Research Summary
Analyzed using Evidence Intelligence™

Cognitive-motor training improves cognitive function in diabetes.

Last updated August 24, 2026

Key finding

CMDBT produced greater cognitive improvement than CVPT, with a large effect size (Cohen's d = 0.85 post-test, 0.88 at follow-up).

Cognitive-motor dual-task training (CMDBT) was found to enhance cognitive function more effectively than conventional physiotherapy in patients with type 2 diabetes mellitus (T2DM).

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

Cognitive-motor dual-task training (CMDBT) was found to enhance cognitive function more effectively than conventional physiotherapy in patients with type 2 diabetes mellitus (T2DM).

Clinical relevance

Improving cognitive function in T2DM patients is crucial as it can enhance their overall quality of life and ability to manage their condition. The findings suggest that incorporating cognitive-motor dual-task training into rehabilitation programs may provide a more effective approach to address cognitive decline associated with diabetes.

Keep in mind

Study design may limit generalizability due to specific population characteristics. Sample size and demographic diversity were not detailed, affecting broader applicability. Effectiveness of interventions may vary in different settings or populations.

Published in

Journal Reference

Publication details and source links for this paper.

Ramesh CP, J. AR, A. Y. Cognitive-motor dual-task training is more successful than conventional physiotherapy programs at enhancing cognitive function in T2DM patients. Journal of Education and Health Promotion. 2026;15:163. doi:10.4103/jehp.jehp_1068_25

Main Effects

CMDBT resulted in a significant increase in MoCA scores (3.32 points, p = 0.003) compared to CVPT.

No significant difference in psychological quality of life scores between CMDBT and CVPT (p = 0.315).

Both interventions improved psychological quality of life, but without significant between-group differences.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Dual-task balance exercise, Exercise therapy and Change in Montreal Cognitive Assessment (MoCA) Score, WHO QoL-BREF Psychological Domain Score.

Primary intervention

Dual-task balance exercise

Primary outcomes

  • Change in Montreal Cognitive Assessment (MoCA) Score
  • WHO QoL-BREF Psychological Domain Score

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

4
Evidence pairs
4
Relationships
0
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 54

0

Related topics

4

Evidence pairs

0

Related studies

Why it is useful

  • Contributes to 4 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Core evidence

Study findings

The primary outcomes reported in this study.

Change in Montreal Cognitive Assessment (MoCA) Score

Dual-task balance exercise → Change in Montreal Cognitive Assessment (MoCA) Score

Dual-task balance exercise → Change in Montreal Cognitive Assessment (MoCA) Score

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

WHO QoL-BREF Psychological Domain Score

Dual-task balance exercise → WHO QoL-BREF Psychological Domain Score

Dual-task balance exercise → WHO QoL-BREF Psychological Domain Score

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Change in Montreal Cognitive Assessment (MoCA) Score

Exercise therapy → Change in Montreal Cognitive Assessment (MoCA) Score

Exercise therapy → Change in Montreal Cognitive Assessment (MoCA) Score

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

WHO QoL-BREF Psychological Domain Score

Exercise therapy → WHO QoL-BREF Psychological Domain Score

Exercise therapy → WHO QoL-BREF Psychological Domain Score

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • CMDBT improved cognitive function significantly with a 3.32 point increase in MoCA scores.
  • Both training methods enhanced psychological quality of life, but no significant differences were found.
  • Cohen's d values indicated a large effect size for cognitive improvements with CMDBT.
who this applies

Who this applies to

  • Adults diagnosed with type 2 diabetes mellitus.
  • Patients seeking rehabilitation for cognitive decline.
  • Individuals interested in improving cognitive function through physical activity.
keep in mind

Keep in Mind

  • Results may not be applicable to all demographics of T2DM patients.
  • Further research is needed to explore long-term effects of CMDBT.
  • The study did not assess other potential confounding factors influencing outcomes.
between the lines

Between the Lines

  • Study design may limit generalizability due to specific population characteristics.
  • Sample size and demographic diversity were not detailed, affecting broader applicability.
  • Effectiveness of interventions may vary in different settings or populations.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Exercise therapy and Change in Montreal Cognitive Assessment (MoCA) Score, Exercise therapy and WHO QoL-BREF Psychological Domain Score.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Dual-task balance exercise improve change in montreal cognitive assessment (moca) score?

Emerging Evidence

Dual-task balance exercise appears to improve Change in Montreal Cognitive Assessment (MoCA) Score.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Change in Montreal Cognitive Assessment (MoCA) Score

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Dual-task balance exercise improve who qol-bref psychological domain score?

Emerging Evidence

Current evidence does not show a clear benefit of Dual-task balance exercise for WHO QoL-BREF Psychological Domain Score.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    WHO QoL-BREF Psychological Domain Score

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Exercise therapy improve change in montreal cognitive assessment (moca) score?

Emerging Evidence

Current evidence does not show a clear benefit of Exercise therapy for Change in Montreal Cognitive Assessment (MoCA) Score.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Change in Montreal Cognitive Assessment (MoCA) Score

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Exercise therapy improve who qol-bref psychological domain score?

Emerging Evidence

Current evidence does not show a clear benefit of Exercise therapy for WHO QoL-BREF Psychological Domain Score.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    WHO QoL-BREF Psychological Domain Score

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026
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