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. 2009 Jul 8;2009(3):CD002759. doi: 10.1002/14651858.CD002759.pub2

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
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