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

Shulman 2013.

Methods Randomised controlled trial
 Method of randomisation: random number generator
 Blinding of outcome assessors: yes
 Adverse events: none
 Deaths: none
 Drop‐outs: 13 (4 from experimental group I, 3 from experimental group II and 6 from control group)
 ITT: no
Participants Country: USA
 80 patients (26 from experimental group I, 26 from experimental group II and 28 from control group)
 Ambulatory at study onset: not described
 Mean age: 65 to 66 years (control and treatment group respectively)
 Inclusion criteria: aged 40 and above, diagnosis of PD characterized by asymmetrical
onset of at least 2 of 3 cardinal signs, Hoehn & Yahr stage 1 to 3, presence of gait or balance disturbances, Mini‐Mental State Examination >23
 Exclusion criteria: unstable medical or psychiatric conditions, aerobic training prior to study enrollment
Interventions 3 arms:
 (1) control group used stretching and resistance training, 3 times a week for 12 weeks (duration of sessions not described)
 (2) experimental group I received lower intensity treadmill exercise, 3 times a week for 12 weeks (150 min a week)
 (3) experimental group II received higher intensity treadmill exercise, 3 times a week for 12 weeks (90 min a week)
Outcomes Outcomes were recorded at baseline and at the end of intervention phase
 Primary outcome measures:
 Gait speed (6‐min walk test, 10m walk test)
 cardiovascular fitness (ergospirometry)
 muscle strength (1‐repetition maximum strength)
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk method of sequence generation not described by the authors
Allocation concealment (selection bias) Unclear risk not described by the authors
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk physicians and staff were blinded as described by the authors
Incomplete outcome data (attrition bias) 
 All outcomes Low risk missing outcome data balanced between groups with similar reasons for missing data across groups