was progressed by increasing stepping distance and task complexity once participants could accurately complete the required steps. Feasibility, assessed as the percentage of participants completing the 12-week follow-up, safety, defined as the incidence of adverse events, and clinical outcomes were assessed.ResultsForty-seven participants (84%) completed the 12-week assessment. No adverse events were recorded. Significant improvements in choice stepping reaction time (
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