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. 2015 Sep 13;2015(9):CD007830. doi: 10.1002/14651858.CD007830.pub4

Nadeau 2013.

Methods Randomised controlled trial
 Method of randomisation: computer‐generated randomisation sequence
 Blinding of outcome assessors: yes
 Adverse events: none
 Deaths: none
 Drop‐outs: 9 (7 in experimental groups, 2 in control group)
 ITT: no
Participants Country: Canada
 93 patients (29 in treatment group I, 30 in treatment group II, 34 in control group)
 Ambulatory at study onset: not stated
 Mean age: 62 to 64 years (treatment and control group respectively)
 Inclusion criteria: not clearly stated except idiopathic PD and living up to 45 min away from the study centre
 Exclusion criteria: major health problem (cancer, heart/lung problems)
Interventions 3 arms:
 (1) control group used low exercise intensity training in seated position, 3 times a week for 24 weeks (180 min a week)
 (2) experimental group I received incremental speed treadmill training, 3 times a week for 24 weeks (180 min a week)
 (3) experimental group II received (mixed treadmill training) incremental speed treadmill training with additional incremental treadmill inclination, 3 times a week for 24 weeks (180 min a week)
Outcomes Outcomes were recorded at baseline, at halving interval at 3 months and at the end of intervention phase at 6 months
 Walking speed (GAITRite)
 Stride length (GAITRite)
 Cadence (GAITRite)
 Step width (GAITRite)
 Gait capacity (6‐min walk test)
 Unified Parkinson’s Disease Rating Scale (UPDRS)
 Depression Beck (Depression Inventory – II (BDI‐II))
Parkinson’s Disease Questionnaire (PDQ)
 Balance Confidence Scale
 Exercise intensity
 Exercise adherence
 Exercise‐related adverse events
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated randomisation sequence
Allocation concealment (selection bias) Low risk Quote: “The allocation sequence was concealed from the project director who assigned participants to groups.”
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Quote: “Participants and research assistants performing the assessments were blind to group assignment”
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk missing outcome data imbalanced between groups but not directly attributable to the intervention; no intention‐to‐treat analysis performed