Weerdesteyn 2006.
Methods | Type of study: Part RCT Exercise group 2 and control were randomised. Exercise group 1 wasn't. |
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Participants | Number of participants randomised: 58 (Out of 113 recruits, the first 49 recruits went into Ex1 with the rest then being randomised :‐ 30 into Ex2 and 28 into Control) Losses: drop out = 6 before randomisation into Exercise 2 and Control 1 person in Ex2 and 2 in Control could not comply due to medical issues (2), with one declining involvement. Age: EX1: 73.7 (4.5) EX2: 73.2 (6.2) CO: 74.9 (6.5) Sex: 76.7% females in Ex2 and 67.9% females in Control Health status as defined by authors: fallers Residential status of participants: community dwellers Setting:The Netherlands Inclusion:history of at least one fall in the year prior to participation and able to walk for 15minutes without use of a walking aid Exclusion:severe cardiac, pulmonary or musculoskeletal disorders, pathologies associated with an increase fall risk, osteoporosis and the use of psychotropic drugs. |
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Interventions | EXERCISE GROUP (GBFT): (N=30) 1st session of a week: balance, gait and coordination training via obstacle course. Motor dual tasks involved. 2nd session of a week: walking exercises and practicing of fall techniques. CONTROL GROUP: (N=28) usual activities Duration and intensity:1.5 hours of an exercise session, twice weekly for 5 weeks Supervisor: experienced physiotherapist Supervision:group 2‐3 supervisors per group of 10 participants Setting: Rehabilitation centre | |
Outcomes | Timed one‐leg stance eyes open AP (mm/s) Timed one‐leg stance eyes closed AP (mm/s) Timed one‐leg stance eyes open Lateral (mm/s) Timed one‐leg stance eyes open Lateral (mm/s) Single legged stance (s) Compliance/adherence: attendance rate of 87% Adverse events:not reported |
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Notes | Authors provided additional data for exercise group 2 | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Block randomisation with equal probability for exercise or control group |
Allocation concealment (selection bias) | Low risk | Participants drew an envelope (from 20 sealed non‐see through envelopes per block) after completed baseline assessment |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Insufficient reporting of attrition/exclusions to permit judgement |
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 | Assessors not blind |
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. |