Wallsten 2006.
Methods | Type of study: RCT | |
Participants | Number of participants randomised: 77 Losses: confusing ‐ state 31 withdrew in table (46 remain), but present data suggesting 53 remain Age: mean (range) 81.2 (61 to 92 yrs) Sex: men N = 20; women N = 57. Setting: USA. Health status as defined by authors: healthy Residential status of participants: independently in continuing care retirement community Inclusion: Community dwelling, GP approval Exclusion: history of hip fracture or hip or knee replacement; Parkinsons Disease, stroke or other neurological disease, receiving therapy for cancer; using assistive devices for walking more than 25 feet. |
|
Interventions | EXERCISE GROUP(3D): (n = 41) Tai Chi Chuan Moderate (10 same forms used by Wolf 1997). CONTROL GROUP (n = 36): usual activities Duration and intensity: 20 weeks, 2 times 1 hour per week Supervisor: Tai Chi instructor. Supervision: group exercise sessions. Setting: Room in retirement community. | |
Outcomes | Timed Up and Go as part of an "Overall Performance Score" This is an overall performance score result of combining and summing results of the following tests:10m walk; TUG; side by side stance; semi tandem stance; tandem stance. Compliance/adherence: not reported Adverse events:not reported |
|
Notes | Also looked at detraining. All benefit lost 20 weeks after the intervention. Control group undertook Tai Chi at the end of the 20 weeks intervention. | |
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 | Insufficient information to permit judgement |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Insufficient reporting of attrition/exclusions to permit judgement N = 24 missing balance measures, no explanation |
Selective reporting (reporting bias) | Unclear risk | Insufficient information to permit judgement |
Other bias | High risk | Balance measures reported on incomplete data set |
Blinding (participant) | High risk | Not possible |
Blinding (assessor) | Unclear risk | Insufficient information to permit judgement |
Were the treatment and control group comparable at entry? | Unclear risk | Balance measures not considered, but no differences in age, height and weight |
Was the surveillance active, and of clinically appropriate duration (i.e. at least 3 months post intervention)? | Low risk | Measurements made at 20 weeks post intervention to look at detraining |