Sherrington 2008a.
Methods | Type of study: RCT | |
Participants | Number of participants randomised: 173
Losses: 14 of 173 (8 exercise gp and 6 control gp) Age: Exercise Gp 73.4 (11.1) yrs; Control Gp 76.4 (10.2) yrs. Sex: Females n = 99 (57%) and males. Health status as defined by authors: frail Residential status of participants: community dwelling Setting: Australia. Inclusion: mobility impairment, unsuitability to join other group exercise. Exclusion: receiving other rehabilitation, severe respiratory or cardiac disease. |
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Interventions | EXERCISE GROUP (MULTIPLE): (n = 85) circuit style group exercises, sit to stand, walking over/around obstacles, stepping in different directions, heel raises, side steps onto blocks, step ups, side taps, treadmill or exercise bike. Moved stations every 3 to 4 minutes. Tailored to suit different levels of ability. Plus home exercises every week. CONTROL GROUP (n = 88): waiting list Duration and intensity: 5 weeks, 2 times 1 hour per week plus home exercise Supervisor: physiotherapist. Supervision: group exercise sessions. Setting: outpatient hospital rehabilitation gym. | |
Outcomes | Step test (reps in 15 s) gait 6m walk test (m/s) semi tandem stand (s) tandem stand (s) Compliance/adherence: not reported but no registers of attendance were kept and no diaries for home exercise. Adverse events: No adverse events reported. |
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Notes | Also assessed muscle strength and sit to stand ability. Only 50% referred would take part in the study. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Randomisation method not stated |
Allocation concealment (selection bias) | Low risk | Sequentially numbered opaque sealed envelopes |
Incomplete outcome data (attrition bias) All outcomes | High risk | Intention‐to‐treat on those who came for follow‐up but no analysis of missing data. |
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) | High risk | Reported as blind to baseline results but not to group allocation |
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 | Only immediately post intervention data, no follow‐up data reported. |