[Summary text]
Study design: Randomized controlled trial
Study grouping: Parallel group
Baseline Characteristics
Intervention
Control
Overall
Included criteria: +65 years, history of one ore more falls in previous year, present risk of falling, classified as prefrail, able to walk 6 m.,
Excluded criteria: Presence of cognitive impairmentPresence of neurological diseaseAcute crisis related to vestibular disease in the last monthInitiation of any other intervention in the study period
Pretreatment: -
Intervention Characteristics
Intervention
Control
Antal af fald (uden bevidsthedstab)
Antal af personer som falder (uden bevidsthedstab)
Fald med fraktur (major injury)
Dynamisk balance (Berg´s, BESTest, DGI, POMA)
Mobilitet (DEMMI, TUG, Ganghastighed)
Frygt for fald (FES-I)
Dagligt aktivitetsniveau (accelerometer, PROM)
Livskvalitet
Utilsigtet fald under træning
Sponsorship source: CNPq and FAPEMIG
Country: Brazil
Setting: Hospital ambulant
Comments: -
Authors name: Paula M.M. Arantes
Institution: Faculdade de ciencias medicas, PT department
Email: paulamma@gmail.com
Address: -
For more information, please see the following refernce:
Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, Lamb SE. Interventions for preventing falls in older peple in the community. Cochrane Database Syst. Rev. 2012 Sep 12;(9): CD007146.pub3.
For more information, please see the following refernce:
Kendrick D, Kumar A, Carpenter H, Zijlstra GA, Skelton DA, Cook JR, Stevens Z, Belcher CM, Haworth D, Gawler SJ, Gage H, Masud T, Bowling A, Pearl M, Morris RW, Iliffe S, Delbaere K. Exercise for reducing fear of falling in older people living in the community . Cochrane Database Syst Rev. 2014 Nov 28;(11):CD009848. doi: 10.1002/14651858.CD009848.pub2
Study design: Randomized controlled trial
Study grouping: Parallel group
Baseline Characteristics
Intervention
Control
Overall
Included criteria: The study comprised community-dwelling healthy elderly people (≥65 years old) with fear of falling and/or an experience of at least one fall during the previous 12 months.
Excluded criteria: Ikke beskrevet
Pretreatment: Procentvis flere kvinder i kontrolgruppen (ikke udregnet om signifikant)
Intervention Characteristics
Intervention
Control
Antal af fald (uden bevidsthedstab)
Antal af personer som falder (uden bevidsthedstab)
Fald med fraktur (major injury)
Dynamisk balance (Berg´s, BESTest, DGI, POMA)
Mobilitet (DEMMI, TUG, Ganghastighed)
Frygt for fald (FES-I)
Dagligt aktivitetsniveau (accelerometer, PROM)
Livskvalitet
Sponsorship source: -
Country: Sweden
Setting: Department of Neurobiology
Comments: -
Authors name: Alexandra Halvarsson
Institution: Movement Laboratory, Karolinska University Hospital, Stockholm, Sweden
Email: alexandra.halvarsson@ki.se
Address: -
Study design: Randomized controlled trial
Study grouping: Parallel group
Baseline Characteristics
Intervention
Control
Overall
Included criteria: age ≥65 years with diagnosed osteoporosis, being afraid of falling and/or having experienced at least one fall in the last 12 months, and independence in ambulation.
Excluded criteria: Participants were excluded if they had experienced fractures during the last year, had a Mini-Mental State Examination (MMSE) score < 24,19,20 severely decreased vision, or other diseases or con- straints that might interfere with participation in the exercise program.
Pretreatment: Kontrolgruppe var muligvis sygere og i højere grad bange for at falde
Intervention Characteristics
Intervention
Control
Antal af fald (uden bevidsthedstab)
Antal af personer som falder (uden bevidsthedstab)
Fald med fraktur (major injury)
Dynamisk balance (Berg´s, BESTest, DGI, POMA)
Mobilitet (DEMMI, TUG, Ganghastighed)
Frygt for fald (FES-I)
Dagligt aktivitetsniveau (accelerometer, PROM)
Livskvalitet
Utilsigtet fald under træning
Sponsorship source: -
Country: Sweden
Setting: Karolinska Institutet, Department of Neurobiology
Comments: -
Authors name: Alexandra Halvarsson
Institution: Karolinska Institutet, Department of Neurobiology, Care Sciences and Society (NVS), Division of Physiotherapy, 23100, Huddinge, SE-141 83, Sweden.
