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. 2011 Nov 9;2011(11):CD004963. doi: 10.1002/14651858.CD004963.pub3

Iwamoto 2009.

Methods Type of study: RCT
Participants Number of participants randomised: 68
Losses: 1 in control group
Age: 76.4 years (range, 66 to 88 years). 
 Sex: seven men and 61 women
Residential status of participants: community dwelling
Health status as defined by authors: frail 
 Setting: Japan 
 Inclusion: age of more than 50 years, fully ambulatory, and being able to measure 
 parameters. 
 Exclusion:severe gait disturbance with some aids, severe round back due to osteoporotic vertebral fractures, acute phase of diseases, and severe cardiovascular disease.
Interventions EXERCISE GROUP (MULTIPLE) (n = 34):callisthenics, body balance training, muscle power training, and walking ability training 
 CONTROL GROUP (n = 34): usual activities 
 Duration and intensity: 30 minutes, 3 x week for 5 months 
 Supervisor: not reported 
 Supervision: group 
 Setting: hospital clinic
Outcomes Single leg stance (s)
Tandem gait (steps)
Tandem standing time (s)
TUG (s)
10m walk time (s)
Compliance/adherence: 100% in exercise group
Adverse events: Four participants in the control group experienced one fall each during the 5 months intervention period. Of four falls, one was due to a stumble of the toe, and three were caused by lurches. There were no multiple fallers during the 5 months intervention period. No serious adverse events, such as severe fall‐related injuries or adverse cardiovascular effects, were observed.
Notes Data not reported appropriately for analysis purposes. Data only presented graphically
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomisation mentioned but Insufficient information to permit judgement
Allocation concealment (selection bias) Unclear risk Insufficient information to permit judgement
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Intention‐to‐treat analysis undertaken
Selective reporting (reporting bias) Unclear risk Insufficient information to permit judgement
Other bias Low risk The study appears to be free of other sources of bias
Blinding (participant) High risk Not possible
Blinding (assessor) Unclear risk Not reported
Were the treatment and control group comparable at entry? High risk Significant age difference between groups
Was the surveillance active, and of clinically appropriate duration (i.e. at least 3 months post intervention)? High risk Only immediately post intervention data, no follow‐up data reported.