PTOTPilotPM & R : the journal of injury, function, and rehabilitation2026

Audio-guided exercise at home: Preliminary findings from a pilot study on physical activity for people with low vision.

Luca Correale, Monica Schmid, Francesco Decortes and 5 others

PMID 41518011

WHAT IT FOUND

Audio-guided home exercise improved walking and strength in people with low vision, though supervised gym training produced greater gains.

Home audio sessions are a feasible alternative when travel or supervision is impossible, but they are not as effective as guided training.

Key findings

01Both audio-guided home training and supervised gym training significantly improved physical performance tests, with supervised training showing greater improvements in strength and aerobic capacity.

02Adherence to the audio-guided protocol was high, with participants completing more than 95% of workouts and reporting no injuries.

03Physical activity levels increased significantly in both groups, but quality of life scores for psychological functioning and visual health did not change significantly.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

The study was a pilot with a small sample size (19 completers) and non-randomized allocation based on transportation access, which introduces potential selection bias. There was a significant age difference between the groups (AUD mean 62.6 years vs SUP mean 45.8 years), which may have influenced physical performance outcomes. The intervention lasted only 12 weeks with no long-term follow-up to assess sustainability of benefits. Physical activity levels were self-reported and subject to recall bias.

Declared interests

The authors declare no competing interests.

The easy way to misread this

Do not assume audio-guided home training is equivalent to supervised training. The supervised group showed significantly greater improvements in strength and aerobic capacity, and the age difference between groups means the results cannot be directly compared as equal alternatives.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →