Evidence map›Paper›PMID 42424561›Full record

Trial reportJMIR aging2026

A Novel Multisegmental Individual-Based Exercise Approach for Postural Dysfunction and Balance Impairment in Older Adults: Randomized Controlled Trial.

Filza Shoukat, Syed Shakil Ur Rehman

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in JMIR aging, 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

2 authors.

Filza Shoukat *Faculty of Rehabilitation and Allied Health Sciences, Riphah International University, 6 M Gulberg III Ferozepur Road Lahore, Lahore, 54600, Pakistan, 92 51591289.ORCID http://orcid.org/0000-0002-5329-436X
Syed Shakil Ur Rehman *Faculty of Rehabilitation and Allied Health Sciences, Riphah International University, 6 M Gulberg III Ferozepur Road Lahore, Lahore, 54600, Pakistan, 92 51591289.ORCID http://orcid.org/0000-0002-6682-9896

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Age-related decline in mobility and balance substantially increases the risk of falls in older adults. Evidence-based exercise programs are recommended, but their effectiveness requires further evaluation. Objective: The study aimed to find out the effectiveness of multisegmental individual-based exercise program (MIBEX) approach for postural dysfunction and balance impairment in older adults. Methods: A 2-arm, single-blinded randomized controlled trial was conducted with 113 community-dwelling adults aged 65 years or older (exercise group, n=56; control group, n=57). Participants in the intervention arm received MIBEX, while the control group received postural education via video. Outcomes included the Timed Up and Go test, tragus-to-wall test, Mini-Balance Evaluation Systems Test, and postural sway, measured at baseline and 3 postintervention time points. Between-group comparisons were analyzed using the Mann-Whitney U test with effect sizes (r) and 95% CIs. Results: Significant between-group differences were observed across all outcomes (P<.01). The exercise group showed improvements in the Timed Up and Go test (median reduction from 15, IQR 13-19 to 10, IQR 8-12 s) compared with controls (15, IQR 13-18 to 12, IQR 10-14 s), with a large effect size (r=0.65, 95% CI 0.45-0.80). Tragus-to-wall test performance improved markedly in the intervention group (median increase from 41, IQR 36-47 to 49, IQR 44-54 cm) versus controls (40, IQR 35-46 to 37, IQR 31-43 cm; r=0.52, 95% CI 0.30-0.70). Mini-Balance Evaluation Systems Test scores declined in controls but improved in the intervention group (r=0.48, 95% CI 0.25-0.66). Postural sway demonstrated moderate improvement (r=0.40, 95% CI 0.18-0.58). Conclusions: These findings indicate that the MIBEX produced significantly greater improvements in mobility, balance, and postural stability compared with usual care, highlighting its potential as an effective intervention for older adults.

Indexed as

Exercise TherapyPostural BalanceAccidental FallsAgedAged, 80 and overFemaleHumansMaleSingle-Blind Methodbalanceexerciseold agephysical functionposture

Identifiers

PMID42424561
PMCPMC13349224

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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.