Email: alexandra.halvarsson@ki.se
Address: -
For more information, please see the following refernce:
Kendrick D, Kumar A, Carpenter H, Zijlstra GA, Skelton DA, Cook JR, Stevens Z, Belcher CM, Haworth D, Gawler SJ, Gage H, Masud T, Bowling A, Pearl M, Morris RW, Iliffe S, Delbaere K. Exercise for reducing fear of falling in older people living in the community . Cochrane Database Syst Rev. 2014 Nov 28;(11):CD009848. doi: 10.1002/14651858.CD009848.pub2
Study design:
Study grouping: Parallel group
Baseline Characteristics
Intervention
Control
Overall
Included criteria: over the age of 65 years who were living at home, able to walk with or without a cane, and had at least 4 risk factors, as identifed using the questionnaire for fall assessment reported by Suzuki. The questionnaire consisted of 15 items, which included questions about fall history, walking ability, muscle power, medical disorders, medication, vision and hearing, and fear of falling
Excluded criteria: Participants who had participated in exercise at least 4 times a month before the intervention, and who had mus- culoskeletal, neurological, or cardiovascular disorders that may be aggravated by exercise were excluded. Participants who were unable to respond to interview questions because of cognitive impairment were also excluded.
Pretreatment: ingen åbenlyse
Intervention Characteristics
Intervention
Control
Antal af fald (uden bevidsthedstab)
Antal af personer som falder (uden bevidsthedstab)
Fald med fraktur (major injury)
Dynamisk balance (Berg´s, BESTest, DGI, POMA)
Mobilitet (DEMMI, TUG, Ganghastighed)
Frygt for fald (FES-I)
Dagligt aktivitetsniveau (accelerometer, PROM)
Livskvalitet
Utilsigtet fald under træning
Sponsorship source: -
Country: Japan
Setting: 7 day centers
Comments: -
Authors name: Tatsuya Hirase
Institution: Department of Health Sciences, Graduate School of Biomedical Sciences, Nagasaki University,
Email: shigeru@nagasaki-u.ac.jp
Address: 1-7-1 Sakamoto, Nagasaki 852-8520, Japan
Study design: Randomized controlled trial
Study grouping: Parallel group
Baseline Characteristics
Intervention
Control
Overall
Included criteria:
Excluded criteria:
Pretreatment:
Intervention Characteristics
Intervention
Control
Antal af fald (uden bevidsthedstab)
Antal af personer som falder (uden bevidsthedstab)
Fald med fraktur (major injury)
Dynamisk balance (Berg´s, BESTest, DGI, POMA)
Mobilitet (DEMMI, TUG, Ganghastighed)
Frygt for fald (FES-I)
Dagligt aktivitetsniveau (accelerometer, PROM)
Livskvalitet
Utilsigtet fald under træning
Sponsorship source:
Country: Finland
Setting:
Comments:
Authors name:
Institution:
Email:
Address:
Study design: Randomized controlled trial
Study grouping: Parallel group
Baseline Characteristics
Intervention
Control
Overall
Included criteria:
Excluded criteria:
Pretreatment:
Intervention Characteristics
Intervention
Control
Antal af fald (uden bevidsthedstab)
Antal af personer som falder (uden bevidsthedstab)
Fald med fraktur (major injury)
Dynamisk balance (Berg´s, BESTest, DGI, POMA)
Mobilitet (DEMMI, TUG, Ganghastighed)
Frygt for fald (FES-I)
Dagligt aktivitetsniveau (accelerometer, PROM)
Livskvalitet
Utilsigtet fald under træning
Sponsorship source:
Country: Finland
Setting:
Comments:
Authors name: Raija Korpelainen
Institution:
Email:
Address:
For more information, please see the following refernce:
Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, Lamb SE. Interventions for preventing falls in older peple in the community. Cochrane Database Syst. Rev. 2012 Sep 12;(9): CD007146.pub3.
