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 |
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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 |