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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