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

Mikesky 2006.

Methods RCT 
 Method of randomisation: not reported‐stratified 
 Assessor blinding: yes 
 Participant blinding: not reported 
 Loss to follow‐up: 36% in PRT, 24% in Control (range of motion) 
 Intention‐to‐treat analysis: yes, done at the 30th month 
 Post‐program follow up: no
Participants Location: USA 
 N = 221 (113 in PRT) 
 Sample: knee OA 
 Age: mean = 69.4 years (SD = 8) 
 Inclusion criteria: not clearly described 
 Exclusion criteria: cannot walk without assistance, amputation of either lower extremity, knee or hip replacement, history of stroke, myocardial infarction, CHF, uncontrolled hypertension, fibromyalgia…
Interventions PRT versus flexibility (control) 
 1.PRT 
 Type of Ex: 2UL/2LL 
 Equipment: CYBEX machines at gym; Elastic bands at home, 
 Intensity: 8‐10 RM 
 Frequency: Ex3; first 3 months (2/week in the gym, 1/week at home), month 4‐6 (1/week in the gym, 2/week at home), month 7‐9 (2/month in the gym, 3/week at home); month 10‐12 (1/month in the gym, 3/week at home) 
 Reps/Sets: from 8‐10/ 3 to 12/2 
 Duration: 1 year 
 Setting: gym and home 
 Supervision: full‐1 fitness trainer in the gym 
 Adherence: attending gym (PRT‐59%, control/ROM‐64%); home ex (PRT‐56%, control/ROM‐62%) 
 2. Flexibility exercise group: N=108, mean age = 68.6 years (SD = 7.5), flexibility ex, 3 times/week
Outcomes Primary: SF‐36 (at the 30 month), WOMAC 
 Secondary: Strength measure (1RM) 
 Comments on adverse events: yes
Notes SF‐36 was not pooled because it was not measured right after the training
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear