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70 APPENDICES Physiotherapy KCE reports vol. 40 - Latham N, Anderson C, Bennett D. Progressive resistance training for physical disability in older people. Cochrane Database of Systematic Reviews, - Rydwik E, Frandin K, Akner G. Effects of physical training on physical performance in institutionalised elderly patients (70+) with multiple diagnoses. Age and Ageing; 2004: 33: 13-23.
KCE reports vol. 40 APPENDICES Physiotherapy 71 References from the literature on gait rehabilitation in the elderly Reference Type of reference General description Critical appraisal Progressive resistance training for Cochrane systematic review Systematic review of RCTs on the progressive Not applicable physical disability in older people (45) resistance training exercises on measures of physical disability, functional limitations and Effect of Therapeutic Exercise on Gait Meta-analysis impairment in older people (60+). Inclusion of 66 RCTs of moderate or low quality (3783 patients). The influence of the exercise type, intensity and Results of this meta analysis must be Speed in Community Dwelling dosage to produce a change in habitual walking implemented with caution. The main People : a Meta analysis (46) speed of community-dwelling elderly people. Review of the published literature from 1993 to 2003: 33 eligible studies included in this meta- recommendations of this metaanalysis seem well documented and applicable in this kind of analyses. rehabilitation. Effects of physical training on physical Systematic review Inclusion of 16 RCTs (6 high-, 8 medium- and 2 performance in institutionalized low-quality studies according to a quality evaluation elderly patients (70+) with multiple diagnoses (47) form originally developed by the Cochrane Collaboration (evaluation based on a weighted scale of 0-100 points) The effects of exercise training in Systematic review No convincing evidence exists supporting positive Cochrane Va form: institutionalized elderly people: a effects of exercises on balance, mobility and gait. Data were extracted according to systematic review (48) The authors measure the effect of exercise on the Cochrane methodology. improvement of muscle strength . Negative answers to questions 6, 7, 8 of the Va form. Hence, results of the literature review must be The effects of exercise on skeletal Review implemented with caution. Recommendations seem applicable to Belgian situation The effect of increased mechanical loading of the Cochrane Va form: muscle in the aged (49) musculoskeletal system (e.g., resistive exercise) on a reduction in the risk of falls Negative or no answer possible for 7 of the 8 first questions of the Va form. Critical appraisal not pursued. Disorders of walking in elderly Review Gait disorders in elderly patient cannot be Results of this review must be subjects: towards new concepts conceived as a simple impairment in muscle, implemented with caution. (50) tendons or joint effectors but must be assessed in relation to defective central programming or dysfunctioning synergy. The postural imbalance induced by visual stimulations is studied in this review. Benefits of exercise for older adults. Review This study supports the potential value of exercise Old review of 1992. Results must be
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