Boshuizen 2005.
Methods | Type of study: RCT | |
Participants | Number of participants randomised: 73 Losses: 23 of 72 from 3 arms (plus 1 drop out before pre‐test) N = 33 completers in two arms plus 17 controls = 50 Age: mean (SD) 80.0 (6.7) high guidance group, 79.3 (7) medium guidance group, 77.2 (6.5) control group. Sex: high guidance group ‐ all women, medium guidance group ‐ 2 men, control group ‐ 2 men. Health status defined by authors: Healthy Residential status of participants: Community living (inc blocks with apartments for elderly) Setting: Netherlands. Inclusion: difficulty getting up from chair. Exclusion: maximum knee extensor torque over 87.5 Nm, self reported disease adversely affected by exercise. |
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Interventions | EXERCISE GROUP High guidance Intervention group (STRENGTH) (n = 16): strengthening exercises of lower limbs with theraband and increasing resistance in sitting and standing 2 exercise classes supervised by therapist plus 1 unsupervised. EXERCISE GROUP Medium guidance intervention group (STRENGTH) (n = 16): strengthening exercises of lower limbs with theraband and increasing resistance in sitting and standing 1 exercise class supervised by therapist plus 2 unsupervised home sessions CONTROL GROUP (n = 17): usual activity. Duration and intensity: HG ‐ 10 weeks of 2 x 1hour supervised classes per week and 1 self supervised home session, MG ‐ 10 weeks of 1 x 1hour supervised classes per week and 2 self supervised home session Supervisor: physical therapist for exercise groups. Supervision: group exercise classes for exercise groups and self home exercises. Setting: community. |
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Outcomes | 20 metre walk test (s).
TUG (s).
Tandem stance (s) Compliance/adherence: in high guidance exercise group 73% In medium guidance 76% Adverse events: not reported |
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Notes | Trial had 3 arms but NSD between 2 interventions therefore data taken from 'High guidance' group | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Insufficient information to permit judgement |
Allocation concealment (selection bias) | Unclear risk | Not described |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Characteristics of participants and drop‐outs presented in a table |
Selective reporting (reporting bias) | Low risk | Intervention described and outcomes presented as prespecified |
Other bias | Unclear risk | Randomisation adjusted to have fewer in control group |
Blinding (participant) | High risk | Not possible |
Blinding (assessor) | Low risk | Assessors blinded |
Were the treatment and control group comparable at entry? | Low risk | No differences reported on baseline characteristics with a potential to influence the effect of the intervention |
Was the surveillance active, and of clinically appropriate duration (i.e. at least 3 months post intervention)? | High risk | Pre and post ‐ no follow‐up after 10 week intervention |