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 |
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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 |