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. 2022 Sep 7;2022(9):CD001704. doi: 10.1002/14651858.CD001704.pub5

Sylliaas 2011.

Study characteristics
Methods Randomised controlled trial
Participants Outpatient clinic, recruited from Ullevål University Hospital or Diakonhjemmet Hospital in Oslo, Norway.
Period of study: June 2007 and June 2009
150 participants
Inclusion: femoral neck fracture or a trochanteric fracture; 12 weeks after the operation: (i) age 65 years or older; (ii) living at home; (iii) able to undergo physical therapy for the hip fracture; and (iv) scoring 23 or more (out of 30) on the Mini Mental State Examination
Age: mean (SD) 82.4 (5.7)
% male: 17
Number lost to follow‐up: 12
Interventions 1. Intervention: 3 to 6 months after fracture: physiotherapist‐led programme, exercise class 2x/week and home programme at least once/week. 45‐ to 60‐minute exercise session, 15‐minute warm‐up on cycle or treadmill; 4 exercises (standing knee flexion, lunge, sitting knee extension and leg extension, with 3 sets of 15 reps at 70% of 1 RM, increasing to 8 to 10 reps at 80% of 1 RM at 3 weeks. Encouraged to walk approx. 30 minutes/day.
2. Control: participants were asked to maintain their current lifestyle. No restrictions were placed on their exercise activities.
Outcomes 12 weeks:
6‐Minute Walk Test
Berg Balance Scale
Sit to stand x10
Timed Up and Go test
Gait speed
Maximum step height
Nottingham Extended Activities of Daily Living scale
Short Form‐12 mental and physical domains
Notes Funding: Eastern Regional Health Authority
Conflict of interest: nil
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote "patients were assigned randomly by a computer‐generated list"
Allocation concealment (selection bias) Low risk Quote "using lots in sealed opaque envelopes"
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk Therapists conducting the intervention and participants were not blinded to the group assignment. Impact of non‐blinding is unclear
Blinding of outcome assessment (detection bias)
Observer‐reported outcomes, some judgement Low risk Assessor blinded to group allocation
Blinding of outcome assessment (detection bias)
Participant/proxy‐reported outcomes Unclear risk Assessor blinded to group allocation
Incomplete outcome data (attrition bias)
Observer‐reported outcomes, some judgement Low risk Adequate follow‐up and ITT analysis. Less than 20% of data missing
Incomplete outcome data (attrition bias)
Death, re‐admission, re‐operation, surgical complications, return to living at home Low risk Adequate follow‐up and ITT analysis. Less than 20% of data missing
Incomplete outcome data (attrition bias)
Participant/proxy‐reported outcomes Low risk Adequate follow‐up and ITT analysis. Less than 20% of data missing
Selective reporting (reporting bias) Unclear risk No trial protocol identified
Free from baseline imbalance bias? Low risk Groups balanced at baseline
Free from performance bias due to non‐trial interventions? High risk Social contact in intervention arm likely to confound any effect. An appropriate comparator would have been social home visits but no physical intervention.