Evidence map›Paper›PMID 41818188›Full record

Trial reportPloS one2026

Brief daily functional strength training to improve functional performance in older adults with mobility disability: A randomized trial.

Smita Dandekar, Jordan Kurth, Yimeng Shang, Jonathan G Stine, Matthew A Ladwig, David E Conroy, Kathryn H Schmitz, Liza S Rovniak, Matthew Silvis, Margaret Danilovich and 4 more

Registry-linked trialAbstract 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. It is linked to trial NCT05697497 (A Brief Digital Exercise Program to Improve Physical Function Among Older Adults), which is not on this 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.

NCT05697497 nacompletednot on this map

A Brief Digital Exercise Program to Improve Physical Function Among Older Adults

TypeinterventionalSponsorMilton S. Hershey Medical CenterRan2021 to 2022Enrolled102ConditionsWalking, DifficultyArmsDaily exercise intervention
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

14 authors.

Smita DandekarDepartment of Pediatrics, Division of Hematology and Oncology, Penn State Health Golisano, Children's Hospital, Hershey, Pennsylvania, United States of America.ORCID https://orcid.org/0000-0001-9410-1248
Jordan KurthDepartment of Medicine, Division of General Internal Medicine, Penn State College of Medicine, Hershey, Pennsylvania, United States of America.ORCID https://orcid.org/0000-0001-6739-0726
Yimeng ShangDepartment of Public Health Sciences, Division of Biostatistics and Bioinformatics, Penn State College of Medicine, Hershey, Pennsylvania, United States of America.ORCID https://orcid.org/0000-0003-3770-4143
Jonathan G StineDepartment of Medicine, Division of Gastroenterology and Hepatology, Penn State Health-Milton S. Hershey Medical Center, Hershey, Pennsylvania, United States of America.
Matthew A LadwigDepartment of Biological Sciences and Integrative Physiology and Health Sciences Center, Purdue University Northwest, Hammond, Indiana, United States of America.
David E ConroySchool of Kinesiology, University of Michigan, Ann Arbor, Michigan, United States of America.
Kathryn H SchmitzDepartment of Medicine, Division of Hematology and Oncology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States of America.
Liza S RovniakDepartment of Medicine, Division of General Internal Medicine, Penn State College of Medicine, Hershey, Pennsylvania, United States of America.
Matthew SilvisDepartments of Orthopedics and Rehabilitation and Family and Community Medicine, Pennsylvania State Health-Milton S. Hershey Medical Center, Hershey, Pennsylvania, United States of America.
Margaret DanilovichDepartment of Physical Therapy and Human Movement Science, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, United States of America.
Noel BallentineDepartment of Medicine, Division of General Internal Medicine, Penn State College of Medicine, Hershey, Pennsylvania, United States of America.
Natalia Pierwola-GawinDepartment of Medicine, Division of General Internal Medicine, Penn State College of Medicine, Hershey, Pennsylvania, United States of America.
Shouhao ZhouDepartment of Public Health Sciences, Division of Biostatistics and Bioinformatics, Penn State College of Medicine, Hershey, Pennsylvania, United States of America.
Christopher SciamannaDepartment of Medicine, Division of General Internal Medicine, Penn State College of Medicine, Hershey, Pennsylvania, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMobility disability is associated with functional decline in older adults. Resistance training (RT) improves mobility disability, but adherence to national RT guidelines is poor. We evaluated the effects of a 12-week brief, home-based functional RT program, FAST (Functional Activity Strength Training)-2, on adherence and functional impairment in older, inactive adults ≥ 65 years of age, with pre-existing walking difficulty.

methodsEligible older adults were randomized using stratified assignment based on biological sex and age (65-72 and 73+) to either the FAST-2 intervention involving a 4-minute daily workout of four exercises lasting 30 seconds each or the delayed treatment control condition. Video coaching at baseline and at weeks 2, 4 and 8, provided feedback on exercise form, modifications and progression. Daily email reminders were sent for workout completion, and to report exercise performance and rate perceived exertion. Performance and adherence feedback were emailed biweekly. Functional performance was measured by video using the Five-Times Sit-to-Stand (FTSTS) test, One-Legged Stance Test (OLST) and the 30-second chair stand test at baseline and at weeks 6 and 12.

resultsNinety-seven participants were randomized to either the FAST-2 treatment intervention (n = 44) or the delayed treatment control condition (n = 53). The linear mixed-effect model showed the intervention group decreased the FTSTS by 2.3 seconds (95% CI: 0.5-4.1, p = 0.01), increased OLST by 3.6 seconds (95% CI: 0.6-6.5, p = 0.02) and increased the number of chair stands by 4.2 repetitions (95% CI: 2.8-5.7, p < 0.001) more than the control group over 12 weeks. Intervention participants completed the workout 81% of the days. No significant adverse events were reported.

conclusionThe 12-week FAST-2 intervention, including only 60-seconds of lower extremity exercises in older individuals with pre-existing walking difficulty, yielded improvement in functional performance.

trial registrationClinicalTrials.gov: ID NCT05697497 Study Details | NCT05697497 | Functional Activity Strength Training | ClinicalTrials.gov.

Indexed as

Mobility LimitationPersons with DisabilitiesPhysical Functional PerformanceResistance TrainingAgedFemaleHumansMale

Identifiers

PMID41818188
PMCPMC12981469

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Registered trials

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.