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

Chin A Paw 2006.

Methods RCT with 4 groups: PRT, control, functional training, and combined training 
 Method of randomisation: the random allocation sequence was generated by computer by two independent students 
 Assessor blinding: yes 
 Participant blinding: not reported 
 Loss to follow‐up: 21/57 in PRT; 22/60 in function‐skills; 17/56 in combined training; 23/51 in controls 
 Intention‐to‐treat analysis: yes. Data analysed: 40 in PRT, 44 in function‐skills, 44 in combined training, 31 in controls 
 Post‐program follow up: no
Participants Location: Netherlands 
 N = 108 (57 in PRT) 
 Sample: elders lived in long‐term care facilities 
 Age: mean 81.3 (SD = 4.4) 
 Inclusion criteria: 1) aged 65 or older; 2) living in a nursing home or residential care facility; 3) able to walk 6 m or more (with or without a walking aid); 4) able to comprehend the study procedures; 5) no medical contraindication for study participation; 6) no rapidly progressive or terminal illness; 7) and not moving away from the home within the 6‐months intervention period 
 Exclusion criteria: not reported
Interventions PRT versus control, versus functional training, and versus combined training 
 1. PRT 
 Type of Ex: 3UL/2LL 
 Equipment: TechnoGym equipment, dump bells and ankle/wrist weights 
 Intensity: high (60‐80% of 1 RM) 
 Frequency: Ex2 
 Reps/Sets: 8‐12/2 
 Duration: 24 weeks 
 Setting: long‐term care facility (Gym?) 
 Supervision: full by a physical therapist and an assistant 
 Adherence: 78 % 
 2.Control group: mean age =81, educational program (group discussion about topics of interest) 
 3. Functional training group: N=60, mean age = 82 years, game‐like or cooperative activities 
 4. Combined training group: N=56, mean age = 81 years, one strength training and one functional training per week
Outcomes Primary: physical activities/ADL disability 
 Secondary: muscle strength, vitality plus scales, balance, gait speed, chair rise 
 Comments on adverse events: yes
Notes Comparisons: PRT versus control, PRT versus functional training
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate