Table 3.
Certainty assessment | No. of patients | Effect | Certainty | |||||||
---|---|---|---|---|---|---|---|---|---|---|
No. of studies | Study design | Risk of bias | Inconsistency | Indirectness | Imprecision | Other considerations | Motor–cognitive | Control | Absolute (95% CI) | |
Dual-task gait speed (m/s) | ||||||||||
8 | Randomised trials | Not serious | Not serious | Not serious | Not serious | None | 223 | 223 |
MD 0.12 higher (0.08 higher to 0.17 higher) |
⨁⨁⨁⨁ High |
Dual-task cadence (steps/min) | ||||||||||
5 | Randomised trials | Not serious | Not serious | Not serious | Not serious | None | 142 | 142 |
MD 2.91 higher (0.08 higher to 5.73 higher) |
⨁⨁⨁⨁ High |
Dual-task stride length (cm) | ||||||||||
6 | Randomised trials | Not serious | Not serious | Not serious | Not serious | None | 206 | 208 |
MD 10.12 higher (4.86 higher to 15.38 higher) |
⨁⨁⨁⨁ High |
Dual-task stride length SD | ||||||||||
2 | Randomised trials | Not serious | Not serious | Not serious | Not serious | None | 103 | 109 |
MD 0.38 lower (1.29 lower to 0.53 higher) |
⨁⨁⨁⨁ High |
Dual-task stride time SD | ||||||||||
2 | Randomised trials | Not serious | Not serious | Not serious | Not serious | None | 103 | 109 |
MD 0.01 lower (0.02 lower to 0.01 higher) |
⨁⨁⨁⨁ High |
Dual-task double support (%) | ||||||||||
3 | Randomised trials | Not serious | Seriousa | Not serious | Not serious | None | 107 | 113 |
MD 1.63 lower (3.76 lower to 0.49 higher) |
⨁⨁⨁◯ Moderate |
Dual-task cost on gait speed (%) | ||||||||||
2 | Randomised trials | Not serious | Not serious | Not serious | Not serious | None | 50 | 48 |
MD 8.75 lower (14.57 lower to 2.92 lower) |
⨁⨁⨁⨁ High |
Dual-task reaction time (ms) | ||||||||||
2 | Randomised trials | Not serious | Seriousb | Not serious | Seriousc | None | 69 | 78 |
MD 24.91 higher (43.02 lower to 92.84 higher) |
⨁⨁◯◯ Low |
Timed Up and Go Cognitive (sec) | ||||||||||
3 | Randomised trials | Seriousd | Seriousb | Not serious | Not serious | None | 77 | 64 |
MD 1.81 lower (4.38 lower to 0.75 higher) |
⨁⨁◯◯ Low |
CI confidence interval, MD mean difference
Explanations
aModerate heterogeneity (48%). Wide variance of point estimates
bWide variance of point estimates across studies
cWide confidence interval around the estimate of the effect
dTwo of three studies had high overall risk of bias