Study design: Randomized controlled trial
Study grouping: Parallel group
Baseline Characteristics
Intervention
Control
Overall
Included criteria: All selected patients had osteoporosis according to the previous definitions
Excluded criteria: Exclusion criteria were secondary osteoporosis, articular involvement limiting physical activity, visual deficiency, severe auditory deficiency, severe vestibular alteration defined by impaired vision, hearing and motor coordination limiting exercise, patients require walking devices or unable to walk independently more than 10m [28]; all patients underwent cardiological evaluation, ergometric test and echocardiography and those who presented absolute or relative contraindications for exercise train- ing according to American College of Sports Medicine guidelines
Pretreatment: the score domain for social interaction was better in BT compared to CG
Intervention Characteristics
Intervention
Control
Antal af fald (uden bevidsthedstab)
Antal af personer som falder (uden bevidsthedstab)
Fald med fraktur (major injury)
Dynamisk balance (Berg´s, BESTest, DGI, POMA)
Mobilitet (DEMMI, TUG, Ganghastighed)
Frygt for fald (FES-I)
Dagligt aktivitetsniveau (accelerometer, PROM)
Livskvalitet
Utilsigtet fald under træning
Sponsorship source:
Country: Brazil
Setting: university hospital. administered in a club (Associac ̧ão Atlética Acadêmica Oswaldo Cruz – AAAOC) located close to the Hospital.
Comments:
Authors name: Melisa M. Madureira, Eloísa Bonfá, Liliam Takayama, Rosa M.R. Pereira
Institution: Rheumatology Division, Faculdade de Medicina da Universidade de São Paulo, Av. Dr. Arnaldo, 455, 3◦ andar, Reumatologia, sala 3105, São Paulo, SP 01246903, Brazil
Email:
Address:
Study design: Randomized controlled trial
Study grouping: Parallel group
Baseline Characteristics
Intervention
Control
Overall
Included criteria: 65 years or older; independently ambulatory (cane acceptable; not walker); score better than 45 on the Berg Balance Scale; Mini- Mental State Examination score higher than 24
Excluded criteria: no severe focal muscle weakness or visual impair- ment; no known neurological disorders (includ- ing stroke, Parkinson’s disease); no metastatic cancer; no use of medication that impairs balance or strength.
Pretreatment: ingen åbenlyse
Intervention Characteristics
Intervention
Control
Antal af fald (uden bevidsthedstab)
Antal af personer som falder (uden bevidsthedstab)
Fald med fraktur (major injury)
Dynamisk balance (Berg´s, BESTest, DGI, POMA)
Mobilitet (DEMMI, TUG, Ganghastighed)
Frygt for fald (FES-I)
Dagligt aktivitetsniveau (accelerometer, PROM)
Livskvalitet
Utilsigtet fald under træning
Sponsorship source:
Country: USA
Setting: two groups at a Jewish community centre and one group at a senior housing facility, both in Brighton, MA, USA.
Comments:
Authors name: Lars Oddsson
Institution: Sister Kenny Research Center, Sister Kenny Rehabilitation Institute, Minneapolis, MN 55407, USA.
Email:
Address:
For more information, please see the following refernce:
Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, Lamb SE. Interventions for preventing falls in older peple in the community. Cochrane Database Syst. Rev. 2012 Sep 12;(9): CD007146.pub3.
Study design: Randomized controlled trial
Study grouping: Parallel group
Baseline Characteristics
Intervention
Control
Overall
Included criteria: The subjects were men and women C75 years of age who lived at home and visited an orthopedic clinic or hospital for an orthopedic handicap and who could stand on one leg, both right and left, with the eyes open for 15 s
Excluded criteria: People with Parkinson’s disease or other conditions that made them susceptible to falls, people with artificial joints, and people with cognitive disorders were excluded.
Pretreatment: flere mænd som brugte stok i kontrolgruppen og færre kvinder som var uafhængige for ADL i kontrolgruppen
Intervention Characteristics
Intervention
Control
Antal af fald (uden bevidsthedstab)
Antal af personer som falder (uden bevidsthedstab)
Fald med fraktur (major injury)
Dynamisk balance (Berg´s, BESTest, DGI, POMA)
Mobilitet (DEMMI, TUG, Ganghastighed)
Frygt for fald (FES-I)
Dagligt aktivitetsniveau (accelerometer, PROM)
Livskvalitet
Utilsigtet fald under træning
Sponsorship source:
Country:
Setting: university hospital
Comments:
Authors name: Keizo Sakamoto • Naoto Endo • Atsushi Harada • Takenori Sakada • Kazuyo Tsushita • Kiyoshi Kita • Hiroshi Hagino • Akinori Sakai • Noriaki Yamamoto • Tetsunori Okamoto • Meigen Liu • Akatsuki Kokaze • Hiromichi Suzuki
Institution: Department of Orthopaedic Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan
Email:
Address:
Study design: Randomized controlled trial
Study grouping: Parallel group
Baseline Characteristics
Intervention
Control
Overall
Included criteria: Persons aged 65–74 years (n 1⁄4 2164) were recruited fromKawage, Mie, Japan. A letter containing information regarding the schedule of the exercise sessions was sent to 700 noninstitutionalized persons
Excluded criteria: The presence of severe neurological or cardiovascular diseases or mobility-limiting orthopedic conditions was considered as an exclusion criterion.
