Buchner 1997.
| Methods | RCT: with four groups: strength training alone, endurance training alone, strength and endurance training and control group Method of randomisation: variation of randomly permuted blocks Assessor blinding: yes Participant blinding: no Loss to follow‐up: 4 (from PRT/control) Intention to‐treat analysis: yes Post‐program follow up: exercisers assessed at 9 months, all participants monitored for falls for median 1.42 years (max 2.35 years) | |
| Participants | Location: USA N = 105 total (55 in PRT vs control) Sample: older people with muscle weakness, recruited from primary care physicians in a HMO Age: mean 75 years Inclusion criteria: between 68 and 85 years of age; unable to do an eight‐step tandem gait without errors; below the 50th percentile in knee extensor strength for the subject's height and weight Exclusion criteria: active cardiovascular, pulmonary, vestibular and bone diseases; positive cardiac stress test; body weight >180% of ideal; major psychiatric illness; active metabolic diseases; chronic anemia; amputation; chronic neurological or muscle disease; inability to walk; dependency in eating, dressing transfer or bathing; inability to speak English or fill out written forms | |
| Interventions | PRT versus control
1. PRT
Type of Ex : 2UL, 9LL, 1Tr
Equipment: machines (Cybex)
Intensity: high (set 1: 50‐60% of 1RM; set 2: 75% of 1RM)
Frequency: Ex3
Reps/Sets: 10/2
Program Duration: 24‐26 weeks
Setting: gym
Supervision: not reported Adherence: 95% excluding drop‐outs; 81% including drop‐outs 2. Control Group: maintained usual activity levels, allowed to join exercise program after 6 months |
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| Outcomes | Aerobic capacity Strength (isokinetic) Balance Gait SF‐36 Sickness Impact Profile Lawton IADL scale Stair climbing Falls Health care use Comments on adverse events: yes | |
| Notes | Data from PRT and control group were compared Data from PRT and aerobic training group were compared | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Allocation concealment? | Unclear risk | B ‐ Unclear |