Vrantsidis 2009.
Methods | Type of study: RCT | |
Participants | Number of participants randomised: 62 Losses: 14 (6 in exercise and 8 in control) Age: mean 75 years Sex: 85% women Residential status of participants:community dwelling Health status as defined by authors: have at least one functional impairment or one fall in last 6 months; assumed "healthy status" Setting: Australia Inclusion: age 55 years or over; and have at least one functional impairment (based on Questions 1–11 on the Frenchay Activity Index) or have a history of one or more falls in the preceding 6 months. Able to stand unsupported for at least 1 min and walk short distances indoors (at least 5 m) without a walking aid. Exclusion: cognitive impairment (<7 on the Abbreviated Mental Test Score), inability to understand English (the program was conducted in English), and a marked mobility impairment (unable to walk at least 5 m indoors without a walking aid). |
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Interventions | EXERCISE GROUP (GBFT) (n = 26):Getting Grounded Gracefully© program, based on the Awareness Through Movement lessons of the Feldenkrais method, specifically target dynamic balance, postural and turning stability, and weight‐shift transfers. CONTROL GROUP (n = 29): Usual activity Duration and intensity: two 40‐ to 60‐min sessions per week over an 8‐week period (16 sessions in all). Supervisor:experienced Feldenkrais practitioner Supervision:group Setting:community clinic | |
Outcomes | 4 step square test TUG (s) Gait speed preferred pace (m/min) Force platform Compliance/adherence: Exercise group, class attendance ranged from 9 to 16 classes (16 classes in all). Most participants (19 of 26; 73%) attended 14–16 classes. Overall attendance was 87.7%, and 40 individual class CDs were provided to participants who had missed one or more classes. Adverse events: not reported |
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Notes | Power analysis indicated an overall sample size of 42 per group (or 84 overall) was required. | |
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) | Low risk | Randomly ordered opaque envelopes |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | ‘As‐treated’ analysis done, drop outs existed but no detail reported |
Selective reporting (reporting bias) | Unclear risk | Insufficient information to permit judgement |
Other bias | Unclear risk | The program was designed (copyright) by article’s authors |
Blinding (participant) | High risk | Not possible |
Blinding (assessor) | Low risk | ‘Blinded 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. |