Pretreatment: subsignifikant dårlige selvrapporteret syn i interventionsgruppen (p=0.08)likert scale 1=poor 5= excellent
Intervention Characteristics
Intervention
Control
Antal af fald (uden bevidsthedstab)
Antal af personer som falder (uden bevidsthedstab)
Fald med fraktur (major injury)
Dynamisk balance (Berg´s, BESTest, DGI, POMA)
Mobilitet (DEMMI, TUG, Ganghastighed)
Frygt for fald (FES-I)
Dagligt aktivitetsniveau (accelerometer, PROM)
Livskvalitet
Utilsigtet fald under træning
Sponsorship source:
Country: Japan
Setting: Kawage Health Center
Comments:
Authors name: Ryosuke Shigematsu,1 Tomohiro Okura,2 Masaki Nakagaichi,3 Kiyoji Tanaka,2 Tomoaki Sakai,4 Suguru Kitazumi,1 and Taina Rantanen5
Institution: aculty of Education, Mie University, Japan.
Email:
Address:
For more information, please see the following refernce:
Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, Lamb SE. Interventions for preventing falls in older peple in the community. Cochrane Database Syst. Rev. 2012 Sep 12;(9): CD007146.pub3.
For more information, please see the following refernce:
Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, Lamb SE. Interventions for preventing falls in older peple in the community. Cochrane Database Syst. Rev. 2012 Sep 12;(9): CD007146.pub3.
For more information, please see the following refernce:
Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, Lamb SE. Interventions for preventing falls in older peple in the community. Cochrane Database Syst. Rev. 2012 Sep 12;(9): CD007146.pub3.
Wrong intervention
Wrong intervention
Wrong intervention
forkert sprog
Wrong intervention
Wrong intervention
abstract
abstract
Wrong dose
Wrong intervention
dublicate study
abstract
abstract
Wrong intervention
Wrong dose
Wrong comparator
Wrong intervention
Wrong intervention
Wrong intervention
Wrong intervention
Wrong intervention
Wrong intervention
Wrong intervention
dublicate study
abstract
Wrong dose
Wrong intervention
Wrong intervention
Wrong comparator
Wrong intervention
Wrong intervention
abstract
Wrong intervention
abstract
Wrong outcomes
dublicate study
Wrong intervention
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Wrong comparator
Wrong intervention
Wrong study design
Wrong comparator
Wrong intervention
Wrong intervention
Wrong intervention
Wrong intervention
Selection bias (biased allocation to interventions) due to inadequate generation of a randomised sequence
Judgement Comment: "the allocation was made through a computer prgram"
Gillespie et al., 2012
Kendrick et al., 2014
Judgement Comment: Randomization to group allocation was done in blocks, with a 2:1 ratio in favor of the intervention group, by the subjects themselves drawing a allocation slip.
Judgement Comment: the subjects were randomized in blocks of nine into three different groups: two intervention groups (Training, and Training+Physical activity), or a Control group, using Web-based software.
Kendrick et al., 2014
Judgement Comment: ikke beskrevet sequence generation randomized into 3 groups using the sealed envelope method.
computer ganerated list
The women were randomly assigned to an exercise group ( n = 84) and a control group ( n = 76) using computer-generated random numbers.
