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. 2023 Dec 11;13:21962. doi: 10.1038/s41598-023-48179-1

Table 3.

Assessment of the certainty of evidence presented for each outcome.

Evaluation of certainty Summary of outcomes
No. of studies Study design Risk of bias Inconsistency Indirect evidence Imprecision Other considerations No. of patients Effect Certainty
Therapeutic exercise Control Relative (95% CI) Absolute (95% CI)
Aerobic exercise. Muscular strength – Sit-to-stand test (monitoring range 6–12 weeks; assessed with Number of repetitions)
 2 RCT1,5 not seriousa not serious not serious seriousb none 26 29

SMD 0.15 higher

(− 0.48;1.27)

⨁⨁⨁◯ Moderate
Combined exercise. Muscular strength—1 RM Leg press (monitoring range 10–12 weeks; assessed with Weight Lifted)
 2 RCT8,16 Seriousc not serious not serious seriousb none 39 33

SMD 0.56 higher

(0.08;1.04)

⨁⨁◯◯ Low
Combined exercise. Muscular strength—1 RM chest press (monitoring range 10–12 weeks; assessed with Weight lifted)
 2 RCT8,16 Seriousc not serious not serious seriousb none 39 33

SMD 0.73 higher

(0.25;1.22)

⨁⨁◯◯ Low
Balance
 4 RCT1,10,29,32 Seriousa not serious not serious seriousb none 54 47 Carmeli et al10 with aerobic exercise reported significant improvements in dynamic balance between groups p < 0.05. Cai et al.29 with a combined exercise plan showed significant increase of dynamic and static balance ⨁⨁◯◯ Low
Aerobic exercise. Gait
 1 RCT13 Seriousa not serious not serious not serious none 11 11 Skiba et al. found an improvement in the space–time parameters, angular changes of the limbs, and mean values of the angular deviations at the joints ⨁⨁⨁◯ Moderate
Combined exercise. Functional Fitness—6 min walking distance (6MWD) (monitoring 14 weeks)
 1 RCT28 Seriousa not serious not serious Not seriousa none 6 6 Perrot et al. showed significant improvements in functional task using combined exercise via nintendo wii ⨁⨁⨁◯ Moderate

RCT Randomized clinical trial.

aUnclear risk of bias in masking.

bWide confidence intervals that pass the line of no effect.

cUnclear risk of bias in 4 of 7 criteria.