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. |