Gillespie et al., 2012
n
n
Gillespie et al., 2012
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Gillespie et al., 2012
Selection bias (biased allocation to interventions) due to inadequate concealment of allocations prior to assignment
Judgement Comment: Ikke beskrevet
Gillespie et al., 2012
Kendrick et al., 2014
Judgement Comment: ikke beskrevet
Judgement Comment: ikke beskrevet
Kendrick et al., 2014
Judgement Comment: randomized into 3 groups using the sealed envelope method.
ikke beskrevet
ikke beskrevet
Gillespie et al., 2012
n
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n
Gillespie et al., 2012
Gillespie et al., 2012
Gillespie et al., 2012
Performance bias due to knowledge of the allocated interventions by participants and personnel during the study
Judgement Comment: CG udførte streching og andet ligegyldigt, så de kunne også være blindede, men ikke beskrevet om der blev gjort noget for at holde deltagere eller instruktør blindede
Gillespie et al., 2012
Kendrick et al., 2014
Judgement Comment: Ingen blinding af inkluderede eller kontrol.Participants in the control group were offered participation in the balance training program following the study and were encouraged to live their regular life during the study period.
Judgement Comment: Ingen "sham" intervention, så ingen blinding.Participants in the Control group were encouraged to live their regular lives
Kendrick et al., 2014
Judgement Comment: ingen "sham" trainingParticipants in the control group participated in weekly social programs, including recreational activities, educa- tional programs, and tea breaks. They continued their daily activities at the day centers, but performed neither balance training nor muscle strengthening exercises
ingen sham intervention
ingen sham intervention i kontrol
Gillespie et al., 2012
Gillespie et al., 2012
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Gillespie et al., 2012
Detection bias due to knowledge of the allocated interventions by outcome assessors
Judgement Comment: The assessments were performed before and immediately after the end of intervention, always by the same evaluators, and they were blinded in all the moments of the study.
Gillespie et al., 2012
Kendrick et al., 2014
Judgement Comment: "however most of the participants did reveal which Group they belonged to at the time of the first follow-up, resulting in non-masked assessors at long-term follow-up"
Judgement Comment: the test leaders were blinded to group allocation at baseline; however, it was no longer possible after baseline testing, because some of the test leaders were also involved in the balance training
Kendrick et al., 2014
Judgement Comment: Ikke beskrevet at gjort noget for at blinde assessor.Before commencing the study, the physical thera- pists received training from one of the authors (TH) on the assessment protocols.These assessments were self- administered with guidance from the care staff at the day centers as needed
ikke beskrevet
The assessors in direct contact with the participants during the study did not know to which group they had been allocated.
Gillespie et al., 2012
Gillespie et al., 2012
n
Gillespie et al., 2012
Gillespie et al., 2012
Gillespie et al., 2012
Attrition bias due to amount, nature or handling of incomplete outcome data
n
Gillespie et al., 2012
Kendrick et al., 2014
Judgement Comment: During the follow-up period (three months to 15 months), seven subjects dropped out of the study (training group n = 4; controls n = 3) owing to hip fracture (n = 1), knee replacement (n = 1), severe body pain (n = 2), or declined participation (n = 2); one subject died
Judgement Comment: High dropout!dropout intervention: 18/34 = 52,9%dropout control: 10/31= 32,3%
Kendrick et al., 2014
Judgement Comment: withdraw intervention n=3withdraw control n=2
under 5% drop out i intervention
højt drop out >25%, men ITT
Gillespie et al., 2012
Gillespie et al., 2012
n
Gillespie et al., 2012
Gillespie et al., 2012
Gillespie et al., 2012
Reporting bias due to selective outcome reporting
n
Gillespie et al., 2012
Kendrick et al., 2014
Judgement Comment: samme outcomes i metode og resultater
Judgement Comment: samme outcomes i methods og results
Kendrick et al., 2014
Judgement Comment: ikke angivet slutværdier for FES-I kun at var ændret signifikant. Det er lummert!There were signi cant differences between the 3 groups in terms of the number of risk factors for falls and the FES score (P = 0.002 and P = 0.01, respectively)...men hvad var slut/change værdien hr Hirase??
hovedoutcomes er kun angivet for samlede to grupper (intervention og kontrol blandet) kun VAS for FoF er opdelt
angiver: Basic mobility and dynamic balance were assessedwith the Timed Up and Go (TUG) test [15]. Time spenton a 30-m walk [16] and the distance walked in 2 min[17] were measured. ...men ikke angivet i resultater
Gillespie et al., 2012
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n
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Bias due to problems not covered elsewhere in the table
Judgement Comment: intet andet
Gillespie et al., 2012
Kendrick et al., 2014
Judgement Comment: intet andet
Judgement Comment: intet andet
Kendrick et al., 2014
Judgement Comment: intet andet
intet åbenlyst
intet åbenlyst
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Gillespie et al., 2012